MUNICIPAL HEALTH OFFICE
CALASIAO, PANGASINAN
LOCAL HEALTH BOARD
Meeting
August 2011
Previous LOCAL HEALTH BOARD meeting Dec.17, 2010
AGENDA:
LOCAL RESOLUTIONS/ORDINANCES
AMENDMENT OF THE LOCAL TAX CODE
BUDGET FOR HEALTH (2011)
HEALTH ACTIVITIES / PROJECTS
BHW CONCERNS
MCP PROJECT (new agendum)
LOCAL RESOLUTIONS/ORDINANCES:
Existing local ordinances/resolutions pertaining to health:




ASIN LAW - Ordinance No.2, S. 2002
Municipal Fitness Day - Resolution No. 53 S. 2002
STAC Creation - Ordinance No. 12 S. 2004
Advocacy on Healthy Life style - Executive Order No. 11 S.
2005
 Ordinance Regulating Videoke Bars, Etc. - Ordinance No. 3 S.
2005
 Ordinance on Use of Fortified Foods - Ordinance No. 5 S. 2007
 Creation of Philhealth Capitation Trust Fund Ordinance No. 7
S. 2008
LOCAL RESOLUTIONS/ORDINANCES:
Proposed local ordinances/resolutions pertaining to
health:
 Voluntary Blood Bank (Republic Act 7719 - National Blood
Services Act of 1994)
 Anti-Dengue Fever Clean-up Day (4 O’clock Habit) Ordinance
– Ordinance No. __Series of 2011
 Garantisadong Pambata - Resolution of Support to the
Program
 EPI Program - Resolution of Support to the Program
 Ordinance on NTP-DOTS Program Ordinance No. 4 Series of
2011
 Ordinance Adopting TB Control Program - deferred
 TB for Children - Resolution of Support to the Program
 Republic Act 7183: An Act Regulating the Sale, Manufacture,
Distribution and Use of Firecrackers and Other Pyrotechnic
Devices
LOCAL RESOLUTIONS/ORDINANCES:
Proposed local ordinances/resolutions pertaining to
health:
– Micronutrient Supplementation - A Resolution requesting
the Municipal Mayor to include in his priority projects the
procurement and distribution of Vitamin A capsules for
supplementation to sick children and lactating mothers Resolution No. 42, series of 2011
– Regulation of Smoking (Republic Act 9211 - Tobacco
Regulation Act of 2003)
– Ordinance Banning Smoking in Public Places and
Public Utility Vehicles
– Ordinance Prohibiting Use, Sale and Distribution of
Cigarettes and other Tobacco Products in Certain
Places
LOCAL RESOLUTIONS/ORDINANCES:
Proposed local ordinances/resolutions pertaining to
health:
 Republic Act 8504 - Aids Prevention and Control Act of
1988 - deferred
 Republic Act No. 10028 An Act Expanding The
Promotion Of Breastfeeding
 Resolution Promoting Advocacy for Breastfeeding to
Protect the Health of Infants and Children Resolution
No. 44, series of 2011
 Ordinance Prohibiting Counterfeit Drugs - deferred
 Resolution supporting Healthy Lifestyle Program as a
Major Health Policy in the Municipality of Calasiao
Resolution No. 43, series of 2011
 Ordinance on Avian Influenza (AI) Prevention and
Preparedness Program in the Municipality of Calasiao
 Rabies Control Ordinance - deferred
AMENDMENT OF THE LOCAL TAX CODE:
CALASIAO REVISED REVENUE CODE OF 2005
ORDINANCE NO.10, SERIES OF 2005
ARTICLE V- PHYSICAL EXAMINATION & MEDICAL CERTIFICATION FEES
Service / Laboratory Examinations:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
Medical Certification
Transfer Permit of Food Product
Health Certificate for Employment
Health Certificate for Employment (renewal)
Complete Blood Count (CBC)
Urinalysis
Fecalysis
Sputum Exam
Hemoglobin
Hematocrit
Platelet Count
Fasting Blood Sugar
Blood Typing
Present
Rate
50.00
50.00
50.00
20.00
90.00
40.00
35.00
30.00
45.00
45.00
70.00
90.00
45.00
Proposed New
Rate
AMENDMENT OF THE LOCAL TAX CODE:
Laboratory services discount rates;
• Philhealth enrollees
• BHWs
• Senior Citizens
• PWDs
• LGU employees
– free
- 10 % discount
- 20 % discount
- 20 % discount
- 10 % discount
Requirements for Water Refilling businesses:
– 1. Certificate of Potability
Proposed Fee: P 50.00 per quarter
– 2. Drinking Water Site Clearance Certificate
Proposed Fee: P 50.00 per year
BUDGET FOR HEALTH (2011):
A. PERSONNEL SERVICES:
 Full implementation of SSL III and Magna Carta for 2012
 Personnel requirement:
1. Public Health Dentist
Rationale: Calasiao Health Office can not offer dental
services for the people. No accomplishment reports for dental
services for pregnant women and children.
2. Rural Sanitary Inspector
Rationale: Poor Environmental Sanitation Report
compliance resulting to Zero Accomplishment Reports of
Calasiao to the PHO, CHD and the DOH
 Prioritization of Personnel Requirement
Rural Sanitary Inspector
BUDGET FOR HEALTH (2011):
A. PERSONNEL SERVICES:
SANITARY INSPECTOR’S ACTIVITIES
1. For business permit applications
 If restaurants, canteens, food vendors, food manufacturers,
- require medical certification (sputum
microscopy/fecalysis)
 Inspections of establishment before issuing sanitary permit
 Enter name and other details of establishments in
database
2. Survey household water supply and sanitary toilets and
maintain/update records and reports
3. Monitor safe water supply
Conduct water sampling
If warranted, decontaminate water source (chlorination)
BUDGET FOR HEALTH (2011):
A. PERSONNEL SERVICES:
SANITARY INSPECTOR’S ACTIVITIES
4. Monitor Water refillers
For new water refilling stations
 Issue drinking water site clearance
 Issue application for drinking water site clearance
 Refer owner to Engr. Ashley Antonio of CHD
 For old water refilling stations
 Personally obtain water samples for bacteriological
examination once a month
 Coordinate or personally bring water samples to testing
centers with payment ( secure O.R. to be endorsed to
owner)
 Physicochemical test- twice a year
BUDGET FOR HEALTH (2011):
A. PERSONNEL SERVICES:
SANITARY INSPECTOR’S ACTIVITIES
5. Monitor commercial sex workers
 Check documents of CSWs ( police clearance, Mayor’s
Permit, NSO birth certificate, etc)
 Take pictures, issue pink cards after presentation of smear
results from the Social Hygiene Clinic-Dagupan City
 Make master list of CSWs, date of pink card issuance
 Assist in inspection of videoke bars, night clubs, etc.
6. Inspection of complaints with Mission Orders
 Act on complaints/petition on environmental sanitation
concerns
 Issue and deliver Sanitary Order, Sanitary Permit
7. Others as maybe determined by the MHO
BUDGET FOR HEALTH (2011):
B. MOEE:
The full implementation of SSL III for the Calasiao public health workers for
FY 2011 resulted in cuts in the MOOE which affected the following:
Regular Activities:







drugs and medicines, from P 870,000.00 to 750,000.00
medical and laboratory supplies, from P 60,000.00 to P 0.00
gasoline, oil & lubricants, from P 145,000.00 to 120,000.00
maintenance of health centers, from P 25,000.00 to P 0.00
ambulance maintenance, from P 120,000.00 to 100,000.00
office supplies, from P 60,000.00 to P 50,000.00
maintenance of I.T. equipments, from P 10,000.00 to P 0.00
Amount deducted for SSL III from regular MOEE items =
(-120,000.00)
(-60,000.00)
(-25,000.00)
(-25,000.00)
(-20,000.00)
(-10,000.00)
(-10,000.00)
Php 270,000.00
BUDGET FOR HEALTH (2011):
B. MOEE:
Special Projects: 2010 Budget




Stimulation Therapeutic Activity Center (STAC)
Rehabilitation Treatment for the Masses (RTM)
Botica ng Barangay (BnB)
Environmental Sanitation Program (ESP)
P 200,000.00
P 30,000.00
P 0.00
P 240,000.00
Php 470,000.00
But since all the Special Projects require contractual/consultants for their
operations, for 2011, they have been allocated the following:
Contractual/Consultants
PT for STAC Project
SPED Coordinator for STAC
PT for RTM Project
Pharmacist for BnB
Sanitation Adviser
Per month
Per year
7,000.00
6,000.00
6,000.00
7,000.00
7,000.00
84,000.00
72,000.00
72,000.00
84,000.00
84,000.00
Php 396,000.00
BUDGET FOR HEALTH (2011):
B. MOEE:
Special Projects:
Thus, for 2011, all special projects are lumped together ( P 40,000.00) for
expenses such as rehab equipments, teaching materials for both
STAC and SPED, rehab equipments for both STAC and RTM Project
and sanitation and environmental IEC materials, cleaning gears and
chemicals for the Environmental Sanitation Program (ESP).
2011 Budget for Special Projects
Php 396,000.00
+ 40,000.00
Php 436,000.00
Amount for SSL III from regular MOEE items
Php 470,000.00 (2010 allocation)
436,000.00 (2011 allocation)
Php 34,000.00 added to SSL III
-
TOTAL AMOUNT DEDUCTED FROM MOEE FOR SSL III =
+
270,000.00
Php 304,000.00
BUDGET FOR HEALTH (2011):
B. MOEE:
TOTAL AMOUNT DEDUCTED FROM MOEE FOR SSL III = Php 304,000.00
The Health Office is pleading for the return of the Php
270,000.00 to the Regular Activities MOEE allocations in
order to reinstitute the proper operations of the health
services affected by the deductions in 2011, without
prejudice to the 3rd trance of the SSL II implementation.
Also proposed are the following:
-The services and allocations for the contractuals/ consultants of Special
Projects be retained
- Allocation for overtime pay of our 6 personnel (2 PHNs, 4 JOWs) who will be
in charge of the treatment and management (Tutok Gamutan) of our Multi-Drug
Resistant-Tuberculosis (MDR-TB) patients every Saturday. (If a Sanitary
Inspector is appointed, the annual allocation for a Sanitation Adviser (P
84,000.00) can instead be used for this purpose) Letter request August 18, 2011
HEALTH ACTIVITIES/PROJECTS:
 Philhealth coverage of Calasiao for OBP: 250
Families/Year – Basis for identification (MSWD)
 Enrolment of poor pregnant women
 New Pnoy program using NHTS – no capitation Fund?
 Anti-Dengue Activities
 Municipal resolution/ordinance – Done
 Year-round info dissemination – reproduction of
tarpaulins, IEC materials
 Barangay resolution/ordinance; budget for AntiDengue Activities – Cleaning, misting
chemicals/fuel, IECM
 Volunteer Blood Donation and Barangay PoolDone
HEALTH ACTIVITIES/PROJECTS:
 Lectures/Seminars to improve health staff
knowledge and capabilities including BHWs
 Request LIGA for appropriation for weighing
scales (Nutrition) and syringes (EPI) and STAC
contribution
 LGU Scorecard:
 Contraceptive Prevalence Rate (FP)
 Case Detection Rate (NTP)
 Safe Water and Sanitary Toilets – hiring of RSI
BHW CONCERNS
PLANS FOR BHWS FOR 2011:
(Taken up during the Local Health Board Meeting held last December 17,
2010)
 Clarification of Provisions of Republic Act
No. 7883: Barangay Health Workers'
Benefits and Incentives Act of 1995
 Request LIGA for appropriation for BHW
training
 Set guidelines and lectures, specific
assignments /tasks of BHWs in Calasiao
Republic Act No. 7883: AN ACT GRANTING BENEFITS
AND INCENTIVES TO ACCREDITED BARANGAY
HEALTH WORKERS AND FOR OTHER PURPOSES
Section 1. Short Title. – This Act shall be known as the “Barangay
Health Workers’ Benefits and Incentives Act of 1995.”
Section 2. Statement of Policy. – The state shall protect and promote
the right to health of the people and to provide …
Section 3. Definition. – The term “barangay health workers”
refers to a person who has undergone training programs
under any accredited government and non-government
organization and who voluntarily renders primarily health
care services in the community after having been accredited
to function as such by the Local Health Board in
accordance with the guidelines promulgated by the
Department of Health (DOH).
Section 4. Registration. – In order of barangay health workers to be entitled to
benefits and incentives provided under this Act, they shall register with the
Local Health Board…
Section 5. Number of Barangay Health Workers. – The DOH shall determine the
ideal ratio of barangay health workers…
Section 7. Review by the Local Health Board. – Every incentive or benefit for
barangay health worker requiring expenditure of local funds shall be
reviewed and approved by the Local Health Board to ensure that only
the deserving barangay health workers get the same.
Section 11. Effectivity. – This Act take effect fifteen days (15) after its
publication in at least two (2) national newspapers of general
circulation.
Approved: February 20, 1995
Sgd. Jose de Venecia, Jr
Sgd. Edgardo Angara
Speaker of the House
Senate President
of Representatives
Sgd. Fidel V. Ramos
President of the Philippines
BHW BASIC TRAINING SEMINAR
RURAL HEALTH UNIT - I
Ambonao
8
Bued
5
Cabilocaan
4
Gabon
2
Lasip
3
Mancup
3
Nalsian
5
Poblacion East
2
Poblacion West
2
Quesban
4
San Miguel
6
Talibaew
2
46
BHW BASIC TRAINING SEMINAR
RURAL HEALTH UNIT - II
Ambuetel
7
Banaoang
5
Buenlag
1
Dinalaoan
4
Doyong
6
Longos
3
Lumbang
6
Macabito
3
Malabago
12
Nagsaing
9
San Vicente
4
Songkoy
10
70
BASIC TRAINING FOR
NEW BARANGAY HEALTH WORKERS
IDENTIFYING INFORMATION:
Project Title: Basic Training for BHWs
Program Component: Primary Health Care and other
Department of Health Programs
Sector: Barangay Health Workers
Coverage: Municipality of Calasiao
Implementing Agency: Calasiao Municipal Health Office/Center
for Health Development for Ilocos (CHD-!)/Pangasinan Provincial
Health Office
Funding Source: Calasiao LIGA ng Mga Barangay (24
Barangays of Calasiao, Pangasinan)
LEGITIMIZATION
A certificate of training will be issued to all who
successfully comply with training requirements and their
names will be submitted for accreditation to the Local
Health Board which will, in turn, endorse the names of
the accredited BHWs to the Office of the Municipal
Mayor, Municipal Budget Office, Municipal Accounting
Office and the Municipal Treasurer’s Office.
FIRST BATCH
SECOND BATCH
August 3-4, 2011
August 10-11, 2011
Ambonao
Ambuetel
Bued
Cabilocaan
Dinalaoan
Doyong
Malabago
Poblacion West
Quesban
San Miguel
8
7
5
4
4
6
12
2
4
6
58
Banaoang
Buenlag
Gabon
Lasip
Longos
Lumbang
Macabito
Mancup
Nagsaing
Nalsian
Poblacion East
San Vicente
Talibaew
Songkoy
5
1
2
3
3
6
3
3
9
5
2
4
2
10
58
CONSTITUTION AND BY-LAWS
of the
BARANGAY HEALTH WORKERS FEDERATION OF
CALASIAO, PANGASINAN
This Constitution and By-Laws was signed and approved by
all the members of the Federation on August 17, 2007.
ARTICLE IV – COMPOSITION AND MEMBERSHIP
• Section 1. Composition- This Federation shall be composed of
registered and accredited Barangay Health Workers of all the
twenty-four (24) barangays within the territorial jurisdiction of the
Municipality of Calasiao;
• Section 2. Membership- It is open primarily to men and women
who subscribe to the objectives of the Federation, its goal and
purpose, abide by this laws, are willing to accept responsibility
and are duly qualified having undergone the Basic Training
Course for BHWs conducted by and accredited government
agency and NGOs and are at least 18 years of age, and are
physically and mentally fit.
ARTICLE IV – COMPOSITION AND MEMBERSHIP;
• Section 3. Grounds for Suspension and Removal – Any member
or officer of the Federation may be suspended or dropped from
the roster upon commission of acts inimical or prejudicial to the
affairs of the Federation which includes, but not limited to the
following:
1. Neglect of duty;
 Excessive absence from the duties of rendering
health services in their respective barangays
exceeding 30 cumulative service days with no letter
of explanation prior to or during the said duration 0f
absence submitted to and approved by the Board of
Directors.
 Any negligence of duty which the Board of Directors
may consider to be a serious ground for removal or
suspension.
2. Gross misconduct;
ARTICLE IV – COMPOSITION AND MEMBERSHIP;
3. Non-payment of annual membership dues and nonpayment of financial obligations related to the affairs and
projects of the Federation;
4. Culpable violations of the Constitution and By-Laws;
5. Any medical, physical or mental disability that renders
any member or officer unfit to perform expected tasks
and assignments. The assigned Rural Health Midwife in
each of the barangay, being the direct supervisor, will
submit the names of barangay health workers who have
failed to perform expected tasks and assignments due to
any disability to the Municipal Health Officer for medical,
physical or mental evaluation. The Municipal Health
Officer may refer the case to a higher level of medical
examination if warranted. The Municipal Health Officer,
based on the results of the evaluation and the provision
stated in Article IV, Section 2, will recommend to the
Board of Directors through the Committee on
Membership, the removal of the barangay health worker
ARTICLE IV – COMPOSITION AND MEMBERSHIP;
6. And other grounds for suspension or removal as
determined by the Board of Directors through the
Committee on Membership, with the recommendation of
the supervising Rural Health Midwife, the Public Health
Nurse, the Municipal Health Officer, and other agencies
under the Department of Health
RECOMMENDED FOR REMOVAL AS BHWs
RURAL HEALTH UNIT - I
Ambonao
3
Bued
5
Gabon
1
Lasip
1
Mancup
2
Nalsian
1
Quesban
2
15
RECOMMENDED FOR REMOVAL AS BHWs
RURAL HEALTH UNIT - Ii
Banaoang
1
Dinalaoan
2
Lumbang
3
Malabago
8
Nagsaing
1
San Vicente
5
Songkoy
2
22
BHW CONCERNS
• The health workers recommended for removal will be
properly informed and be given due process during the
suspension/removal evaluation by the Local Health Board;
• After the Local Health Board evaluation, if the grounds for
suspension/removal is/are deemed sufficient and with cause,
the concerned BHWs will be not be reinstated to the Calasiao
BHW roster of members. A master list of the registered and
accredited Calasiao BHW members will then be submitted by
the Local Health Board to the Office of the Municipal Mayor,
Municipal Budget Office, Municipal Accounting Office and the
Municipal Treasurer’s Office, as their guide pursuant to
Section 7 of R.A. 7883:
Section 7. Review by the Local Health Board. – Every incentive or benefit
for barangay health worker requiring expenditure of local funds shall be
reviewed and approved by the Local Health Board to ensure that only
the deserving barangay health workers get the same.
MATERNAL CARE PACKAGE
PLAN OF ACTION FOR THE ESTABLISHMENT OF A MATERNITY
CARE FACILITY FOR THE MUNICIPALITY OF CALASIAO
UNDER THE MATERNITY CARE PACKAGE (MCP) PROGRAM
OF PHILHEALTH
A. IDENTIFICATION OF MATERNAL CARE HEALTH SPECIALISTS
– The MCP Program of PhilHealth requires the LGU to enter into an
agreement (Memorandum of Agreement) with two private and accredited
medical professionals, an Obstetrician who is an active member of the
Philippine Obstetrical and Gynecological Society (POGS) and a
Pediatrician who is an active member of the Philippine Pediatric Society
(PPS), and both doctors should be Philhealth accredited as well.
– It is preferable that both doctors are residents of Calasiao although
assurance of their immediate accessibility in times when their services
are needed will be adequate enough (must be stipulated in the MOA).
– Philhealth will provide the guidelines on the sharing scheme of
Philhealth-enrolled mothers who avails of the Calasiao MCP services
while services rendered by the two medical professionals on mothers
with no Philhealth coverage will be shouldered by the LGU (must be
stipulated in the MOA).
– The two medical professionals will be on-call status.
UPDATE STATUS (as of August 22, 2011): The PHO, Dr. Anna de Guzman,
will facilitate the approval of this Philhealth requirement.
MATERNAL CARE PACKAGE
B. THE LOCAL MCP STAFF
– Another requirement of the MCP Program of PhilHealth is the skills
training on birth delivery and newborn care for the local health staff who
will take charge of the MCP operations. However, this training will have
to be coordinated first with either the Region1 Medical Center (R1MC) in
Dagupan City or with the Pangasinan Provincial Hospital (PPH) in San
Carlos City since this type of training is not routinely being given. The
Health Office will coordinate with Dr. Roland Mejia. Hospital Director, for
the R1MC and Dr. Anna de Guzman, Provincial Health Officer, for PPH
– Other required personnel are midwives, at least 6 to 9 in number, who
will be hired under JOW/contractual basis. They will go on 24 hour duty
rotation.
UPDATE STATUS (as of August 22, 2011): The CHD was gracious enough to
provide free trainings on Basic Life Saving Skills (BLS) training,
sponsored by POGS, to two (2) of our Health Office staff last
August 15 to 21, 2011:
1. Brigida de Vera – RHM III
2. Jacqueline Salazar – RHM II
MATERNAL CARE PACKAGE
C. BIRTHING FACILITY
– The MCP Program of PhilHealth has set minimum requirements for the
structure, equipments, furniture and fixtures of the birthing facility.
– The compliance of such requirements can be achieved by either of two
ways:
 Use the present facility of the Health Office- Identified as a possible
area is the radiology room which is being presently used as a stock
room. For this room to be used as a viable place for the birthing
facility, the following are recommended:
 Construct an alternative storage room Renovations to be done
on the radiology room
 Renovations to be done on the radiology room
 Construct a new building in an adjacent area near the health center.
The birthing facility can be constructed in front of the health center
where an extensive area has been recently earth-filled although the
structure itself will only use a small part of the said area. The
birthing facility can be designed and planned already based on the
MCP Program requirements
UPDATE STATUS
(as of August 22, 2011): None