Local Chief Executives

and Health

An Info Kit for Policy Makers

Produced by:
Department of Health Center for Health Development-
Central Visayas
Osmea Blvd. Cebu City
Philippines
2

Prevention and Control of

Infectious Diseases

HIV/AIDS

TUBERCULOSIS

RABIES

LEPROSY CONTROL

VECTOR BORNE DISEASES

SOIL TRANSMITTED HELMINTHIASIS

SCHISTOMIASIS

EMERGING AND RE-EMERGING DISEASES

2
 AIDS PREVENTION AND CONTROL PROGRAM
3

Republic Act No. 8504 is the Philippine AIDS Prevention and Control Act of 1998
promulgates policies and prescribes measures for the prevention and control of
Human Immunodeficiency Virus (HIV) /Acquired Immune Deficiency Syndrome
(AIDS) in the Philippines.

SITUATIONER CHD ASSISTANCE

In 2010, every 5 hours, one person is
found positive for HIV in the Philippines
Males having sex with males, people in
prostitution and injecting drug users
constitute the most at risk population
(MARPs) because of their behavior
(Source: Integrated HIV Behavioral and Serologic
Surveillance)
Provides technical assistance and
training of health workers (STI case
management, laboratory diagnosis,
HIV proficiency for medical technolo-
gists, voluntary counseling and test-
ing)
Conducts vulnerability assessment
and risk determination of selected ar-
eas (cities, highly-urbanized munici-
palities)

LGU ACTION POINTS

Localize/enforce national laws e.g., creation of local AIDS council

Establish strategically located Sexually Transmissible Infections/
Human Immunodeficiency Virus (STI/HIV) voluntary counseling
Establish community-based HIV/AIDS prevention and care services
Intensify
3 education campaign on the control of STI/HIV
 4
NATIONAL TB PROGRAM

The National TB Program refers to the nationwide implementation of TB Control

activities integrated at the primary health care level providing
accessible and free diagnostic and therapeutic services for tuberculosis.

SITUATIONER
NTP STATUS OF IMPLEMENTATION CHD ASSISTANCE
2008
The NTP is evaluated by two main indica- Provides technical assistance to the
tors; the Case Detection Rate and the local government units in terms of
Cure Rate. The status of implementation capability building and logistics
in the CHD in 2008 under these two [2]
Advocates for the sustainability of
parameters;
public-private partnership
CURE RATE [CR]-89%
CASE DETECTION RATE [CDR]-75% Facilitates referral of drug resistant
TB cases to appropriate facility
The national and international target of the
cure rate and CDR is 85% and 70% re-
spectively. CHD, Central Visayas has
continuously attained the CR targets for
the last five [5] years, and the CDR targets
for the last two years.

LGU ACTION POINTS

Enact local ordinances supporting the National TB Program
Support TB Control Program through purchase of TB Drugs and
other supplies
Initiate support activities to the family of TB patients
Intensify information dissemination, case finding and treatment
Establish/maintain Provincial TB-Diagnostic Committee and public-private
mix
4 on Directly Observed Treatment on Short Course Chemotherapy (DOTS)

Establish TB-DOTS PhilHealth accredited facility

 NATIONAL RABIES CONTROL PROGRAM
5

Rabies is a fatal disease in developing countries where animal immunization and

control of dogs are inadequate. In view of the 100% case fatality of human ra-
bies, the prevention of rabies infection after exposure is of utmost importance.
The main objective is to ensure an effective and efficient management for even-
tual reduction if not elimination of human rabies.

SITUATIONER CHD ASSISTANCE

Rabies is 100% fatal and had become
a public health problem of significance.
200-300 Filipinos die of rabies annually.
LGUs are oriented on the Policies &
Guidelines on Rabies Prevention
Two free doses of Anti-Rabies Vaccines
and Immunoglobulins to all Animal Bite
Treatment Centers were given
25 Animal Bite Treatment Centers and
3 Animal Bite Centers were established
Provides technical assistance to the
local government units
Provides resource augmentation,
mobilization and management
Networking with concerned sectors in
rabies prevention and control
Certification and monitoring of Animal
Bite Treatment Centers

LGU ACTION POINTS

Adopt implementation of the Local Rabies Ordinance

Allocate funds to support the implementation of the Rabies Ordi-
nance
Enforce Responsible Pet Ownership
Disseminate
5 the proper animal bite management protocol (discourage the use
of tandok)
 6
LEPROSY CONTROL PROGRAM
Leprosy is a disease caused by the bacterium Mycobacterium leprae. Leprosy is
often also referred to as Hansen's disease, after the discoverer of the bacterium.
While the exact mode of transmission for leprosy is unknown, most people be-
lieve the bacterium passes through moisture exuded from the body. Leprosy
Control Program ensures the delivery of quality leprosy services at all levels of
general health care.

SITUATIONER
CHD ASSISTANCE

Both adults and children can be af-
fected with leprosy which may result
to long standing disability.
Provides technical assistance, moni-
toring and evaluation
Encourages resource mobilization
and management of stigma and dis-
crimination

LGU ACTION POINTS

Support global appeal of 2007 to end stigma and discrimination
against people affected with Leprosy
Procure support drugs for the treatment of cases (prednisone,
skin ointments, Vitamin B)
Provide support mechanism for the early detection and management of
cases, e.g., training, supplies, information materials etc.
Conduct
6 leprosy awareness campaign especially in areas with leprosy cases
 DENGUE PREVENTION AND CONTROL PROGRAM
7

Dengue is the most rapidly spreading mosquito borne viral disease in the world,
from urban to rural areas. It is transmitted by infected female day biting mosquito
aedes aegypti and albopectus. It is preventable but kills in 12-24 hours. It is an
acute febrile viral disease caused by flavi viruses and characterized by sudden on-
set of fever for 3-5 days.

SITUATIONER
SITUATIONER
Dengue is fatal, however it is prevent-
Dengue is fatal, however it is pre-
able and it occurs throughout the year
ventable and it occurs throughout the
with peak during rainy months (July-
year with peak during rainy months
August)
(July-August)
It is both a public health and environ-
It is both a public health and environ-
mental problem
mental problem
2009 - 7,123 (CFR 2.1%)
2009 - 7,123 (CFR 2.1%)
2010 - 5,056 (CFR 0.6%) January-
2010 - 5,056 (CFR 0.6%) January-
August
August
Most Cases 6-10 years old.
Most Cases 6-10 years old.

LGU ACTION POINTS

Integrated Vector Control thru CHLEM (Community Participation,
Health Education, Legislation, Environmental Sanitation and Mos-
quito Control)
4-S Campaign Drive:
Search & Destroy Breeding Sites
Seek Early Diagnosis and Treatment
7Self-Protective Measures
Say NO to Indiscriminate Fogging
 8
SCHISTOSOMIASIS CONTROL PROGRAM

According to WHO Schistosomiasis or AAA disease is caused by people and not

by snails. This is an indication of the lack of personal cleanliness and hygiene. The
schist egg is responsible for most of the manifestations of the disease and not the
worms. The eggs pass out with feces and hatch in fresh water. This enters its inter-
mediate host snail oncomelania quadrasi. This hatches into cercaria and its mode
of infection is skin penetration. Adult worms live in portal and mesenteric viens.
The cycle repeats.

SITUATIONER
Bohol is endemic in 2 municipalities of
Trinidad and Talibon for over 50 years
since its discovery. In 2007, no cases
were found through active surveil-
lance done by Schistosomiasis Con-
trol team based in Bohol. The preva-
lence survey conducted by UP Col-
lege of Public Health in 2006-2007
has identified cases in non-endemic
municipalities . This will need valida-
tion of cases.
CHD ASSISTANCE
Provides technical assistance to the
local government units
Provides resource augmentation,
mobilization and management
Networking with concerned sectors in
Schistosomiasis prevention and con-
trol.

LGU ACTION POINTS

Intensify health education at barangay level

Accept program devolution
Active surveillance should continue

8
 9
MALARIA CONTROL PROGRAM

Malaria is a disease caused by protozoan parasites called Plasmodium. It is usually

transmitted through the bite of an infected female anopheles mosquito. It may be
transmitted through transfusing blood that is positive for malaria parasites, sharing
of IV needles (among IV drug users), transplacenta (transfer of malaria parasites
form an infected mother to her unborn child)

SITUATIONER
Malaria ranks 9th among the 10 lead- CHD ASSISTANCE
ing causes of mortality and morbidity
Provision of LLIN #3000 in Sta. Cata-
In Central Visayas, it is endemic only lina.
in Negros Oriental
Training for whole Negros Oriental at
Based on recent area categorization different levels at 1 M on revised
which is by stratification, Negros Ori- treatment guidelines and prevention
ental has 8 municipalities Malaria of reintroduction of parasite.
Prone Area (MPA) and 1 Sptransmis-
sion
MPA Municipalities Basay, Bayawan,
Siaton, Sibulan, San Jose, Amlan,
Pamplone, Mabinay
SpT Sta. Catalina

LGU ACTION POINTS

Provide and encourage the use of insecticide treated net (ITN)

Ensure access to diagnosis and treatment of malaria
Disseminate and implement Proper Malaria Treatment Guidelines
Maintain malaria vector and disease surveillance
9
Enact local legislation to support the Malaria interventions
 10
SOIL TRANSMITTED HELMINTHIASIS

Soil-transmitted helminthiasis is an infection or disease caused by soil-

transmitted heminthes or commonly known as parasitic worms. The three (3)
most common soil-transmitted helminthes or parasitic worms are the Ascaris
lumbricoides or usually called roundworm, the Trichuris trichiura or usually
called whipworm and the Hookworm or Necator americanus and Ancylostoma
duodenale.

SITUATIONER CHD ASSISTANCE

Provides technical assistance

Soil Transmitted Helminthiasis (STH)
through capacity building, monitoring
infection is considered the most com-
and evaluation
mon intestinal parasitism
Strengthens networking with con-
It ranks 1st among all communicable
cerned sectors
and non-communicable diseases in the
school age population of developing Augments needed resources
countries worldwide

LGU ACTION POINTS

Intensify the information dissemination campaign on the utiliza-
tion of sanitary toilets, access to potable water supply and prac-
tice good personal hygiene especially hand washing
Pass ordinance on strict implementation of zero-waste manage-
ment
Allocate funds to augment the activity on toilet construction, water facilities
10
and other logistics needed to improve the implementation of the program
Coordinate with all concerned agencies on program implementation
 11 EMERGING AND RE-EMERGING DISEASE

Emerging and re-emerging diseases program is a relatively new program under the DOH.
It tries to address the occurrence of certain diseases that posed a great health hazard
whenever present in a community.Though not as common as the other diseases ad-
dressed by the Department of Health, the impact of emerging and re-emerging diseases is
far greater and attracts the attention of society and the media.

SITUATIONER CHD ASSISTANCE

Incident Command System can be

Emerging and re-emerging dis-
eases program is a relatively new pro-
gram under the DOH. It tries to ad-
dress the occurrence of certain dis-
eases that posed a great health haz-
ard whenever present in a community.
Though not as common as the other
diseases addressed by the Depart-
ment of Health, the impact of emerging
and re-emerging diseases is far
greater and attracts the attention of so-
ciety and the media.
activated anytime
Response Team set up both in
the hospital and public health sys-
tems
Resources in-placed and an op-
eration center established to monitor
the progress of the disease interna-
tionally or locally
Countermeasures available; drugs
and medicines, antivirals and vaccine
Mass Pandemic H1N1 Vaccination
Program
Training and Orientation [Other
diseases and infection control]

LGU ACTION POINTS

Vigilance on disease surveillance
Identify potential source or index case of infection
Provide adequate information to the populace
Inform the CHD promptly to institute confinement measures
Promote infection control measures that may include simple hand washing,
cough etiquette and respiratory hygiene
Empowered to talk or lecture on emerging & re-emerging diseases
11
12

FAMILY HEALTH

MATERNAL AND CHILD HEALTH PROGRAMS

ORAL HEALTH PROGRAM

12
 MATERNAL AND CHILD HEALTH PROGRAMS
13

Maternal Health refers to the health of women during pregnancy, childbirth and the
postpartum period. The major direct causes of maternal morbidity and mortality in-
clude hemorrhage, infection, high blood pressure, unsafe abortion, and obstructed
labor.

Child Health refers to the health of infants, children and adolescents, their growth
and development, and their opportunity to achieve full potential as adults.

SITUATIONER
CHD ASSISTANCE
Due to the slow reduction of Maternal Mor-
tality in the past 4 decades, maternal and
Logistics:
newborn health became a priority area of
- Vaccines
concern. In 1970, there are 209 maternal - Syringes and needles
deaths and 162 in 2009. Re-assessment - Iron tablets
of guidelines, revision of policies and - Vitamin A capsules
strategies were done to achieve the Mil- - Newborn Screening kits
lennium Development Goal (MDG) of re- - Maternal and Child book
ducing the maternal mortality by in -Family Planning Commodities
2015. Among them are: MNCHN strategy - IEC Materials
implementation i.e facility-based delivery
by a skilled birth attendant (MDs, PHNs Capacity building of health workers
and RHMs); access to a quality Emer-
gency Obstetric Newborn Care (effective Technical assistance
and efficient referral system) and universal
access to quality Family Planning ser- Facilitate supervision
vices

LGU ACTION POINTS

Increase budget for maternal, newborn, child care and nutrition
programs
Procurement of life-saving drugs for women and children
Wide dissemination of health policies to LGU officials down to
the barangay level
Active recruitment and deployment of midwives to remote and geographically
depressed
13 areas
Establishment of birthing facility in every barangay
 MATERNAL AND CHILD HEALTH PROGRAMS
14

Maternal Care:
At least 4 Antenatal care (ANC) : 70.4 %
ANC by Health Professional : 87.6 %
Facility-based Deliveries : 34 %
Delivery by Health Professional : 60 %
Postnatal care within 2 days : 60 %

Current use of Family Planning Method

Any Method : 55.7 %

Modern Method : 35.5 %
Traditional Method : 20.2 %

Child Care:

Fully Immunized Child (FIC) Coverage : 70% (88.61)*

Exclusive Breastfeeding up to 6 months : 33.5 %
Micronutrient Supplementation
Iron :
Vitamin A (6-71 mos) : 95 %

Source: NDHS, 2008

* FHSIS 14
data, 2009
 15
ORAL HEALTH PROGRAM

Administrative Order No. 101 s., 2003 is known as the National Policy on Oral
Health promotes effective, efficient and accessible quality oral health services for
the family.

SITUATIONER CHD ASSISTANCE

Establishes close coordination

About 9 out of 10 Filipinos have dental
among dental health implementers/
caries
services
7 out of 10 Filipinos suffer from gum
Provides technical assistance to hos-
diseases
pital and public health facilities
Thus, the two oral diseases individually
Provides updates/capability building
outranked the combined ratio of the five
to public health dental personnel
leading causes of sickness for other
diseases Regulates the operation of dental
laboratories and dental practice

LGU ACTION POINTS

Allocate budget for the preventive and promotive oral health ser-
vices
Provide dental health services in the health facilities with com-
plete manpower complement
Support
15
oral health campaigns in schools and communities (e.g., toothbrush-
ing drills, orally fit child campaign)
16

Environmental and Occupational

Health Program

WATER QUALITY

HOUSEHOLD WATER TREATMENT AND

SAFE STORAGE

SUSTAINABLE SANITATION

FOOD SAFETY

HEALCARE WASTE MANAGEMENT

TOXIC AND HAZARDOUS WASTE

MANANGEMENT

16
 ENVIRONMENTAL AND OCCUPATIONAL HEALTH PROGRAM
17

Environmental Sanitation concerns:

Water Quality
Household Water Treatment and Safe Storage
Sustainable Sanitation
Food Safety
Healthcare Waste Management
Toxic and Hazardous Waste Management

SITUATIONER CHD ASSISTANCE

85.5% of HH with access to safe water
supply
82.8 % of HH with sanitary toilet facili-
ties
94 % of Highly Urbanized Cities have
no sewerage system
Household with pour flush toilet use
septic tanks, but only a few have
desludged their septic tank every 3-5
years. (WB-DOH-EMB Study)
Household without sanitary toilet facili-
ties defecate in the open filed, shore-
lines or along rivers (WB-DOH-EMB
Study)
Technical Assistance as to water
quality, sustainable sanitation, food
safety, healthcare waste management
and toxic and hazardous waste man-
agement.
Provides Sanitary Inspectors Kit to
each Province/Cities.
Provides Sanitation Code Manual to
Sanitary Inspectors.
Technical assistance to LGU as to
capability building of sanitary inspectors:
i.e. training/refresher course on the
Code of Sanitation of the Philippines to
Sanitation Inspectors, etc.

LGU ACTION POINTS

Passage of local ordinance on Sustainable Sanitation.
Inclusion of sustainable sanitation in the LGU plans and annual
budget.
Declaring that all barangays to be Open Defecation Free.
Establish and or strengthen the local water quality surveillance
and ensure the provision of safe water supply to the populace.
Sanitary Regulations of all establishment including workers and food han-
17
dlers.
Enforce the provisions of the Code on Sanitation of the Philippines or PD 856.
 18

Non-Communicable Disease Prevention

and Control Program

(LIFESTYLE RELATED DISEASE PROGRAMS)

CANCER CONTROL PROGRAM
DIABETES PREVENTION AND CONTROL
PROGRAM
CARDIOVASCULAR DISEASE PREVENTION
AND CONTROL PROGRAM
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE (COPD)

(OTHER NON-COMMUNICABLE DISEASES)

MENTAL HEALTH PROGRAM
PERSONS WITH DISABILITIES PROGRAM
PREVENTION OF BLINDNESS PROGRAM
RENAL DISEASE CONTROL PROGRAM
18
 LIFESTYLE RELATED DISEASE PROGRAMS
19

CANCER CONTROL PROGRAM

DIABETES PREVENTION AND CONTROL PROGRAM
CARDIOVASCULAR DISEASE PREVENTION AND CONTROL PROGRAM
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

SITUATIONER CHD ASSISTANCE

There is a disturbing trend in the use of
Tobacco especially among the young
There is a high prevalence of alcohol
use among adults
There is a high level of physical inactiv-
ity
There are very low level of fruit and
vegetable consumption
Provides training to LGU personnel
regarding healthy lifestyle promotion
Intensify/continue Health Education
and Public Information
Provides technical assistance and
update regarding health lifestyles
promotion

There is high prevalence of central obe- Monitors activities related to imple-

sity among females mentation of the programs

LGU ACTION POINTS

Enact Ordinances/health policies related to healthy lifestyle pro-
motion e.g. Smoke-Free Ordinance
Equip health personnel with the knowledge and skills on healthy
lifestyle promotion
Provide assistance to patients e.g. screening
Strengthen referral system
Promote public awareness through the dissemination of appropriate informa-
tion
Establish
19 support groups e.g. diabetes club, hypertensive club
Establish smoking cessation Clinics at the RHUs
 20
MENTAL HEALTH PROGRAM

Mental Health is more than just the absence of psychiatric disorder or

illness but also includes positive state of mental well-being.

SITUATIONER CHD ASSISTANCE

Mental disorder is one of the leading
causes of disability worldwide Provides technical assistance to
Mental illness is the 3rd most common LGUs in the form of capability build-
form of disability (DOH-NSO 2003) ing

Stress Management, Psychosocial

Processing and others Provides logistic augmentation
7 out of the 1000 households have a
family member afflicted with mental dis-
ability

LGU ACTION POINTS

Provide assistance to families with mentally ill patient using refer-
ral as necessary
Organize support groups for the promotion of community mental
health
Conduct activities in celebration of the National Mental Health Month every
second week of October
Support
20 activities promoting individual and community mental health such as
Stress Management, Psychosocial processing and others.
 21
PERSONS WITH DISABILITY (PWD)

Republic Act No. 7277, An act Providing for the Rehabilitation, Self Develop-
ment and Self Reliance of Disabled Persons and Their Integration into the Main-
stream of Society and for other Purposes, or the The Magna Carta for Disabled
Persons, was passed in July 19, 1991. This specifically required the Department
of Health to (1) institute a national health program for PWDs, (2) establish medical
rehabilitation centers in provincial hospitals and (3) adopt an integrated and com-
prehensive approach to the health development of PWD which shall make essen-
tial health services available to them at affordable cost.

CHD ASSISTANCE
SITUATIONER
There are about 6.3 million Filipinos
who have some form of disability, either Monitor the implementation of
physical or mental policies
75% of them live in rural or sub-urban Provide training on community
areas where rehabilitation services are based rehabilitation
limited
Establish network with other agen-
Services for the PWDs are not priori- cies
tized
Compliance to all existing laws related
to PWDs
Privileges for PWDs not completely im-
plemented

LGU ACTION POINTS

Initiate programs/services for PWDs

Update the of PWD Registry
Ensure the creation of PWD Office Desk
Support Community-Based Rehabilitation Strategy
Comply
21 with existing laws related to PWDs
 22
PREVENTION OF BLINDNESS PROGRAM

Blindness as a health problem leads to enormous human suffering, due to the

loss of functional ability and self esteem. It has considerable economic implica-
tion manifesting as either loss of productivity, income and can lead to social de-
pendency.

SITUATIONER CHD ASSISTANCE

(4.62%) Filipinos are visually im- Provide some logistics during

paired in one or both eyes
The age group between 60-74 y/o
showed the highest prevalence
rates, while the age groups 0 to 20
age groups had the lowest.
cataract surgeries
Conducts training on the LGU per-
sonnel on primary eye care
Conducts advocacy and health
education and information

LGU ACTION POINTS

Conducts continuous advocacy and intensive information cam-

paign
Provides logistic for Primary Eye Care training for BHW
Conducts screening for cataract and for error of refraction

22
 RENAL DISEASE CONTROL PROGRAM (REDCOP)
23

The vision of the program is for a healthy and empowered Filipino of reduced
morbidity and mortality from kidney diseases through a comprehensive and inte-
grated approach on Renal Disease Management.

SITUATIONER
REDCOP is the only project of the na-
tional government being implemented
by the National Kidney Transplant Insti-
tute (NKTI) that addresses different
levels of preventing kidney diseases.
Central Visayas currently has 17 dialy-
sis Units with 3 transplant centers doing
11 transplants in 2009.
2009 showed 386 patients on dialysis
largely from diabetes and HPN.
CHD ASSISTANCE
Data and information on the extent/
gravity of kidney diseases in the coun-
try.
Disseminates info/educate public on
control and prevention through training
of health personnel.
Networks with concerned programs
and offices
Assists LGUs in capability building
and putting up programs that will ad-
dress problems on kidney diseases
Helps agencies in addressing the
problem on unequal distribution of facili-
ties and expertise on renal disease.
Service delivery thru medical mis-
sion.

LGU ACTION POINTS

Increase awareness of the need to protect kidneys and how to
reduce the risk of getting kidney diseases
Make possible easy access to health facilities
Better prescription and Follow-up
Networking of different health facilities
Provide funds for training of all RHMs and BHWs
23
Increase diagnostic accuracy by hiring med techs and procuring centrifuge
and urine strips.
24

OTHER PROGRAMS

PIDSR

HEALTH EMERGENCY MANAGEMENT

HEALTH PROMOTION

FIELD HEALTH SERVICE INFORMATION

SYSTEM

24
 PHILIPPINE INTEGRATED DISEASE SURVEILLANCE AND
25 RESPONSE (PIDSR)

A process of coordinating, prioritizing, and streamlining of core surveillance ac-

tivities (e.g., data collection, reporting, laboratory and epidemiological confirma-
tion, analysis, feedback), support functions (e.g., training, monitoring, financial
and logistics) and response (e.g., epidemic investigation) with the aim of making
the system more efficient and effective in providing timely, accurate and relevant
information for action. Having a functional integrated disease surveillance and
response system will result considerable reduction in morbidity, disability and
mortality caused by communicable diseases and other conditions.

SITUATIONER
A surveillance system based on the follow-
ing legal mandates and policies:
AO No. 2007- 0036, Guidelines on the
Philippine Integrated Disease Surveillance
and Response (PIDSR).
RA No. 3573, Law of Reporting of Com-
municable Diseases requires all individu-
als and health facilities to report notifiable
diseases to local and national health au-
thorities.
CHD ASSISTANCE
Provide technical and logistical assis-
tance in the estalishment and training
of local epidemiology & surveillance
unit (ESUs) at the provincial / city /
municipal health offices.
Provide on-site assistance (e.g.,
technical, logistics, and laboratory
analysis of samples) as requested to
supplement local epidemic investiga-
tions and control.

LGU ACTION POINTS

Set up and maintain a functional municipal/city/community disease surveil-
lance system equipped with necessary resources and adequate local finan-
cial support. Financial support may come from the disaster, calamity or
other appropriate funding sources as determined by the municipal/city gov-
ernment officials.
Collect, organize, analyze and interpret surveillance data in their respective
areas.
Report all available essential information (e.g., clinical description, laboratory results,
numbers of human cases and deaths, sources and type of risk) immediately to the next
higher level.
Establish, operate and maintain a municipal/city epidemic preparedness and response
plan, including the creation of multidisciplinary/multisectoral teams to respond to events
that
25may constitute a public health emergency.
Facilitate submission of weekly notifiable disease surveillance reports from public and pri-
vate hospitals.
 26
HEALTH EMERGENCY MANAGEMENT

Administrative Order No. 168 s., 2004 known as the National Policy Framework
for Emergencies and Disasters for Health Sector . This aims to decrease sickness
and death by promoting physical and mental health as well as to prevent injury
and disability on the part of both victims and responders.

SITUATIONER CHD ASSISTANCE

Philippines ranks no. 2 in the top ten
(10) countries hit by a natural disaster
by number of death in Asia Pacific
Approximately, 20-30 typhoons hit the
country every year
Approximately 8-10 million pesos of
economic loss every year.(Source:
Emergency Events Data Base)
Aside from typhoon, Philippines is also
prone to natural and man made disas-
ters emergency compromising the
health and safety of every family.
Develops a comprehensive Inte-
grated Regional Health Emergency
Preparedness, Response and Reha-
bilitation Plan Augment logistics and
manpower support during disaster
Provides training assistance to LGUs
in institutionalizing local health emer-
gency management system
Maintains an updated health hazard
and vulnerability assessment in the
different areas in the region

LGU ACTION POINTS

Formulate and implement a disaster management plan.
Ensure the availability and functionality of the disaster coordinating
council
Strengthen capability pf medical response team
Provide continuous basic health services during emergencies and disasters
26
Mobilize adequate reqources for emergency and disaster management.
 27
HEALTH PROMOTION

Administrative Order No. 58

National Policy on Health Promotion is a process of enabling people to take ac-
tion to improve health through its 5 Pillars: building health public policies, creat-
ing supportive environments, strengthening community action, developing per-
sonal skills and reorienting health services.

SITUATIONER CHD ASSISTANCE

Prevention-focuses on services such as
immunizations, cervical screenings, case
finding for any disease etc.
Health Education-is aimed at influencing
behavior and seeks to help individuals ,
groups or whole communities to develop
positive health attributes
Provide technical assistance on
Health Promotion
Adapt and/or reproduce IEC proto-
type materials for materials for re-
gional and local health campaigns

Health Protection-deals with regulations Establish network with media, GOs,

and policies such as the implementation of NGOs, LGUs and other partners
a workplace smoking policy in the inter-
ests of providing clean air. Monitor and evaluate HP activities

LGU ACTION POINTS

Translate policies and regional guidelines for local adaptation
Provide technical assistance on Health Promotion to the local
health units
Develop and implement a communication plan for the province/
city/municipality on local health problems
Establish network with media, other government organizations, on-
government organizations, professional organizations, peoples organiza-
tions,
27 local government units and other partners
Monitor implementation of health promotion activities in the LGUs
 The Field Health Service Information System (FHSIS)
28

The Field Health Service Information System (FHSIS) is a major component of the
network information sources developed by the Department of health (DOH) to en-
able it to better manage its nationwide health service daily activities. This has
been designed to provide the basic service data needed to monitor activities in
each programs. It is an official system of the Department of Health. FHSIS is the
only information system in the whole government machinery that is in place
down to the barangay level.

SITUATIONER CHD ASSISTANCE

Program accomplishments, morbidity Continuous updating of Field Health

and mortality reports coming from the Service Information System (FHSIS)
different LGUs were collated/
Assists the development of research
consolidated to produce the regional
agenda and priorities;
report every quarter and annual report
at the end of the year Assists the management and con-
duct of research activities including
However it has been noticed that there
monitoring of research projects/activities
are LGUs who does not submit their
done and implemented in the office;
reports on time.4

LGU ACTION POINTS

Prompt and timely submission of reports as scheduled
Conduct monitoring/mentoring and supervision regularly
Conduct PIR/LGU Scorecard semi-annually
Budget allocation for the reproduction of different reporting
forms( FHSIS Forms)
Attendance
28
to Training of International Classification of Diseases version 10
( ICD-10 ) by the hospital record officer and MHOs
29

HEALTH HUMAN RESOURCE

DEVELOPMENT UNIT (HHRDU)

INTER LOCAL HEALTH ZONES

HEALTH CARE FINANCING PROGRAM

BOTIKA NGA BARANGAY (BnB)

BHW SUPPORT PROGRAM

29
 HEALTH HUMAN RESOURCE DEVELOPMENT UNIT (HHRDU)
30

The Human Resource for Health (HRH) is considered one of the most vital resources in any organiza-
tion. The quality of health services provided depends on the quality of human resources delivering the
health care. And the approach towards developing competent and dedicated HRH to deliver quality
health service is the implementation ans operationalization of the Human Resource Management and
Development Systems (HRHMDS). These systems mean that the career of each employee are prop-
erly managed from the time of entry up to the year of retirement. It is also taken into consideration re-
quired from each and every health personnel for them to be able to deliver priority health service.

HRHMD Is composed of 6 subsys- CHD ASSISTANCE

tems:
1. Human Resource Planing
Facilitates/PROVIDES orientation/
2. Job Related Recruitment and Selection training on the various sub-systems
(JRRS) System of HRHMDS
3. Performance Management System Assists in the conduct of Training and
Development needs analysis (TDNA)
4. Training and Development Needs
in the formulating the identified train-
Analysis
ing and development interruptions for
5. Career Development and Management the new personnel
(CDM) System
Facilitates conduct of various training
a. Individual/Career Planning interventions such as Training on
Targeted Selection, Supervising
b. Career Pathing/Charting Trainings, PMS-OPES, Management
c. Supervising and rotation Planning and Leadership Trainings, Coaching
and Counseling
6. Human Resource Information System

LGU ACTION POINTS

Implement and Operationalizing HRHMD Systems with the six

Sub-systems
Ensure right number of qualified personnel at the right job
Designate provincial/city/municipal training coordinator
Identify and support training needs of personnel
30
 HEALTH HUMAN RESOURCE DEVELOPMENT UNIT (HHRDU)
31

HUMAN RESOURCE FOR HEALTH (HRH) MANAGEMENT AND

DEVELOPMENT PROGRAMS:

1. Scholarship/Production Programs

Pinoy MD Medical Scholarship Programs (PMD)

Midwifery Scholarship Program of the Philippines (MSPP)
2. DEPLOYMENT AND UTILIZATION/PLACEMENT PROGRAMS

Doctors to the Barrios (DTTB) Program

Rural Health Team Placement Program (RHTPP)
Medical Pool Placement and Utilization Program (MP-PUP) and Specialist to the Prov-
ince Program (STTP)
Residency Training Program
3. REGULATORY PROGRAMS

National Affiliation Program

Massage Therapy Program
Embalming Program

LGU ACTION POINTS

LGU Support based on the policies/guidelines for each program

Provide administrative and supervisory functions
Monitor program implementation to ensure success

31
32

LOCAL HEALTH ASSISTANCE

INTER LOCAL HEALTH ZONES

HEALTH CARE FINANCING PROGRAM

BOTIKA NGA BARANGAY (BnB)

BHW SUPPORT PROGRAM

32
 33
INTER LOCAL HEALTH ZONES

The Local Government Code of 1991 transferred the responsibility of delivering health services
from the Department of Health to the respective Local Government Units (LGUs) which effected
fragmentation of health services both in the hospital and public health. ILHZ is a cluster or
group of contiguous municipalities with a core referral hospital and a number of primary level
hospitals and a number of primary level facilities
like RHUs and BHS.
CHD ASSISTANCE

SITUATIONER Advocacy and social marketing on

Local Health Systems Development
In Central Visayas, only the province of
(LHSD) to the LGUs.
Negros Oriental was able to functional-
ize its 6 ILHZs. All other 3 provinces are Provision of technical assistance
in the various stages of development. thru trainings and capability-building
of RHU staff on health programs and
Cebu organized 12 out of 16 ILHZs,with
systems development
only 3 that are functional
Financial augmentation based on
Bohol has 1 functional out of 5
LGU prioritization
Siquijor has 2 but only 1 is funcitonal

LGU ACTION POINTS

Functionality of local health boards (municipal and district) and
the technical management committees
Sustainable allocation of funds for systems development thru
common health fund
Upgrading of facilities for PBSOS and PhilHealth Accreditation
Enrollment of indigents /self-employed to PhilHealth
Broaden
33 the base of private-public partnerships
Reactivation and institutionalization of different health management systems
 34
HEALTH CARE FINANCING PROGRAM

The National Health Insurance Program (popularly known as the National Health
Insurance Act of 1995) aims to effectively provide accessible, affordable, accept-
able and adequate health care services for all Filipinos whether for the employed
sectors, overseas Filipino workers, individually paying members (self-employed)
and non-paying members (retirees, pensioners and indigents). It mandates the
Philippine Health Insurance Corporation to administer and manage a sustainable
program that will not only ensure better benefits at an affordable cost but also ex-
tend quality and relevant health care services to a broader membership base that
will lead to universal coverage.

SITUATIONER CHD ASSISTANCE

In 2009, Central Visayas had reached Assists in the aggressive enrollment

the target set for the Sponsored Pro- of the self-employed, casuals and
gram as seen in the table below. contractual in the government and
private sectors.

Employed Lifetime mem- Individually Sponsored Pro-

Province Government Private bers Paying Mem- gram members
bers
Bohol 23,036 64,836 7,988 44,821 92,714
Cebu 68,272 616,587 24,127 108,477 216,562
Negros Orien- 22,849 60,198 6,465 32,333 53,116
tal
Siquijor 2,801 3,620 383 2,302 8,416
Total 116,958 745,241 38,963 187,933 370,808

LGU ACTION POINTS

Identification of the real poor in the ILHZ
Enrollment of the poor by the National Government
Mechanism for annual payment of premium contribution to the
Indigent/Sponsored Program
Identification of Individually Paying or Informal Sector and the
mechanisms to facilitate their enrollment
Mechanisms
34
to enroll and sustain membership to Individually Paying Pro-
gram
 35
BOTIKA NG BARANGAY (BnB)

Although a special project of the previous administration, it is adopted by P-NOY,

Pres. Benigno Simeon Aquino III to make essential generics drugs available, af-
fordable and accessible to the marginalized sectors especially living in far-flung
areas.

SITUATIONER
The national target is to put up 1 BnB for
every 2 barangays. We are still far behind
the target with only 584 functional BnBs
existing in the region 290 in Cebu, 170
in Bohol, 119 in Negros Oriental and 5 in
Siquijor. But, we can be assured of con-
tinuous supply of drugs since CHD7, in its
effort to sustain the program, embarked on
BnB retailing and was able to put a BnB
Revolving Trust Fund presently totaling
Php 4M to be used as drug replenishment
in the region.
CHD ASSISTANCE
Capability building for BnB operators
on quality assurance and drug man-
agement
Monitoring and evaluation to assure
compliance to standards and regula-
tions
CHD7 issues BnB drugs worth Php
25,000.00 to the outlet once LGU:
submits to the office Barangay
Resolution / Letter of Intent signi-
fying interest to avail the program
sets up BnB outlet
sends Operators for BnB Training
at DOH
Hires Supervising Pharmacist (for
issuance of Special License to
Operate)

LGU ACTION POINTS

Strengthen the BnB through resource mobilization and financial

management
Establish appropriate security measures in assuring the protec-
tion of BnB assests
Ensure
35
BnB Outlets adherence to guidelines as provided in DOH-AO 144
 36
BHW SUPPORT PROGRAM

BHW programs aims to set a system for the BHWs to gain access to a package of
resources and opportunities for their personal and professional development to
help them to become more productive and better equipped to deliver health pro-
grams and to encourage those with proper qualifications and excellent abilities
to join and remain in the government service .
CHD ASSISTANCE
To sustain the capability building of
SITUATIONER BHWs.
Presently there are 18,677 BHWs in Cen-
One child scholarship program is cur-
tral Visayas:
rently not available until the comple-
7,508 BHWs in Cebu tion of the 3 students/scholars pres-
3,782 BHWs in Negros Oriental ently availing the program.
6,717 BHWs in Bohol To give updates to BHWs, BNS
670 BHWs in Siquijor (barangay nutrition scholars)and
health workers on the different health
programs.

Individual Insurance

Educational Assistance

Restructured Educational Program

LGU ACTION POINTS

BHWs should go on regular duty in their respective RHUs.

Lobby incentives of BHWs and continue the One Child Scholarship

Program.

Better screening of BHWs applicants, especially in their age limit and educational
attainment.

Reiterate
36 BHW major rules/functions specially their rule as learning facilitators and
community organizers.
37

Special Concerns

AFTERCARE PROGRAM FOR RECOVERING

DRUG DEPENDENTS(RDDs)

NATIONAL VOLUNTARY BLOOD PROGRAM

37
 AFTERCARE PROGRAM FOR RECOVERING DRUG DEPENDENTS(RDDs)
38

This is a program for Recovering Drug Dependents (RDDs) who have

been discharged from rehabilitation center for reintegration and inde-
pendent functioning within their families and communities and to pre-
vent the recurrence of drug dependency.
SITUATIONER
In 2009 CHD7 Designated Special
Concerns Unit in the regional office in
implementing the aftercare program
As of April 2010, a total of 56 RDDs are
being served in the progrma .
8 RDDs are readmitte /recommitted as
of August 2010.
Common factors that lead to recurrence
of drug abuse are influence of old
friends (drug users), lack of coping
skills and determination to change, dys-
functional families .
.CHD ASSISTANCE
Conduct training of physician and so-
cial workers on aftercare program
Develop and implement a compre-
hensive aftercare and follow-up pro-
gram in coordination with DSWD and
LGUs in order to complete the eight-
een months period
Recommend to the court fro the re-
lease of recommitted drug depend-
ents
Conduct random drug testing for
monitoring purposes
Provide technical and conduct of
monitoring on program implementa-
tion
Develop standards and guidelines in
the implantation

LGU ACTION POINTS

Organize therapeutic community groups
Encourage family bonding activities
Provide support structures for aftercare clients
Monitor aftercare services rendered
Advocate aftercare activities in the community level
Provide
38 logistical support to aftercare services.
 39
NATIONAL VOLUNTARY BLOOD PROGRAM

Republic Act No. 7719 is known as the National Blood Services Act. This act pro-
motes voluntary blood donation, providing for an adequate supply of safe blood,
regulating blood banks and providing penalties for violation thereof. It also pro-
vides for adequate, safe, affordable and equitable distribution of supply of blood

CHD ASSISTANCE
SITUATIONER
Provide Technical assistance on:
Some deaths are preventable if there is
adequate supply of safe blood e g in Training on Blood Donor recruitment,
cases of maternal hemorrhage, dengue care and retention
hemorrhagic fever, trauma (accidents)
Organization of the Local Blood
etc.
Council
In the Philippine setting, voluntary
blood donation is not yet that popular
and acceptable

LGU ACTION POINTS

Localize/enforce national laws e.g., creation of local blood coun-
cil
Strengthen Blood Services Network
Maintain blood type registry in every barangay/locality
Allocate funds for blood services
Organize and sustain community-based public education campaign on volun-
tary blood donation
39
Conduct of regular voluntary non-remunerated blood donation in every baran-
gay
40

Licensing, Regulation and

Enforcement Division

HEALTH FACILITIES LICENSING

SECTION

40
 HEALTH FACILITIES LICENSING SECTION
41

Ensures quality, accessibility, and safety of health products, facilities and ser-
vices through the regulation of Hospitals, Clinical Laboratories and Dental Pros-
thetic Laboratories and licensing of establishments of food, drugs, medical de-
vices, cosmetics and household hazardous substances.

SITUATIONER CHD ASSISTANCE

Implements the One Stop Shop Li-
HEALTH FACILITIES
censure System for health Facilities
Hospitals:
Issues/suspends/revokes hospital li-
Government- 61 censes
Private- 47
Total: 108 Recommends appropriate legal ac-
tions on erring establishments
Clinical Laboratories: Determines continuous compliance
through inspection and monitoring
Government- 15
Private- 79 Advocates regulations thru inter-
Total: 94 agency meetings & on-site dissemi-
nation of information materials
Drug Testing Centers:
Government- 5 Implements Product Monitoring Sys-
Private- 77 tem
Total: 72 Investigates complaints relative to
violations of existing regulation

LGU ACTION POINTS

Require licenses /permits issued by national agencies prior to is-
suance of local permits
Participate actively/report adverse event to CHD 7 (drug/food/
cosmetics/ devices)
Localize national laws (e.g., Salt Iodization, Milk Code, Newborn Screening,
etc.)
41

Monitor and report to CHD 7 unlicensed health facilities

 HOSPITAL MAINTENANCE SERVICE - VISAYAS
42

The Hospital Maintenance Service-Visayas(HMS-Visayas) is a service division of

the Department of Health-Central Visayas. It is mandated to provide technical as-
sistance in the maintenance management of healthcare equipment in all govern-
ment hospitals and health facilities in Region 6,7 and 8.

VISION: THE SERVICE PACKAGE OF

Healthcare equipment management as HMS-VISAYAS
a vital component in the delivery of
health services institutionalized within Provide technical assistance in the
the health care sector in the Visayas. form of preventive and corrective
maintenance of healthcare equip-
ment.
HISTORICAL BACKGROUND:
Conduct training courses for hospital
. Established jointly by the Republic of the
Philippines and the Federal Republic of technicians and users of healthcare
Germany in 1991. equipment.
. In 1991 to April 1994, the operation was Conduct studies and research in the
under the management of GTZ, a private field of healthcare equipment mainte-
firm based in Germany. nance.
. In April 1994 to present, HMS-Visayas is
Implement policies, standards, guide-
attached as a special division of DOH-
Central lines and techniques related to
Visayas. healthcare equipment maintenance
management.
HMS-Visayas Service Jurisdiction Provide consultancy and advisory
services in the field of maintenance
HOSPITALS Region Region Region
6 7 8 management, design, layout and in-
Medical stallation, acquisition and acceptance
Centers 1 2 1 testing of healthcare equipment.
DOH/Special
Hospitals 2 6 1

Provincial
Hospitals 6 3 6

District/City
Hospitals 47 28 32

TOTAL ------ 135

Note: 42
Service are also extended to Municipal
Hospital and Rural Health Units upon request.