ln18CuuClnC 1PL CCnCL1 Cl

NUkSL LN1kLkLNLUkSnI
AMCnC unLMLC?Lu nu8SLS 1C ACPlLvL u8LlC PLAL1P C8!LC1lvLS

ro[ect Descr|pt|on

An lnlLlaLlve of uCLL ln collaboraLlon wlLh 8Cn8C uCP nA uCn CPnA and oLher governmenL
and nongovernmenL enLlLles and academlc lnsLlLuLlons Lo promoLe nurse enLrepreneurshlp ln Lhe
hlllpplnes
1 Lo reduce Lhe cosL of healLh care for Lhe counLry's lndlgenL populaLlon by brlnglng prlmary
healLh care servlces Lo poor rural communlLles
2 Lo maxlmlze employmenL opporLunlLles for Lhe counLry's unemployed nurses and
3 Lo uLlllze Lhe counLry's unemployed human resources for healLh for Lhe dellvery of publlc healLh
servlces and Lhe achlevemenL of Lhe counLry's Mlllennlum uevelopmenL Coals on maLernal and
chlld healLh conslsLenL wlLh Lhe lourmula Cne for PealLh framework of Lhe ueparLmenL of
PealLh


ro[ect 8enef|c|ar|es

PMC members hllPealLh members selfpaylng paLlenLs convalescenL paLlenLs paLlenLs needlng
longLerm LreaLmenL elderly occupaLlonally dlsabled ldenLlfled poor rural communlLles and
unemployed nurses


LLGAL 8ASLS

Ak1ICLL VI kA 9173
NUkSING kAC1ICL
Sect|on 28 Scope of Nurs|ng A person shall be deemed Lo be pracLlclng nurslng wlLhln Lhe meanlng
of Lhls AcL when he/she slngly or ln collaboraLlon wlLh anoLher lnlLlaLes and performs nurslng servlces
Lo lndlvlduals famllles and communlLles ln any healLh care seLLlng lL lncludes buL noL llmlLed Lo
nurslng care durlng concepLlon labor dellvery lnfancy chlldhood Loddler preschool school age
adolescence adulLhood and old age As lndependenL pracLlLloners nurses are prlmarlly responslble for
Lhe promoLlon of healLh and prevenLlon of lllness

Art|c|e V kA 7164
NUkSING kAC1ICL
Sect|on 27 Scope of Nurs|ng A person shall be deemed Lo be pracLlclng nurslng wlLhln Lhe meanlng
of Lhls AcL when he/she for a fee salary or oLher reward or compensaLlon slngly or ln collaboraLlon
wlLh anoLher lnlLlaLes and performs nurslng servlces Lo lndlvlduals famllles and communlLles ln varlous
sLages of developmenL Loward Lhe promoLlon of healLh prevenLlon of lllness resLoraLlon of healLh and
allevlaLlon of sufferlng


kA1ICNALL

1hls lnlLlaLlve alms Lo achleve publlc healLh ob[ecLlves and aL Lhe same Llme address Lhe unemploymenL
problem of llcensed nurses ln Lhe counLry 1he sLraLegy ls Lo encourage nurses Lo form cooperaLlves and
manage nurses' cllnlcs under Lhe supervlslon of Lralned and experlenced nurses whlch wlll deploy
newly llcensed nurses Lo poor rural communlLles wlLh llLLle or no access Lo baslc healLh care and wlLh
subsLanLlal populaLlons of slck elderly and dlsabled paLlenLs 1hese servlces wlll be compensaLed by Lhe
LCu hllhealLh PMCs by Lhe paLlenLs Lhemselves on a per vlslL basls or from granLs from local and
forelgn donors Congressmen's and SenaLor's rlorlLy uevelopmenL lunds shall also be Lapped

CuallLy healLh care ls an expenslve opLlon for mosL llllplnos many of whom do noL have healLh
lnsurance 1he popular saylng 8awal MagkasaklL" ls noL only an aLLempL aL dark humor buL reflecLs a
reallLy LhaL Lhe overwhelmlng ma[orlLy of llllplnos slmply cannoL afford quallLy healLh care

1he daLa from Lhe PMCs ls LhaL only less Lhan 13 of Lhe populaLlon have healLh lnsurance 1he resL pay
for healLh care servlces elLher ouL of pockeL or Lhrough Lhe hllhealLh ln 2002 Lhe World PealLh
CrganlzaLlon esLlmaLed LhaL of LoLal healLh expendlLures ln Lhe hlllpplnes 473 ls ouL of pockeL
8eyond Lhe lssue of Lhe hlgh cosL of quallLy healLh care access Lo prlmary healLh care ls also a problem
amongsL poor rural communlLles ln one reporL of one of our nurses under ro[ecL nA8S a pregnanL
woman dled under hls waLch slmply because Lhe upland Lown lacked oxygen supplles 1he hlllpplnes
has one of Lhe worsL healLh manpower Lo populaLlon raLlo ln Asla ln 1999 our raLlo of one docLor per
9689 populaLlon ls only sllghLly beLLer Lhan Cambodla's 9997 buL lower Lhan lndonesla's 6193
1halland's 3670 Myanmar's 3291 vleLnam's 2122 Malaysla's 1463 and Slngapore's 731

ln 8eglon 11 Lhe raLlo of publlc healLh manpower Lo populaLlon ls even more worrylng ComposLela
valley has only 1 governmenL docLor for every 49666 populaLlon and one governmenL nurse for every
40333 uavao del norLe has one docLor for every 33924 and one nurse for every 27832 uavao
CrlenLal has one docLor for every 49189 and one nurse for every 32793 uavao del Sur has one docLor
for every 49189 and one nurse for every 32793 uavao ClLy Lhe reglonal cenLer has one docLor for
every 73484 and one nurse for every 39891 1herefore Lhe deploymenL of nurses Lo poor rural
communlLles ln Lhese provlnces ls an urgenL need Cn Lhe oLher hand Lhe oversupply of reglsLered
nurses ln Lhe counLry now esLlmaLed aL 130000 resulLlng from Lhe boom ln Lhe number of nurslng
schools and Lhe splke ln nurslng enrolmenL from Lhe 1980s Lo 2008 (Lhere has been a 17 drop ln
enrolmenL for 2009) has broughL home Lhe lssue of how Lo provlde employmenL opporLunlLles for our
unemployed nurses

1he uCLL's ro[ecL nA8S has provlded Lemporary employmenL for 11000 nurses all over Lhe counLry ln
1000 poverLysLrlcken munlclpallLles ueparLmenL of Labor and LmploymenL (uCLL) rovlde overall
managemenL and dlrecLlon and provlde flnanclal asslsLance ln Lhe form of granLs Lo nurses' cooperaLlves
whlch Lhe laLLer wlll use as sLarLup caplLal 1he uCLL Lhrough lLs reglonal offlces shall also asslsL Lhe
nurses organlze Lhemselves lnLo cooperaLlves or assoclaLlons and reglsLer Lhemselves wlLh Lhe
approprlaLe governmenL auLhorlLy

Imp|ement|ng Lnt|t|es and 1he|r r|nc|pa| ko|es

Department of nea|th (DCn) Lead ln Lhe formulaLlon or reform of healLh pollcles ln supporL of Lhls
lnlLlaLlve lncludlng referrlng paLlenLs Lo Lhe pro[ecL's nurses' cooperaLlves

h|||pp|ne nea|th Corporat|on (h||nea|th) upon approval of lLs 8oard of ulrecLors shall modlfy lLs
rules Lo lnclude home and rehablllLaLlon servlces as parL of lLs package of beneflLs for hllhealLh
members and pay for or relmburse home healLh care servlces of nurses' cooperaLlves reglsLered wlLh
Lhe CuA under Lhls ro[ecL

8oard of Nurs|ngrofess|ona| kegu|at|on Comm|ss|on (8CNkC)
romoLe nurse enLrepreneurshlp among Lhe counLry's nurslng sLudenLs and schools and research on
Lhe feaslblllLy of lncludlng nurse enLrepreneurshlp ln Lhe 8Sn currlculum ueslgn and lmplemenL an
LnLerprlse uevelopmenL 1ralnlng Course for nurses' cooperaLlves ln parLnershlp wlLh Lhe CooperaLlves
uevelopmenL AuLhorlLy

Un|vers|ty of the h|||pp|nes Co||ege of Nurs|ng and h|||pp|ne Nurses Assoc|at|on (UCN and NA)
8esearch and formulaLe cosLlng sLandards LhaL our nurses' cooperaLlves can use as gulde ln flxlng Lhe
cosL of Lhelr servlces formulaLe meLrlcs ln evaluaLlng socloeconomlc lmpacL of Lhe pro[ecL on publlc
healLh ln plloL communlLles and conducL evaluaLlon uslng Lhe same meLrlcs

h|||pp|ne Nurses Assoc|at|on (NA) Shall promoLe Lhe concepL of nurse enLrepreneurshlp among lLs
chapLers and members and help obLaln fundlng granLs from abroad parLlcularly lLs overseas chapLers

Cccupat|ona| nea|th Nurses Assoc|at|on of the h|||pp|nes (CnNA) 8efer quallfled paLlenLs from
Lhelr companybased cllnlcs Lo Lhe pro[ecL's nurses' cooperaLlves and Lraln nurse cooperaLlve members
on baslc occupaLlonal safeLy and healLh for
nurses

Cooperat|ves Deve|opment Author|ty (CDA) Shall reglsLer nurses' cooperaLlves and Lraln Lhem on
cooperaLlvlsm

Insurance Comm|ss|on (IC) Shall promoLe Lhe ro[ecL among PMCs Lo lnclude home healLh care as
parL of lLs package of beneflLs for Lhelr PMC member

LGUs and other sponsor|ng agenc|es or organ|zat|ons
ldenLlfy Lhe barangays whlch are mosL ln need of healLh care











CkMS C NUkSL LN1kLkLNLUkSnI

Posplce domlclllary and healLhcare faclllLy managemenL
ubllc healLh advocacy
Pome healLh care servlces
CuLsourclng publlc healLh dellvery for LCus nCAs and oLher governmenL lnsLlLuLlons
Medlcal LranscrlpLlon servlces
PealLh care Lralnlng managemenL
Lmergency medlcal servlces
1ourlsm healLh care servlces
Wellness and flLness managemenL for prlvaLe companles
CuLsourclng healLh servlces for prlvaLe esLabllshmenLs per Labor Code requlremenL
Medlcal mlsslon managemenL for prlvaLe companles and LCus
erlodlc physlcal examlnaLlon of workers for prlvaLe companles



kCCLSS LCW