GARANTISADONG PAMBATA

The Mandate: A.O. 36, s2010

Aquino Health Agenda (AHA): Achieving Universal Health Care for All Filipinos
Goal
Achievement of better health outcomes, sustained health financing and responsive health system
by ensuring that all Filipinos, esp. the disadvantaged group (lowest 2 income quintiles) have
equitable access to affordable health care
Universal Health Care
Strategies:
Financial risk protection.
Improved access to quality hospitals and facilities
Attainment of health-related MDGs by:
Deploy CHTs to actively assist families in assessing and acting on their health
needs
Utilize life cycle approach in providing needed services: FP, ANC, FBD, ENC,
IPP, GP for 0-14 years old
Aggressive promotion of healthy lifestyle change
Harness strengths of inter-agency and intersectoralcooperation with DepEd,
DSWD and DILG
EXPANDED GARANTISADONG PAMBATA
Comprehensive and integrated package of services and communication on health,
nutrition and environment for children available everyday at various settings such as
home, school, health facilities and communities by government and non-government
organizations, private sectors and civic groups.
Objectives:

Contribute to the reduction of infant and child morbidity and mortality towards the attainment of
MDG 1 and 4.
Ensure that all Filipino children, especially the disadvantaged group (GIDA), have equitable
access to affordable health, nutrition and environment care.
Rationale for the New GP Design

GP Services Package

Age by
Year

Health

Nutrition

Environment

Maternalnutrition
Maternal health care
0-1

Essential newborn care

Immunization

Iron supplementation
Vitamin A
Early &exclusive
breastfeeding
Complementary feeding

Breastfeeding

1-5

Water
Sanitation
Hygiene
promotion
Oral health
Child injury
prevention

Immunization

Complementaryfeeding Treated bednets

Deworming

Vitamin A

IMCI

Iron supplementation

Smoke-free
homes

Iodized salt at home

Deworming
6-10

Booster immunization
(Screening)

Deworming

11-14

Booster immunization
(Screening)
Physical activity (Healthy
lifestyle)

Proper nutrition
Iodized salt at home

Proper nutrition
Iron supplementation
Iodized salt at home

Vitamin A Supplementation
Policy remains the same for giving Vitamin A capsules:
Routine:
- every 6 months for 6-59 months preschoolers
Therapeutic:
- 1 capsule upon diagnosis regardless of when the last dose of VAC for
preschoolers with measles

- 1 capsule upon diagnosis except when child was given Vitamin A was given less
than 4 weeks for
preschoolers with severe pneumonia, persistent diarrhea,
severely underweight
- 1 capsule immediately upon diagnosis, 1 capsule the next day and another capsule
after 2 weeks after for preschoolers with xerophthalmia
( Please refer to your MOP for other target groups)
Recording/Reporting:
FHSIS Records and Reports
GP Forms submitted to NCDPC thru CHDs

April preschoolers 6-59 months given VAC from November of past year
to April of the current year
October preschoolers 6-59 months given
VAC from May to October
Core Messages per Gateway Behavior
MAGPASUSO
(Newborn to 6 mos) Pasusuhin ng gatas ni Nanay lang
(6 mos to 2 years old) Magpasuso at bigyan ng (mga masustansiyang ibat-ibang
pagkain) ibang pagkain (pampamilyang pagkain).
Bumili/ Gumamit ng mga produktong may SANGKAP PINOY seal sa pagluluto.
MAGPABAKUNA
Siguraduhing kumpletoang bakuna ni baby bago siya magdiwang ng unang kaarawan.
Pabakunahan ng MMR ang mga batang 1 taon hanggang 1 taon at 3 buwan. Ito ay laban
sa tigdas, beke at rubella (German Measles)
MAGBITAMINA A
Siguraduhing mabigyan (mapatakan) ng Bitamina A kada anim (6) na buwan ang inyong
mga anak na edad 6 na buwan hanggang 5 taon
MAGPURGA
Siguraduhing mapurga ang inyong mga anak na edad 1 hanggang 12 na taong gulang kada anim na buwan.
GUMAMIT NG PALIKURAN
Gumamit ng kubeta o palikuran sa pagdumi at pagihi.
MAGSIPILYO
Wastong pagsisipilyo ng ngipin ng dalawang beses sa isang araw, lalo na bago matulog.
MAGHUGAS NG KAMAY
Maghugas ng kamay bago kumain at matapos gumamit ng kasilyas. Ugaliin din ang paghuhugas ng kamay
matapos maglaro o humawak ng maduduming bagay.
Program Coordinator:
Ms. Liberty Importa
Program Manager
National Center for Disease Prevention and Control - Family Health Office
Phone: 651-7800 local 1726-1730
Email: limporta@yahoo.com

HIV/STI PREVENTION PROGRAM

Objective:
Reduce the transmission of HIV and STI among the Most At Risk Population and General
Population and mitigate its impact at the individual, family, and community level.
Program Activities:
With regard to the prevention and fight against stigma and discrimination, the following
are the strategies and interventions:
1. Availability of free voluntary HIV Counseling and Testing Service;
2. 100% Condom Use Program (CUP) especially for entertainment establishments;
3. Peer education and outreach;
4. Multi-sectoral coordination through Philippine National AIDS Council (PNAC);
5. Empowerment of communities;
6. Community assemblies and for a to reduce stigma;
7. Augmentation of resources of social Hygiene Clinics; and
8. Procured male condoms distributed as education materials during outreach.
Program Accomplishments:
As of the first quarter of 2011, the program has attained particular targets for the three
major final outputs: health policy and program development; capability building of local
government units (LGUs) and other stakeholders; and leveraging services for priority
health programs.
For the health policy and program development, the Manual of Procedures/ Standards/
Guidelines is already finalized and disseminated. The ARV Resistance surveillance among
People Living with HIV (PLHIV) on Treatment is being implemented through the Research
Institute for Tropical Medicine (RITM). Moreover, both the Strategic Plan 2012-2016 for
Prevention of Mother to Child Transmission and the Strategic Plan 2012-2016 for Most at
Risk Young People and HIV Prevention and Treatment are being drafted.
With regard to capability building, the Training Curriculum for HIV Counseling and Testing
is already revised. Twenty five priority LGUs provided support in strengthening Local AIDS
councils. as of March 2011, there were already 17 Treatment Hubs nationwide.
Lastly, for the leveraging services, baseline laboratory testing is being provided while
male condoms are being distributed through social Hygiene Clinics. A total of 1,250
PLHIV were provided with treatment and 4,000 STI were treated.
Partner Organizations/Agencies:
The following organizations/agencies take part in achieving the goal of the National
HIV/STI Prevention Program:
Department of Interior and Local Government (DILG)
Philippine National AIDS Council (PNAC)
Research Institute for Tropical Medicine (RITM)
STI/AIDS Cooperative Central Laboratory (SCCL)
World Health Organization (WHO)

United States Agency for International Development (USAID)

Pinoy Plus Association
AIDS Society of the Philippines (ASP)
Positive Action Foundation Philippines, Inc. (PAFPI)
Action for Health Initiatives (ACHIEVES)
Affiliation Against AIDS in Mindanao (ALAGAD-Mindanao)
AIDS Watch Council (AWAC)
Family Planning Organization of the Philippines (FPOP)
Free Rehabilitation, Economic, Education, and Legal Assistance Volunteers
Association, Inc. (FREELAVA)
Philippine NGO council on Population, Health, and Welfare, Inc. (PNGOC)
Leyte Family Development Organization (LEFADO)
Remedios AIDS Foundation (RAF)
Social Development Research Institute (SDRI)
TLF share Collectives, Inc.
Trade Union Congress of the Philippines (TUCP) Katipunang Manggagawang
Pilipino
Health Action Information Network (HAIN)
Hope Volunteers Foundation, Inc.
KANLUNGAN Center Foundation, Inc. (KCFI)
Kabataang Gabay sa Positibong Pamumuhay, Inc. (KGPP)

Program Manager:
Dr. Jose Gerard B. Belimac
Department of Health-National Center for Disease Prevention and Control (DOH-NCDPC)
Contact Number: 651-78-00 local 2353

HUMAN RESOURCE FOR HEALTH NETWORK

The Department of Health (DOH) spearheaded the creation of Human Resource for
Health Network (HRHN), which is a multi-sectoral organization composed of government
agencies and non-government organizations. The network seeks to address and respond
to human resource for health (HRH) concerns and problems.
HRHN was formally established during the launching and signing of the Memorandum of
Understanding among its member agencies and organizations held on October 25, 2006.
This network was grounded on the Human Resources for Health Master Plan (HRHMP)
developed by the DOH and the World Health Organization (WHO). The HRHN was
conceived to implement programs and activities that require multi-sectoral coordination.

Vision: Collaborative partnerships for a better, more responsive and globally competitive
HRH.

Mission: The HRHN is a multi-sectoral organization working effectively for coordinated

and collaborative action in the accomplishment of each member organizations mandate
and their common goals for HRH development to address the health service needs of the
Philippines, as well as in the global setting.

Values: Upholds the quality and quantity of HRH for the provision of quality health care
in the Philippines.

Objectives:
The objectives of the HRHN are as follows:
1. Facilitate implementation of programs of the HRHMP that would entail coordination
and linkage of concerned agencies and organizations;
2. Provide policy directions and develop programs that would address and respond to
HRH issues and problems;
3. Harmonize existing policies and programs among different government agencies and
non-government organizations;
4. Develop and maintain an integrated database containing pertinent information on
HRH from production, distribution, utilization up to retirement and migration; and
5. Advocate HRH development and management in the Philippines.

Projects:
During its first year of implementation, the HRHN has the following priority projects and
activities:
1. Review and Harmonization of HRH Related Policies;
2. Development of HRHN Website;
3. Conduct of Capability Building Activities; and
4. Conduct of the National HRH Forum.

Program Manager:
Ms. Gwyn Grace Dacurawat
Department of Health-Health Human Resource Development Bureau (DOH-HHRDB)
Contact Number: 651-78-00 local 4204/4227
Email: hhrdb_doh@yahoo.com

HEALTH DEVELOPMENT PROGRAM FOR OLDER

PERSON - ( BUREAU OR OFFICE NATIONAL CENTER
FOR DISEASE PREVENTION AND CONTROL )
Bureau or Office: National Center for Disease Prevention and Control
Program Briefer
Cognizant of its mandate and crucial role, the Philippine Department of Heallth (DOH) formulated the
Health Care Program for Older Persons (HCPOP) in 1998. The DOH HCPOP (presently renamed Health
Development Program for Older Persons) sets the policies, standards and guidelines for local
governments to implement the program in collaboration with other government agencies, non-government
organizations and the private sector.

The program intends to promote and improve the quality of life of older persons through
the establishment and provision of basic health services for older persons, formulation of
policies and guidelines pertaining to older persons, provision of information and health
education to the public, provision of basic and essential training of manpower dedicated
to older persons and, the conduct of basic and applied researches.
Target Population/Clients
1. Older persons (60 years and above) who are:
a. Well and free from symptoms
b. Sick and frail
c. Chronically ill and cognitively impaired
d. In need of rehabilitation services
2. Health workers and caregivers
3. LGU and partner agencies
Area of Coverage
Nationwide

Mandate
International:

Vienna International Plan of Action on Ageing

General Assembly Resolutions

Local:

Philippine Constitution (Article XIII, Section XI)

Republic Act 7876 - Senior Citizens Center Act of the Philippines
Republic Act No. 7432 - An Act to Maximize the Contribution of Senior
Citizens to Nation Building, Grant Benefits and Special Privileges and for Other
Purposes

Proclamation No. 470 - Declaring the 1st week of October every year as
"Elderly Filipino Week"

Philippine Plan of action for Older Persons (1999-2004)

Vision
Healthy ageing for all Filipinos.
Goal
A healthy and productive older population is promoted.

HEALTH DEVELOPMENT PROGRAM FOR OLDER

PERSON - R.A. 7876 ( SENIOR CITIZENS CENTER ACT
OF THE PHILIPPINES
REPUBLIC ACT NO. 7876

AN ACT ESTABLISHING A SENIOR CITIZENS CENTER IN ALL CITIES AND MUNICIPALITIES OF

THE PHILIPPINES, AND APPROPRIATING FUNDS THEREFOR.
Sec. 1. Title. This Act shall be known as the "Senior Citizens Center Act of the
Philippines."
Sec. 2. Declaration of Policy. It is the declared policy of the State to provide adequate
social services and an improved quality of life for all. For this purpose, the State shall
adopt an integrated and comprehensive approach towards health development giving
priority to elderly among others.chan robles virtual law library
Sec. 3. Definition of Terms. (a) "Senior citizens," as used in this Act, shall refer to any
person who is at least sixty (60) years of age.
(b) "Center," as used in this Act, refers to the place established by this Act with
recreational, educational, health and social programs and facilities designed for the full
enjoyment and benefit of the senior citizens in the city or municipality.
Sec. 4. Establishment of Centers. There is hereby established a senior citizens center,
hereinafter referred to as the Center, in every city and municipality of the Philippines,
under direct supervision of the Department of Social Welfare and Development,

hereinafter referred to as the Department, in collaboration with the local government

unit concerned.
Sec. 5. Functions of the Centers. The centers are extensions of the fourteen (14)
regional offices of the Department. They shall carry out the following functions:
(a) Identify the needs, trainings, and opportunities of senior citizens in the cities and
municipalities;chan robles virtual law library
(b) Initiate, develop and implement productive activities and work schemes for senior
citizens in order to provide income or otherwise supplement their earnings in the local
community;
(c) Promote and maintain linkages with provincial government units and other
instrumentalities of government and the city and municipal councils for the elderly and
the Federation of Senior Citizens Association of the Philippines and other nongovernment organizations for the delivery of health care services, facilities, professional
advice services, volunteer training and community self-help projects; and
(d) To exercise such other functions which are necessary to carry out the purpose for
which the centers are established.
Sec. 6. Center Workers. The Secretary of the Department of Social Welfare and
Development (DSWD) may designate social workers from the Department as the workers
of the centers: Provided, however, That the Secretary may appoint other personnel who
possess the necessary professional qualifications to work efficiently with the elderly of
the community.
The Secretary may also call upon private volunteers who are responsible members of the
community to provide medical, educational and other services and facilities for the
senior citizens.
Sec. 7. Qualification/Disqualification. A senior citizen who suffers from a contagious
disease, or who is mentally unfit or unsound or whose actuations are inimical to other
senior citizens as determined by the DSWD on the basis of an appropriate certification by
a qualified government or private volunteer physician, may be denied the benefits
provided in the Center. However, the center shall refer the senior citizen concerned to
the appropriate government agency for the needed medical care or confinement.
Sec. 8. Exemptions of the Center. The Center shall be exempted from the payment of
customs duties, taxes and tariffs on the importation of equipment and supplies used
actually, directly and exclusively by the Center pursuant to this Act, including those
donated to the Center.
Sec. 9. Rules and Regulations. Withinsixty (60) days from the approval of this Act, the
DSWD, in coordination with other government agencies concerned, shall issue the rules
and regulations to effectively implement the provisions of this Act. Any violation of this
section shall render the concerned official(s) liable under Republic Act No. 6713,
otherwise known as the "Code of Conduct and Ethical Standards for Public Officials and
Employees" and other existing administrative and/or criminal laws.

Sec. 10. Coordination of Government Agencies. The DSWD, in coordination with the
Department of Health and other government agencies and local government units, shall
assist in the effective implementation of this Act and provide the necessary support
services.
Sec. 11. Appropriations. The amount necessary to carry out the provisions of this Act
shall be included in the General Appropriations Act of the year following its enactment
into law and every year there after.
The sum necessary for the continuous operation of the centers shall be subsidized in part
by the DSWD and in part by the local government units concerned.
Sec. 12. Repealing or Amending Clause. All laws, decrees, executive orders, and rules
and regulations, which are not consistent with this Act, are hereby modified, amended or
repealed accordingly chan robles virtual law library
Sec. 13. This Act shall take effect fifteen (15) days after its publication in two (2)
newspapers of general circulation.

Approved: February 14, 1995

HEALTH DEVELOPMENT PROGRAM FOR OLDER

PERSON - ( GLOBAL MOVEMENT FOR ACTIVE AGING
(GLOBAL EMBRACE 1999) )
The Global Movement for Active Ageing, which was conceived by the World Health Organization (WHO),
will need the collaboration of many different partners from all over the world. Active ageing is the capacity
of the people, as they grow older to lead productive and healthy lives in their families, societies and
economies.
The Global Movement will be a network for all those interested in moving policies and practice towards
Actives Ageing. It will provide models and ideas for programme and projects that promote active ageing.
The key messages of the Global Movement are:
1. CELEBRATE
Celebrate ageing ; getting older is good; the alternative dying prematurely is not
2. A SOCIETY FOR ALL
Active ageing is key for older persons continuing to contribute to society; all dimensions for being active
should be taken into account : the physical, mental, social, and spiritual
3. INTEGENERATIONAL SOLIDARITY
Older persons should not be marginalized: reflecting the theme of the UN International Year of Older
Persons, towards a society for all ages

What is the Global Embrace 1999?

The Global Embrace, which will mark simultaneously the launching of Global Movement for Active Ageing
1999 International Year for Older Persons, is exactly as the title implies, a series of walk events embracing
the globe: in time zone after time zone, ageing will be celebrated in cities around the world, through these
walk events. The walk will start in countries in the Pacific, where the date line marks the start of a new day.
Thus, the first walk will be in New Zealand .. followed by Australia, then Japan, Korea, China, Thailand, the
Philippines, Indonesia and India.. Always at a set time, a group of cities, within the same time zone, will be
starting their celebrations. Eventually, they will reach the Middle East, Africa, Europe, the America, until
the very last locations will close the day and embrace. The Global embrace is a round the clock around the
world party which every country is invited.
Objectives:
1. To inspire, to inform, to promote health and to provide enjoyment and good company.
2. Moreover, it will link the local project to a global community of similar concerns and people from all over
the world.
Target date : October 2, 1999 (Saturday)
Target Pop. : General population
Target venue : Quezon Memorial Circle, Quezon City (Metro Manila) simultaneous with La Union (Luzon),
Metro Cebu (Visayas), and Metro Davao (Mindanao)
As there are still negative stereotype associated with old age in many societies, a participatory event that
promotes a positive image of ageing will assist in dissipating these stereotypes. This is a necessary
precondition both for allowing the aged to make a contribution to the world as well as for building a
harmonious global community and an intergenerational society.
A. 2 The Message
Kami ay para sa KSP ( Kalusugan Sa Pagtanda or Healthy Ageing)
Ageing is a NORMAL, dynamic process and NOT a DISEASE. It is the inevitable alternative to PREMATURE
DEALTH. It can prevent or delay many disabling conditions that often accompany ageing through healthy
lifestyle such as proper diet,
exercise, avoidance of untoward stress, smoking and alcohol.
A. 3 The Walk Event
The World Health Organization (WHO) Ageing and Health Programme has launched initiatives that
encourage healthy ageing globally. To assist in the promotion, an annual celebration on October 2
(Saturday) as designated by the United Nation and mandated by law shall recognize the International Year
of Older Persons (IYOP)
These celebratory event will be held at the Quezon Memorial Circle, Quezon City, 3 p.m. till midnight
A. 4 Target Population
Since the walk event promotes healthy ageing there is NO SPECIFIC TARGET POPULATION. Everybody (All
ages) are encouraged to participate in the walk. There is NO competitive aspect to the event that people
at all levels of physical
activity are encouraged to take part. The primary aim is to promote intergenerational exchanges.

HEALTH DEVELOPMENT PROGRAM FOR OLDER

PERSON - R.A. 7432 ( AN ACT TO MAXIMIZE THE

CONTRIBUTION OF SENIOR CITIZENS TO NATION

BUILDING, GRANT BENEFITS AND SPECIAL
PRIVILEGES )
AN ACT TO MAXIMIZE THE CONTRIBUTION OF SENIOR CITIZENS TO NATION
BUILDING, GRANT BENEFITS AND SPECIAL PRIVILEGES AND FOR OTHER
PURPOSES.
Be it enacted by the Senate and House of Representative of the Philippines in Congress
assembled:
SECTION 1. Declaration of Policies and Objectives Pursuant to Article XV, Section
4 of the Constitution, it is the duty of the family to take care of its elderly members while
the State may design programs of social security for them. In addition to this, Section 10
in the Declaration of Principles and State Policies provides: The State shall provide social
justice in all phases of national development. Further, Article XIII, Section II provides:
The State shall adopt an integrated and comprehensive approach to health
development which shall endeavor to make essential goods, health and other social
services available to all the people at affordable cost. There shall be priority for the
needs of the underprivileged, sick, elderly, disabled, women and children. Consonant
with these constitutional principles the following are the declared policies of this Act:
a) To motivate and encourage the senior citizens to contribute to nation building;
b) To encourage their families and communities they live with to reaffirm the
valued Filipino tradition of caring for the senior citizens.
In accordance with these policies, this act aims to:
1) Establish mechanism whereby the contribution of the senior citizens are
maximized;
2) Adopt measures whereby our senior citizens are assisted and appreciated by
the community as a whole;
3) Establish a program beneficial to the senior citizens, their families and the rest
of the community that they serve.
SECTION 2. Definition of Terms. As used in this Act, the term senior citizen shall
mean any resident of the Philippines at least sixty (60) years old, including those who
have retired from both government offices and private enterprises, and has an income of
not more than Sixty thousand pesos (P60,000.00) per annum subject to review by the
National Economic and Development Authority (NEDA) every three (3) years.
The term head of the family shall mean any person so defined in the National Internal
Revenue Code.
SECTION 3. Contribution to the Community. Any qualified senior citizens as
determined by the Office for Senior Citizen Affairs (OSCA) may render his/her services to
the community which shall consist of but not limited to any of the following:
a) Tutorial and/or consultancy services;
b) Actual teaching and demonstration of hobbies and income generating skills;
c) Lectures on specialized fields like agriculture, health, environmental protection
and the like;

d) The transfer of new skills acquired by virtue of their training mentioned in

Section 4, paragraph (d)
e) Undertaking other appropriate services as determined by the Office for Senior
Citizens Affairs (OSCA) such as school traffic guide, tourist aid, pre-school assistant, etc.
In consideration of the services rendered by the qualified elderly, the Office for Senior
Citizens Affairs (OSCA) may award or grant benefits or privileges to the elderly, in
addition to the other privileges provided for under Section 4 hereof.
SECTION 4. Privileges for the Senior Citizens. The senior citizens shall be entitled
to the following:
a) The grant of twenty percent (20%) discount from all establishments relative to
utilization of transportation services, hotels and similar lodging establishment,
restaurants and recreation centers and purchase of medicines anywhere in the country:
Provided, That private establishments may claim the cost as tax credit;
b) A minimum of twenty percent (20%) discount on admission fees charged by
theaters, cinema houses and concert halls, circuses, carnivals and other similar places of
culture, leisure, and amusements;
c) Exemption from the payment of individual income taxes: Provided, That their
annual taxable income does not exceed the poverty level as determined by the National
Economic and Development Authority (NEDA) for that year;
d) Exemption from training fees for socioeconomic programs undertaken by the OSCA as
part of its work;
e) Free medical and dental services in government establishment anywhere in the
country, subject to guidelines to be issued by the Department of Health, the Government
Service Insurance System and the Social Security System;
f) To the extent practicable and feasible, the continuance of the same benefits and
privileges given by the Government Service Insurance System (GSIS), Social Security
System (SSS) and PAG-IBIG, as the case may be, as are enjoyed by those in actual
service.
SECTION 5. Government Assistance. The Government shall provide the following
assistance to those caring for and living with the senior citizen:
a) The senior citizen shall be treated as dependents provided for in the National
Internal Revenue Code and as such, individual taxpayers caring for them, be they
relatives or not shall be accorded the privileges granted by the Code insofar as having
dependents are concerned.
b) Individuals or non-governmental institutions establishing homes, residential
communities or retirement villages solely for the senior citizens shall be accorded the
following:
1) Realty tax holiday for the first five (5) years starting from the first year of
operations;
2) Priority in the building and/or maintenance of provincial or municipal roads
leading to the aforesaid home, residential community or retirement village.
SECTION 6. Retirement Benefits. To the extent practicable and feasible retirement
benefits from both the Government and the private sectors shall be upgraded to be at
par with the current scale enjoyed by those in actual service.
SECTION 7. The Office for Senior Citizens Affairs (OSCA). There shall be
established in the Office of the Mayor an OSCA to be headed by a Councilor who shall be
designated by the Sangguniang Bayan and assisted by the Community Development

Officer in coordination with the Department of Social Welfare and Development. The
functions of this office are:
a) To plan, implement and monitor yearly work programs in pursuance of the
objectives of this Act;
b) To draw up a list of available and required services which can be provided by the
senior citizens;
c) To maintain and regularly update on a quarterly basis the list of senior citizens
and to issue nationally uniform individual identification cards which shall be valid
anywhere in the country;
d) To serve as a general information and liaison center to serve the needs of the
senior citizens.
SECTION 8. Municipal Responsibility. It shall be the responsibility of the
municipality through the Mayor to ensure that the provisions of this Act are implemented
to its fullest.
SECTION 9. Penalties. Violation of any provision of this Act for which no penalty is
specifically provided under any other law, shall be punished by imprisonment not
exceeding one (1) month or a fine not exceeding One thousand pesos (P1,000.00) or
both.
SECTION 10. Implementing Rules and Regulations. The Secretary of Social
Welfare and Development jointly with the Department of Finance, the Department of
Tourism, the Department of Health, the Department of Transportation and
Communications and the Department of Interior and Local Government shall issue the
necessary rules and regulations to carry out the objectives of this Act.
SECTION 11. Appropriation. The necessary appropriation for the operation and
maintenance of the OSCA shall be appropriated and approved by the local government
units concerned. The National Government shall appropriate such amount as may be
necessary to carry out the objectives of this Act.
SECTION 12. Repealing Clause. All provisions of laws, orders, and decrees, including
rules and regulations inconsistent herewith are hereby repealed and/or modified
accordingly.
SECTION 13. Separability Clause. If any part or provision of this Act shall be held to
be unconstitutional or invalid, other provisions hereof which are not affected thereby
shall continue to be in full force and effect.
SECTION 14. Effectivity. This Act shall take effect fifteen (15 days following its
publication in one (1) national newspaper of general circulation.
Approved,
(SGD.) RAMON V. MITRA
Speaker of the House of Representatives
(SGD.) NEPTHALI A. GONZALES
President of the Senate
This bill, which is a consolidation of Senate Bill Nos. 835, 1435 and House Bill No. 35335,
was finally passed by the Senate and the House of Representatives on February 7, 1992.
(SGD.) CAMILO L. SABIO

Secretary General
House of Representatives
(SGD.) ANACLETO D. BADOY, JR.
Secretary of the Senate
Approved: April 23, 1992
(SGD.) CORAZON C. AQUINO
President of the Philippines
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GUIDELINES ON THE ISSUANCE OF THE NATIONALLY UNIFORM IDs OF SENIOR CITIZENS

AS PER R.A. 7432
The national I.D. of Senior Citizens as per provision of RA 7432 is to be provided by the
Department of Social Welfare and Development (DSWD) for free. A senior citizen who has
an income of P60,000.00 and below per annum shall be granted the benefits per Section
4 of RA 7432. The process of securing the ID is as follows:
1. A Senior Citizen shall enlist at the Office for Senior Citizens Affairs (OSCA) established
at the Office of the Mayor in his/her city or municipality;
2. The OSCA shall determine the eligibility of the senior citizen. All eligible senior citizens
shall provide OSCA two (2) ID pictures taken within the year of enlisting at OSCA. One ID
picture shall be attached to the OSCA registration form to be kept by the said office. The
other picture shall be for the ID card;
3. The OSCA shall prepare the list of Senior Citizens to be certified by the local office of
the Bureau of Internal Revenue and the local Civil Registrars office;
4. Duplicate copy of the certified list of senior citizens shall be submitted by OSCA to the
DSWD filed office;
5. The Bureau of Disabled Persons Welfare, DSWD shall send to the 14 DSWD Field
Offices number of IDs needed by the Elderly of the region;
6. The DSWD Field Office shall release the IDs to the respective local OSCAs;
7. The OSCA shall issue the ID cards duly signed by the municipal/city Mayor to the
qualified senior citizens;
8. The OSCA shall issue the nationally uniform ID card without cost to the Senior Citizen.
In case the ID is lost, it must be reported to the local OSCA. Replacement shall be issued
upon request by OSCA with corresponding cost. The cost per ID shall be determined by
DSWD. The payment shall remain at OSCA as part of its funds. No ID cards of senior
citizens shall be issued directly by the DSWD Central Office or its field offices.
SOCIAL DEVELOPMENT COMMITTEE Resolution No. 1 (Series 1993)
Approving the Implementing Rules and Regulations of R.A. 7432 Maximizing the
Contribution of Senior Citizens to Nation Building, Grant Benefits and Privileges
Whereas, the Philippine Constitution recognizes the duty of the family to take care of its
elderly members with the state designing programs of social security for them, and the
need for the state to promote social justice in all phases of national development, by

making available essential social services to the priority groups such as the sick, elderly,
disabled, women and children;
Whereas, RA 7432 has been enacted to motivate and encourage senior citizens to
contribute to nation building and to mobilize their families and the communities they live
with to reaffirm the valued Filipino tradition of caring for the senior citizen;
Whereas, the Medium Term Philippine Development Plan (MTPDP) 1993-1998 aims to
pursue a better quality of life for all Filipinos particularly the disadvantaged sectors by
providing focused basic services to allow them to manage and control their resources, as
well as benefit from developmental interventions;
Whereas, the draft IR on R.A. 7432 was formulated by an Inter-agency Committee
headed by the Department of Social Welfare and Development (DSWD), and participated
in by the Department of Interior and Local Government (DILG), Tourism (DOT),
Transportation and Communications (DOTC), Health (DOH) and Finance (DOF), including
the National Federation of Senior Citizens Association of the Philippines (NFSCAP).
NOW, THEREFORE, BE IT RESOLVED, AS IT IS HEREBY RESOLVED, by the Chairman and
the members (of the NEDA, Boards Social Development Committee (SPC) Cabinet level,
to approve the Implementing Rules and Regulations of R.A. 7432.
(Sgd.) Honorable Nieves R. Confesor
Secretary, Department of Labor and Employment
Chairman, Social Development Committee
(Sgd.) Honorable Cielito F. Habito, Jr.
Secretary for Socioeconomic Planning
Co-Chairman, Social Development Committee
(Sgd.) Hon. Corazon Alma G. De Leon
Acting Secretary
Department of Social Welfare and Development
(Sgd.) Hon. Roberto S. Sebastian
Secretary
Department of Agriculture
(Sgd.) Hon. Ernesto D. Garilao
Secretary
Department of Agrarian Reform
(Sgd.) Hon. Juan M. Flavier
Secretary
Department of Health
(Sgd.) Hon. Rafael M. Alunan, III
Secretary
Department of Interior and Local Government
(Sgd.) Hon. Armand V. Fabella

Secretary
Department of Education, Culture and Sports
(Sgd.) Hon. Edelmiro A. Amante, Sr. Secretary Office of Executive Secretary
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RULES AND REGULATIONS IN THE IMPLEMENTATION OF RA 7432, THE ACT TO

MAXIMIZE THE CONTRIBUTION OF SENIOR CITIZENS TO NATION BUILDING,
GRANT BENEFITS AND SPECIAL PRIVILEGES AND FOR OTHER PURPOSES
RULE I
TITLE, PURPOSE AND CONSTRUCTION
Article 1. Title These Rules shall be known and cited as the Rules and Regulations
implementing the Act to Maximize the Contribution of Senior Citizens to Nation Building,
Grant Benefits and Special Privileges and for Other Purposes.
Article 2. Purpose These Rules are promulgated to prescribe the procedures and
guidelines for the implementation of the Act to Maximize the Contribution of Senior
Citizens to National Building, Grant Benefits and Special Privileges and for Other
Purposes in order to facilitate the compliance therewith and to achieve the objectives
thereof.
Article 3. Construction These Rules shall be construed and applied in accordance
with and in furtherance of the policy and objectives of the law. In case of conflict and/or
ambiguity, which may arise in the implementation of these rules, the concerned
agencies shall issue the necessary clarification. In case of doubt, the same shall be
construed liberally and in favor of the beneficiaries.
RULE II
DECLARATION OF POLICIES AND OBJECTIVES, SCOPE AND APPLICATION
Article 4. Declaration of Policies and Objectives Pursuant to Article XV, Section 4
of the Constitution it is the duty of the family to take care to its elderly members while
the State may design programs of social security for them. In addition to this, Section 10
in the Declaration of Principles and State Policies provides: The State shall provide social
justice in all phases of national development. Further, Article XIII, Section II provides:
The State shall adopt an integrated and comprehensive approach to health
development which shall endeavor to make essential goods, health, and other social
services available to all the people at affordable cost. There shall be priority for the
needs of the underprivileged, sick, elderly, disabled, women and children. Consonant to
these constitutional principles, the following are the declared policies of this Act:
a) To motivate and encourage senior citizens to contribute to nation building;
b) To encourage their families and the communities they live with to reaffirm the
valued Filipino tradition of caring for the senior citizens;
In accordance with these policies, the Act aims to:
a) Establish mechanisms whereby the contribution of the senior citizens are
maximized;

b) Adopt measures whereby our senior citizens are assisted and appreciated by
the community as a whole;
c) Establish a program beneficial to the senior citizens, their families and the rest
of the community that they serve.
Article 5. Definition of Terms As used in these rules, the following terms shall be
defined as follows:
5.1 Senior Citizen any resident citizen of the Philippines, at least sixty (60)
years old, including those who have retired from both government offices and private
enterprises and has an income of not more than sixty thousand pesos (P60,000.00) per
annum subject to review by the National Statistics Coordination (NSCB) every three (3)
years.
Senior Citizens earning sixty thousand pesos (P60,000.00) per annum may be tapped as
resource persons to provide transfer technology and consultancy services or other
services in the community. Those without income are necessarily covered by this
definition.
5.2 Resident Citizen refers to Filipino Citizen who establishes to the
satisfaction of the Office of the Senior Citizens Affairs (OSCA) the fact of his physical
presence in the Philippines for at least 183 days with a definite intention to reside
therein.
5.3 Benefactor shall mean any person whether related to the senior citizen or
not who takes care of him or her as dependent.
5.4 Head of the Family shall mean an unmarried or legally separated man or
woman with one or both parents or with one or more brothers or sisters or with one or
more legitimate, recognized, natural or legally adopted children and/or with one or more
senior citizen living with and dependent upon him for their chief support where brother/s
or sister/s or children are not more than twenty one (21) years of age unmarried and not
gainfully employed or where such children, brother/s or sister/s, regardless of age are
incapable of self-support because of mental or physical defect.
5.5 National Identification Cards are the ID cards provided for initially for free
by the Department of Social Welfare and Development and issued through the Office for
Senior Citizens Affairs (OSCA).
5.6 Office for Senior Citizens Affairs otherwise known, as the OSCA shall be
established in the Office of the Mayor as prescribed in the Act.
5.7 Department of Social Welfare and Development otherwise known as
DSWD in this rule, shall mean the national office located at Batasan Complex, Quezon
City and its field offices in the fourteen regions of the country.
5.8 Municipal/City Federation of Senior Citizens an organization of senior
citizens in the locality which is affiliated with the National Federation of Senior Citizens
Associations of the Philippines (NFSCAP). In the absence of such organization, any
organization of senior citizens in the locality duly accredited by the Sangguniang
Bayan/Panglungsod.
5.9 Air Transportation Service shall mean as the carriage of passenger by air.
5.10 Hotel shall mean the building, edifice or premises or a completely
independent part thereof, which is used for the regular reception, accommodation, or
lodging of travelers and tourists and the provision of services incidental thereto for a fee.
5.11 Lodging Establishment shall mean any of the following:
a. Tourist Inn a lodging establishment catering to transients which does not
meet the minimum requirement of an economy hotel.

b. Apartel any building or edifice containing several independent and furnished

or semi-furnished apartments, regularly leased to tourists and travelers for dwelling on a
more or less long-term basis and offering basic services to its tenants, similar to hotels.
c. Motorist Hotel any structure with several separate units, primarily located along the
highway, with individual or common parking space, at which motorists may obtain
lodging and in some instances, meals.
d. Pension House a private, or family-operated tourist boarding house, tourist guest
house or tourist lodging house, employing non-professional domestic helpers, regularly
catering to tourist, and/or travelers, containing several independent lettable rooms,
providing common facilities such as toilets, bathrooms/showers, living and dining rooms
and/or kitchen and where a combination of board and lodging may be provided.
The term lodging establishment shall include lodging houses, which shall mean such
establishments as are regularly engaged in the hotel business, but which, nevertheless,
are not registered, classified and licensed as hotels by reason of inadequate essential
facilities and services.
5.12 Restaurant shall mean any establishment, duly licensed by the local government
units (LGUs ), offering to the public, regular and special meals or menu, cooked food and
short orders. Such eating-places may also serve coffee, beverages and drinks.
RULE III
CREATION OF THE OFFICE FOR SENIOR CITIZENS AFFAIRS
Article 6. Office for Senior Citizens Affairs (OSCA) There shall be established in the
office of the Mayor and OSCA to be headed by a councilor who shall be designated by
the Sangguniang Bayan/Panglungsod in coordination with the Department of Social
Welfare and Development (DSWD) and the Municipal/City Federation of Senior Citizens.
Article 7. The Functions of OSCA The OSCA shall perform the following functions:
a) To plan, implement and monitor yearly work programs in pursuance of the objectives
of this Act;
b) To mobilize the different local agencies to identify activities within their programs
which can be undertaken by the senior citizens;
c) To draw up a list of available and required services which can be provided by the
senior citizens;
d) To maintain a regular update on a quarterly basis a list of senior citizens;
The regular quarterly update of the list of senior citizens shall be made on the first week
of the first month of every quarter.
e) To issue nationally uniform individual identification cards which shall be valid
anywhere in the country;
It shall the responsibility of the local Social Welfare Development Officer or any other
officer performing such functions to review and process all applications
f) To serve as a general information and liaison center to respond to the needs of the
senior citizens, the OSCA shall:
f.1 assist any complainant or aggrieved senior citizen in filing the appropriate action with
the Office of the Public Prosecutor or with the concerned Agency/Department until same
is finally terminated or resolved, and;
f. 2 assist the National Government in putting up the necessary appropriate notices of
the mandatory elderly discount privileges/benefits under RA 7432, which shall be posted
at a conspicuous place in all establishments.
This shall be made as a requirement in the renewal of business licenses annually.
The Municipal/City Federations of Senior Citizens shall assist OSCA in the foregoing
functions:
8.1 to provide the initial nationally uniform identification cards which shall be issued
through the OSCA.

The nationally uniform individual identification cards shall contain the following
information:
a) Control Number, Date of Issue
b) Name
c) Address
d) Age, as supported by a certified birth certificate from the Office of Civil Registrar; Birth
date
e) Annual income, as supported by a certificate of exemption from payment of income
tax issued by the local office of the Bureau of internal Revenue (BIR)
f) Picture
g) Signature of senior citizen
A senior citizen whose income is P60,000.00 and below annually shall be issued a
national ID card, which contains the mandatory elderly, discount privileges/benefits
under RA 7432.
This shall be duly signed by the mayor of the senior citizens locality, the Secretary of the
Department of Social Welfare and Development (DSWD) and the Secretary of the
Department of Interior and Local Government (DILG). This shall be non-transferrable.
8.2. to assist in developing the standards of programs and services of OSCA.
8.3. to provide technical assistance and monitor services and projects to be undertaken
by the OSCA.
RULE IV
CONTRIBUTIONS IN THE COMMUNITY
Article 9. Contributions of Senior Citizens to the Community. Any qualified senior
citizen as determined by the OSCA may render his/her services to the community, which
shall consist of, but not limited to any of the following:
a. tutorial and/or consultancy services;
b. actual teaching and demonstration of hobbies and income generating skills;
c. lectures on specialized field like agriculture, health, environmental protection;
d. transfer of new skill acquired by virtue of their training mentioned in Section 4 of
paragraph (d) of the Act;
e. undertake other appropriate services as determined by the OSCA such as school traffic
guide, tourist aide, pre-school assistance, etc.
In consideration of services rendered by the qualified elderly, the OSCA may award or
grant benefits/privileges to the elderly, in addition to the other privileges provided for
under Section 4 of the Act.
In the absence of resources, OSCA shall mobilize resources of the community to provide
awards or incentives.
Financially able institutions desiring to acquire services of the elderly shall be mobilized
to provide a reasonable compensation e.g. transport, food, etc. for the duration of the
senior citizens services.
Senior citizens earning above sixty thousand pesos (P60,000.00) annually can be
granted some awards or benefits by the OSCA for services rendered to his community
e.g. consultancy services, transfer of new technology, etc.
RULE V
PRIVILEGES AND BENEFITS OF SENIOR CITIZENS
A senior citizen shall be granted twenty per cent (20%) discount from all establishments
relative to utilization of transportation services, hotels and similar lodging

establishments, restaurants and recreation centers and purchases of medicines,

anywhere in the country.
A. Transportation Benefits
A. 1 Public Water Transportation Every senior citizen who is a passenger of any public
water transportation service as this term is understood under the Public Service Act, as
amended, shall be entitled to a discount in the amount of not less than twenty per cent
(20%) of the fare charged or authorized, including discount of twenty per cent (20%) on
purchases of meals or food items from the restaurant either operated by concessionaire
or the carrier and medicines on board vessels.
The Maritime Industry Authority (MARINA) is hereby directed to issue corresponding
circulars or directives to the shipping industry for the implementation of these guidelines
to ensure compliance herewith, as well as requirements to ship operators/ship owners to
disseminate, by posters, handbills or pamphlets, the information about senior citizen on
board vessels to maximize the benefits of the senior citizens.
A senior citizen, unless his/her physical appearance shows that he/she undoubtedly 60
years old or above, may prove his/her age by any of, but not limited, to the following
documents or papers:
a. Official Identification Card from the OSCA of the LGUs, SSS/GSIS ID (old or new);
b. Drivers License or Birth Certificate;
c. Voters ID or Voters Affidavit;
d. Residence Certificate (old or new);
e. And other public/official record or document, from relevant government agencies.
A.2 Public Land Transportation every senior citizen who is a passenger of any public
land transportation services stated below, shall be entitled to a discount in the amount of
not less than twenty per cent (20%) of the fare authorized by the Land Transportation
Franchising and Regulatory Board (LTFRB).
The public land transportation referred to are the following:
a. Bus (pub) b. Jeepney (puj)
c. Taxi
d. Shuttle Bus
e. Tourist Bus
f. Other modes of passenger land transportation devoted for public use and for a fee with
general or limited clientele.
The LTFRB is hereby directed to issue corresponding circular or directives to the public
land transport sector for the implementation of these guidelines to ensure compliance
herewith, as well as requirements to these operators to disseminate, by posters,
handbills or pamphlets, the information about senior citizens on board their vehicles to
maximize the benefits of the senior citizens.
Every senior citizen is entitled to a grant of twenty per cent (20%) discount on the use of
Light Rail Transit (LRT) System.
Senior citizens who would wish to avail of the discount privileges on LRTC shall be guided
by the following procedures/conditions:
a) Senior citizens shall personally apply for the issuance of discount tickets (in booklet
form) at the Light Rail Transit Authority (LRTC) or METRO, Inc. with office at the
Administration Building, LRTA Compound, Aurora Boulevard, Pasay City or at designated
outlets at the LRT system by presenting their ID card issued by the OSCA.
Discount tickets will be printed with control numbers and will allow a senior citizen to
purchase LRT tokens at a twenty per cent (20%) discount.

b) A senior citizen shall personally surrender to any LRT token teller on duty at any LRT
station/terminal where he/she will board, a discount ticket for every token he/she will
purchase.
Upon surrender of the discount ticket and presentation of the national ID card by a senior
citizen, he/she shall pay for the LRT token at twenty per cent (20%) discount. (A senior
citizen is entitled to purchase only one (1) LRT token at discounted price every time
he/she avails of the LRT System.)
To avoid untoward incidents, senior citizens are discouraged from riding the LRT during
peak hours from 7:00 A.M. to 9:00 A.M. and from 5:00 P.M. to 7:00 P.M. due to the volume
of rider ship.
Twenty per cent (20%) discount for LRT tokens are available only at LRTC
stations/terminals. Discounted token are not available from off-station token vendors.
A.3. Domestic Air Transportation Every senior citizen who is duly certified by t he OSCA
is entitled to twenty per cent (20%) discount from the Civil Aeronautics Board (CAB)
approved and published airline rates for domestic air transportation services.
This Act shall cover individuals, partnership, or corporations and all other entities
engaged in the carriage of passengers by air.
The following are the conditions required of a senior citizen to be able to avail of the
twenty per cent (20%) discount on air transportation services:
a. The senior citizen should present his/her identification card duly issued by OSCA in
securing a passage ticket;
b. He/She should personally secure the passage ticket;
c. The passage ticket shall be non-transferable.
B. Hotels/Lodging Establishments Benefits the twenty per cent (20%) discount
privileges of the senior citizen from hotels/establishments shall be limited to room
accommodation only.
The DILG shall issue the necessary circulars or directives to tourism establishments for
the implementation of these guidelines and to ensure compliance herewith.
Likewise the Department of Tourism (DOT) shall issue the corresponding Administrative
Order to DOT accredited establishments. v
C. Recreation Center Benefits A senior citizen is entitled to a minimum of twenty per
cent (20%) discount on all admission fees charged by the theatres, cinema houses and
concert halls, circuses, carnivals and other similar places of culture, leisure and
amusement.
D. Purchases of Medicine Benefits A senior citizen is entitled to a minimum of
twenty per cent (20%) discount in the purchase of medicine for his personal use and
according to his personal needs.
In the purchase of medicine, a senior citizen or his doctor or the latters duly authorized
representative should always present the national identification card duly certified by the
OSCA together with the doctors prescription in case of prescription drugs. If over-thecounter, the number of drugs purchased shall be commensurate to the elderly persons
needs.
These discount privileges shall be limited and exclusive for the benefit of the senior
citizen.
E. Income Tax Benefits/Tax Credits For purpose of claiming tax credits, private
establishments are required to keep a separate record of sales made to senior citizens
which shall include the name, identification number, gross sales, discount and date of
transaction.
A senior citizen whose annual taxable income does not exceed the poverty level as
determined by NSCB shall be exempted from payment of individual income tax. Provided
that:

a) A senior citizen whose annual taxable income exceed the said poverty level shall be
liable to the individual income tax for the full amount of his/her taxable income net of
personal and additional exemptions;
b) Annual taxable income shall refer to the annual gross compensation, business and
other incomes as defined in Section 28 of the National Internal Revenue Code (NIRC)
other than income subject to tax under paragraphs (b), (c), (d) and (e) of Section 21 of
the NICR which include certain passive incomes, capital gains from sale of shares of
stock and capital gains from sale of real property;
c) The senior citizen is a resident citizen;
d) NEDA shall inform the Commissioner of Internal Revenue in writing and publish in a
newspaper of general circulation the estimated poverty threshold.
F. Training Fee Benefits A senior citizen is exempted from training fees for socioeconomic programs undertaken by or in coordination with the OSCA as part of its work.
G. Medical/Dental Benefits A senior citizen is entitled to free medical and dental
services in government establishments anywhere in the country subject to guidelines to
be issued by the Department of Health (DOH), the Government Service Insurance
System (GSIS) and the Social Security System (SSS).
G.1 The DOH shall direct the government establishments in the entire country to provide
free medical and dental services to senior citizens.
a. The term free shall mean free of charge on medical/dental services where capability
and facility for such services are available,
b. The term medical services shall refer to services pertaining to the medical
care/attendance and treatment given to senior citizens. It shall include health
examinations, medical/surgical procedures within the competence and capability of DOH
establishments/hospitals/units and routine/special laboratory examinations and ancillary
procedures as required.
c. The term dental services shall refer to services pertaining to dental care/attendance
and remedy given to senior citizens. It shall include oral examination, curative services
like permanent and temporary fillings, extractions and gum treatment.
d. Professional services shall refer to services rendered or extended by medical, dental
and nursing professionals, which shall also include services rendered by surgeons, EENT
practitioners, gynecologists, urologists, neurologists, psychiatrists, psychologists and
other allied specialists.
e. Counseling services shall refer to advices given by health professional, e.g.
psychologists, psychiatrists, nutritionists, nurses and other allied health professionals in
support to specific treatment of illnesses.
Provision of all of the above-mentioned services shall be subject to availability of
appropriate facilities and trained manpower expertise of the receiving establishment.
f. Government establishments shall refer to and limited to DOH hospitals, which shall
include general hospitals, medical centers and regional hospitals directly under the full
control and supervision of the DOH.
g. The term anywhere in the country shall be construed to mean health privileges
senior citizens may avail of from any hospital in the Philippines, as defined in these
guidelines, irrespective of their place of residence/locality, subject to availability of
facilities and manpower/technical expertise of the receiving establishment.
The following are the health services that may be availed of for free in any government
establishments, subject to availability of facilities and manpower/technical expertise of
the receiving government establishment:
a. Medical and dental services
b. Out-Patient consultations
c. Available medicines in all public health programs

d. Available diagnostic and therapeutic procedures

e. Use of operating rooms, special units and central supply items
f. Accommodations in the charity ward
g. Professional and counseling services
To be able to avail of the aforementioned services, the following mechanics are
stipulated:
a. A senior citizen may obtain the benefits from any government establishment.
b. He/she shall present his/her national ID card issued by the OSCA to the medical and
social services or Medical Social Worker designated who shall determine the validity of
his/her ID card.
c. Non-presentation of the national ID card shall be sufficient reason for denial of free
hospital benefits.
d. In case of emergency, the medical benefits shall be accordingly provided by the
receiving hospital even if the ID is not available. However, the national ID card should be
presented within a reasonable time. Non-presentation of the national ID card shall be
sufficient ground for charging the service already given and denial of further availment
of the benefits.
e. Should the senior citizen choose to be admitted to a private room/pay ward or be
transferred from a free room to a pay room, the amount equivalent to the rate of a free
room should be discounted from that of the pay room/ward.
f. As regard referral or transfer of senior citizen-patient to another government
establishment, the receiving hospital shall provide the full benefits under this rule. In
case of transfer/referral between the DOH hospitals, procedures shall be based on the
DOH Network Guidelines.
The responsibilities of the government establishment are as follows:
a. Provide all available medical and dental services, as defined in these guidelines that
may be deemed necessary in the promotion of the health of senior citizens;
b. Establish a system by which all senior citizens in dire need of health serve shall be
given priority and utmost consideration;
c. Establish and maintain a recording/reporting system which data may be used as inputs
for program/project planning and evaluation; and
d. Strengthen their competence and capability to evaluate and manage geriatic cases
through continuing education.
The responsibilities of senior citizens who are entitled to health benefits and privileges as
indicated and certified by valid national identification cards issued by the OSCA, are as
follows:
a. Adhere to rules and regulations relative to the implementation of this program;
b. Recognize that the government establishments have limitations and constraints in
providing health services and not demand for services that are not available and beyond
the level of their competence;
c. Secure on their own payable services that are not covered by their health benefits and
privileges stipulated herein; and
d. Safeguard the integrity of their identification card and shall not allow their misuse and
abuse.
To the extent practicable and feasible, the continuance of the same benefits and
privileges shall be given to senior citizens by the GSIS, SSS and PAG-IBIG as the case
may be as are enjoyed by those in the actual service.
G.2 Benefits extended to senior citizens who are retirees of the GSIS are as follows:
a. Life Insurance
If a retiree opts to maintain his life insurance policy with the System, he may convert his
compulsory life insurance into an optional insurance by paying directly to the System the

monthly premiums due thereon (personal plus government share), up to its maturity
date. Amount of monthly premiums shall be determined by the System. He will be
entitled to receive benefits as enumerated below:
1. maturity benefit retiree will receive the total face value of the policy, less any
indebtedness thereon.
2. policy loan loanable amount will not exceed 90% of the cash value of his insurance
at the time of application.
3. death benefit when the retiree dies while life insurance membership is in force prior
to maturity date, the designated beneficiaries double indemnity.
b. Retirement
1. Retirees under PD 1146 or RA 660 shall resume receiving their basic monthly pension
(BMP) for life after the lapse of the 5-year guaranteed period.
2. Upon death of a pensioner who retired under PD 1146 or RA 660, the primary
beneficiaries (legal spouse and minor children) shall receive a basic survivorship pension
(BSP) equivalent to 50% of the BMP plus dependents pension (DP) equivalent to 10% of
the BMP for every minor child, if any, but not exceeding five. The spouse shall receive
the BSP for life until she/he remarries. The minor children shall continue receiving DP
until emancipated by marriage, gainful employment or upon reaching 21 years of age. A
mentally or physically incapacitated child, however, shall receive DP for life.
3. Funeral Benefit payable upon death of the retirees, pensioner or gratuitant, the latter
must have retired with at least 20 years of service to be entitled to the benefit.
c. Medicare
Coverage:Employees who retired from the service before age 60 may opt to continue
their membership within 6 months from date of retirement by contributing both personal
and government shares of their Medicare premiums until their 60th birthday.
However, a government employee who retires under RA 1616, PD 1146 or PD 1184 at
age 60 or above or under RA 660 (regardless of age) are covered without paying
contributions pursuant to PD No. 408. Effective January 1, 1992, their legal dependents
are also extended Medicare benefits.
Legal Dependents:
1. The legal spouse who is not a Medicare member.
2. The unmarried and unemployed children, including legitimated, acknowledged, legally
adopted and step children below 21 years of age;
3. Children 21 years old or above with disability acquired before the age of 21.
Benefits under the Medicare Act consist of:
1. Allowance for room and board
2. Allowance for drugs and medicines
3. Allowance for x-ray/laboratory examinations/others (others means items such as
syringes, gloves, vaco sets, butterfly, contrast media and other agents used in
establishing correct diagnosis).
4. Surgeons fee
5. Medical Practitioners fee
6. Anesthesiologists fee
7. Operating room fee
8. Allowance for sterilization procedures
Types of Non-Compensable Treatments
1. Cosmetic surgery or treatment
2. Optometric services
3. Psychiatric services
4. Services which are purely diagnostic

d. Employees Compensation (PD 626)

Only employment-connected injury or sickness resulting in disability or death is
compensable. It therefore presupposes the existence of an employee-employer
relationship at the time the contingency occurs. The legal and/or medical evaluation to
determine compensability is lodged solely with the System.
Type of Disability Benefits
Temporary Total Disability (TTD)
1. daily income benefit of not less than P10,00 nor more than P90.00 for a period not
exceeding 120 days and in severe cases up to 240 days.
2. medical and/or related services (for work-connected injury or sickness) consisting of:
2.1 hospitalization room and board supplies, x-ray, medicines, laboratory, professional
fee.
2.2 ambulatory/d o miciliary care, services for hospitalization except room and board
2.3 reimbursement of medicines (in case of non-confinement)
Permanent Partial Disability (PPD)
1. monthly income benefit (MIB) for the designated number of months of not less than
P250.00 or more than P3,240.00.
2. medical and/or related services (for work-connected injury or sickness) (refer to 2.1
2.2 and 2.3)
Permanent Total Disability (PTD)
1. monthly income benefit (MIB) of not less than P250.00 nor more than P3,240.00 plus
10% increment for each minor child not exceeding five starting from the youngest
without substitution payable for life and guaranteed for 5 years.
2. medical and/or related services (refer to 2.1, 2.2 and 2.3)
3. rehabilitation services consist of medical/surgical management, necessary
appliances and supplies such as artificial leg and arm, wheelchair, crutches, etc. and
vocational training and assistance for placement.
DEATH
A. Death of the Employee
1. MIB the same as in PPD (plus 10% thereof for each dependent child, not exceeding
five) payable to:
a. primary beneficiary/ies for life and/or as long as qualified
b. secondary beneficiary/ies (in the absence of primary beneficiary/ies) for a period not
ot exceed 60 months
B. Death of a PTD Pensioner
1. MIB due to death (80% of the MIB after the 5-year guaranteed period) payable to:
a. primary beneficiary/ies for life and/or as long as qualified
b. secondary beneficiary/ies (in the absence of primary beneficiary/ies)
MIB excluding dependents pension of the remaining balance of the 5-year guaranteed
period.
2. Funeral benefit of P3,000.00 payable upon the death of a covered employee or PTD
pensioner to the person who can show incontrovertible proof that he shouldered funeral
expenses.
G.3 The SSS provides medical and dental services to its retirees and their dependents
through the Medicare Program without the need for additional contributions. However,
the Medicare Program does not cover the entire cost of hospitalization.

The SSS medical staff in the regional offices render free consultation to SSS pensioners.
The SSS regularly evaluates the level of pension of the retirees.
The SSS involvement in this Act is limited only to its retirees since the SSS funds are held
in trust for the exclusive benefits of the private workers and their beneficiaries. Usage of
such funds for other purposes is not allowed under SSS charter.
G.4 Membership in the PAG-IBIG Fund shall be open to all senior citizens who opt to
continue with their provident savings in the Fund, even after their retirement from their
employment or upon reaching the age of sixty (60) years.
a. Senior citizens who wish to enlist with the PAG-IBIG Fund for the first time may do so
upon proof of gainful employment, or of being self employed, or of membership in
trade/service cooperative (e.g. farmers cooperatives, fishermens cooperative, loom
weavers association, handicraft makers organization, and the like) and upon payment of
the monthly minimum contribution rate as may be set up by the PAG-IBG Fund from time
to time.
b. PAG-IBIG members of good standing shall be entitled to avail themselves of PAG-IBIG
loan privileges subject to the customary guidelines on loan availments. For PAG-IBIG
housing loans, the loan availments. For PAG-IBIG housing loans, the loan period shall not
be more than twenty five (25) years but in no case shall it exceed the difference between
the present age reckoned from the borrowers nearest birthday and his seventieth (70th)
year; in the case of a joint and several loan, the loan period shall be based on the age of
the youngest of the co-borrowers.
RULE VI
GOVERNMENT ASSISTANCE
Article 10. Personal Tax Exemption for Benefactor A senior citizen shall be treated
as dependent provided for in the NIRC and as such, shall be accorded the privileges
granted by the Code insofar as having dependent are concerned. In determining
personal exemptions allowable to individuals under Section 29 (k) (l) of the NIRC, a
senior citizen may be granted as a dependent. For this purpose, the definition of the
term Head of the family under the said Section shall be deemed amended to refer to the
condition under Article (5) of this implementing rules and regulations. The OSCA shall
require the senior citizen to declare his benefactor who will be granted the exclusive
right to claim him as dependent and issue a identification thereof. The said certification
shall be presented by the benefactor to the BIR for purposes of determining personal
exemptions.
The personal tax exemption shall take effect January 1992.
Article 11. Property Tax Exemptions and Privileges for Individuals and NonGovernment Institutions. Individuals or non-government institutions establishing
homes, residential communities or retirement villages solely for the senior citizen shall
be accorded the following:
a. One per cent (1%) property tax exemption for the first five years starting first year of
operation:
b.

(1) The exemption is automatically withdrawn effective on the year after the institution
ceases its operation before the end of the fifth year of operation. The owners of the
properties shall thereafter be liable for the realty taxes applicable thereon.
(2) The first year of operation shall be reckoned from the date the institution was granted
a mayors permit to operate the establishment.
(3) The exemption shall apply prospectively. Establishments which are beyond their fifth
year of operation shall not be entitled to refund of their payments or condonation of their
realty tax delinquencies during their first five years of operation. However existing
establishments which have been operating for less than five years shall be entitled to the
exemption in the remaining of the five years.
c. Priority in the building and/or maintenance of provincial or municipal roads leading to
the aforesaid home residential community or retirement village.
Provided that: in both cases, said exemption and priority shall apply only when said
homes residential communities or retirement villages are non-stock, no-profit as such
which shall be presented to the Assessors Office of the LGUs concerned.
RULE VII
PENALTY PROVISIONS
Article 12. Penalties. Any person who willfully refuses to grant the privileges provided
for by RA 7432 or violates any provision thereof and for which no penalty is specifically
provided for by any existing law, shall be punished by imprisonment not exceeding one
(1) month or a fine not exceeding One Thousand Pesos (P1,000.00) or both.
Any organization, private government establishment and government
department/bureau/agency/institution who willfully refuses to grant the privileges given
to senior citizens or violates any provision of RA 7432 shall be administratively dealt with
by any of the agency/department concerned including, but not limited to the cancellation
of permit/s or franchise/s to operate to a business establishment or institution or public
service.
RULE VIII
FINAL PROVISIONS
Article 13. Implementation, Supervision, Monitoring and Technical Assistance.
a. Municipal Responsibility. It shall be the responsibility of every municipality, through its
chief executive, to ensure that the provisions of RA 7432 are operationalized and
implemented to the fullest within its jurisdiction.
b. The DILG, having been designated by the President to exercise general supervision
over LGUs, by virtue of the Local Code, rule XI, shall ensure the compliance of LGUs with
this Act. It shall likewise institute the necessary interventions aimed at enhancing the
capacities of the LGUs in implementing the above-mentioned provisions.
c. On a national scale, the DSWD, by virtue of its monitoring and technical assistance
function shall ensure the viability and standard of the programs and services that are
implemented, while the DILG shall ensure compliance of LGUs.

Article 14. Appropriation. The municipality, through its Sangguniang Bayan shall
appropriate funds on a yearly basis for the maintenance and other operating expenses of
the OSCA to incorporate in the annual budget.
The concerned provincial/municipal government agency shall likewise mobilize other
sources of funds particularly those that are made available for local development
activities by the national government, the legislature and the private sector.
Article 15. Separatibility Clause, If, for nay reason/s, any part or provision of this
Implementing Rules and Regulations shall be held unconstitutional or invalid, other parts
or provisions hereof which are not affected thereby shall continue to be in full force and
effect.
Article 16. Effectivity Clause. This Implementing Rules and Regulations shall take effect
fifteen (15) days following its publication in one (1) national newspaper of general
circulation.

ADDENDUM
REVENUE REGULATIONS NO. 2-94
(August 23, 1993)
SUBJECT:
Republic Act No. 7432 otherwise known as an Act to Maximize the Contribution of Senior
Citizens to Nation Building, Grant Benefits and Special Privileges and for Other Purposes.
To: All Internal Revenue Officers and Others Concerned.
Section 1. SCOPE Pursuant to Section 245 of the National Internal Revenue Code
(NIRC) as amended, in relation to Section 10 of Republic Act No. 7432, these regulations
are hereby promulgated to (1) implement the provisions of Section 4 and 5 (a) of the
said Act granting tax exemption and other privileges to senior citizens, and (2) prescribe
the guidelines for the availment thereof.
SECTION 2. DEFINITIONS. For purposes of these regulations:
A. Act refers to Republic Act No. 7432.
B. Senior citizen means any resident citizen of the Philippines at least sixty (60)
years old, including those who have retired from both government offices and private
enterprises, and has an income of not more than sixty thousand pesos (P60,000.00) per
annum subject to review by the National Economic and Development Authority (NEDA)
every three (3) years.
The term qualified senior citizen shall refer to a resident Filipino citizen who meets the
statutory requirements of Section 2 of the Act and Section 2(b) of these regulations.
C. Resident citizen refers to a Filipino citizen with permanent/legal residence in
the Philippines, and shall include those, who, having migrated to a foreign country, have
returned to the Philippines with a definite intention to side therein, and whose immigrant
visa has been surrendered to the foreign government.
D. Dependent a qualified senior citizen whether or not related to a benefactor with
whom he lives and who takes care of him/her.

E. Head of the Family an unmarried or legally separated man or woman, with one
or both parents, or with one or more brothers or sisters, or with one or more legitimate,
recognized natural or legally adopted children, living with and dependent upon him/her
for their chief support, where such brothers or sisters or children are not more than
twenty-one (21) years of age, unmarried and not gainfully employed or where such
children, brothers or sisters, regardless of age are incapable of self-support because of
mental or physical defect.
The term head of family includes an unmarried or legally separated man or woman who
is the benefactor of a qualified senior citizen as defined in Section 2 of the Act and these
regulations.
The term qualified senior citizen shall refer to a resident Filipino citizen who meets the
statutory requirements of Section 2 of the Act and Section 2(b) of these regulations.
F. Benefactor any person whether or not related to the senior citizen who takes
care of the latter as a dependent.
G. OSCA refers to the Office for Senior Citizens Affairs.
H. Income/Annual Taxable Income of a resident Senior Citizen shall refer to the annual
gross compensation, business and other income received during each taxable year from
all sources as defined in Section 28 of the NIRC, which shall not exceed the poverty level
of P60, 000 or such amount as may thereafter be determined by the NEDA.
However, income derived by a qualified senior citizen from the following sources:
1. Interest income from Philippine currency bank deposits, yield and other
monetary benefit from deposit substitutes, trust fund and similar arrangements;
royalties, prizes and winnings (Sec. 21 (c), NIRC);
2. Capital gains from sales of shares of stock (Sec. 21 (d), NIRC); and
3. Capital gains from sales of real property (Sec.21(e), NIRC).
shall not be included in the determination of his income/annual taxable income which
should not exceed the poverty level of P60,000 or such amount as may thereafter be
determined by the NEDA for a certain taxable year inasmuch as income from such
sources shall be subject to the corresponding income tax rates prescribed under Section
21 (c), (d) and (e) of the NIRC as amended.
I. Tax Credit refers to the amount representing the 20% discount granted to a
qualified senior citizen by all establishments relative to their utilization of transportation
services, hotels and similar lodging establishments, restaurants, drugstores, recreation
centers, theaters, cinema houses, concert halls, circuses, carnivals and other similar
places of culture, leisure and amusement, which discount shall be deducted by the said
establishments from their gross income for income tax purposes and from their gross
sales for value-added tax or other percentage tax purposes.
Sec. 3. INCOME TAX BENEFIT AND PRIVILEGES FOR THE SENIOR CITIZENS.
Senior citizens qualified as such by the Commissioner of Internal Revenue or his duly
authorized representative who, for purposes of these regulations, is the Regional Director
of the Revenue Region having jurisdiction of the city or municipality where they are
permanent residents shall be entitled to the following tax benefit and privileges:
A. Exemption from the payment of individual income tax provided that their annual
taxable income does not exceed the poverty level of P60,000.00 or such amount as may
be determined bt the NEDA for a certain taxable year.

B. A 20% discount from all establishements relative to utilization of transportation

services, hotels and similar lodging establishments, restaurants and recreation center,
and on purchases of medicine anywhere in the country.
C. A minimum of twenty perecent (20%) discount on admission fees charged by
theaters, cinema houses and concert halls, circuses, carnivals and other similar places of
culture, leisure, and amusement.
Sec.
4.
RECORDING/BOOKKEEPING
REQUIREMENTS
FOR
PRIVATE
ESTABLISHMENTS. Private establishments, i.e., transport services, hotels and similar
lodging establishments, restaurants, recreation centers, drugstores, theaters, cinema
houses, concert halls, circuses, carnivals and other similar places of culture leisure and
amusement, giving 20% discounts to qualified senior citizens are required to keep
separate and accurate record of sales made to senior citizens, which shall include the
name, identification number, gross sales/receipts, discounts, dates of transactions and
invoice number for every transaction.
The amount of 20% discount shall be deducted from the gross income for income tax
purposes and from gross sales of the business enterprise concerned for purposes of the
VAT and other percentage taxes.
Sec. 5. AVAILMENT OF INCOME TAX EXEMPTION. Asenior citizen who shall avail of
the exemption from income tax is required to submit the following documents to the
Revenue District Officer (RDO) of the place where he is a permanent resident, who shall
make the necessary verification and report for purposes of the income tax exemption to
be issued by the Commissioner of Internal Revenue or his duly authorized
representative:
A. Certified true copy of his Birth Certificate/Baptismal Certificate or in the absence
thereof, a certification from the National Statistics and Census Bureau or an affidavit by
two (2) disinterested credible persons who know personally the senior citizen.
B. If he has a benefactor as defined in Section 2 (f) of these Regulations, Certification
as to the name, address, occupation, Office or business address (office/business) and TIN
of his benefactor;
C. If employed, a copy of his withholding tax statement (BIR Form W-2) for the
preceding taxable year;
c. 1 A senior citizen who derives taxable (fixed) compensation income from only
one employer in an amount not exceeding P60,000 per annum shall be exempt from
income tax and consequently from the withholding tax prescribed under Section 72
Chapter 10, Title II of the National Internal Code, as amended.
D. If self-employed, (i.e., practice of profession, or in business as single
proprietorship) a copy of his income tax return (ITR) for the preceding taxable year
together with the annual license or permit issued by the city or municipality where he
has his principal place of business, supported by a copy of his declaration of sales or
income.
d.1 A senior citizen who derives taxable compensation income from two (2) or
more employers, or who receives mixed income from employment and from business
shall still file an income tax return.
The RDO concerned shall transmit his verification report/recommendation to the said
Regional Director, as duly authorized representative of the Commissioner, for issuance of
the certificate of income tax exemption to the senior citizen.
For purposes of applying for the OSCA ID Card, the duly stamped income tax return and
or the BIR Certification shall be honored.
Sec. 6. TAXABILITY OF SENIOR CITIZENS TO OTHER INTERNAL REVENUE TAXES.

A. A senior citizen whose annual taxable income exceeds the poverty level of P60,000
or such amount as may thereafter be determined by the NEDA for a certain taxable year
shall be liable to the individual income tax in the full amount thereof on his taxable
income net of allowable deductions.
B. Regardless of the amount of taxable income, a senior citizen who derives income
from self-employment, business and practice of profession shall be subject to other
internal revenue taxes which include but are not limited to the value added tax, caterers
tax, documentary stamp tax, overseas communications tax, excise taxes, and other
percentage taxes. He shall therefore, file the corresponding business tax returns in
accordance with existing laws, rules and regulations.
C. He shall be subject to the 20% final withholding tax on, interest income from
Philippine Currency bank deposit, yield and other monetary benefit from deposit
substitutes, trust fund and similar arrangements; royalties, prizes (except prizes
amounting to P3,000 or less which shall be subject to income tax at the rates prescribed
under Section 21, paragraph (a) or (f), NIRC) as the case may be, and winnings (except
Philippine Charity Sweeptakes winnings).
D. Capital gains from sales of shares of stock (Sec. 21 (d), NIRC).
E. Capital gains from sales of real property (Sec. 21 (e), NIRC).
Sec. 7. BASIC PERSONAL EXEMPTION ONLY FOR BENEFACTOR -.
A qualified senior citizen living with and taken cared of by a benefactor whether related
to him or not, shall be treated as a dependent and his benefactor shall be entitled to the
basic personal exemption of P12,000 as head of the family, as defined in Section 2 (e) of
these regulations.
For purposes of claiming personal exemptions as head of family with dependent senior
citizen, the identification card number issued by the OSCA shall be indicated in the ITR to
be filed by the benefactor. The senior citizen shall indicate in a certification to be
submitted to the RDO and the OSCA his benefactor who will be granted the exclusive
right to claim him as dependent for income tax purposes.
Caring for a dependent senior citizen shall not, however, entitle the benefactor to claim
the additional exemption allowable to a married individual or head of family with
qualified dependent children under Sec. 29 (1) (2) of the NIRC, as amended.
Sec. 8. REPEALING CLAUSE. All existing rules, regulations and other issuances or
portions thereof inconsistent with the provisions of these regulations are hereby
modified, repealed or revoked accordingly.
Sec. 9. EFFECTIVITY. These regulations shall take effect fifteen (15) days after
publication in the Official Gazette or newspaper of general circulation whichever comes
first and shall apply to income earned beginning January 1, 1992.
(Sgd.) ERNESTO LEUNG
Acting Secretary of Finance
RECOMMENDED BY:
(Sgd.) LIWAYWAY VINZONS-CHATO
Commissioner of Internal Revenue

HEALTH AND WELL-BEING OF OLDER PERSONS

Rationale
The proportion of older persons is expected to rise worldwide. In the 1998 World Health Report, there were
390 million older people and this figure is expected to increase further (WHO). This growth will certainly
pose a challenge to country governments, particularly to the developing countries, in caring for their aging
population. In the Philippines, the population of 60 years or older was 3.7 million in 1995 or 5.4% of total
population. In the CY 2000 census, this has increased to about 4.8 million or almost 6% (NSCB). At present
there are 7M senior citizens (6.9% of the total population), 1.3M of which are indigents.
With the rise of the aging population is the increase in the demand for health services by the elderly. A
study done by Racelis et al (2003) on the share of health expenditure of Filipino elderly on the National
Health Account, the elderly are relatively heavy consumers of personal health care (22%) and relatively
light consumers of public health care (5%). From out-of-pocket costs, the aged are heavy users of care
provided by medical centers, hospitals, non-hospital health facilities and traditional care facilities.
Cognizant of the growing concerns of the older population, laws and policies were developed which would
provide them with enabling mechanisms for them to have quality life. RA 9257 or the Expanded Senior
Citizens Act of 2003 (predecessor of RA 9994) provided for the expansion of coverage of benefits and
privileges that the elderly may acquire, including medically necessary services. Parallel to this objective is
the Departments desire to provide affordable and quality health services to the marginalized population,
especially the elderly, without impeding currently pursued objectives and alongside health systems reform.
One of the provisions of RA 9994 or the Expanded Senior Citizens act of 2010 is for the DOH to administer
free vaccination against the influenza virus and pneumococcal diseases for indigent senior citizens. The
DOH in coordination with local government units (LGUs), NGOs and POs for senior citizens shall institute a
national health program and shall provide an integrated health service for senior citizens. It shall train
community based health workers among senior citizens health personnel to specialize in the geriatric
care and health problems of senior citizens.

Interventions/Strategies Implemented by DOH

1. Creation of a National Technical Working Group on the Health and Well-being of Older Persons
(DPO. No. 2011- 3578 dated June 29, 2011 Chaired by NCDPC- Director III.
2.

Planning Meeting for the Senior Citizens Immunization Program

3.

Consultative Planning and Finalization of Immunization Guidelines for Indigent Senior Citizens

4. Provision of Pneumococcal and Flu Vaccines to Indigent Senior Citizens aged 60 years old and
above using the NHTS of the DSWD including GO NGO shelter homes in 2011
5.

Conduct annual Summer Camp ni Lolo at Lola

6.

Support the annual Walk for Life for the elderly every October

Status of Implementation / Accomplishment

1. The total pneumococcal and influenza vaccines delivered to all CHDs for the CY 2011 were
197,000 and 173,000 respectively including the sub-allotment per region for HWOP activities.
2.

Training and Orientation of Pneumo and Flu Vaccines for HWOP Coordinators

3. Signed Guidelines to Implement the Provisions Relevant to Health of RA 9994 or the Expanded
Senior Citizens Act of 2010.
4.

Summer Camp ni Lolo at Lola 2012 held at Davao, City.

5. Support World Health Day April 12, 2012 with the theme Ageing and Health in coordination
with NCHP and WHO

Future Plan / Action

1.

Pneumococcal and Influenza Vaccines for CY 2012 still with COBAC

2.

Support to Walk for Life Activity on October 2012.

3.

Summer Camp nina Lolo at Lola 2013

Program Manager:
Ms. Remedios Guerrero

Department of Health-Non Communicable Disease Office (DOH NCDPC-DDO)

Contact Number: 651-78-00 local 1750-1752

HIV/STI PREVENTION PROGRAM

Objective:
Reduce the transmission of HIV and STI among the Most At Risk Population and General
Population and mitigate its impact at the individual, family, and community level.
Program Activities:
With regard to the prevention and fight against stigma and discrimination, the following
are the strategies and interventions:
1. Availability of free voluntary HIV Counseling and Testing Service;
2. 100% Condom Use Program (CUP) especially for entertainment establishments;
3. Peer education and outreach;
4. Multi-sectoral coordination through Philippine National AIDS Council (PNAC);
5. Empowerment of communities;

6. Community assemblies and for a to reduce stigma;

7. Augmentation of resources of social Hygiene Clinics; and
8. Procured male condoms distributed as education materials during outreach.
Program Accomplishments:
As of the first quarter of 2011, the program has attained particular targets for the three
major final outputs: health policy and program development; capability building of local
government units (LGUs) and other stakeholders; and leveraging services for priority
health programs.
For the health policy and program development, the Manual of Procedures/ Standards/
Guidelines is already finalized and disseminated. The ARV Resistance surveillance among
People Living with HIV (PLHIV) on Treatment is being implemented through the Research
Institute for Tropical Medicine (RITM). Moreover, both the Strategic Plan 2012-2016 for
Prevention of Mother to Child Transmission and the Strategic Plan 2012-2016 for Most at
Risk Young People and HIV Prevention and Treatment are being drafted.
With regard to capability building, the Training Curriculum for HIV Counseling and Testing
is already revised. Twenty five priority LGUs provided support in strengthening Local AIDS
councils. as of March 2011, there were already 17 Treatment Hubs nationwide.
Lastly, for the leveraging services, baseline laboratory testing is being provided while
male condoms are being distributed through social Hygiene Clinics. A total of 1,250
PLHIV were provided with treatment and 4,000 STI were treated.
Partner Organizations/Agencies:
The following organizations/agencies take part in achieving the goal of the National
HIV/STI Prevention Program:

Department of Interior and Local Government (DILG)

Philippine National AIDS Council (PNAC)
Research Institute for Tropical Medicine (RITM)
STI/AIDS Cooperative Central Laboratory (SCCL)
World Health Organization (WHO)
United States Agency for International Development (USAID)
Pinoy Plus Association
AIDS Society of the Philippines (ASP)
Positive Action Foundation Philippines, Inc. (PAFPI)
Action for Health Initiatives (ACHIEVES)
Affiliation Against AIDS in Mindanao (ALAGAD-Mindanao)
AIDS Watch Council (AWAC)
Family Planning Organization of the Philippines (FPOP)
Free Rehabilitation, Economic, Education, and Legal Assistance Volunteers
Association, Inc. (FREELAVA)
Philippine NGO council on Population, Health, and Welfare, Inc. (PNGOC)
Leyte Family Development Organization (LEFADO)
Remedios AIDS Foundation (RAF)

Social Development Research Institute (SDRI)

TLF share Collectives, Inc.
Trade Union Congress of the Philippines (TUCP) Katipunang Manggagawang
Pilipino
Health Action Information Network (HAIN)
Hope Volunteers Foundation, Inc.
KANLUNGAN Center Foundation, Inc. (KCFI)
Kabataang Gabay sa Positibong Pamumuhay, Inc. (KGPP)

Program Manager:
Dr. Jose Gerard B. Belimac
Department of Health-National Center for Disease Prevention and Control (DOH-NCDPC)

INFANT AND YOUNG CHILD FEEDING (IYCF)

I.

Profile/Rationale of the Health Program

A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the
World Health Organization (WHO) and the United Nations Childrens Fund (UNICEF) in
2002, to reverse the disturbing trends in infant and young child feeding practices. This
global strategy was endorsed by the 55th World Health Assembly in May 2002 and by
the UNICEF Executive Board in September 2002 respectively.
In 2004, infant and young child feeding practices were assessed using the WHO
assessment protocol and rated poor to fair. Findings showed four out of ten newborns
were initiated to breastfeeding within an hour after birth, three out of ten infants less
than six months were exclusively breastfed and the median duration of breastfeeding
was only thirteen months. The complementary feeding indicator was also rated as poor
since only 57.9 percent of 6-9 months children received complementary foods while
continuing to breastfed. The assessment also found out that complementary foods were
introduced too early, at the age of less than two months. These poor practices needed
urgent action and aggressive sustained interventions.
To address these problems on infant and young child feeding practices, the first National
IYCF Plan of Action was formulated. It aimed to improve the nutritional status and health
of children especially the under-three and consequently reduce infant and under-five
mortality. Specifically, its objectives were to improve, protect and promote infant and
young child feeding practices, increase political commitment at all levels, provide a
supportive environment and ensure its sustainability. Figure 1 shows the identified key
objectives, supportive strategies and key interventions to guide the overall
implementation and evaluation of the 2005-2010 Plan of Action. The main efforts were
directed towards creating a supportive environment for appropriate IYCF practices. The
approval of the National Plan of Action in 2005 helped the Department of Health (DOH)
and its partners, in the development of the first (1st) National Policy on Infant and Young
Child Feeding. Thus on May 23, 2005, Administrative Order (AO) 2005-0014: National
Policies on IYCF was signed and endorsed by the Secretary of Health. The policy was

intended to guide health workers and other concerned parties in ensuring the protection,
promotion and support of exclusive breastfeeding and adequate and appropriate
complementary feeding with continued breastfeeding. (1)
GUIDING PRINCIPLES
The IYCF Strategic Plan of Action upholds the following guiding principles:
1. Children have the right to adequate nutrition and access to safe and nutritious food,
and both are essential for fulfilling their right to the highest attainable standard of
health. (5)
2. Mothers and Infants form a biological and social unit and improved IYCF begins with
ensuring the health and nutritional status of women. (5)
3. Almost every woman can breastfeed provided they have accurate information and
support from their families, communities and responsible health and non-health related
institutions during critical settings and various circumstances including special and
emergency situations.(5)
4. The national and local government, development partners, non-government
organizations, business sectors, professional groups, academe and other stakeholders
acknowledges their responsibilities and form alliances and partnerships for improving
IYCF with no conflict of interest.
5. Strengthened communication approaches focusing on behavioral and social change is
essential for demand generation and community empowerment.
GOAL, MAIN OBJECTIVE, OUTCOMES AND TARGETS
GOAL:
Reduction of child mortality and morbidity through optimal feeding of infants and young
children
MAIN OBJECTIVE:
To ensure and accelerate the promotion, protection and support of good IYCF practice
OUTCOMES:
By 2016:
90 percent of newborns are initiated to breastfeeding within one hour after
birth;
70 percent of infants are exclusively breastfeed for the first 6 months of life;
and

95 percent of infants are given timely adequate and safe complementary

food starting at 6 months of age.
TARGETS:
By 2016:

50 percent of hospitals providing maternity and child health services are

certified MBFHI;

60 percent of municipalities/cities have at least one functional IYCF support

group;

50 percent of workplaces have lactation units and/or implementing

nursing/lactation breaks;

100 percent of reported alleged Milk Code violations are acted upon and
sanctions are implemented as appropriate;

100 percent of elementary, high school and tertiary schools are using the
updated IYCF curricula including the inclusion of IYCF into the prescribed
textbooks and teaching materials; and

100 percent of IYCF related emergency/disaster response and evacuation are

compliant to the IFE guidelines.

II. Target beneficiaries of the program are infants (0-11 months) and young
children (12 to 36 months years old or 1 to 3 years old)
III. Action/Work Plan

KEY INTERVENTION SETTINGS AND SERVICES

STRATEGIES,

PILLARS AND ACTION POINTS

STRATEGY1: Partnerships with NGOsand GOs in the coordination and

implementation of the IYCF Program
1.1 Formalize partnerships with GOs and NGOs working on IYCF program coordination
and implementation
a. Strengthen the TWG to allow it to effectively coordinate the GOs and NGOs working
for the IYCF Program
The national TWG will remain but will be strengthened. It shall be constituted by: NCDPC
as Chair, FHO as secretariat and representatives from NCDPC,FHO, NCHP, FDA, DJFMH,
DSWD,CWC, NNC, ILO, WHO and UNICEF. This time, members of theTWG will be tasked to
focus participation to the intervention setting where it ismost relevant.
The TWG shall be reporting regularly to the Service Delivery Cluster Head. At the
Regional level, the Regional Coordinators from the above offices shall collaborate in
the implementation of the IYCF Program. To ensure that GO and NGO IYCF partners
work together, the composition of the TWGs and AD Hoc committees shall be made up
of representatives from the government and non-government sectors and the Ad Hoc
Committees shall be chaired by the relevant agency where the intervention setting
belongs.
At the provincial, municipal and barangay levels the existing Coordinating Committees which has an
interagency composition shall be the coordinating arm of the IYCF Program. This is where the participation of
non-government entities will be facilitated. Mechanisms for coordination shall be devised to build a strong
foundation for partnership between the LGU, the Coordinating Committees and local NGOs or private entities.
A memorandum of agreement (MOA) shall be executed between DOH and other agencies invited to become
members of the TWG.
b. Organize functional Intervention Setting Committees (this is the same as the ad-hoc committee)
The years covered by this action plan will be marked with many developmental activities in all the
intervention settings. The TWG shall create a committee for each of the intervention setting. The committees

shall be chaired by the relevant agency/ office. Other government and non-government agencies will be invited
to the committees relevant to their mandate.
c. Return the MBFHI responsibility from NCHFD to NCDPC
The National Policy on IYCF created in 2005 has affirmed the MBFHI responsibility to NCHFD. Since MBFHI
is now under the umbrella of the IYCF Program, it is in a better position to consolidate efforts towards MBFHI
compliance. Thus the return of the MBFHI responsibility from NCHFD to NCDPC shall be pursued. The
collaboration of NCHFD is still needed though as it has a direct hand on health facility development. At
NCDPC the integration of IYCF in the MNCHN Action Plan shall be worked out in all aspects of the program
and at the different levels of implementation.
d. Augment human resource complement of NCDPC- FHO, IYCF program
NCDPC-FHO as the secretariat of the TWG and supervising and supporting the IYCF Program will not be
able to effectively carry out the technical, management and administrative roles and responsibilities without
additional human resource. Funds shall be allotted for job orders for this purpose.
e. Programmed contracting out of activities to organizations outside of DOH
To achieve the objectives and targets of the IYCF program, it shall be implemented simultaneously in
the different intervention settings and at a faster pace. This is a gargantuan task considering the extent of the
developmental work, the management requirements, and the mobilization of the IYCF network and the
sourcing of funds for implementation.
Organizations and consultants that possess the expertise and the commitment to the IYCF program will be
contracted out for complex activities that require time and effort beyond the capacity of the TWG and the
Ad Hoc committees. These contracts shall be arranged based on need and awarded based on merit.
STRATEGY 2: Integration of key IYCF action points in the MNCHN Plan of Action/Strategy
2.1 Institutionalize the IYCF monitoring and tracking system for national, regional and LGU levels
a. Institutionalize the collection of PIR Data and generate annual performance report
The established IYCF data set that are being collected during PIRs shall be further reviewed, revised as
appropriate and institutionalized through a Department Circular and in collaboration with the other programs in
the FHO.
An IYCF Program annual performance report shall be generated at the end of every year based on the PIR
data, the consolidated data from the unified monitoring and related data coming from research and studies as
appropriate. Reports on the performance of developmental activities shall be collected as part of the data
base and to be reported as needed to the Service Delivery Cluster Head.
b. Maximize the use of the unified monitoring tool
The CHDs through its Regional Coordinators shall be required to use and consolidate the unified monitoring
tool. A simple data management program shall be developed to facilitate the consolidation of data extracted
from monitoring. Reports shall be required two weeks after the end of every quarter.

c. Collaborate with the National Epidemiology Center (NEC) and Information Management Service (IMS)
regarding IYCF data
The current records and reports being collected by the DOH Field Health Information System will remain as
the main source of data from health facilities. However, collaboration with NEC and IMS to improve data
quality and include data on complementary feeding is essential.
2.2 Participation of the IYCF Focal person in MNCHN planning and monitoring activities
a. Designate the IYCF Focal Person as a regular member of the team working for the development and
implementation of the MNCHN Strategy
The IYCF Focal Person shall ensure that the IYCF action points become an agenda of the MNCHN
Strategy and thus ultimately the IYCF services forms a part of the integrated services for mothers and children.
In the MNCHN planning and monitoring, the IYCF Focal Person shall help ensure that in the multitude of
activities, critical IYCF action points and indicators are not overlooked.
STRATEGY 3: Harnessing the executive arm of government to implement and enforce the IYCF related
legislations and regulations (EO 51, RA 7200 and RA 10028)
3.1 Consultation mechanism with the IAC and DOJ for the enforcement of the Milk Code and with other
relevant GOs for other IYCF related legislations and regulations
a. Devise and implement a consultation mechanism to bring together the IAC, DOJ and other relevant GOs
for IYCF related legislations and regulations
The Committee for Industry Regulation shall devise and implement a consultation mechanism to facilitate
the implementation and enforcement of IYCF related laws and regulations. This will require participation of
higher levels of authority in the GOs.
The goal of the consultation mechanisms is to develop activities that will focus on facilitating the process of
monitoring of compliance and enforcement of IYCF related laws and regulations not only at the national
level but also at regional and local levels and in the five IYCF intervention settings.
3.2 Support Civil Society in the implementation and enforcement of IYCF related laws and regulations
a. Institutionalize enforcement of MBFHI compliance in the regulatory function of the DOH
The inclusion of the MBFHI requirements in the unified licensing/accreditation benchmarks of the BHFS and
the Licensing Offices shall be pursued more vigorously in collaboration with BHFS and the Licensing offices
of the CHDs. These offices are in a better position to enforce compliance in relation to their regulatory
function and in their power to promulgate penalties for violations.
b. Review and improve the processing of reports on violations on the Milk Code
The handling of reports on violations shall be reviewed for thoroughness and timeliness from the time a report
is submitted up to the final decision rendered on a case. Problematic areas and bottlenecks shall be identified
and threshed out. Measures to ensure that all reports on violations are acted upon shall be devised.
To ensure speedy resolution of cases, it is necessary to set deadlines on the processing of reports on violations.
c. Invite the Professional Regulatory Board as a resource agency of the IAC

Apart from companies who are actively marketing breastmilk substitutes, health professionals who have
direct access and influence on pregnant and postpartum women are also among the most common violators of
the law. The PRC as the legal authority that regulates the practice of the medical and allied professions can
contribute to the development and enforcement of the IACs regulatory function.
d. Augment human resource of FDA as secretariat of the IAC
The current load of violations cases being processed and the fulfillment of other responsibilities with regards to
the Milk Code at FDA require a full time legal officer who will also assist the CHDs. Furthermore, the
strengthened monitoring of compliance to the Milk Code will result in a surge on violation reports. FDA
should be prepared to process such reports. An additional full time legal officer and an administrative/ clerical
staff is required to facilitate and help speed up the process.
e. Engage professional societies to come-up with measures for self monitoring and regulation
Monitoring of overt advertisements and marketing of breast milk substitutes is a persistent challenge.
Monitoring of compliance to the Milk Code among health workers and medical and allied professional
organizations is much more difficult. Promotion of breast milk substitutes is more personal and concealed.
The medical and allied professional societies are strong and active bodies that foster organizational
development and discipline among its members. An advocating stance over a punitive approach may be
the more prudent initial approach in this environment. There will be dialogue, negotiations and forging of
agreements to push the Milk Code and other policies on IYCF. The professional societies will be engaged to
participate in the development of the monitoring scheme within their ranks and in health facilities. They are a
good resource in the development of schemes for MBFHI and related technical matters. Working
arrangements/contracts may be forged to seal responsibilities and partnerships.
Representatives from the professional societies will constitute the Speakers Bureau which will be organized for
the information dissemination/awareness campaign on the Milk Code, the Expanded Breastfeeding Promotion
Act and the Policies on IYCF.
STRATEGY 4: Intensified focused activities to create an environment supportive to IYCF practices
4.1 Modeling the MBF system in the key intervention settings in selected regions
a. Set up Models of MBFHI and MNCHN implementation in key strategic hospitals and referral networks
Regional Hospitals and selected private hospitals shall be developed as models of MBFHI and MNCHN
implementation to help create an impact and to serve as showcases for other health facilities.
If these hospitals are currently training facilities for obstetrics and pediatrics residency program,
MBFHI environment will certainly add value to the training.

the

An itinerant team will facilitate the development of the hospital models. The team will be composed of an
Obstetrician with training/background on MNCHN, Pediatrician with training/background on Lactation
Management/Essential Newborn Care, Nurse trainer for breastfeeding counseling, Senior IYCF Program
person with administrative background who can deal with arrangements and coordination with hospitals
and local governments and who can be a trainer and an administrative assistant who will facilitate
administrative matters. The team will facilitate the activities leading to the organization and maintenance of
the MBFHI in the hospitals. This shall include planning, setting up of operational details and physical
structures when needed, training/coaching of personnel, keeping records and completing reports and self
assessment.

Regional hospitals shall be developed for IYCF capacity building. Trainings at Regional Hospitals shall
be conducted in collaboration with the CHDs. This is so that training is de-centralized and monitoring
and evaluation can be done more frequently at the provincial and municipal levels.
b. Establish protocols/standards on how to set-up and maintain MBF workplaces and integrated in the
standards for healthy workplace
The IYCF Program shall focus on the enforcement of the Expanded Breastfeeding Promotion Act of 2009
which mandates workplaces to establish lactation stations and/or grant breastfeeding breaks. Guidelines for
the establishment and maintenance of MBF workplace shall be developed. It will learn from lessons of
already established and successful MBF workplace. In as much as standards for the healthy workplace are
already established, the MBF guidelines shall be integrated into those standards.
The establishment of MBF workplaces initiated in factories shall be scaled up and efforts shall be expanded to
include government and private offices in line with Expanded Breasfeeding Act. The current collaboration
partners in the workplace setting may also need to be expanded to promote the establishment of the MBF
workplace in government and private offices. With the multitude of workplaces scattered throughout the
country, the expansion may require outsourcing of organizations to continue the MBF workplace efforts.
c. Enhance the primary, secondary and tertiary education curricula on IYCF
The enhancement of the primary, secondary and tertiary education curricula on IYCF shall be pursued. If
necessary, a review of the curriculum will be done prior to the enhancement. Apart from the curriculum
enhancement, training materials, books and teachers guide shall also be updated.
The initial collaboration for the enhancement of the primary, secondary and tertiary education curricula
shall take place at the central office of DepEd (Bureau of Elementary Education and Bureau of Secondary
Education) and TESDA. The enhanced curriculum, training materials, books and teachers guide shall be field
tested province-wide in three selected provinces, evaluated and further enhanced before a national
implementation.
d. Develop policy on IYCF in emergencies (IFE) and guidelines on the management of malnutrition, and
IYCF in special medical conditions for the community
A clear policy on IYCF is necessary to allow the program to define the guidelines that can be easily
followed by GOs, NGOs and LGUs once such situations arise. The policy/guidelines shall address among
others the issue of milk donations. Guidelines on the Community Management of Malnutrition, IYCF in
special medical conditions such as errors of metabolism or HIV positive mothers shall also be developed for
implementation.
Camp managers and organized local nutrition clusters shall be oriented on the IFE guidelines.
Disaster prone areas will be prioritized in the orientation. Training/orientation shall be a collaborative effort
between the IYCF Program, HEMS and the NDCC.
4.2 Creation of a Regional and National incentive and awarding systems for the most outstanding IYCF
champions in the different sectors of society
a. Review and update the existing awarding system

The current awarding system shall be reviewed. The search protocol shall be further refined to allow a wider
search. The organization of the search committees in the local and national levels shall be formalized. Funds
for the awards shall be ensured.
b. Establish a recognition system for health facilities complying with EO51, RA10028 and the MBFHI
National Policy
Set up an annual recognition system for facilities, establishments complying with relevant IYCF legislations
and regulations. The benefits provided for by the Milk Code to compliant health facilities shall be reviewed
and improved/established parallel with the development of the incentive scheme for the Expanded
Breastfeeding Promotion Act. Procedures for claiming benefits shall be established and made accessible in
collaboration with PhilHealth, BIR and other relevant government offices.
4.3 Allocate/Raise /Seek resources for IYCF Research activities that document best practices in the Philippines
a. Carry out an inventory of best practices on IYCF Identify best IYCF practices by allowing every province
in the country to identify exemplary or creative activities
on IYCF that boosted program services/performance. Validate the reports through CHDs and select the best
practices for documentation and publication.
b. Allocate resources and conduct IYCF related researches focusing on the documentation and measure of
impact of noble experiences and interventions
The documentation of IYCF best practices is considered a critical area that allows the development of models/
references for appropriate IYCF protocols and guidelines for implementation. Field personnel who are able
to establish and provide successful models of IYCF services are often deficient in resources and skills to
document the efforts. Resources to conduct IYCF related researchers, focusing on the documentation and
measure of impact of noble experiences and interventions, will have to be allocated.
STRATEGY 5: Engaging the Private Sector and International Organizations to raise funds for the
scaling up and support of the IYCF program
5.2 Setting up of a fund raising mechanism for IYCF with the participation of International Organizations
and the Private Sector
a. Set-up the fund raising mechanism
The development and sustainability of IYCF activities partly depends on the availability of resources. At the
national level, where many developmental activities will take place, the regular sources of funds are not
sufficient. At the local levels, the poorer more problematic areas have the least resources to promote, protect and
support good IYCF practices. It is critical for the IYCF Program to determine and actively source
budgetary and other resource requirements. The availability of resources will guide the scale and
prioritization of IYCF activities in the annual operational planning.
To augment the funds for the IYCF program, a funding mechanism/body that will serve as a fund raising arm
for the elimination of child malnutrition shall be established.

The effort should be able to explore and proceed with the development of a funding mechanism that can
encourage public-private partnership and ensure resources to initiate and sustain critical interventions
nationwide. The arena of fund raising is not within the expertise of DOH, and it will be important to discuss
with the international and national partners on the most suitable mechanism that can help attain such
important goal.
PILLAR 1: Capacity Building
Capacity building shall take different forms and intensity in accordance to the requirement of the intervention
settings.
In health facilities, training on Lactation Management and Counseling shall continue. A system for regular
in- service or refresher training to address the fast turnover of health staff in hospitals and to provide necessary
program updates shall be put in place. Staggered training and self- enforcing programs may also be devised to
improve access to training when warranted. Periodic evaluation shall be incorporated into the system to
ensure effectiveness and efficiency of the trainings.
The Milk Code monitors at FDA, CHDs and local levels shall be trained on the latest guidelines to help ensure
that provisions on regulation and enforcement in the RIRR of the Milk Code are closely adhered to. The
monitors should be prepared to handle incidents of actual violation of the code during inspection/monitoring.
The local monitors shall be equipped with user friendly monitoring tools.
The competencies of teachers and administrators to teach the new IYCF updated curriculum and to
appreciate the importance of MBF environment shall be enhanced. A training/seminar program on IYCF for
teachers/ administrators will be developed. A core of teacher trainers in every region will be developed and
organized to conduct the training/seminars nationwide.
IV. Status of the Program
A REVIEW FROM 2005 TO 2010
Objectives and Targets set in 2005-2010

Status of Achievement

Remarks

OBJECTIVE 1: TO IMPROVE, PROTECT

AND PROMOTE APPROPRIATE INFANT
AND YOUNG CHILD FEEDING
PRACTICES CHILD FEEDING
PRACTICES
- 70% of newborns initiated to breastfeeding
53.5% (NDHS 08)
within 30 minutes

40.7%(NDHS 1998)

- 80% of 0-6 months infants

are exclusively breastfed

34% (NDHS 2008)

33.5%(NDHS 2003)

- 50% of infants are exclusively breastfed

for 6 months

22.2% (NDHS 2008)

16.1%(NDHS 2003)

- median duration of breastfeeding is 18

months

15.1months (NDHS 2008)

13 months (NDHS 1998)

- 90% of 6- <10 months infants are given

timely, adequate and safe complementary
foods

58% (NDHS 2008)

57.9%(NDHS 2003)

- 95% of children 6 months to 59

months received Vitamin A

75.9% (NDHS 2008)

76% (NDHS 2003)

NDHS 2008 and 2003 data refers to those that
received vitamin A in the past 6 months from the
interview
37% of children age 6-59
months
received
iron
supplements in the seven
days before the survey
(NDHS 2008)

- 70% of low birth weight babies and iron

72.8% of 6-59 months received iron drops /
deficient 6 months to less than 5 years received
syrup (not specified if complete dose, MCHS 2002)
complete dose of iron supplements
78.3% of children 6-59
months consumed foods rich
in iron in the past
24 hours from the time of the
survey
- 80% of pregnant women have at least 4
prenatal visits

77.8% (NDHS 2008)

67.5% (MCHS 2002)

- 80% of pregnant women received complete

82.4% (NDHS 2008)
dose of iron supplements

82% (not specified if complete dose, MCHS 2002)

- 80% of lactating women received vitamin

45.6% (NDHS 2008)
A capsule

44.6% (NDHS 2003) NDHS 2003 and 2008 data

represents the % of women that received Vitamin A
dose during post-partum

41.9% (NDHS 2008)

- 80% of household using iodized salt

81.1% household
positive for iodine in
salt (NDHS 2008)

38%, household using iodized salt and

56.4% household positive for iodine in salt (NNS
2003)

OBJECTIVE
2:
TO
INCREASE
POLITICAL COMMITMENT
AT
DIFFERENT
LEVELS
OF
GOVERNMENT,
INTERNATIONAL
ORGANIZATIONS,
NONGOVERNMENT
ORGANIZATIONS,
PRIVATE SECTOR, PROFESSIONAL
GROUPS
,
CIVIL
SOCIETY,
COMMUNITIES AND FAMILIES
IYCF Policy approved May
- Approved and widely disseminated National
25, 2005 and disseminated to
Infant and Young Child Feeding Policy
all Regions and LGUs.
- Approved multi-sectoral
IYCF Plan of Action

National

IYCF Plan of Action 20052010 approved.

AO 2007-0017: Guidelines
on the Acceptance and
Processing of Local and
- IYCF policy enhancement for emerging
Foreign Donations During
issues
Emergency and Disaster
Situations was signed May
28, 2007.
New groups were active in
supporting activities on IFE
Active organizations include Latch, La Leche
- Increase number of organizations actively mostly during the postLeague, Save the Children, Plan International and
involved in IYCF
Ondoy interventions and in
Arugaan.
relation to breastfeeding
support.

From 1 million pesos in 2005

to 20 million pesos in 2010.

Additional funds for IYCF were secured since April

2007, the start of the AHMP with intensive IYCF
training.

Additional
funds
were
secured by the Joint program
September 2009, signing of the JP for Ensuring
on MDG-F, wherein UN
Food Security and Nutrition for Children 0-24
Agencies (Unicef, FAO, ILO
months in the Philippines, funded by the
and WHO) with NNC and
Government of Spain through the MDG
DOH, started implementing
Achievement Fund.
key IYCF interventions.

- Increase budget for IYCF

OBJECTIVE 3: PROVIDE SUPPORTIVE

ENVIRONMENT THAT WILL ENABLE
PARENTS, MOTHER, CAREGIVERS,
FAMILIES AND COMMUNITIES TO
IMPLEMENT
OPTIMAL
FEEDING
PRACTICES
FOR
INFANTS
AND
YOUNG CHILD
PROGRAMME MANAGEMENT
National TWG active and
11/12
Regions confirmed having
established a TWG.
- Functional IYCF Program authority and
Data as of Dec 2009. Although the national TWG is
responsibility flow at the national, regional
considered active, the collaboration between
At the LGU level 7/80
and LGU level
agencies can be considered deficient.
provinces,
9/120 cities and 175/1425
municipalities have passed a
resolution/ordinance
in
support of IYCF.
- Existing local committees functioning as
IYCF committees

No available data

INSTITUTIONAL SUPPORT
AO
2007-0026:
Revitalization of the MBFHI
in Health Facilities with
Maternity Services
was
signed and endorsed on July
10, 2007.
- 1,426 currently certified MBF hospitals
sustained 10 steps
PhilHealth Circular No. 26 S2005:
Requirement
for
Accredited Hospitals to be
Mother- Baby Friendly
was issued on October 11,
2005.

Within 2 years after the issuance of COC, 0/47

hospitals applied for accreditation to become MBF
based on the new standards and requirements.

Only 47/1487 have received

- 300 additional hospitals/lying-in certified as
a COC
MBF
since 2007
- 100%
newborns

of

hospitals

roomingin

their

No available data

RA 10028: Expanded
- All offices of government agencies who are Breastfeeding Promotion Act
RA 10028 set the standards to becoming MBF.
members of the IYCF IAC will be MBF
of 2009 was enacted on
March 16, 2010.

- At least one model workplace

province/city certified as MBF

6/16 Regions reported that

per there are at least 88
breastfeeding friendly
workplaces.

- At least one model IYCF resource center 1 No resource center

province and 1 city in each region
established
- At least 3 IYCF model barangay/
municipality per province and city

10/16 Regions reported that

there are at least 2159
breastfeeding support groups
at the barangay level.

- Functional milk bank in all medical centers

Milk bank is functional in 3

Medical
RA 10028 encourages other Medical
Centers: PGH, DJFMH and Centers to set up their own milk bank.
PCMC

IMPROVING SYSTEMS
- 100% of national, regional and LGU health Based on monitoring visits
facilities have integrated IEC on IYCF into and reports from CHDs,
regular MCH services with clearly stated public health facilities have
protocols on how to provide key IYCF
ensured the integration.

No available data on private health facilities.

Only 4/13 Regions reported

some sort of Milk Code
monitoring activities.
- Functional and effective Milk Code
Monitoring system

At the FDA, from 2007 to

2009, there were 67 reports
of violations and only 3/13
Regions reported filing a
complaint for the alleged
violations.

- Institutionalize facility IYCF MIS

system in place by end of 2009

Draft tool developed and

used in two key instances.
No institutionalization yet.

-Improving skills of health manpower

28,063/34,298 staff were

trained on
IYCF Counseling.

- Available national / regional IYCF

trainers

16/17 Regions reported

conduct of training on IYCF.

- Active IYCF Speakers Bureau

- Available IYCF counselors in 50%
of health facilities

NCDPC and NNC combined report

No available data
28,063/34,298 staff were
trained on
IYCF Counseling.

NCDPC and NNC combined report.

- At least 10 Filipino health professionals DOH focused on capacitating

internationally accredited as breastfeeding health
workers
on
With the support of NNC.
counselors by the International Board of Counseling and Lactation
Lactation Consultants Examiners
Management.
9/13 Regions reported having
trained a total of 1485
- A lactation specialist is available in tertiary hospital based health workers
No denominator available.
hospitals
on Lactation Management
with the support of DJFMH,
NCDPC,CHDs and NNC.
- Improved
curricula
for
IYCF of In June 2010 a workshop on The process of integration is on-going.
medical / nursing / midwifery schools
integration/updating of good
IYCF practice into the
medical, nursing, midwifery
and nutrition curricula was

conducted.
RA 10028: Expanded
- Inclusion of breastfeeding in elementary Breastfeeding Promotion Act RA 10028 was enacted on March 16,
education
of 2009 mandates the
2010. The IRR is yet to be signed.
integration.
- Community level support
services

10/16 Regions reported that

As of Dec 2009.
there are at least 2,159
systems and
barangay level BF support
RA 10028 will help boost the number of
groups and more than 40 BF
breastfeeding friendly public places.
friendly public places.

- 100% of target communities with functional

community level monitoring system of IYCF
practices and changes

No available data

10/16 Regions reported that

- At least 50% of city and poblacion
there are at least 2,159 BF
municipalities with adequate number of trained
support groups at the
IYCF peer counselors
barangay level.
10/16 Regions reported that
there are at least 2,159 BF
- At least one functional BF / IYCF support
support groups at the
group in poblacions and selected communities
barangay level.
OBJECTIVE
4:
ENSURE
SUSTAINABILITY OF INTERVENTIONS
TO
IMPROVE,
PROTECT
AND
PROMOTE INFANT AND YOUNG
CHILD FEEDING
- Functional self assessment health facility
Tool Drafted. Not yet
tools for IYCF in certified MBFH and main
institutionalized.
health centers
- Annual progress reports of status of
1st IYCF PIR: 2007
implementation of Milk Code, Rooming In and
Breastfeeding Act, ASIN
Law, Food
2nd IYCF PIR: 2009
Fortification and ECCD Law / IYCF Policy
IYCF integrated in PPAN
- IYCF integrated into Philippine Plan of
2005-2010. PIR was
Action for Nutrition and annual planning and
conducted last quarter of
health monitoring systems at all levels
2010.
Regular Presentations are
offered by DOH on IYCF
- Periodic feedback of IYCF status during
status (2005:
annual
conventions
of
health
1st presentation during
professionals/Leagues
of
Provinces/
National
Cities/Municipalities and Barangays
Convention Liga Ng
Barangay)

V. Program Manager
VICENTA E. BORJA, RN, MPH
Supervising Health Program Officer
Family Health Office
National Center for Disease Prevention and Control
Department of Health
Telephone no. 7329956
E-mail Add: vicentaborja@hotmail.com

Key result of integration was the intensive training

on IYCF Counseling in AHMP target areas.

Partner Organizations/agencies
NGO Partners:
Local:

Employers Confederation of the Philippines

Trade Union Congress of the Philippines

Beauty, Brains and Breastfeeding

ARUGAAN

Action for Economic Reforms

Save Baby e-group

Philippine Pediatric Society

Philippine Obstetric and Gynecology Society

Philippine Academy of Family Physicians Inc.

Philippine Society of Newborn Medicine

Philippine Society of Pediatric Gastroenterology

Philippine Neonatology Society

Philippine Society of Obstetric Anesthesiologist

Philippine Academy of Lactation Consultant

Perinatal Association of the Philippines

Philippine Medical Association

Integrated Midwives Association of the Philippines

Maternal and Child Nurses Association of the Philippines

Philippine Nurses Association

National League of Philippine Government Nurses Inc.

Malls: SM , NCCC

Union of Local Authorities of the Philippines

CODHEND
Government Partners:
Department of Labor and Employment
Department of Social Welfare and Development
Department of Justice
Department of Trade and Industry
Department of Local Government
Food and Drug Administration
National Nutrition Council
Council for the Welfare of Children
Department of Education
Commission on Higher Education
Nutrition Council of the Philippines
International Organizations:

World Health Organization

UNICEF
PLAN International

Helen Keller International

Save the Children-US
World Vision

ILIGTAS SA TIGDAS ANG PINAS

A Door-to-Door Measles-Rubella (MR) Immunization Campaign Vaccinating All Children, 9

months to below 8 years old From April 4 to May 4, 2011

The Philippines has committed to eliminate measles in 2012, the target year agreed
upon with the other countries in the Western Pacific Region. Three (3) mass measles
immunization campaigns were conducted in 1998, 2004 and 2007, achieving 95%
coverage in each round. In contrast, the annual coverage for routine measles vaccination
given to infants ages 9-11 months never reached the target of at least 95%. The highest
coverage ever attained is 92% and the lowest coverage was 67% (1987 DOH EPI Report).
The lower the coverage, the faster is the accumulation of unimmunized susceptible
infants, resulting in measles outbreaks in different areas of the Philippines. Laboratory
confirmed measles cases continued to be reported all over the country, which indicates
uninterrupted circulation of measles virus transmission resulting to illness and deaths
among children.
Mass measles immunization campaigns provide a second opportunity to catch missed
children, but these are done every 2-3 years interval and therefore not enough to
prevent seasonal outbreaks from occurring in areas with low immunization coverage. The
administration of a 2nd dose of measles containing vaccines on a routine schedule will
provide this second opportunity at an earlier time and ensure the protection against
measles of infants/children who failed to be protected during the first dose.
As a response to interrupt the transmission of the measles virus and prevent a potential
large measles outbreak to occur, there is an urgent need to conduct a measles
supplemental immunization activity this April 2011. All children ages 9-95 months old
nationwide should be given a dose of measles-rubella vaccine through a door-to-door
vaccination campaign. Unlike previous campaign, a measles-free certification will be
issued to city/province meeting all the criteria of (1) all barangays passed the RCA with
no missed child and 95% and above house marking accuracy; (2) there are no measles
cases for the next 3 months after the campaign and (3) measles surveillance indicators
have met the national standards

INTER LOCAL HEALTH ZONE

An ILHZ is defined to be any form or organized arrangement for coordinating the

operations of an array and hierarchy of health providers and facilities, which typically
includes primary health providers, core referral hospital and end-referral hospital, jointly
serving a common population within a local geographic area under the jurisdictions of
more than one local government.
ILHZ, as a form of inter-LGU cooperation is established in order to better protect the
public or collective health of their community, assure the constituents access to a range
of services necessary to meet health care needs of individuals, and to manage their
limited resources for health more efficiently and equitably.
For these to happen, existing ILHZs in the country must strengthen their operations and
sustain their functionality. Regardless of the organizational nature of each ILHZ, whether
these are formally organized, informally organized or DOH-initiated, the overall aim is to
make each ILHZ functional in order to perform its abovementioned purposes and tasks.
It must be recognized that a good inter-LGU coordination in health is one that secures
health benefits for the people living in LGUs that are coordinating with one another. A
functional ILHZ therefore is to be viewed as one that provides health benefits to its
individual residents and to the zone population as a whole. The ILHZ functionality is
defined mainly by observable zone-wide health sector performance results in terms of:
(i)
improved health status and coverage of public health intervention of the zone
population;
(ii)
access by everyone in the zone to quality care; and
(iii)

efficiency in the operations of the inter-local health services.

Replication of Exemplary
Replication: Sharing Good Practices and Practical Solutions to Common Problems
By virtue of Administrative Order No. 2008-0006, dated January 22, 2008, the DOH has adopted the
integration of replication strategies in its operation.
Replication is learning from and sharing with others exemplary practices that are proven and effective
solutions to common and similar problems encountered by local government units, with the least possible
costs and effort. The underlying principle of replication is to avoid reinventing the wheel and benefiting
from already tested solutions.
LGUs can share lessons learned from practices that work, as well as share experiences systematically. A
structured organized process of replicating, including proper dissemination of validated exemplary
practices and making Lakbay Arals more meaningful and useful, help ensure the chances of achieving best
results. Replication makes learning more interesting and exciting as one gets to see the model and its
benefits firsthand.

Criteria for Selecting Exemplary Health Practices

1. LGU-initiated solutions initiated to address one or
more health issues or problems encountered.
2. High level of sustainability

Consistent with existing health policies

3.
Simple and doable so that they can be
replicated within one year and a half or less.
4.

Cost effective and cost efficient

Mobilization and utilization of

indigenous resources
Minimal support from external sources

LGU support
Had been in place for more than three ears
Widely participated and supported by the
communities
Adopted as a permanent structure or
program with regular budgetary support
Adopted as a permanent structure or
program with regular budgetary support
Community representation in decision
making bodies and committees

5. Positive results on the beneficiaries and

communities.
Other important factors to consider:

Consistency with the thrusts or

priorities of the Department of Health
Willingness of the Host LGU to share
its practice to others
Demand for the practice from other
LGUs

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS

(IMCI)
One million children under five years old die each year in less developed countries. Just five diseases (pneumonia,
diarrhea, malaria, measles and dengue hemorrhagic fever) account for nearly half of these deaths and malnutrition is
often the underlying condition. Effective and affordable interventions to address these common conditions exist but they
do not yet reach the populations most in need, the young and impoverish.
The Integrated Management of Childhood Illness strategy has been introduced in an increasing number of
countries in the region since 1995. IMCI is a major strategy for child survival, healthy growth and development and is
based on the combined delivery of essential interventions at community, health facility and health systems levels. IMCI
includes elements of prevention as well as curative and addresses the most common conditions that affect young children.
The strategy was developed by the World Health Organization (WHO) and United Nations Childrens Fund (UNICEF).
In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health workers and hospital staff
were capacitated to implement the strategy at the frontline level.

Objectives of IMCI
Reduce death and frequency and severity of illness and disability, and
Contribute to improved growth and development
Components of IMCI
Improving case management skills of health workers
11-day Basic Course for RHMs, PHNs and MOHs
5 - day Facilitators course
5 day Follow-up course for IMCI Supervisors
Improving over-all health systems
Improving family and community health practices

Rationale for an integrated approach in the management of sick children

Majority of these deaths are caused by 5 preventable and treatable conditions namely: pneumonia, diarrhea,
malaria, measles and malnutrition. Three (3) out of four (4) episodes of childhood illness are caused by these five
conditions
Most children have more than one illness at one time. This overlap means that a single diagnosis may not be
possible or appropriate.

Who are the children covered by the IMCI protocol?

Sick children birth up to 2 months (Sick Young Infant)
Sick children 2 months up to 5 years old (Sick child)
Strategies/Principles of IMCI
All sick children aged 2 months up to 5 years are examined for GENERAL DANGER signs and all Sick
Young Infants Birth up to 2 months are examined for VERY SEVERE DISEASE AND LOCAL BACTERIAL
INFECTION. These signs indicate immediate referral or admission to hospital
The children and infants are then assessed for main symptoms. For sick children, the main symptoms
include: cough or difficulty breathing, diarrhea, fever and ear infection. For sick young infants, local
bacterial infection, diarrhea and jaundice. All sick children are routinely assessed for nutritional,
immunization and deworming status and for other problems
Only a limited number of clinical signs are used
A combination of individual signs leads to a childs classification within one or more symptom groups
rather than a diagnosis.
IMCI management procedures use limited number of essential drugs and encourage active participation of
caretakers in the treatment of children
Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return to clinic is
an essential component of IMCI
BASIS FOR CLASSIFYING THE CHILDS ILLNESS (please see enclosed portion of the IMCI Chartbooklet) The childs
illness is classified based on a color-coded triage system:
PINKindicates urgent hospital referral or admission
YELLOW- indicates initiation of specific Outpatient Treatment
GREEN indicates supportive home care
Steps of the IMCI Case management Process
The following is the flow of the iMCI process. At the out-patient health facility, the health worker should routinely do
basic demographic data collection, vital signs taking, and asking the mother about the child's problems. Determine
whether this is an initial or a follow-up visit. The health worker then proceeds with the IMCI process by checking for
general danger signs, assessing the main symptoms and other processes indicated in the chart below.
Take note that for the pink box, referral facility includes district, provincial and tertiary hospitals. Once admitted,
the hospital protocol is used in the management of the sick child.

KNOCK OUT TIGDAS 2007

Knock-out Tigdas Logo

Knock-out Tigdas 2007 is a sequel to the 1998 and 2004 Ligtas Tigdas mass measles
immunization campaign. All children 9 months to 48 months old ( born October 1, 2003
January 1,2007) should be vaccinated against measles from October 15 - November 15,
2007 , door-to-door. All health centers, barangay health stations, hospitals and other
temporary immunization sites such as basketball court, town plazas and other identified
public places will also offer FREE vaccination services during the campaign period.
Other services to be given include Vitamin A Capsule and deworming tablet.
Knockout Tigdas for the period of the Barangay and SK Elections
Executive Order No. 663
Promotional materials
What is Knock-out Tigdas (KOT) 2007?
Knock-out Tigdas 2007 is a sequel to the 1998 and 2004 Ligtas Tigdas mass measles
immunization campaigns. This is the second follow-up measles campaign to eliminate
measles infection as a public health problem.
What is the over-all objective of the Knock-out Tigdas?
The Knock-out Tigdas is a strategy to reduce the number or pool of children at risk of
getting measles or being susceptible to measles and achieve 95% measles immunization
coverage. Ultimately, the objective of KOT is to eliminate measles circulation in all
communities by 2008.
What does measles elimination mean?
Measles elimination means:
1. Less than one (1) measles case is confirmed measles per one million population.
2. Detects and extracts blood for laboratory confirmation from at least 2 suspect measles
cases per 100,000 populations.
3. No secondary transmission of measles. This means that when a measles case occurs,
measles is not transmitted to others.
Who should be vaccinated?
All children between 9 months to 48 months old ( born October 1, 2003 January 1,2007)
should be vaccinated against measles.
When will it be done?
Immunization among these children will be done on October 15-November 15, 2007.
How will it be done?
Vaccination teams go from door-to-door of every house or every building in search of the
targeted children who needs to be vaccinated with a dose of measles vaccines, Vitamin A
capsule and deworming drug.
All health centers, barangay health stations, hospitals and other temporary immunization
sites such as basketball court, town plazas and other identified public places will also
offer FREE vaccination services during the campaign period.

My child has been vaccinated against measles. Is she exempted from this
vaccination campaign?
No, she is not. A previously vaccinated child is not exempted from the vaccination
campaign because we cannot be sure if her previous vaccination was 100% effective.
Chances are a vaccinated child is already protected, but no one can really be sure. There
is 15% vaccine failure when the vaccine is given to 9 months old children. We want to be
100% sure of their protection.
What strategy will be used during the campaign?
It is a door-to-door strategy. The team goes from one-household to another in all areas
nationwide.
My child had measles previously, is he exempted in this campaign?
There are many measles-like diseases. We cannot be sure exactly what the child had,
especially if the illness occurred years ago. Anyway, the vaccination will not harm a child
who already had measles. The effect will also be like a booster vaccination. The
previously received measles immunization has formed antibodies, with the booster shot
it will strengthened the said antibodies.
Is there any overdose, if my child receives this booster immunization?
Antibodies in the blood which provide protection against disease decrease as the child
grows older. Booster vaccinations are needed to raise protection again. Measles
vaccination during the said campaign will be a booster vaccination for a previously
vaccinated child. The childs waning internal protection will increase. The child will not
harm because there is no vaccine overdose for the measles vaccine. The measles
vaccine is even known to enhance overall immunity against other diseases.
What will happen to my child after receiving the measles immunization?
Normally, the child will have slight fever. The fever is a sign that the childs vaccine is
working and is helping the body develop antibodies against measles.
The best thing to do when the child has fever is to give him paracetamol every four (4)
hours. Give him plenty of fluids and breastfeed the child. Ensure that the child has
enough rest and sleep.
What will happen after the Knock-out Tigdas 2007?
To interrupt measles circulation by 2008, ALL children ages 9 months will continue to
routinely receive one dose of the measles vaccine together with the vaccines the other
disease of the childhood like polio, diphtheria, pertussis, etc. All children with fever and
rashes have to be listed and tested to verify the cause of the infection.
ALL 18 months old children will be given a second dose of measles immunization to
really ensure that these children are protected against measles infection.

What other services will be given?

Vitamin A capsule will be given to all children 6 months to 71 month old and deworming
tablet to 12 months to 71 months old nationwide.
Additional messages:

Once the child is vaccinated, the posterior upper left earlobe will be marked
with gentian violet, so do not try to remove for the purpose of validation.

Houses will also be marked, so do not erase.

I heard that there are cases where the child who was vaccinated who became seriously
ill or died. Is this true?
Measles vaccine is very safe. Minor reactions may occur such as fever but in an already
immunizes child, this may not occur. The most serious and RARE adverse event following
immunization is anaphylaxis which is inherent on the child, not on the vaccines.

LEPROSY CONTROL PROGRAM

Vision: Empowered primary stakeholders in leprosy and eliminated leprosy as a public
health problem by 2020
Mission: To ensure the provision of a comprehensive, integrated quality leprosy
services at all levels of health care
Goal: To maintain and sustain the elimination status
Objectives:
The National Leprosy Control Program aims to:

Ensure the availability of adequate anti-leprosy drugs or multiple drug

therapy (MDT).

Prevent and reduce disabilities from leprosy by 35% through

Rehabilitation and Prevention of Impairments and Disabilities (RPIOD) and
SelfCare.

Improve case detection and post-elimination surveillance system using

the WHO protocol in selected LGUs.

Integration of leprosy control with other health services at the local

level.

Active participation of person affected by leprosy in leprosy control and

human dignity program in collaboration with the National Program for Persons
with Disability.

Strengthen the collaboration with partners and other stakeholders in the

provision of quality leprosy services for socio-economic mobilization and
advocacy activities for leprosy.

Beneficiaries:
The NLCP targets individuals, families, and communities living in hyperendemic areas
and those with history of previous cases.
NLCP Strategy
(2011-2016)
MDG& NOH

Global Strategy
(2006-2010)

Universal Health
Care
(Kalusugang
Pangkalahatan)

Sustain leprosy
control in all
endemic
countries

Provision of
Quality Leprosy
services at all
levels

Governa
nce for
Health

Strengthen
routine &
referral service

Health System
Strengthening

Service
Delivery

Ensure high
quality
diagnosis, case
management,
recording &
reporting in all
endemic
communities

Capability building
of an efficient,
effective,
accessible human
and facility
resources

Policy,
Standard
s&
Regulatio
ns

Develop policies/
guidelines/
sentinel
sites/referral
centers
(Luzon,Visayas &
Mindanao)

Human
Resource
s for
Health

Health
Informati
on

Health
Financing

Establish the
Sentinel Surveill
ance System to
monitor Drug
Resistance

Develop
procedures/
tools that are
home/communit
y- based,
integrated and
locally
appropriate for
Self Care/POD,
rehabilitation
services (CBR)

Program Manager:
Dr. Francesca C. Gajete

Collaborate with
NEC/RESU/ PESU /
MESU

NLAB, NCCL

RA 7277- Rights of
PWD & Caregivers

BP 34Accessibility &
Human Rights Law

PhilHealth
Insurance Package

Department of Health-National Center for Disease Prevention and Control (DOH-NCDPC)

Contact Number: 651-78-00 local 2353
Email: francesca_gajete@yahoo.com

LGU SCORECARD
The performance indicators in the LGU Scorecard are a subset of the Performance Indicator Framework
(PIF) of the ME3. The performance indicators measure basic intermediate outcomes and major outputs of
health reform programs, projects and activities (PPAs).
There are 46 performance indicators in the LGU Scorecard categorized in two sets (Set I and Set II). The
two sets of performance indicators are the following:
Set I is composed of 27 outcome indicators mostly representing intermediate outcomes that can be
assessed every year (See Annex 1: Data Definitions for Set I Indicators in LGU Scorecard). Set II is
composed of 27 output indicators representing major thrusts and key interventions for the four reform
components of service delivery, regulation, financing, and governance. They are mostly composed of
health system reform outputs. These indicators are assessed only every 3-5 years, since these require
more time and more resources to set up. The equity dimensions of these indicators are not measured (See
Annex 2: Data Definitions for Set II Indicators in LGU Scorecard).
Set I performance indicators of the LGU Scorecard are standardized as to numerators, denominators,
multipliers and data sources. The definition of performance indicators is consistent with the Department of
Health FHSIS data dictionary. The other references used in defining performance indicators in the LGU
Scorecard are PhilHealth data definitions and WHO definitions of indicators. The standardization of
performance indicators guarantees consistency of data across various LGUs and across years of
implementation. It also facilitates the automation of the LGU Scorecard collection and publication of
results.
The sources of data utilized for the LGU Scorecard are the institutional data sources in the Department of
Health. The availability of data on an annual basis was an important consideration for inclusion of Set I
performance indicators in the LGU Scorecard.

LICENSURE EXAMINATIONS FOR

PARAPROFESSIONALS UNDERTAKEN BY
DEPARTMENT OF HEALTH
I. Mandates
Presidential Decree No. 856 Code of Sanitation of the Philippines

Massage Therapists

Administrative Order No. 2010-0034 Revised Implementing Rules and Regulations Governing Massage
Clinics and Sauna Bath Establishments

Embalmers

Administrative Order No. 2010-0033 Revised Implementing Rules and Regulations Governing Disposal of
Dead Persons

Committees
The Committee of Examiners for Massage Therapy (CEMT) and the Committee of Examiners for
Undertakers and Embalmers (CEUE) were created by the DOH to regulate the practice of massage therapy
and embalming to ensure that only qualified individuals enter the profession and that the care and
services to be provided are within the standards of practice.

II. Application Procedure

A. Who can apply

Any high school graduate

At least 18 years old at the time of the examination

B. How to apply
Application Requirements:
a. Certified True Copy of Birth Certificate (at least 18 years old at the time of the examination)
b. Certificate of Good Moral Character from barangay captain of the community where the applicant
resides
c. Certification or clearance from the National Bureau of Investigation (NBI) or provincial fiscal that he/she
is not convicted by the court in any case involving moral turpitude.
d. Medical Certificate from a government physician
e. Certified True Copy of Diploma or Transcript of Record (at least high school graduate)
f. Submit Marriage Contract for female married applicant
g. Certification from any DOH accredited training institution/ provider that he/she has received basic
instructions in five (5) subjects based on Program Curriculum
h. Certification from any DOH accredited training institution/provider that he/she has skillfully embalmed at
least 10 cadavers within one year period under his/her supervision
i. Filled up application form (1 copy)
j. 1 X 1 size photograph taken within the last 6 months (3 copies)
When is the licensure examination?
Massage Therapist every 1st week of June and December

Embalmers every 1st week of March and September

III. Contact Persons:
Dr. Josephine H. Hipolito
Mr. Ryan B. Dordas
Department of Health- HHRDB,
2nd Floor, Bldg 12-A, San Lazaro Compound