Avian influenza A H7 viruses are a group of influenza viruses that normally circulate among birds. The avian influenza A(H7N9) virus is one subgroup among the larger group of H7 viruses. Although some H7 viruses (H7N2, H7N3 and H7N7) have occasionally been found to infect humans, no human infections with H7N9 viruses have been reported until recent reports from China.

WHO does not recommend any travel restrictions with respect to this event. WHO will continue to provide updated information as it becomes available.

No. His symptoms began three days after his return to Taiwan, China.

There is no evidence to link the current cases with any Chinese products. WHO advises against any restrictions to trade at this time.

The number of cases identified in China is low. WHO does not advise the application of any travel measures with respect to visitors to China nor to persons leaving China. Travellers to China are advised to take some common sense precautions, like not touching birds or other animals and washing hands often. Poultry and poultry products should be fully cooked.

An animal influenza virus that develops the ability to infect people could theoretically carry a risk of causing a pandemic. However, whether the avian influenza A(H7N9) virus could actually cause a pandemic is unknown. Other animal influenza viruses that have been found to infect people occasionally have not gone on to cause a pandemic.

Monitoring of fever for all incoming airline passengers especially those coming from China, Taiwan and other Asian countries. Coordinating closely with Department of Agricultures for poultry epidemics. Hospitals are alerted for unusual lung infections. Research Institute for Tropical Medicines (RITM) has capacity and ready to examine or confine suspected patients. Public is advised to report unusual influenza-like infections.

Local and national health authorities are taking the following measures, among others: Enhanced surveillance for pneumonia cases of unknown origin to ensure early detection and laboratory confirmation of new cases; Epidemiological investigation, including assessment of suspected cases and contacts of known cases; Close collaboration with animal health authorities to determine the source of the infection.

Health care workers often come into contact with patients with infectious diseases. Therefore, WHO recommends that appropriate infection prevention and control measures be consistently applied in health care settings, and that the health status of health care workers be closely monitored. Together with standard precautions, health care workers caring for those suspected or confirmed to have avian influenza A(H7N9) infection should use additional precautions.

When influenza antiviral drugs known as neuraminidase inhibitors are given early in the course of illness, they are effective against seasonal influenza virus and influenza A(H5N1) virus infection. At this time, there is little experience with the use of these drugs for the treatment of H7N9 infection. Further, influenza viruses can become resistant to these drugs.

Is it safe to visit live markets and farms in areas where human cases have been recorded?

Always keep raw meat separate from cooked or ready-to-eat foods to avoid contamination. Do not use the same chopping board or the same knife for raw meat and other foods. Do not handle both raw and cooked foods without washing your hands in between and do not place cooked meat back on the same plate or surface it was on before cooking. Do not use raw or soft-boiled eggs in food preparations that will not be heat treated or cooked. After handling raw meat, wash your hands thoroughly with soap and water. Wash and disinfect all surfaces and utensils that have been in contact with raw meat.

Influenza viruses are not transmitted through consuming well-cooked food. Because influenza viruses are inactivated by normal temperatures used for cooking (so that food reaches 70°C in all parts -"piping" hot - no "pink" parts), it is safe to eat properly prepared and cooked meat, including from poultry and game birds. Diseased animals and animals that have died of diseases should not be eaten. In areas experiencing outbreaks, meat products can be safely consumed provided that these items are properly cooked and properly handled during food preparation. The consumption of raw meat and uncooked blood-based dishes is a high-risk practice and should be discouraged.

Although both the source of infection and the mode of transmission are uncertain, it is prudent to follow basic hygienic practices to prevent infection. They include hand and respiratory hygiene and food safety measures. Hand hygiene: • Wash your hands before, during, and after you prepare food; before you eat; after you use the toilet; after handling animals or animal waste; when your hands are dirty; and when providing care when someone in your home is sick. Hand hygiene will also prevent the transmission of infections to yourself (from touching contaminated surfaces) and in hospitals to patients, health care workers and others. • Wash your hands with soap and running water when hands are visibly dirty; if hands are not visibly dirty, wash them with soap and water or use an alcohol-based hand cleanser. Respiratory hygiene: • Cover your mouth and nose with a medical mask, tissue, or a sleeve or flexed elbow when coughing or sneezing · Throw the used tissue into a closed bin immediately after use · Perform hand hygiene after contact with respiratory secretions.

From 1996 to 2012, human infections with H7 influenza viruses (H7N2, H7N3, and H7N7) were reported in Canada, Italy, Mexico, the Netherlands, the United Kingdom, and the United States of America. Most of these infections occurred in association with poultry outbreaks. The infections mainly resulted in conjunctivitis and mild upper respiratory symptoms, with the exception of one death, which occurred in the Netherlands. Until this event, no human infections with H7 influenza viruses have been reported in China.

We do not know the answer to this question yet, because we do not know the source of exposure for these human infections. However, analysis of the genes of these viruses suggests that although the viruses have evolved in birds, they may infect mammals more easily than other avian viruses.

New cases that are reported are now being compiled and posted daily. The most current information on cases can be found in Disease Outbreak News

Most patients with this infection have had severe pneumonia. Symptoms include fever, cough and shortness of breath. However, information is still limited about the full spectrum of illness that infection with avian influenza A(H7N9) virus might cause.

No vaccine for the prevention of avian influenza A(H7N9) infections in humans is currently available. However, viruses have already been isolated and characterized from the initial cases. The first step in development of a vaccine is the selection of candidate viruses that could go into a vaccine. WHO, in collaboration with partners, will continue to characterize available avian influenza A(H7N9) viruses to identify the best candidate viruses. These candidate vaccine viruses can then be used for the manufacture of vaccine if this step becomes necessary.

Although some evidence points to live poultry as a source of infection, it cannot yet be confirmed that live poultry is the primary or the only source of infection. Neither is there enough evidence to exclude other possible animal or environmental sources of infection.

The virus is passed on to another person through infected blood like blood stained needles/medical instrumentations, sexual contacts between casual acquaintances or with strangers/multiple partners, or partners of infected OFW, sharing of needles among drug users or accidental needle pricking or trauma among health professionals. HIV infected individuals can infect unsuspecting contacts because of their normal looking physique. Spread of the disease happens before identification of the disease is the most treacherous of all possibilities.

Wrong. One out of every four teenagers and young adults will get an STI, even though many think they know how to protect themselves. There are other STIs out there besides HIV, and they are on the rise among young people. They include chlamydia, gonorrhea, syphilis, herpes and human papillomavirus (HPV), which cause genital warts and abnormal Pap smears.

t’s a viral infection that attacks and slowly destroys the immune system of the infected person that leads to “immune deficiency”. It is progressive and can lead to lack of body defense to all kinds of infection including those that don’t normally infect man and can also lead to cancer susceptibility.

There are many different tests for each of the different STIs. There is not one test that will screen for all STIs. Some STIs are hard to test for if you do not have any symptoms. Some STIs can be tested through simple blood work or a urine test; some can only be tested for through culturing body fluid from the penis, vagina or open sore on the body. When you go in for testing, it is important to ask your health care provider which tests will be done and which will not. Sometimes, weeks or months need to pass to give your body enough time to develop antibodies that will show up in a test, indicating you have a particular STI.

The simple answer is that you may not know your partner is infected unless he or she tells you. Remember, because some STIs don't show any symptoms, your partner may not even know if he or she is infected.

Name of Office: JRRMMC There should be medical counseling/recounselling on how to protect themselves from contracting the disease. There should also be psychosocial support for the patient to continue on as being productive/ responsible citizen, to ART adherence to prevent progression of the disease and thus prevent stigma. Inculcate that there is still life after HIV infection.

If you have symptoms as described above you should immediately seek medical help. Your health care provider is the best choice as he or she knows you best. If you do not have a health care provider, the school physician or nurse can advise you on whether the symptoms are something to worry about or not, and where you can get help. The local community clinics would also be able to help you.

Name of Office: JRRMMC There is none at the moment but researches are on-going towards finding a cure. ARTs makes infected individuals (HIV patients) productive and AIDs free because the viral progression in the body is slowed to near halt.

Yes. Many STIs can take weeks, months or years before symptoms show. Some people never develop symptoms for some STIs. STIs can still be passed to someone else even when a person is not experiencing symptoms.

Name of Office: JRRMMC One can practice any of the following = Abstinence is the best formula but if not possible, be faithful to HIV free/equally faithful sex partner, or use condom protection for male to male for homesexual practice or female condom for heterosexual activity, or practice non-penetrative sex.

STIs can cause physical symptoms like bumps or sores on the skin, itchy discharge, pain or burning during urination, fever, or symptoms like the flu. But all of these symptoms can be caused by other illnesses that are not sexually transmitted. Some STIs do not cause any symptoms at all. So, you can see how difficult it would be to diagnose a STI just based on symptoms you may be experiencing.

Name of Office: JRRMMC The latest world data that we have is in 2008 at 33.4 million, but only God knows of our present status. In the Philippines, our case detection of HIV positives were 2-3x for 2010 compared to 2008 figures. Detections are increasing among men having sex with men, blood samples and spouses of OFWs. Total reported cases in the PH from 1984-2010 is 5,625 and AIDS among these is 852.

This is possible, but not very common. If your partner's mouth is infected with an STI, then he or she may be able to pass that infection to your mouth during a kiss. Fever blisters and cold sores can be passed through a kiss if your partner is infected. Blood-borne infections like HIV or Hepatitis B or C can only be passed through kissing if there is an exchange of infected blood. If your partner has an infection in his or her genital area, then kissing on the mouth will not transmit the infection. However kissing the infected area may lead to transmission of the infection.

Name of Office: JRRMMC Tuberculosis - it becomes aggressive among HIV/AIDS patients because of poor immune response of these patients. Since TB is very common in the Philippines and majority of Filipinos have/ have had primary or secondary TB, treated, with scar or re-exposed, this infection is the most life threatening for it can infect practically all organs of the body, the skin and brain included.

Yes. During oral sex, there is skin-to-skin contact and there can be bodily fluid exchange. Therefore, it is important to use barrier protection, like un-lubricated condoms or latex dental dams to protect yourself during oral sex.

Name of Office: JRRMMC Appearance of AIDS varies among individual patients and may range theoretically between 5-10 years to as long as 15 years or more. Patients on antiretroviral therapy may or even arrest the progression of the disease to frank AIDS.

This is not very likely. Most STIs are only transmitted during sexual contact, either by skin-to-skin contact or through bodily fluids exchanged between partners. Garapata, or pubic lice, may be transmitted through sexual contact, sleeping in infected bedding, sharing infected clothing and possibly through sitting on an infested toilet seat. However, lice cannot survive away from the human body for longer than 24 hours. So contracting pubic lice from a toilet seat is possible, but it's unlikely.

If you choose to have sex, latex condoms give you good protection because they are barriers - something that keeps you away from your partner's sexual fluids. Other birth control methods only protect you from unwanted pregnancy. Using a condom is NOT 100% protection against pregnancy or STIs--only abstinence is--but a condom offers the best protection from STIs and pretty good protection from pregnancy if you do have sex. The best protection is to use birth control pills or other reliable form of birth control to prevent pregnancy AND a new latex condom with each sexual encounter to protect against STIs.

All medical care that you receive should be confidential. This means that the information you discuss with your health care providers must stay in your files at the clinic and not be released to anyone without your permission. All testing and results are handled as confidential matters. Anonymous testing is when your name is not associated with the test or the results in any way. You may be given a number or code word to identify yourself during testing and when receiving results. Speak to you health care provider about the testing process used.

Your local health department, community clinic, private doctor or family planning clinics are all good resources to check into for STI testing.

HEA will not be forfeited, only delayed. The health facility may upload CREC on their next scheduled day of uploading. However, HEA funds shall be sub-allotted/transferred once all requisite documents are submitted.

The HCWs COVID-19 risk esposure classification is only for HCWs.

Personnel in DATRCs will be given 2 points based on the TYPE OF HEALTH FACILITY. However, in area/s of the DATRC designated as TTMF, only personnel assigned in that area/s will be classified as 3 points for the TYPE OF HEALTH FACILITY.

Generally, they are considered as low risk. They will still be classified according to our guidelines and on what type of health facility they are employed or assigned in. It is assumed that proper health protocol and infection control are in place that would minimize the contact of office personnel to the infectious area of the hospital.

DOH-CO and CHDs shall be considered as one health facility and shall be classified as Low Risk. In cases where personnel may be classified as having medium or high risk based on the criteria specified above, their respective head of office shall submit an attestation form confirming their risk and involvement in COVID-I9 response.

It is defined as performance of clinical procedures or custodial care to patients face-to-face for the purpose of diagnosis, treatment or ongoing care.

It is defined as specific areas in a health facility devoted to the diagnosis, treatment, and care of patients on an in-patient, out-patient, or day-care basis.

For question or clarifications, contact details of point person for CREC can be found at the landing page of the HEAPS (https://heaps.doh.gov.ph/download). Also, the said contact details are disseminated through Department Memorandum No. 2022-0362 or the Contact Details for the Endorsement of Concerns Related to the Grant of COVID-19 Health care Workers’ Benefits and Sickness and Death Compensation.

The health facilities shall submit their CREC report in the HEAPS on their scheduled date of access which is posted on the website homepage. All forms (CREC template and attestation forms) can be downloaded at https://heaps.doh.gov.ph/download

Monthly

The CREC report shall be directly submitted in the HEAPS.

Only the number of hours physically rendered for COVID-19 response shall be considered in the CREC.

HCWs under quarantine/isolation and/or treatment due to COVID-19 shall be risk classified depending on the area of assigment and job description and the number of hours he/she physically reported for work. If a HCW does not physically report in a month, he/she shall be noted "not applicable".

Only the number of hours physically rendered for COVID-19 response shall be considered in the CREC.

Yes, if the Barangay Tanod is included in the BHERT as established by an Executive Order.

The HCWs COVID-19 risk esposure classification is only for HCWs.

All employees are included including outsourced personnel (e.g. security guards, janitors, utility workers etc.)

If they officially assigned or designated to the health facility, yes, they should be included in the facility's CREC report.

The Free standing laboratories or dialysis clinics must be involved in COVID-19 response. The laboratory must be processing COVID-19 tests and dialysis units must be catering to confirmed COVID-19 patients. In this case, the free standing laboratories will be given 3 points and dialysis clinics will be given 2 points for the Type of Health Facility Criteria.

Infirmaries are given 2 points for the TYPE OF HEALTH FACILITY Criteria.

While they are employed by the CHD, their main work is under the RHUs or Vaccination Areas, hence they will classified under RHU or vaccination area and shall receive 2 points.

They shall be classified under the CHD type of health facility (1 point). If they are performing COVID-19 related activities on the field, their score on the work setting and nature of work should be modified accordingly but only for the number of hours rendered on the field.

The HCWs employed under HRH emeregency hiring will be risk classified and reported by their parent agency, the one who has an employment contract with them.

There are moonlight resident doctors specially in private institutions who do not have parent institutions but reporting in different hospitals. Where shall their names be included in the report? For moonlighting resident doctors, their names shall be included in the report of the facility where they are currently in training. In the case of doctors with government plantilla appointment, authorization approving to engage in private practice shall be secured first from their head of facility/office. ------------------------------------------------------------------------------------------------------------------------------- May mga resident doctors, partikular sa mga pribadong institusyon ang walang kinabibilangang mother institution at nagrereport sa iba-ibang ospital. Saang institusyon mabibilang ang kanilang mga pangalan? Para sa mga residenteng doktor na nag naka-moonlight, ang kanilang pangalan ay dapat nasa report ng pasilidad/opisina kung saan sila naka-training. Para sa mga doktor na naka-plantilla sa pamahalaan, kinakailangan muna nilang makakuha ng awtorisasyon mula sa pinuno ng kanilang pasilidad/opisina na sila ay pinahihintulutang magtrabaho sa mga pribadong ospital.

The receiving office shall risk classify the detailed/reassigned HCW. However, the detailed/reassigned HCW shall be included in the CREC report of their parent office. A DOH Office/Hospital/Drug Abuse Treatment and Rehabilitation Center (DATRC) personnel detailed to another government office/agency shall be included in the CREC report of the parent agency. On the other hand, a non- DOH Office/Hospital/DATRC personnel detailed to another government office/agency shall be included in the CREC report of the receiving agency/office.

Computation of HEA shall consider all determined risk exposure classifications.

When a HCW has two (2) or more risk exposure classifications in a month, ALL determined risk exposure classifications shall be included in the report of the health facility for that month.

The risk exposure classification of HCWs changes when their area of assignment and/or job description change.

NO. It will be the head of the health facility who will risk classify all HCWs and certify his/her report for submission to Health Emergency Allowance Processing System (HEAPS). The head of the facility can be assisted by the Human Resources Team and/or Department and Unit Head.

The head of the health facility shall be responsible for classifying the risk exposure of all HCWs in the facility. The Human Resource (HR) or Department Heads of each facility may provide assistance to the head of the facility. However, it shall be the head of the facility who shall certify as to the correctness and completeness of the submitted CREC of employees.

Nature of Work 1. Direct Care to confirmed COVID-19 Patients - 3 POINTS 2. Direct Care to Non-COVID-19 (including suspect or probable) Patients - 2 POINTS 3. Technical and Support Staff - 1 POINT

Work Setting 1. Clinical Area a. COVID-19 Area (catering to confirmed COVID-19 cases) -3 POINTS b. Other Clinical Area (catering to non-COVID-19 cases, including suspect or probable) - 2 POINTS 2. Non-Clinical Area (including administrative offices) - 1 POINT

Type of Health Facility 1. Hospitals, regardless of level of service - 3 POINTS 2. Temporary Treatment and Monitoring Facility (TTMF), Isolation/Quarantine facility - 3 POINTS 3. Testing Center and/or Laboratory, Swabbing Site - 3 POINTS 4. Vaccination Site, duly authorized by the DOH or local government units - 2 POINTS 5. Rural Health Unit, Barangay Health Station, Primary Care Facilities (including infirmary), Treatment and Rehabilitation Centers, Birthing Clinic, Ambulatory Clinic, and Health-Related Establishment - 2 POINTS: 6. DOH-Central Office (CO), Center for Health Development (CHD), Attached Agencies, Provincial/City Health Office, and Local Government Health Office - 1 POINT

The point system is used to come up with a very objective way of classifying HCWs into High Risk, Medium Risk and Low Risk. A HCW can get a maximum of 3 points for each of the three risk criteria used (Type of Health Facility, Work Setting, and Nature of Work). The total number of points from the three (3) criteria shall be added to get the sum, which shall serve as the HCW overall RISK CLASSIFICATION as follows: 3-4 Points - Low Risk 5-7 Points - Medium Risk 8-9 Points - High Risk

The Criteria for CREC of HCWs shall be based on the following: 1. Type of Health Facility where the HCW is employed, assigned, or detailed; 2. Work Setting in the health facility where the HCW performs their assigned functions; and, 3. Nature of Work done by the HCW in the health facility.

The 3 risk categories are: 1. High Risk - (8 to 9 POINTS) - wherein health workers enter a COVID-19 patient’s room to directly provide care for patients involving aerosol-generating procedures such as intubation, cough induction procedures, bronchoscopes, dental procedures and exams, or invasive specimen collection, as well as those collecting or handling specimens from known or suspected COVID-19 patients. 2. Medium Risk- (5 to 7 POINTS) - wherein health workers within the health facility are providing direct physical care to the general public who are not known or suspected COVID-19 patients and are working at busy staff work areas within a health facility. 3. Low Risk- (3 to 4 POINTS) - wherein health workers perform administrative duties in non-public areas of health facilities, away from other staff members or away from patients, otherwise known as “clean areas".

All public and private health care workers, regardless of employment status including volunteers and outsourced personnel that are assigned in duly licensed health facilities and health related establishments involved COVID-19 response.

To provide guidance on the allocation and prioritization of government's limited resources, such as personal protective equipment (PPE), vaccines, COVID-19 testing, and HCW's benefits.

This refers to a framework in classifying COVID-19 infection risk of HCWs as high risk, medium risk, and low risk.

The best way to prevent leptospirosis in children is to avoid wading in flood waters. It is also advisable to wear protective clothing and footwear near soild or water that may be contaminated with animal urine.

No, doxycycline is contraindicated in pregnant and breast-feeding mothers.

Unfortunately, not all medications used for leptospirosis prophylaxis and its treatment are safe for all age groups. Doxycycline, which can be used as a prophylactic agentfor treatment of leptospirosis, cannot be given to children 8 years old and below.

Yes, medications are available to help prevent leptospirosis. However, it is still best to consult your physician to identify your risk and to be given proper instructions regarding medications, if needed.

Yes, leptospirosis can be prevented by several ways: - Avoid contact with animal urine or body fluids, especially if there are cuts or abrasions of the skin. - Wear protective clothing or footwear near soil or water that may be contaminated with animal urine. - Consume boiled water, especially during the rainy season. - Avoid swimming or wading in muddy ponds and slowly moving streams especially those located near farms or stagnant water. - Control rats and mice around the home on a regular basis.

No, not all individuals suspected for leptospirosis need hospitalization. Any suspected case of leptospirosis but have stable vital signs, good urine output. no jaundice or difficulty in breating and able to take oral medication may be managed on an out-patient setting. These clinical decisions are made by the pysician handling the patient after thorough examination and confirmatory laboratory results are in.

Once your doctor has confirmed that your symptoms are that of leptospirosis and by doing a test, you should be treated with antibiotics. Treatment is most effective when started as soon as possible.

You should recommend that you see a doctor immediately if you present with an acute febrile illness of at least 2 days And either residing in a flooded area or has high-risk exposure (wading in flood waters, swimming in flood water or ingestion of contaminated water with or without cuts or wounds) And presenting with at LEAST TWO of the following: - Myalgia (muscle pain). - Calf tenderness. - Conjunctival suffusion (red eyes). - Chills. - Abdominal pain. - Headache. - Jaundice (yellowish discoloration of skin and eyes). - Oliguria (decreasing amount of urine)

No, leptospirosis is not spread from human to human.

The leptospirosis bacteria enter the human body through cuts and cracks on the skin, or through membranes of the eyes, nose and mouth.

Leptospirosis is common in tropical and subtropical areas with high rainfall, In certain area, cases of leptospirosis peak during the rainy season and the illness may spread where flood occurs.

Many animals can spread leptospirosis, including pets (e.g. dogs), farm animals, or wildlife. The animals that commonly develop or spread leptospirosis includes: rat or rodents, cattle, swine (pigs), dogs, horses, sheeps, and goats.

Symptoms of Leptospirosis can develop anytime between 2 days to 4 weeks after being exposed to bacteria causing leptospirosis.

There are two common ways to get leptospirosis: a) Exposure to urine or body fluids of infected animals. b) Drinking of contact with water or soil that has been contaminated with urine or body fluids of infected animals.

it is an illness transmitted through mud or water contaminated by the urine of infected animals and is characterized by fever, headache, chills, muscle pains (myalgia), conjunctival suffusion (red eyes), and less frequently by meningitis, rash, jaundice (yellowish discoloration of the skin and eyes), or kidney failure.

No

The best methods to treat alcohol dependency vary, depending upon an individual's medical and personal needs. Some heavy drinkers who recognize their problem appear to recover on their own. Others recover through participation in the programs of Alcoholics Anonymous or other self-help groups. Some alcoholics require long-term individual or group therapy, which may inlcude hospitalization. Treatment can also be done in community setting. Prognosis is good even if a person is pressured into treatment. Patients who come for voluntary treatment have the best prognosis. Voluntary mutual help organizations play a large role in the treatment. Effective alcohol control policies are also needed.

WHO estimates that nearly 140 million people worldwide suffer from alcohol dependence and 78% are not treated. Men are three times more likely than women to become alcoholics People aged 65 and older have the lowest rates of alcohol dependence.

Medical science has yet to identify the the exact cause of alcohol dependence, but research suggest that genetic, psychological, and social factors influence its development. Studies show that alcoholism runs in families - alcoholics are six times more likely than nonalcoholic to have blood relatives who are alcohol dependent. Researchers have long pondered whether these familial patterns result from gentics or from a common home environment, which oftern includes alcoholic parents. Conduct disorders and other childhood disorders increase risk of alcohol related disorders in adult. Psychoanalytic theory points to people with harsh superego and self-punitive turn to alcohol to diminish unconsious stress.

Strong and persistent desire to drink alcohol despite harmful consequences. Inability to control drinking. Higher priority given to alcohol than other obligations. Tolerance to alcohol and physical withdrawal reaction when alcohol is abruptly discontinued. ‹ How many suffer?

Currently there is no cure for Alzheimer's Disease. General treatment approach to patient is to provide supportive medical care, pharmacological treatment for specific symptoms, including disruptive behavior, and emotional support for patients and their families.

11 million people suffer worldwide. About 5% of people reaching 65 are affected. 15-25% of people reaching 85 are affected. Late stage of disease requires one total dependence and inactivity representing an enormous burden on family and health care delivery.

Age. Alzheimer's usually affects people older than 65, but can rarely, affect those younger than 40. The average age at diagnosis is about 80. Less than 5 percent of people between 65 and 74 have Alzheimer's. For people 85 and older, that number jumps to nearly 50 percent. Heredity. Your risk of developing Alzheimer's appears to be slightly higher if a first-degree relative -parent, sister or brother - has the disease. Sex. Women are more likely than men are to develop the disease, in part because they leave longer. Lifestyle. The same factors that put you at risk of heart diseases, such as high blood pressure and high cholesterol, may also increase the likelihood that you'll develop Alzheimer's disease. And, keeping your body fit isn't your only concern - you've got to exercise your mind as well. Head injury. The observation that some ex-boxers eventually develop dementia leads to the question of whether serious traumatic injury to the head (for example, with a prolonged loss of consciousness) may be a risk factor for Alzheimer's.

There is destruction of brain cells disrupting the transmitters that carry the messages in the brain, particularly those responsible for storing memories. The cause of the destruction remains of the cells unknown. Studies show that genetic factors play part in the development of the disease. The neurotransmitters 'acetylcholine' and 'norepinephrine' are hypothesized to be hypoactive in Alzheimer's disease.

Alzheimer's disease is the most common cause of dementia, which is the loss of intellectual and social abilities severe enough to interfere with daily functioning. Dementia occurs in people with Alzheimer's disease because healthy brain tissue degenerates, causing a steady decline in memory and mental abilities. Increasing and persistent forgetfulness, especially of recent events or simple directions, what begins as mild forgetfulness persists and worsens. People with Alzheimer's routinely misplace things, often putting them in illogical locations. They frequently forget names, and eventually, they may forget the names of family members and everyday objects. Difficulties with abstract thinking. People with Alzheimer's may initially have trouble balancing their checkbook, a problem that progresses to trouble recognizing and dealing with numbers. Difficulties finding the right word to express thoughts or even follow conversations. Eventually, reading and writing also are affected. Disorientation to time and dates. They may find themselves lost in familiar surroundings. Loss of judgment. Solving everyday problems, such as knowing what to do if food on the stove is burning, becomes increasingly difficult, eventually impossible. Difficulties performing familiar and routine tasks that require sequential steps, such as cooking, become a struggle as the disease progresses. Eventually, forget how to do even the most basic things. Personality changes. People with Alzheimer's may exhibit mood swings. They may express distrust in others, show increased stubbornness and withdraw socially.

Alzheimer's disease is the most common cause of dementia, which is the loss of intellectual and social abilities severe enough to interfere with daily functioning. Dementia occurs in people with Alzheimer's disease because healthy brain tissue degenerates, causing a steady decline in memory and mental abilities.

No one really knows exactly what causes asthma. In asthma, the irritation of your ultrasensitive airways results to the three changes: cells in your air passages produce excessively thick and sticky mucus that tends to clog your airways your air passages swell or become inflamed the muscles in your airways constrict and tighten These changes cause your air passages to narrow or cnstrict, causing difficulty in breathing, wheezing, and tightness in the chest.

take only asthma medications prescribed by your doctor do not take cough medicines if your attack is caused by a bacterial infection, take the appropriate antibiotics prescribed by your doctor. if your symptoms persist, or you are experiencing a moderate attack or a severe one, get emergency help right away.

take controllers (as prescribed by physician) know the signs and symptoms of an incoming acute asthma attack know what trigger your asthma attack avoid triggers

coughing a lot during exercise or even during rest after exercising shortness of breath wheezing when breathing tightening of the chest

There are numerous causes that "trigger" your asthma attack. However, these can be divided into three major groups: Allergens - the largest group includes common "triggers" like pollen, molds, mildew, cockroaches, feathers, and dust mites. Irritants - this group are found in common household items such as acrosol sprays, cleaning products, and perfumes. Tobacco smoke, air pollution and industrial chemicals also belong to this group. Physical Conditions - this group includes exercise, weather changes and emotional stress. It also includes viral infections like common cold and flu.

Asthma attacks may start suddenly, or may take days to develop. Attacks range from mild, moderate to severe. Mild-to-moderate attacks - are more common. There is a feeling of tightness in your chest and you may start coughing and spitting out mucus or phlegm. You may also feel restless or irritable and have difficulty sleeping. You oftentimes make a whistling or wheezing sound when you are breathing air in and out, which may be due to narrowed air tubes. Several Attacks - during severe attacks you may become breathless and may have difficulty talking. Your neck muscles become tight as you breathe. Your lips and fingernails may have a grayish and bluish color. Your breathing becomes more forceful, usually accompanied by the upward movements of your chest.

Asthma is a chronic lung disease characterized by inflamed, swollen and narrowed airways, making breathing difficult. Although no cure has been found for asthma, it can be controlled. If you are asthmatic, you have sensitive airways that react to certain factors such as stress, infection (flu, common colds), dust, mites, feathers, cigarette smoke, and changes in the weather. THese can trigger the selling and the narrowing of your airways.

*Cough lasting for 3 months or more with increased mucus production. *Shortness of breath woven when at rest. *Shortness of breath upon exertion in early stages. *Shortness of breath at rest in later stages.

- Smokers -Non-smokers exposed to second-hand smoke. - People living in heavily industrialized areas and exposed to air pollution. - Workers exposed to metallic dust or fibers.

*Antipyretics to lower fever. *Antibiotics, if bacterial infection is present. *Bronchodilators to open up the bronchial passages in the lungs. *Mucolytics, useful in chronic bronchitis to help thin out and expel thick and sticky mucus from the respiratory tract. *Oxygen may be needed for very chronic cases. * Bed rest and increased fluid intake.

Acute Bronchitis - occurs after a bout of flue or colds; aggravated by smoking; can lead to asthmatic bronchitis in some individuals. Chronic Bronchitis - cough that produces thick mucus for at least three months; prolonged cough that is not caused by other conditons such as tuberculosis; shortness of breath and weezing may be present; main cause is heavy long-term cigarette smoking; which damages the bronchial tubes and causes them to produce excess mucus; frequent in 50% of patients with a history of smoking 40 to 60 packs per year; other major causes include occupational exposure to dust, gas, paints, or fumes.

Normally, phlegm or mucus is watery. Mucus is expelled out of the lungs through the sweeping action of cilia, billions of microscopic “finger-like” projections on the lining cells of the air tubes. Cilia trap and eliminate pollutants and push mucus out of the lungs by moving it upward in one direction to the windpipe, the throat and mouth. The mucus is then swallowed and sterilized by the acid in the stomach, or coughed-out through the mouth. When the bronchi is irritated by exposure to too much pollutants, viruses or bacteria, in the air, the bronchi swells and increases its secretion of mucus. Eventually, the mucus becomes thicker and stickier. Ciliary functions are impaired and the air passages become clogged by debris that cause even more irritation. Secondary bacterial infection sets in. An excessive amount of thick sticky mucus develops, which the person tries to expel. This causes the characteristic cough of bronchitis.

1. Antipyretics (e.g., Paracetamol) to lower fever. 2. Antibiotics, if bacterial infection is present. 3. Bronchodilators (e.g., salbutamol) to open up the bronchial passages in the lungs. 4. Mucolytics, useful in chronic bronchitis to help thin out and expel thick and sticky mucus from the respiratory tract. 5. Oxygen may be needed for very chronic cases. 6. Bed rest and increased fluid intake.

The presence of cough lasting for more than 2 weeks necessitates consultation with a physician. Self-treatment is not recommended especially for heavy smokers suffering from chronic bronchitis, very young children, and the elderly.

The leading causes of death are diseases of the heart, diseases of the vascular system, pneumonias, malignant neoplasms/cancers, all forms of tuberculosis, accidents, COPD and allied conditions, diabetes mellitus, nephritis/nephritic syndrome and other diseases of respiratory system. Among these diseases, six are non-communicable and four are the major NCDs such as CVD, cancers, COPD and diabetes mellitus.

The risk factors that are linked with lifestyle-related disease are smoking, unhealthy diet, physical inactivity and stress.

"Lifestyle-related disease" is a term used to emphasize the contribution of behavior to the development of chronic diseases.

Chronic diseases appear under different names in different contexts. Sometimes the term "non-communicable diseases" is used to make a distinction from infectious or "communicable diseases". Yet several chronic diseases have an infectious component to their cause (source: WHO Preventing Chronic Diseases: A Vital Investment)In the Philippines, "non-communicable" or "degenerative disease" is commonly used depending on the perspective.

These are diseases that can cause premature disability, mortality and morbidity (henc, the word degenerative). These diseases include cardiovascular diseases, diabetes mellitus, cancers and chronic obstructive pulmonary disease.

- Antidepressants - Major depressive and dysthymic disorders are treated with antidepressant medication to provide an immediate relief for the symptoms of the disorder. - Psychosocial therapy - focuses on the personal and interpersonal issues behind depression. - Electroconvulsant therapy - usually is employed after all therapy and pharmaceutical treatment options have been explored. However, it is sometimes used early in treatment when severe depression is present and the patient refuses oral medication, or when the patient is becoming dehydrated, extremely suicidal, or psychotic. - Alternative treatment - St. John's wort (Hypericum perforatum) is used throughout Europe to reat depressive symptoms. Unlike traditional prescription antidepressants, this herbal antidepressant has few reported side effects. - Homeopathic treatment also can be therapeutic in treating depression. Good nutrition, proper sleep, exercise, and full engagement in life are very important to a healthy mental state.

- Each year in the United States, depressive disorders affect an estimated 17 million people or about 14% of adult person; 10% in Germany; 7% in Brazil; 4.2% in Turkey; 5.3% in the Philippines (Perlas, 1994). - One in four women is likely to experience an episode of severe depression in her lifetime, with 10-20% lifetime prevalence, compared to 5-10% for men. - The average age a first depressive episode occurs is in the mid-20s, although the disorder strikes all age groups indiscriminately, from children to the elderly. - Common among those without close relationship, separated and divorced.

- Biologic- an imbalance of certain neurotransmitters- the chemicals in the brain that transmit messages between nerves cells-is believed to be key to depression. - Heredity - Individuals with major depression in their immediate family are up to three times more likely to have the disorder themselves. - External stressors and significant life changes - such as chronic medical problems, death of a loved one, divorce or estrangement, miscarriage, or loss of a job, also can result in a form of depression know as adjustment disorder.

Depressive disorders (unipolar depression) are mental illnesses characterized by a profound and persistent feeling of sadness or despair and/or a loss of interest in things that once were pleasurable. Disturbance in sleep, appetite, and mental processes are a common accompaniment. Two Main Categories 1. Major depressive disorder is a moderate to severe episode of depression lasting two or more weeks. Children experiencing a major depressive episode may appear or fell irritable rather than depressed. In addition, five or more of the following symptoms will occur on an almost daily basis for a period of at least two weeks: - Significant change in weight. - Insomnia or hypersomnia (excessive sleep). - Psychomotor agitation or retardation. - Fatigue or loss of energy. - Feelings of worthlessness or inappropriate guilt. - Diminished ability to think or to concentrate or indecisiveness. - Recurrent thoughts of death or suicideand/or suicide attempts. 2. Dysthymic Disorder is an ongoing, chronic depression that lasts two or more years (one or more years in children) and has an average duration of 16 years. The mild to moderated depression of dysthymic disorder may rise and fall in intensity, and those afflicted with the disorder may experience some periods of normal, non-depressed mood of up to two months in length. Along with an underlying feeling of depression, people with dysthymic disorder experience two or more of the following symptoms: - Under or overeating. - Insomnia or hypersomnia. - low energy or fatigue. - Low self esteem. - Poor concentration or trouble making decisions. - Feeling of hopelessness.

Medical science has yet to identify the exact cause of alcohol dependence, but research suggests that genetic, psychological, and social factors.

- Type I- insulin dependent diabetes. - Type II - Non-insulin dependent diabetes

- Blindness. - Kidney failure. - Stroke. - Heart attack. - Wounds that would not heal. - Impotence

Diabetes occurs when the pancreas does not adequately produce insulin. It also happens when the body cannot properly use insulin. Insulin is a hormone necessary for the proper utilization of sugar by muscles. Fat and liver.

1. Diet Therapy* Avoid simple sugars like cakes and chocolates. Instead have complex carbohydrate like rice, pasta, cereals and fresh fruits.* Do not skip or delay meals. It causes fluctuations in blood sugar levels.* Eat more fiber-rich foods like vegetables.* Cut down on salt.* Avoid alcohol. Dietary guidelines recommend no more than two drinks for men and no more than one drink per day for women. 2. Exercise Regular exercise is an important part of diabetes control. Daily exercise . . .* Improves cardiovascular fitness* Helps insulin to work better and lower blood sugar* Lowers blood pressure and cholesterol levels* Reduces body fat and controls body weight Exercise at least 3 time a week for ate least 30 minutes each session. Always carry quick sugar sources like candy or soft drink to avoid hypoglycemia (low blood sugar) during and after exercise. 3. Control your weight If you are overweight or obese, start weight reduction by diet and exercise. This improves your cardiovascular risk profile.* It lowers your blood sugar* It improves your lipid profile* It improves your blood pressure control 4. Quit smoking. Smoking is harmful to your health. 5. Maintain a normal blood pressure. Since having hypertension puts a person at high risk of cardiovascular disease, especially if it is associated with diabetes, reliable BP monitoring and control is recommended. See your doctor for advice and management. If there is no improvement in blood sugar what advice can I expect my doctor to give? There are drug therapies using oral hypoglycemic agents. Your doctor can prescribe one or two agents, depending on which is appropriate for you. 1. Sulfonylurea – Glibenclamide, Gliclazide, Glipizide, Glimepiride, Repaglinide 2. Iguanid – Metformin 3. Alpha-glucosidase Inhibitors – Acarbose4. Thiazolidindione – Troglitazone, Rosiglitazone, Proglitazone. Remember If you have the classic symptoms of diabetes:* See your doctor for blood sugar testing* Start dieting eat plenty of vegetables avoid sweets such as chocolates and cakes cut down on fatty foods* Exercise regularly* If you are obese, try to lose some weight* Avoid alcohol drinking and stop smoking* If you are hypertensive, consult your doctor for advice and management.

- children of diabetics. - obese people. - people with hypertension. - people with high cholesterol levels. - people with sedentary lifestyles

1. If you urinate frequently. 2. If experience excessive thirst. 3. If you have unexplained weight loss. 4. If your blood sugar level is higher than 200mg/dl. 5. If you have fasting plasma glucose level of more than 126mg/dl.

Diabetes is a serious, chronic metabolic disease characterized by an increase in blood sugar levels associated with long term damage and failure or organ functions, especially the eyes, the kidneys, the nerves, the heart and blood vessels.

Name of Office: NCDPC Yes. If you are a member or a dependent, the procedure is covered by PhilHealth, subject to the provisions of its benefit package.

Name of Office: NCDPC Many studies show that there is no difference in strength, gynecological condition, or psychological makeup between ligated and nonligated women.

Name of Office: NCDPC While BTL is a permanent method of family planning, a surgical procedure can reconnect the tubes. However, the chances of getting pregnant again are slim.

Name of Office: NCDPC After ligation women face less risk of having an ectopic pregnancy than women who have not had ligation.

Name of Office: NCDPC No. New techniques have been developed, using local anesthesia, which make ligation possible without a hospital stay. Discomfort felt after the procedure can almost always be relieved with basic medications like paracetamol, ibuprofen, and mefenamic acid.

Name of Office: NCDPC No. There is no evidence that ligation causes women to gain weight.

No. Ligation will not hasten menopause. After the procedure, you will continue to ovulate and menstruate normally (although you will no longer get pregnant) until you reach menopause.

No. Ligation has been practiced for several generations, and there is no medical evidence that ligation shortens the life of a woman.

No. After ligation you can resume regular activities as soon as you are free from post-procedure discomfort. The procedure will not make you sick; neither will it affect your ability to work. Usually, doctors advise the woman to take 2 to 3 days rest and avoid lifting of heavy objects for a week.

Name of Office: NCDPC Sexual intercourse may be painful for women who do not lubricate enough during lovemaking. Lubricated condoms are available for women who experience vaginal dryness during intercourse.

Name of Office: NCDPC Condoms do not bother many couples or reduce sexual pleasure. There are many types of condoms and a couple can choose a brand that would suit them best and give them the most pleasure.

Name of Office: NCDPC Condoms are regularly and safely used by millions of couples to prevent pregnancies. In Japan, male condoms are the most popular contraceptive method among married couples.

Name of Office: NCDPC Those who choose the condom as a family planning method should learn how to use it properly to minimize the possibility that it will break or slip off during sexual intercourse.

• Drug that is put out by the company that spends billions of dollars on research to discover a molecule of a substance.

Name of Office: NCDPC The rhythm/calendar method is considered a traditional method of family planning. It is not a modern method and is therefore not being recommended for couples to use. The rhythm method involves counting the days before and after menstruation to predict a woman’s fertile period.

Name of Office: NCDPC Withdrawal or coitus interrupts is not a modern method of family planning. Withdrawal is not that effective and may make sexual union less satisfactory for the couple.

Name of Office: NCDPC Studies show that most women, regardless of cycle regularity, can use modern natural family planning methods as long as they can correctly identify their fertile periods.

Name of Office: NCDPC Modern natural family planning methods can be effective if practiced correctly and consistently. In a study of the cervical mucus method, only 3 percent of women who used the method became pregnant in 1 year.

Name of Office: NCDPC Studies show that couples worldwide, whatever their economic or educational status, can use modern natural family planning methods successfully if they are properly trained and highly motivated.

Yes. If you are a member or a dependent, the IUD and its insertion are covered, subject to the provisions of PhilHealth’s benefit package.

No. The IUD is made of inert material which does not rot in the uterus even with prolonged use.

Yes. Almost all women who use an IUD will be able to bear children once it is removed.

Even a young woman who has never had a child may use an IUD, as long as she is not exposed to sexually transmitted diseases.

No. Studies have shown that the IUD does not cause cancer of the uterus.

Family planning provides many benefits to mother, children, father, and the family. Mother Enables her to regain her health after delivery. Gives enough time and opportunity to love and provide attention to her husband and children. Gives more time for her family and own personal advancement. When suffering from an illness, gives enough time for treatment and recovery. Children Healthy mothers produce healthy children. Will get all the attention, security, love, and care they deserve. Father Lightens the burden and responsibility in supporting his family. Enables him to give his children their basic needs (food, shelter, education, and better future). Gives him time for his family and own personal advancement. When suffering from an illness, gives enough time for treatment and recovery.

Name of Office: NCDPC Family Planning (FP) is having the desired number of children and when you want to have them by using safe and effective modern methods. Proper birth spacing is having children 3 to 5 years apart, which is best for the health of the mother, her child, and the family.

Yes. If you are a member or a dependent, the procedure is covered by PhilHealth, subject to the provisions of its benefit package.

Yes. Vasectomy has no effect on a man’s overall health and physical ability. After a rest period of 2 to 5, you can return to your regular activities.

No. There is no evidence that vasectomy increases the risk of cardiovascular disease or immune system problems.

No. Clinical studies indicate that vasectomy does not cause prostate cancer or cancer of the testicles or any other long-term health problems.

No. The body absorbs sperm that are not ejaculated. Sperm cannot accumulate in the scrotum nor cause the scrotum to burst or harm the body in any way.

No. Vasectomy does not make a man less macho or make him effeminate. It does not interfere with any normal body function, nor cause other types of changes. After a vasectomy, a man will continue to produce male hormones.

No. Vasectomy and castration are not the same. Vasectomy is the cutting of the vas deferens while Castration is the surgical removal of the testes. Castration is done only on animals. When the testes are removed, it results in loss of masculinity because of the absence of male hormones (testosterone). Testosterone is produced in the testes. Vasectomy does not involve removal of the man’s testes.

Ang kasunduan ay epektibo lamang sa loob ng isang (1) taon at maaaring irenew o ipa-renegotiate ng end-users.

Ang kanya-kanyang pagbili ng mga ospital ng gamot o medical device na mula sa nag-iisang supplier lamang ay nagreresulta sa mataas at iba’t ibang presyo nito. Sa pamamagitan ng Price Negotiation Board, napapababa at naipapantay natin ang presyo ng mga gamot o medical device para sa iba’t ibang opisina sa DOH Central Office, at DOH Retained and Specialty Hospitals.

Ang iba’t ibang opisina sa DOH Central Office, at DOH Retained and Specialty Hospitals ay maaaring maghain ng nominasyon ng mga gamot o medical device sa Price Negotiation Board upang umpisahan ang pakikipag-ugnayan at pakikipagkasundo sa nag-iisang supplier nito sa bansa ukol sa pinakamagandang presyo nito kung ito ay bibilhin

- Kapag nag-iisa at walang kompetisyon ang produkto sa merkado, maaari itong ipasok sa price negotiation. - Ang sinumang nagnanais malaman kung ang supplier ay rehistrado sa FDA ay maaring bumista sa FDA Verification Portal (https://verification.fda.gov.ph/Home.php) o mag-email sa Secretariat ng Price Negotiation Board ([email protected]).

Ang mga produkto na maaaring ipasok sa price negotiation ay ang mga gamot at medical devices na makabago, may patent o may iisang rehistrado ng supplier sa Food and Drug Administration (FDA).

Nais ng Price Negotiation Board na tipunin ang kapangyarihang bumili ng iba’t ibang ospital ng DOH upang pababain at ipantay ang presyo ng mga gamot at medical device na nanggaling lamang sa isang kumpanya.

Ayon sa Section 28 ng Universal Health Care Act (RA 11223), isang konseho na binubuo ng mga kinatawan mula sa Department of Health (DOH), Department of Trade and Industry (DTI), PhilHealth at iba pang mga grupo ang bubuuin upang makipag-kasundo sa mga pharmaceutical companies ukol sa presyo ng mga gamot at medical devices na makabago, patented o di kaya nanggagaling sa iisang supplier sa bansa.

The Department of Health (DOH) through its Acute Lymphocytic Leukemia (ALL) Medicines Access Program (MAP) will provide target ALL patients’ ready access to anti- cancer medicines as well as promote early screening and ALL awareness to Filipinos emphasizing that detecting, treating, and managing cancer in the early stages improves the overall prognosis and survival rates of patients. List of Hospitals to access medicines for this program: - Philippine Children Medical Center - Batangas Regional Hospital - Amang Rodriguez Memorial Medical Center - Baguio General Hospital and Medical Center - Davao Regional Hospital - East Avenue Medical Center - Jose Reyes Memorial Medical Center - Ilocos Training Regional Medical Center - National Children’s Hospital - Northern Mindanao Medical Center - Southern Philippines Medical Center - Western Visayas Medical Center - Zamboanga City Medical Center - Philippine General Hospital Extension Sites: - Ospital ng Makati - University of Sto Tomas Hospital - Silliman University Medical Center - St. Elizabeth Hospital - Tarlac Public Hospital

1. Amang Rodriguez Medical Center 2. Jose Reyes Memorial Medical Center 3. Quirino Memorial Medical Center 4. Mayor Hilarion A. Ramiro Sr. Regional Training & Teaching Hospital 5. Veterans Regional Hospital 6. Davao Regional Hospital 7. Bicol Medical Center 8. Bicol Regional Traning & Teaching Hospital 9. Las Pinas General Hospital 10. National Center For Mental Health 11. Cagayan Valley Medical Center 12. Batangas Regional Hospital 13. Tondo Medical Center 14. National Kidney & Transplant Institute 15. Eastern Visayas Medical Center 16. Corazon Locsin Montelibano Memorial Regional Hospital 17. Region I Medical Center 18. Baguio General Hospital 19. Vicente Sotto Memorial Medical Center 20. Gov. Celestino Gallares Memorial Hospital 21. Lung Center Of The Phils. 22. Southern Philippines Medical Center

The DOH Insulin Access Program is a program under the Medicine Access Program (MAP) of the Department of Health (DOH) through the National Center for Pharmaceutical Access and Management (NCPAM) provides access to medicines for diabetic patients and is in line with Millennium Development Goal No. 8 aims to develop global partnership for development, where partner pharmaceutical companies participate by providing access to affordable Insulin products through the consignment system., implementation of which was started in 2009.

Initial target beneficiaries are children with Types 1 and 3 Gaucher Disease referred by the (Institute of Human Genetics) IHG who qualify based on a standard screening process. Patients shall undergo treatment and management and have their regular Enzyme Replacement Therapy infusion.

To provide access to free Enzyme Replacement Therapy (ERT) infusion initially for patients with Type 1 and 3Gaucher’s Disease and to ensure compliance to treatment and management protocol of the identified patient beneficiaries through the Patient Navigation Program.

DOH is embarking on a program that will provide health care access to patients with rare disease through the Rare Disease Medicines Access Program. Filipino patients born with rare diseases are “orphaned” by society. They suffer from social abandonment because of lack of existing network of support to aid them. Medical help is elusive under the conditions of the country’s health priority. The nature of their illness is hardly known due to lack of information and only a few medical professionals in the country are aware of these disorders and know how to diagnose and address these conditions.

The DOH has concluded negotiations and discussions with Novartis Phils. Having entered into a Memorandum of Understanding (MOU) dated May 28, 2009. Under the MOU, Novartis will grant non-exclusive right to DOH market, promote and sell the Valsartan Products under the mark “DOH Valsartan” in all DOH Hospitals and some Local Government Units (LGUs) pharmacies. Valsartan provides blood pressure (BP) reductions that lasts a full 24-hours, greater with increasing baseline systolic BP and across diverse patient types and it is available at strengths of Valsartan 80mg and Valsartan 160mg film-coated tablets. This anti-hypertensive drug is still under patent until 2014 and has offered 50-60% cheaper compared to the prevailing market price. Thirty (30) DOH Retained Hospitals and two (2) Provincial Health Offices (PHOs) participated in the first initial orders of Valsartan 80mg and 160mg film-coated tablets.

It is a chronic mental disorder marked by a craving for alcohol. People who suffer from this illness are known as alcoholics. It sometimes become the underlying cause of serious harm, including medical disorders, marital difficulties, job loss, or automobile crashes.

Sparklers, Luces, Fountain, Jumbo (regular and special), Mabuhay, Roman Candle, Trompillo, Airwolf, Whistle, Butterfly, all pailaw.

Baby Rocket, Bawang, Small Triangulo, Pulling of strings, Paper Caps, El Diablo, Watusi, Judah's Belt, Sky Rocket, etc.

Results of studies have shown that the levels of suspended particulate matters (SPM), CO, NOx, hydrocarbons, SO2, increase to an unprecedented levels in air during fireworks displays. Pregnant women, children and those having a chronic asthma are most vulnerable to these exposures. The SPM levels can cause throat, nose, eye related problems. It can lead to headaches and reduced mental acuity. It has much more severe effects in people with heart, respiratory or nervous system disorders. It can aggravate problem for people suffering from cold allergies or coughs and can also cause congestion of throat and chest. Unwanted second noise has harmful effects as well. Standard noise level set by the Department of Environment and Natural Resources (DENR) for the ambient environment is 60 dB during daytime and 50 decibels during night time. Fireworks can be loud and can exceed 140 decibels. Noise at 85 decibels above can damage hearing. Increase in the sound levels can lead to restlessness, temporary or permanent hearing loss, high blood pressure, and sleep disturbance. Fireworks can also cause respiratory problems such as: chronic or allergic bronchitis, bronchial asthma, sinusitis, rhinitis, pneumonia and laryngitis.

Yes, Republic Act No. 7183

1.Itaguyod at makilahok sa Community Fireworks Display. 2. Magdiwang ng ligtas kasama ang pamilya. 3. Lumikha ng ingay gamit ang ibang bagay tulad ng torotot, busina, musika, lata, atbp. 4. Maki saya sa ibang paraan tulad ng street party, concert, piano, palaro, atbp. 5. Matuto sa mga aral ng nakaraan at magsimula nang maayos na buhay sa Bagong Taon.

Cadmium may produce irritation of the lungs and influenza like symptoms. If cadmium is inhaled, ingested or enters the body, it can accumulate and eventually damage the liver and kidneys. Accumulation of cadmium in the bones may cause a disease called "Itai-Itai" that can make bones brittle leading to fractures. It is also a potential human carcinogen. · Lead may affect the hematological profile of a person including the central nervous system and inhibits brain function. Exposure may also lead to developmental delays, growth retardation, behavioral effects and learning delays. · Chromium may cause skin damage and hypersensitivity, nasal mucosa ulceration and nasal septum perforation. Long term exposures may lead to lung cancer. · Aluminum has been noted to cause impaired memory, dementia and convulsions. · Magnesium dust and fumes when inhaled may irritate mucous membranes or upper respiratory tract and cause mental fume fever and deterioration of the central nervous system. · Nitrates, Nitrite, Phosphates and Sulfates may cause dizziness, abdominal cramps, vomiting, bloody diarrhea, weakness and convulsion. Small repeated doses may lead to weakness, general depression, headache and mental impairment. Phosphates may produce an acute effect on the liver and can cause severe eye damage and may eventually affect the central nervous system. Sulfates are skin and mucous membrane irritant and corrosive; it may cause edema of the lungs and can produce respiratory paralysis. · Carbon Monoxide (colorless, odorless gass) may cause euphoria, headache, eye irritation, narcosis, coma, may be rapidly fatal after formulation leads to anoxia of brain, nervous system and heart. · Copper dust fumes when inhaled may cause irritation in the respiratory tract. · Manganese dioxide fumes cause lung irritation, pneumonia, with possible Parkinsonian symptoms, rigidity, muscular pains and tremor. · Potassium irritation may lead to chemical pneumonitis and pulmonary edema. It may cause severe irritation of upper respiratory tract with cough, burns and breathing difficulty. · Sodium may cause irritation of the mucous membranes of the nose, throat and respiratory tract. · Zinc oxide fumes on lungs may cause mental fume fever symptoms like influenza, chills, fever, sweating and muscular weakness. · Oxides of nitrogen and sulfur may reduce pulmonary function and mucosal irritation. Powerful irritants may cause respiratory damage

Blast or burns with amputation Blast or burns without amputation Eye injury that might lead to blindness Tetanus Poisoning (Ingestion) Death

1. Mapanganib ang paggamit ng paputok. 2. Lahat ng paputok ay bawal sa bata. 3. Lumayo sa mga taong nagpapaputok. 4. Huwag mamulot ng di sumabog na paputok. 5. Magpagamot agad kapag naputukan.

APIR stands for “Aksyon: Paputok Injury Reduction” campaign.

Name of Office: NCDPC Most family planning methods are reasonably-priced and available at drugstores. There are companies that provide family planning supplies to their employees. PhilHealth covers the costs of FP counseling, IUD and its insertion, bilateral tubal ligation, vasectomy, injectable, and the initial cycle of progestin-only-pills (POP), subject to the provisions of its benefit package for members and their dependents.

Name of Office: NCDPC Sexual desire varies from person to person. In general, use of contraceptives does not affect an individual’s sexual desire. In fact, the use of contraceptives frees the couple from the fear of unplanned pregnancies. This enhances the couple’s sexual relationship.

Name of Office: NCDPC Yes. The effectiveness of the different methods varies a lot depending on how the method is used by the couple or the individual.

Name of Office: NCDPC No. All family planning methods are safe, and effective if properly used. Couples can choose the method that is best suited (“hiyang”) for them depending on their needs and health condition. Couples can decide on the desired number and spacing of their children.

Name of Office: NCDPC No. Family planning is not abortion. Abortion is ending of pregnancy, while FP prevents pregnancy through the use of contraceptives. FP prevents induced abortion by helping couples avoid unplanned pregnancies.

The general objective is to provide the country with competent Medical Human Resource who will render quality medical care to patients. The specific objectives are: a. To provide Medical Officer III replacements for provincial and district hospitals who are sending their service residents for training. b. To augment the Medical Specialist human resource needed in government/public hospitals. c. To provide items for residency training to identified physicians who have rendered government service.

The program is for all government hospitals, national or local, which are requesting for augmentation of their Medical Specialist II cadre and replacement of their Medical Officer III items undergoing training.

The DTTB shall receive the following: a. Receive a salary equivalent of salary grade 24 (P24,000.00+++) b. Representation Allowance c. Magna Carta for Health Workers d. Continuing Medical Education e. Opportunity to travel f. Opportunity to Postgraduate studies

The following areas will be given priority: a. Depressed, unserved/underserved, hard to reach and critical 5th and 6th class municipalities without doctors for at least two(2) years. b. Depressed, unserved/underserved, hard to reach and critical 5th and 6th class municipalities with MHO/RHP on study leave. c. 3rd and 4th class municipalities needing additional doctors to achieve the doctor to population. (1:20,00)

The minimum requirements for applicants to the program shall be the following: a. Licensed Doctor of Medicine. b. Bonafide Filipino citizen. Physically and mentally fit. Certified to be of good moral character. Willing to work in depressed and hard to reach areas for two (2) years. Interested in community health. Not more than 50 years old.

The Center for Health Development (CHDs), through the Human Resource Development Unit (HRDU) shall submit to the HHRDB a list of areas qualified to be recipients of a DTTB. This shall be supported with the written request in the form of a resolution passed by the Local Health Board and the Sanguniang Bayan approved by the Local Chief Executive.

a. To ensure quality health care service to depressed, marginalized and underserved areas through the deployment of competent and community-oriented doctors. b. To effect changes in the approach to health care delivery by the stakeholders in

a. For Medical Specialist II, it is renewable yearly for a maximum of three (3) years. The renewal shall be based on satisfactory performance. Within the period of three (3) years the recipient hospitals shall device measures on how to provide a regular hospital item for possible absorption of the medical specialist after its termination. b. For Medical Officer III that is being used for replacing LGU physicians it is renewable yearly corresponding to the length of the residency training program of the doctor being replaced. For specialty training, it is renewable yearly corresponding to the specified training program requirements where the trainee is undergoing training.

a. On geographical location: far-flung or hard to reach areas in the catchment of the DOH hospitals as determined by the CHDs and approved by the Undersecretary of Health. b. On Hospital Development Plan: Hospital Development Plan of the health facility concerned in consonance with the National Hospital Development Plan.

a. For the Medical Officer III items, Local Government Hospitals who are sending their permanent medical staff for training, other government physicians who have rendered substantial services for the country and those government representatives endorsed by public officials for meritorious accomplishments. b. For Medical Specialist that will augment the medical specialty needs of a government hospitals, they must be Filipino Citizen, Fellow/Diplomat of the relevant accredited specialty society or board eligible as endorsed by the accredited specialty society.

Yes. Send the invite for training to AFMT and it will be coordinated with the KMITS team. Oo. Magpadala ng invite for training sa AFMT at maiuugnay ito sa KMITS team.

There is no need to upload a duly signed pdf copy of CREC. The signed attestation form is sufficed. Hindi kinakailangan ng pirmadong PDF ng CREC. Ang pirmadong attestation form ay sasapat na.

Individual updating of CREC by month is too tedious a process, is it possible to upload CREC reports submitted by LGU to OCAIS monthly? For CHD alone, we have about 2000+ deployed HRH and more than 500+ reporting health facilities. Updating the records in the system is better instead of re-uploading the CREC template every month. ------------------------------------------------------------------------------------------------------------------------------------------------------------- Masyadong matrabaho ang indibidwal na pag-uupdate ng CREC kada buwan. Maaari bang i-upload ang CREC reports na isinumite ng LGU sa OCAIS kada buwan? Para sa CHD, mayroon na kaming humigit kumulang 2000 deployed HRH at mahigit 500+ reporting health facilities. Mas mainam na i-update ang mga record sa system kaysa magre-upload ng CREC template kada buwan.

Does OCAIS have a filtering mechanism to distinguish those personnel who are included in the CREC report but are not eligible for OCA? Yes, the system can determine whether or not a HCW or non-HCW is eligible for OCA. -------------------------------------------------------------------------------------------------------------------------------- Mayroon bang filtering mechanism ang OCAIS para matukoy ang mga personnel na isinama sa CREC report kahit na hindi naman eligible para sa OCA? Malalaman ng system kung ang HCW o non-HCW ay eligible para sa OCA.

Populate the prescribed CREC template first. As soon as the system is deployed to your region, register to the website and upload your CREC template. Ipunin ang CREC template. Kapag deployed na ang system sa inyong rehiyon, maaari na kayong magrehistro sa website at mag-upload ng inyong CREC template.

The OCAIS is already available at https://ocais.doh.gov.ph . Register at the website and as soon as your account is approved by AFMT, you will be able to upload the CREC template. Please note that it will be deployed to NCR first before the rest of the regions. Available na ang OCAIS sa https://ocais.doh.gov.ph. Magrehistro lamang sa website. Sa sandaling maprubahan ang inyong account ng AFMT, maaari na kayong mag-upload ng CREC template. Pakitandaan na mauuna ang NCR bago ang sa ibang mga rehiyon.

Technically, all the fields of OCA form are included in the CREC form except for the amount of OCA. Lahat ng field sa OCA form ay nasa CREC form maliban sa halaga ng OCA.

There is a recommended validation process as stated in the FAQs for the grant of OCA (Item No. 19). However, CHDs may innovate ways of validation. Development Management Officer will validate Health Facility based on Service Delivery Network. May inirerekomendang validation process na nakasaad sa FAQs ng grant ng OCA (Item Blg. 19). Gayunpaman, maaaring gumawa ng ibang paraan ang mga CHD para sa validation. Ivavalidate ng Development Management Officer ang Health Facility sa kanilang Delivery Network.

No, salary is not a required field. Hindi. Ang sahod ay hindi required field.

The system will forward the reason identified by the validator to the registered email of the user. Ifoforward ng system ang dahilan sa registered email ng user.

Instead of checking the list individually for reclassification, can we just upload a separate CREC Report for February and the succeeding months? It is the case with CHDs since many personnel including Human Resource for Health are constantly reclassified. No. The system checks for duplicates. Instead of re-uploading the same template, we advise the users to update them directly in the system. ---------------------------------------------------------------------------------------------------------------------------------------------------------- Kaysa i-check isa-isa para sa reclassfication, maaari bang mag-upload na lamang ng panibagong CREC Report para sa Pebrero at mga susunod na buwan? Ganito ang kaso sa ibang mga CHD bilang maraming personnel, kabilang na ang mga HRH, na laging narereclassify. Hindi. Nakikita ng system ang mga duplicate. Kaysa magre-upload ng parehong template, pinapayuhan ang mga user na i-update na lang ito direkta sa system.

The number of users per CHD/MOH is twenty (20). Dalawampu (20) ang bilang ng users kada CHD/MOH.

The sub-allotment/transfer of funds for the grant of OCA will be delayed. Madedelay ang sub-allotment/paglipat ng pondo para sa grant ng OCA.

Yes, but its the responsibility of the health facility to double check and update the CREC classification and the number of hours physically rendered by each employee. Oo, ngunit responsibilidad ng health facility na i-double check at i-update ang CREC classification at ang bilang ng oras na ginugol sa physical reporting ng bawat empleyado.

1. If the system detects that an individual is a duplicate or already registered to other accounts. 2. Uploader did not use the prescribed CREC template of the AFMT. 3. Required fields in the prescribed CREC template are not populated completely. 1. Kung may madetect ang system na duplicate o nakarehistryo na sa ibang account ang isang indibidwal. 2. Hindi ginamit ng uploader ang nakatalagang CREC template ng AFMT. 3. Hindi nasagutan nang maayos ang CREC template.

KMITS may conduct orientation to CHDs for the more comprehensive demonstration on how to use OCAIS. Maaaring magsagawa ng oryentasyon ang KMITS sa mga CHDs para sa mas komprehensibong demonstrasyon kung paano ginagamit ang OCAIS.

Submitted CREC template shall be considered final. We advise users that before submitting the CREC template to ensure that it is complete, correct and final. Ang isinumiteng CREC template ay final. Pinapaalalahanan ang mga user na siguraduhing kumpleto, tama, at pinal na ang ipapasang CREC template.

For the January 2022 report, the system allows batch uploading of the HCWs. Para sa report ng Enero 2022, pinapayagan ang batch uploading.

Add/ delete them directly in the system. Please use the OCAIS guide for your reference. Maaaring mag-add/delete nang direkta sa system. Gamitin ang OCAIS para sa inyong reference.

The CREC of LGU health facilities shall be uploaded in OCAIS. Once uploaded, it will be stored/transferred to the account of CHD for validation. Ang mga CREC ng mga LGU health facility ay maiuupload sa OCAIS. Kapag naiupload na, maililipat ito sa account ng CHD para sa validation.

KMITS conducted the neccessary security measures to ensure the protection of the data of its users. Bumuo ang KMITS ng mga kinakailangang security measures para masigurong protektado ang data ng mga user.

Each health facility should register their own account. Kinakailangang magrehistro ng sari-sariling account ng kada health facility.

Kindly visit the One COVID-19 Allowance Information System (OCAIS) website at https://ocais.doh.gov.ph. Please note that registration is done per region, starting with National Capital Region. Magtungo lamang sa One COVID-19 Allowance Information System (OCAIS) website sa https://ocais.doh.gov.ph. Pakitandaan na ang pagpaparehistro ay ginagawa kada-rehiyon na mag-uumpisa sa National Capital Region (NCR).

Yes Oo

You can communicate with: DR. MANUEL F. CALONGE Chief Health Program Officer National Oral Health Program Coordinator National Center for Disease Prevention and Control Department of Health San Lazaro, Compound, Sta. Cruz Manila, Philippines Tel. Nos. 743-8301 loc 1726, 1728 or 732-9956(direct) E-mail: [email protected] Or you can communicate with the Centers for Health Development located in your Region.

Dental caries is treated by removing the decayed tissue and then placing a filling in the cavity to restore the tooth function.

The combined ill effects of these two major diseases although not considered killer diseases (except oral cancer) weaken bodily defense and serve as portal of entry to other more serious, potentially dangerous and opportunistic infections overlapping other diseases present. Serious conditions include arthritis, heart disease, endocarditis, gastro-intestinal diseases, and ocular-skin-renal diseases. Aside from physical deformity, these two oral diseases may also cause disturbance of speech significant enough to affect work performance, nutrition, social interactions, income, and self-esteem. Poor oral health poses detrimental effects on school performance and mars success in later life. In fact, children who suffer from poor oral health are 12 times more likely to have restricted-activity days (USGAO 2000). In the Philippines, toothache is a common ailment among schoolchildren, and is the primary cause of absenteeism from school (Araojo 2003, 103-110). Indeed, dental and oral diseases create a silent epidemic, placing a heavy burden on Filipino schoolchildren.

According to the 1998 National Monitoring and Epidemiological Dental Survey (NMEDS), about 92.4% of Filipinos have tooth decay (dental caries) and 78% have gum diseases (periodontal diseases). The dental caries experience of a 12 year old Filipinos in terms of the Average number of Decayed, Missing and Filled Teeth (DMFT is 4.48. This is high compared to the WHO standards of 3 DMFT and below for 212 year old individual. The 2006 National Oral Health Survey (NOHS) revealed that 97.1% of six-year-old children suffer from tooth decay. More than four out of every five children of this subgroup manifested symptoms of dentinogenic infection. In addition, 78.4% of twelve-year-old children suffer from dental caries and 49.7% of the same age group manifested symptoms of dentinogenic infections. The severity of dental caries, expressed as the average number of decayed teeth indicated for filling/extraction or filled permanent teeth (DMFT) or temporary teeth (dmft), was 8.4 dmft for the six-year-old age group and 2.9 DMFT for the twelve-year-old age group (NOHS 2006). Filipinos bear the burden of gum diseases early in their childhood. According to NOHS, 74% of twelve-year-old children suffer from gingivitis (NOHS 2006). If not treated early, these children become susceptible to irreversible periodontal disease as they enter adolescence and approach adulthood.

● Cultural beliefs and traditions have conditioned people to think that men and women have different roles – that men are the leaders, pursuers, providers and take on dominant roles in society, while women and nurturers, men’s companions and supporters, and take on subordinate roles in society. This perception results in men having more social privileges than women, thus gaining for men the power over women. With power comes the need to control to retain that power. And VAW is the expression of men’s need to control women. ● Many instances of VAW have been dismissed as having been caused by the women themselves. Domestic violence is sometimes blamed on a “nagging” or “neglectful” wife. Rape is sometimes attributed to a raped woman’s “flirtatious” ways. ● Some instances of VAW have been dismissed as trivial, such as woman accusing her employer of sexual harassment is believed to have an active and malicious mind which causes her to misinterpret her employer’s appreciation of her good looks. ● There are still outdated laws that reinforce the cultural belief that men, having the dominant role in society, should have more privileges than women. Articles 333 and 334 of the Revised Penal Code penalize a wife who commits adultery, but not a husband who commits the same adulterous act of having sexual relations with a woman who is not his wife. A husband may only be penalized for concubinage, or when he keeps a mistress in a conjugal dwelling or when he has sexual intercourse with a woman who is not his wife, under scandalous circumstances.

Violence Against Women is any act of gender-based violence that results or is likely to result in physical, sexual or psychological harm or suffering to women including threats or such acts, coercion or arbitrary deprivation of liberty whether occurring in public or private life. Gender-based violence is any violence inflicted on women because of their sex. VAW in the family or domestic violence is “violence that occurs within the private sphere, generally between individuals who are related through intimacy, blood or law.” It may take the form of physical violence (hitting with the fist, slapping, kicking different parts of the body, stabbing with a knife, etc) or psychological and emotional violence (intimidation, harassment, stalking, damage to property, public ridicule or humiliation, repeated verbal abuse, marital infidelity, etc.) or sexual violence (rape, sexual harassment, acts of lasciviousness, treating a woman or child as a sex object, making demeaning and sexually suggestive remarks, physically attacking the sexual parts of the victim’s body, forcing him/her to watch obscene publications and indecent shows or forcing the woman or her child to do indecent acts and/or make films thereof, forcing the wife and mistress/lover to live in the conjugal home or sleep together in the same room with the abuser, etc) or economic abuse (withdrawal of financial support or preventing the victim from engaging in any legitimate profession, occupation, business or activity, deprivation or threat of deprivation of financial resources and the right to use and enjoyment of the conjugal, community or property owned in common, destroying household property; and controlling the victim’s own money or properties or solely controlling the conjugal money or properties. VAW in the community often takes one or more of the following forms: physical violence such as physical chastisement, trafficking for both the sex industry and the service industry, forced prostitution, battering by employers and murder; sexual violence such as rape, sexual harassment and sexual intimidation, and psychological violence such as intimidation, sanction or isolation by community/cultural norms based on attitudes of gender discrimination. State Violence Against Women consists of political violence such as tolerance of gender-based violence, trafficking, domestic violence, sexual abuse, forced pregnancy and forced sterilization, custodial violence such as military and police rape, torture, and suppression of the political acts of the women’s movement, abuse of women in refugee and relocation camps and in prisons; and institutional violence such as enforcement of discriminatory laws and regulations, policies and programs such as abortion policies, reproduction policies and matrilineal laws.

Name of Office: Food & Drug Administration Clients may access the BFAD Website for the list of recognized laboratories. The list contains the addresses, contact numbers, and types of analysis offered by the laboratories.

Name of Office: Food & Drug Administration Fees are listed in Administrative Order No. 50 s. 2001: Revised 2001 Schedule of Fees and Charges for the Corresponding Services Rendered by the Bureau of Food and Drugs.

Name of Office: Food & Drug Administration A local company in the Philippines must secure a License to Operate (LTO) from BFAD before applying for product registration. All issuances and guidelines, checklists of requirements, and forms pertaining to licensing of establishments and product registration may be downloaded from the BFAD Website: www.bfad.gov.ph.

Name of Office: Food & Drug Administration Clients may apply for product classification at FDA. Application documents with sample and complete product information and proof of payment may be submitted at the Policy, Planning, and Advocacy Division - Public Assistance and Compliance Division (PPAD-PAICS), Room 101.

Guidelines may be downloaded from the BFAD Website thru the Laws and Regulations link: http://www.bfad.gov.ph/left_laws_regulations.htm. New guidelines may also be downloaded thru the New Issuances link: http://www.bfad.gov.ph/new_issuances.htm

BFAD handles the registration of processed foods, drugs, medical devices, in vitro diagnostic reagents, cosmetics, and household hazardous substance products.

Establishments involved in the manufacture, packaging, re-packaging, importation, exportation, distribution, and retailing of processed foods, drugs, medical devices, in vitro diagnostic reagents, cosmetics, and household hazardous substance products must secure a License to Operate from BFAD.

List of DOH Licensed Blood Service Facilities

List of Ambulatory Surgical Clinic

It is well to advise him/her to undergo Drug Dependency Examination (DDE) to be conducted by a physician preferably accredited by the Dangerous Drugs Board (DDB) or Department of Health (DOH) to diagnose and manage drug dependents. If diagnosed to be a drug dependent, he/she deserves to undergo treatment and rehabilitation. For the purpose of treatment and rehabilitation under BOluntary Submission Program, the law requires that DDE be don by a DOH-accredited physician (pursuant to Sec. 54, Art. VIII of R.A. 9165 otherwise known as the "Comprehensive Dangerous Drugs Act of 2002") or by DDB-accredited physician (pursuant to Sec. 20 of DDB Board Regulation No. 4, series of 2003, titled "Implementing Rules and Regulations Governing Accreditation of Drug Abuse Treatment and Rehabilitation Centers and Accreditation of Center Personnel").It is to be noted that under existing rules and regulations, an applicant for driver's license who tested positive (in screening and confirmatory tests) for any dangerous drug can legitimately undergo another drug test after a period of six (6) months for the purpose of securing a driver's license, etc.

List of Accredited Health Maintenance Organization

List of Accredited Laboratory for Drinking Water Analysis

List of Accredited Kidney Transplant Unit

List of Accredited OFW Medical Clinics/Hospital

List of Accredited Newborn Screening

List of Accredited Drug Testing Laboratory (Confirmatory)

List of Accredited Drug Testing Laboratory

List of Accredited Drug Abuse Treatment and Rehabilitation Centers in the Philippines

List of DOH Licensed Government and Private Hospitals

List of DOH Licensed Dialysis Clinic

1. Red Color (FAIR) - It implies relative weakness and the need for improvement. 2. Yellow Color (GOOD) - It implies comparatively good performance that must be maintained and optimized to reach 2010 goals. 3. Green Color (EXCELLENT) - It merits sustenance & incentives for additional work it can do to the health system.

1. Scoring and assessment of performance will be based on external and internal performance benchmarks. - External Performance Benchmarksshall compare the CHD performance to the 2010 national target, and to the 2008 national average. The maximum score to be accumulated by the respective CHDs is 1,308 points (refer to Table 1 for the details of the score). - Internal Performance Benchmarksshall compare CHD performance with its own past performance. 2. Scorecards will utilize color coding scheme to show different levels of performance that is easily understood by clients: - Color (FAIR)– The color will be used to tag CHD performance that is lower than the 2008 national average level for a specific indicator. The color implies relative weakness in performance and the need for substantial efforts at improvement; - Yellow Color(GOOD)– The color will be used to tag CHD performance that is equal to or higher than the 2008 national average but lower than the 2010 national target for a specific indicator. The color implies comparatively good performance that must be maintained and optimized to reach 2010 goals. - Green Color (EXCELLENT)– The color will be used to tag CHD performance that is equal to or higher than the 2010 national target for a specific indicator. The color implies comparatively excellent performance that merits sustenance, or incentives for additional work it can do for the health system.

1. Institution and Capacity Building *Building up institutional CHD structures, processes & personnel. *Database, HRD, Advocacy, M& E, Licensing, Arbitration. 2.Effective Technical Assistance. *Providing Technical Assistance to PWHS. *Technical Assistance, Leveraging Performance & Management Systems.

1. To assess performance of CHD as extension offices of the DOH. 2. To assess effectiveness of CHD in supporting implementation of LGU-led health system reform implementation.

Name of Office: Bureau of Local Health Development It is a part of the Monitoring and Evaluation for Equity and Effectiveness System (ME3). It is a tool that will assess the performance of the Centers for Health Development on the execution of the DOH steering and leading function to support an LGU-led health system reform implementation.

Name of Office: Bureau of Local Health Development The Center for Health Development (CHD) Scorecard is an instrument of Health Sector Reform Agenda implementations that monitor and evaluate the effectiveness and equity (ME3) of the health system. The CHD Scorecard is used by the department to measure the performance of all CHDs in terms of institution capacity building (structures, processes and personnel) and in providing assistance to the LGUs (public, private health providers and agencies), the province-wide and the regional health system. Pursuant to Administrative Order No. 2009-0007, otherwise known as “Implementing Guidelines for the CHD Scorecard”, all CHDs shall conduct a self assessment of their performance annually and submit the individual scorecard result to the Field Implementation Management Office. The 2008 CHD scorecard report has been disseminated in December 2009 during the ME3 conference. However, validation of the CHD self-assessment result was requested by the CHD Directors. This year, another consultative meeting among the CHD technical staff has been conducted. During the consultative meeting it has been agreed that the indicator on “consumer arbitration” (300 points) shall be omitted, hence leaving the 2008 national average to a total score of 916 points whereas the 2010 target will be 1,308 points. Subsequently, Department Memorandum No. 2010-0125 has been issued to respond to the need for validation of the CHD self-assessment results. The memorandum also includes the Means of Verification (MOV) used in the validation of the 2009 CHD Scorecard Assessment Results. Ten (10) indicators were randomly selected out of the seventeen (17) indicators of the CHD Scorecard Assessment Tool.

1. Institution and capacity building (Database) -This section reviews if the CHD has an efficient database on the performance of province-wide health systems (PWHS) in the region that helps the CHD provide effective assistance on SERVICE DELIVERY to PWHS. (Personnel Training) -This section reviews the adequacy of CHD personnel training. (Policy Dissemination and Advocacy) -This section reviews if the CHD effectively advocates F1 policies to all relevant stakeholders. This will check if the CHDs have policies/standards and protocols for policy dissemination and advocacy within the region. Further, this will determine whether the policy dissemination and advocacy has been done for F1 and specific F1 policies of PPAs. (Monitoring and Evaluation) -Reviews if the CHD has an effective and systematic monitoring and evaluation system that helps the CHDs (and local health systems) detect operational problems that the CHD needs to address. 2.Technical Assistance to LGUs and Regional Health System. (Technical Assistance) -Reviews the performance of the CHDs in providing technical assistance to local health systems. (Leveraging Performance) - Reviews the effectivity of CHD systems in improving performance of local health systems with augmentation logistics, grants and other resources for the poor and other populations in the region. (Managing System) - Reviews structures set up by the CHD to build institutional capacity for technical assistance to PWHS.

Dr. Josephine Hipolito / Mr. Ryan B. Dordas Health Human Resource Development and Planning Bureau (HHRDB) Bldg. 12-A 2nd Floor DOH Compound, Sta. Cruz, Manila Contact No.: 651-7800 local 4203, 4204, 4227

The CEMT, in coordination with the stakeholders, is currently busy on the following with the ultimate goal of professionalizing the massage therapy practice a. Administrative Order No. 2010-0034 Revised Implementing Rules and Regulations Governing Massage Clinics and Sauna Establishments amending Chapter XIII of PD 856 b. Memorandum dated 6 August 2010 to CHDs from HHRDB re: Updated on the CEMT Program c. CEMT Resolution No. 2010-001 “Directing the Adoption of the Code of Ethics for Massage Therapy Profession in the Philippines” d. Department Personnel Order No. 2011-0445 “Composition of DOH Continuing Massage Therapy Education Council (CMTEC) for the Year 2011-2014” e. Department Circular No. 2009-0018 “Reiteration on the strict implementation of CEMT resolutions regarding Massage Therapy Program” f. CEMT Resolution No. 2009-001 “Creation of a Committee for Continuing Massage Therapy Education Council (CMTEC)” g. Administrative Order No. 2008-0031 re: “Policies and Guidelines for the Accreditation of Training Institutions, Training Programs and Training Providers for Massage Therapists in the Philippines” h. CEMT Resolution No. 2008-002 “Accredited Training Institutions and Training Providers for Massage Therapists for Year 2009-2012” i. Department Memorandum No. 2008-0009 “Designation of Human Resource Development Units (HRDUs) of Centers for Health Development (CHDs) as Coordinators for CEUE and CEMT” j. CEMT Resolution No. 2007-001 “Moratorium on the Renewal of License of Massage Therapists for the Past Five (5) Years and Over” k. Developed/Formulated the following: - Competency Standards for Massage Therapists - Training Regulations - Curriculum for the Licensure Examination - Manual for the Licensure Examination - DOH Licensure Performance Protocols * Conducted the following: - Training of Trainers for Examiners and Assessors – July 12-14, 2010 - Training on Test Construction for Accredited Training Providers – July 15-16, 2010 - Conducting a Research on the Standardization of Professional Competencies and Licensure Examination for Embalmers and Massage Therapists” – 2010-2011, University of the Philippines Manila National Teacher Training Center for Health Professions (UPMNTTCHP).

Application requirements: a. Certified True Copy of Birth Certificate (at least 18 years old at the time of 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 of any case involving moral turpitude. d. Medical Certificate from a government physician e. Certified true copy of Diploma or Transcript of Records (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) subject areas 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 ½ X 1 ½ size photograph taken within the last 6 months (3 copies)

- An individual needs to take the licensure examination for massage therapist. - The CEMT is conducting the licensure examination twice a year (June and December). The Examination consists of two (2) parts; written and oral/practical. The examinee has to pass the written examination to qualify for the oral/practical examination. Once the examinee passes the oral/practical examination, he/she will be issued the Certificate of Registration (COR) and the ID as licensed massage therapist. - Renewal of ID is every three (3) years on the massage therapists birth month and done in any of the DOH Center for Health Development (CHD) Offices.

· DOH created the Committee of Examiners for Massage Therapy (CEMT) in the DOH Central Office to regulate the practice of massage therapy in accordance to the provisions of the Code on Sanitation of the Philippines or Presidential Decree 856 (PD 856) and Executive Order 102 (EO 102) s. 1999 Reorganization and Streamlining of the DOH · It provides the CEMT the function to ensure that only qualified individuals enter the regulated profession and that the care and services which massage therapists provide are within the standards of practice.

· This refers to a trained person who passed the licensure examination for massage therapists · She/he is a holder of a valid Certificate of Registration (COR) and license for massage therapists issued by the Department of Health (DOH) Committee of Examiners for Massage Therapy (CEMT).

- Traditional medicine throughout the world recognizes the significance of therapeutic massage in managing stress, illnesses or chronic ailments. - Massage therapy is one of the oldest healing arts. Chinese records 3,000 years back documented it; the ancient Hindus, Persians and Egyptians applied forms of massage for many ailments. Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems. - Massage therapy is considered the oldest method of healing that applies various techniques liked fixed or movable pressure, holding, vibration, rocking, friction, kneading and compression using primarily the hands and other areas of the body such as the forearms, elbows or feet to the muscular structure and soft tissues of the body. - Today, the benefits of massage are varied and far-reaching, as an accepted part of many physical rehabilitation programs, proven to be beneficial on many chronic conditions.

· Massage therapy is a system of assessment, evaluation and manual application techniques used in a scientific manner taking into account the muscle locations, stress points and other anatomical considerations of the human body. · It includes adjunctive external application of water, heat and cold, stretching, passive and active joint movement within the normal physiologic range of motion as a means of promoting pain relief, injury rehabilitation or health improvement in a safe, non-sexual environment that respects the client’s self-determined outcome for the session.

Application requirements: a. Certified True Copy of Birth Certificate (at least 18 years old at the time of 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 of any case involving moral turpitude. d. Medical Certificate from a government physician e. Certified true copy of Diploma or Transcript of Records (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) subject areas 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 ½ X 1 ½ size photograph taken within the last 6 months (3 copies)

· An individual needs to take the licensure examination for embalmers. · The CEUE is conducting the licensure examination for embalmers twice a year (March and September). The examination consists of two (2) parts, written and oral/practical. The examinee has to pass the written examination to qualify for the oral/practical examination. Once the examinee passes the oral/practical examination, he/she will be issued the Certificate of Registration (COR) and the ID as a licensed embalmer and he/she can practice the profession in the country. · Renewal of ID is every three (3) years on the embalmer’s birth month and done in any DOH center for Health Development (CHD) offices.

DOH created the Committee of Examiners for Undertakers and Embalmers (CEUE) in the DOH Central Office to regulate the practice of embalming in accordance to the provisions of the Code on Sanitation of the Philippines or Presidential Decree 856 (PD 856) and Executive Order 102 (EO 102) s. 1999 Reorganization and Streamlining of the DOH. It provides the CEUE the function to ensure that only qualified individuals enter the regulated profession and that the care the services which the embalmers provide are within the standards of practice.

This refers to a duly licensed person by the Department of Health Committee of Examiners for Undertakers and Embalmers (DOH-CEUE), who applies, injects or introduces any chemical substance drug or herb internally or externally to a cadaver/corpse for the purpose of disinfecting, preserving before and during the burial or prior to cremation.

· Since the days of ancient Egypt, embalming has been part of the funeral process. The Egyptians embalmed for various reasons, believing it necessary in entering the “afterlife” because once in the afterlife, the deceased/decedent would need a body. · During the American Civil War, embalming was done to preserve the bodies of troops so that they could be shipped back to their families for burial. · Embalming began in America during the Civil War, embalming his first body in 1861, Dr. Thomas Holmes, is credited as being the Father of Modern Embalming. · Over the past decades, embalming has been undergoing profound transformational events, not only in the Philippines but worldwide. Today, embalming is also considered an art. · The procedure is significant for preservation of evidences such as in medico-legal cases. · Embalmers should be looked up to because of the significant manifold tasks they are rendering including the assistance they are providing the bereaved parties.

· Embalming is the funeral custom of cleaning and disinfecting bodies after death. · This may also refer to the procedure of preparing, disinfecting and preserving a cadaver to an acceptable physical condition. · It has been part of the funeral parlors so with our lives. It is done to preserve the deceased / decedent from natural decomposition and for restoration for a more pleasing appearance.

Dr. Josephine Hipolito / Mr. Ryan B. Dordas Health Human Resource Development and Planning Bureau (HHRDB) Bldg. 12-A 2nd Floor DOH Compound, Sta. Cruz, Manila Contact No.: 651-7800 local 4203, 4204, 4227 - 1669 reads

a. Administrative Order No. 2010-0033 Revised IRR on Chapter XXI of PD 856 b. Department Circular # 2007-0135 “Reiteration on the observance of precautionary measures in the disposal of dead persons” c. CEUE Resolution No. 2007-001 “Moratorium on the Renewal of License of Embalmers for the Past Five (5) Years and Over” d. CEUE Resolution No. 2008-002 “Accredited Training Institutions and Training Providers for Embalmers for Year 2008-2011 e. Department Memorandum No. 2008-0009 “Designation of Human Resource Development Units (HRDUs) of Centers for Health Development (CHDs) as Coordinators for CEUE and CEMT” f. Administrative Order No. 2007-0021 “Policies and Guidelines for the Accreditation of Training Institutions, Training Programs and Training Providers for Embalmers and Undertakers in the Philippines. g. Department Circular No. 2009-0018 – “Reiteration on the strict implementation of CEUE Resolutions regarding Embalming Program” h. CEUE Resolution No. 2009-001 “Creation of Committee for Continuing Embalmers Education Council (CEEC)” i. Department Personnel Order No. 2011-0148 “Composition of DOH Continuing Embalmers Education (CEE) Council for the Year 2011-2012” j. Memorandum dated 6 August 2010 to CHDs from HHRDB re: Updated on the CEUE Program” k. CEUE Resolution No. 2010-001 “Directing the Adoption of the Code of Ethics for Embalmers Profession in the Philippines” l. Developed/formulated the following: - Competency Standards for embalmers - Training regulations - Curriculum for the Licensure Examination - Manual for the Licensure Examination - DOH licensure Performance Protocols m. Conducted the following: - Training of Trainers for Examiners and Assessors – July 12-14, 2010 - Training on Test Construction for Accredited Training Providers – July 15-16, 2010 n. Conducting a Research on the Standardization of Professional Competencies and Licensure Examination for Embalmers and Massage Therapists” – 2010-2011, University of the Philippines Manila National Teacher Training Center for Health Professions (UPMNTTCHP).

Name of Office: Food & Drug Administration Establishments involved in the manufacture, packaging, re-packaging, importation, exportation, distribution, and retailing of processed foods, drugs, medical devices, in vitro diagnostic reagents, cosmetics, and household hazardous substance products must secure a License to Operate from BFAD.

Name of Office: Food & Drug Administration Clients may access the BFAD Website for the list of recognized laboratories. The list contains the addresses, contact numbers, and types of analysis offered by the laboratories.

Name of Office: Food & Drug Administration Fees are listed in Administrative Order No. 50 s. 2001: Revised 2001 Schedule of Fees and Charges for the Corresponding Services Rendered by the Bureau of Food and Drugs.

Name of Office: Food & Drug Administration A local company in the Philippines must secure a License to Operate (LTO) from BFAD before applying for product registration. All issuances and guidelines, checklists of requirements, and forms pertaining to licensing of establishments and product registration may be downloaded from the BFAD Website: www.bfad.gov.ph.

Name of Office: Food & Drug Administration Clients may apply for product classification at BFAD. Application documents with sample and complete product information and proof of payment may be submitted at the Policy, Planning, and Advocacy Division - Public Assistance and Compliance Division (PPAD-PAICS), Room 101.

Guidelines may be downloaded from the BFAD Website thru the Laws and Regulations link: http://www.bfad.gov.ph/left_laws_regulations.htm. New guidelines may also be downloaded thru the New Issuances link: http://www.bfad.gov.ph/new_issuances.htm

BFAD handles the registration of processed foods, drugs, medical devices, in vitro diagnostic reagents, cosmetics, and household hazardous substance products.

• Generic Drugs is a drug which is produced and distributed without patent protection. • Generic Drugs is a copy of original/innovator. Has the same active ingredient and quality but costs less • More generic drugs in the market brings down the costs of drugs due to more competition ex. Norvasc (Php 44) to Php 8 for Bezam, Php 11 for Pharex, Php 17 for Unilab. • Generic Drugs are available once the patent protections afforded to the original developer have expired.

Yes, the Board shall facilitate the filing of the criminal case or the complainant may directly institute the criminal proceedings in courts.

The Board shall issue a duly signed and notarized Implementing Order.

The decision becomes final and executory.

The aggrieved party/ies may file an appeal before the Secretary of Health within 15 calendar days from receipt of the copy of the HFOB decision. A valid appeal shall stay the execution of the decision.

The HFOB, within 60 days from the date it is submitted for resolution, shall render its decision on the merits of the case; stating clearly the facts and the law which it is based. It shall be signed by the members of the Board who participated and rendered the decision. A copy of the decision shall be furnished to the parties.

HFOB shall proceed to render a decision as may be warranted by the facts alleged in the Complaint and Answer.

The HFOB may order the parties to file a Comment/Reply.

HFOB shall render its decision based on the facts alleged in the complaint and the evidence submitted, if any

a. Submit personally the original copy of the complaint to the HFOB; or b. Send it through registered mail addressed to HFOB; or c. Send it through a private courier addressed to HFOB; or d. Send it through the official e-mail address at [email protected]

The answer shall contain the defenses, allegations, relief prayed of, and evidence of the respondent if any.

The respondent shall file an Answer within fifteen (15) days from receipt of the summons.

The HFOB will proceed to issue the summons or continue to hear the case depending on the stage of the proceedings.

The HFOB may allow the parties to enter into an amicable settlement at any stage of the proceedings.

No docket fees shall be required or assessed in filing a complaint.

A complaint may be filed in the following ways: a) Submitting personally two (2) copies of the complaint to the HFOB at Building 15, Department of Health, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila; or b) Sending two (2) copies of the complaint by registered mail to HFOB at Bulding 15, Department of Health, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila; or c) Sending two (2) copies of the complaint through a private courier addressed at HFOB at Building 15, Department of Health, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila; or d) Transmitting the complaint by official electronic mail through [email protected]

a) The complaint must be in writing and sworn to by the complainant containing the following details: i. Full name and address of the complainant; ii. Full name, address and position of the respondent; iii. Narration of relevant and material facts which show the acts or omission relative to the violation of the Anti-Hospital Deposit Law; iv. Evidence, if any; and v. Verified by an affidavit b) Dated and signed by the complainant c) Verified by an affidavit

Any natural person who is a real party in interest or his/her representative who has personal knowledge of the acts or omissions complained of.

Complaints for the violation of the Anti-Hospital Deposit Law shall be filed initially with the Health Facilities Oversight Board (HFOB) under the Health Facilities and Services Regulatory Bureau (HFSRB) of the Department of Health (DOH)

Pursuant to the Anti-Hospital Deposit Law, hospitals or medical clinics are prohibited to solicit, demand or accept any deposit or any other form of advance payment as a prerequisite for administering basic emergency care or to refuse to administer medical treatment in the following: a.) In cases to prevent death; b.) In cases to prevent permanent disability; and c.) In cases of a pregnant woman when permanent injury is imminent or loss of her unborn child, or noninstitutional delivery.

The guidelines embodied in AO-No. 2021-0018 shall apply to all actions and proceedings regarding complaints against the Anti-Hospital Deposit Law

Name of Office: NCDPC There are limited numbers of HCW treatment facilities in the country and mostly they are located in NCR and Region 4A. To cite some of them: Chevalier Enviro Services Inc. in Parañaque City, MM; Integrated Waste Management Inc. in Mandaluyong City and Cavite; Cleanway Corporation in Cavite, Safewaste Inc. in Pampanga; Pollution Abatement Specialist, Inc. (PASI) one in Cebu City; and one in Mindanao.

Name of Office: NCDPC The DENR and DOH are the responsible agencies in monitoring compliance of healthcare facilities to the mandated policies in HCWM. The DOH is responsible for on-site activities while the DENR is responsible for off-site activities related to HCWM. The DOH can be represented by a composite team that include representative/s from BHFS, NCHFD, NCDPC, BHDT & NRL, and CHDs.

Name of Office: NCDPC DENR - Healthcare facilities shall be registered as waste generators and shall be issued waste generator's ID. Appoint or designate Pollution Control Office (PCO). DOH - As licensing requirements form BHFS, healthcare facilities are require submitting Healthcare Waste Management Plan, having an established Healthcare Waste Management Committee, and appoint/designate Waste management Office (WMO).

Name of Office: NCDPC Government and Private hospitals, clinics, infirmaries and other healthcare facilities being licensed by the Bureau of Health Facilities and Services (BHFS) are included in this program. The program coverage starts from waste generation, segregation, collection, transport, storage, treatment and up to final disposal.

Name of Office: NCDPC The National Center for Health Facilities Development (NCHFD) having the mandate over hospital operations is the office in-charge of the Healthcare Waste Management Program in the DOH. The National Center for Disease Prevention and Control (NCDPC) provide the best possible technical assistance upon request by NCHFD. HCWM Contact Persons

A: Some dietary supplements have documented benefits; the advantages of others are unproven and claims about those products may be false or misleading. - For example, claims that you can eat all you want to lose weight effortlessly just by taking their products are not true. -One other example is those body building products that can tone you up effortlessly or build muscle mass without exercise. Other questionable claims involve those products advertised as effective in curing insomnia, reversing hair loss, relieving stress, curing impotency, improving memory or eye sight, and slowing the aging process. - In addition to lacking documented effectiveness, some dietary supplements may be harmful under some conditions of use. - A label of "Natural" is no guarantee of a product's safety or effectiveness. - Consumers must read product labels and consult health professionals before taking dietary supplements (especially for children, adolescents, the elderly or chronically ill persons, and pregnant or breast-feeding women) Oftentimes, these products are imported without the necessary papers and there are claims that they are US FDA approved or Japan FDA approved. The US FDA does not regulate health supplements like these. Endorsements frequently come from foreign-authoritatively looking individuals.

The amount of bid security shall be based on the ABC and not on the bid price. In case when a certain package contains numerous items and ABC for specific lot(s)/item(s) is determined, the bid security shall be computed based on the ABC of the lot(s)/item(s) they are bidding for.

The bidder has the option to submit his NFCC, a credit line certificate, or a cash deposit certificate as part of his eligibility documents. But if he opts to present his NFCC and his NFCC is found to be incomplete during the eligibility check, he cannot subsequently substitue the same with a credit line certificate or cash deposit certificate to qualify.

Yes. The SSRS Certificate issued by the COBAC so long as it is valid, should be accepted as submission in lieu of the eligibility documents. This was provided for in Administrative Order No. 138 s. 2004.

A: Typical fraudulent health claims will use the following promotional techniques to fool their customers: - The product is advertised as a quick and effective cure-all for a wide range of illness. - Certain key words like "scientific breakthrough, miracle cure, all natural without side-effects or ancient remedy" are used. - The promote claims that medical professionals and scientists have conspired to suppress the product. - Adverts contain undocumented, anecdotal cases, but with amazing results. No science involved. - These products sell falls hope for extreme physical attractiveness and shortcuts to weight loss. They will never emphasize the value of healthy lifestyles, like avoiding smoking, excess drinking of alcohol, eating appropriately, adequate rest and sleep, and regular exercise. - Remember that legitimate health supplement products will never carry claims for quick cures; claims such as cancer prevention, good for arthritis, good for diabetes or good for hypertension, should be high suspect. - The product is advertised as available from only one source. - There is a money-back guarantee promise.

A: Requirements to avail of the 20% discount in the purchase of medicines for personal use are: - Present the national identification (ID) card and your purchase slip booklet duly approved by the OSCA chairman. - Doctor's prescription pad should have the following information: 1. Patient name, age, address, and date. 2. Generic name of the medicine prescribed 3. Name and address of the doctor; his PTR number and S2 license (if prohibited and regulated drug). - Those who cannot afford the consultation fee of a private doctor can consult at their nearest health center or government hospital and get a prescription free of charge. - Any single dispensing should not be more than one week's supply. However, when drugs are for chronic conditions requiring continuous use for more than a month, such as hypertension, diabetes, Parkinson's disease, arthritis, TB, cancer, psychosis, a maximum of one month's supply may be dispensed at a time. - The following should be recorded in a special record Book for Senior Citizens Discount provided under RA 7432: 1. name. 2. address. 3. national ID number of senior citizen. 4. Generic name of the drug/medicine 5. Number of units dispensed.

A: Some dietary supplements have documented benefits; the advantages of others are unproven and claims about those products may be false or misleading. - - For example, claims that you can eat all you want to lose weight effortlessly just by taking their products are not true. -One other example is those body building products that can tone you up effortlessly or build muscle mass without exercise. Other questionable claims involve those products advertised as effective in curing insomnia, reversing hair loss, relieving stress, curing impotency, improving memory or eye sight, and slowing the aging process. - In addition to lacking documented effectiveness, some dietary supplements may be harmful under some conditions of use. - A label of "Natural" is no guarantee of a product's safety or effectiveness. - Consumers must read product labels and consult health professionals before taking dietary supplements (especially for children, adolescents, the elderly or chronically ill persons, and prFor example, claims that you can eat all you want to lose weight effortlessly just by taking their products are not true. - One other example is those body building products that can tone you up effortlessly or build muscle mass without exercise. - Other questionable claims involve those products advertised as effective in curing insomnia, reversing hair loss, relieving stress, curing impotency, improving memory or eye sight, and slowing the aging process. - In addition to lacking documented effectiveness, some dietary supplements may be harmful under some conditions of use. - A label of "Natural" is no guarantee of a product's safety or effectiveness. - Consumers must read product labels and consult health professionals before taking dietary supplements (especially for children, adolescents, the elderly or chronically ill persons, and pregnant or breast-feeding women) Oftentimes, these products are imported without the necessary papers and there are claims that they are US FDA approved or Japan FDA approved. The US FDA does not regulate health supplements like these. Endorsements frequently come from foreign-authoritatively looking individuals.

YES but limited to vacancies in the DOH offices and hospitals only. The names and some basic information about the applicant can be sent through this facility. The applicant still has to accomplish the Personal Data Sheet (downloadable) and submit this together with other required documents to the DOH office and/or hospital where the vacancy is. If the vacancy is in private facility or in Local Government Unit, the applicant has to get in touch with the Contact Person of the agency/office. No data can be submitted online.

It is an online posting for vacancies in health and health related facilities including offices within the DOH Central Office. Click on the Applicant button and the available jobs appear. Information that are provided in the list of vacancies include the name of agency and its address, position title, monthly salary, required documents and the person to be contacted for more details regarding the job.

On the Left Navigation of the DOH Website (www.doh.gov.ph), click on E-JOBS. This will lead you Ejobs for Health or to the web address of http://ejobs.doh.gov.ph/ejobs/.

BHWs may have different tasks depending on the agreement reached between community leaders. Notwithstanding the said agreement, the BHW shall continue discharging his/her duties and responsibilities as a community organizer, educator, and a primary health care service provider. As a community organizer, he/she shall participate in organizing and mobilizing the community towards self-reliance. This includes maintaining regular communication and linking the community with the local leaders and the health professionals. They also assist the community from the identification of the health problems, the development of health plans and in taking action to promote their health and well-being. As an educator, he/she shall provide updated and timely knowledge and skills to community members in the prevention and management of simple illnesses and in relevant health issues. They are also designated as barangay-level health promotion officers in accordance with the Health Promotion Framework Strategy and in support of the UHC Act. As a health care service provider, he/she shall also assist health professionals in rendering *primary care services in the community for which he/she is trained. In addition, he/she shall health professionals by monitoring the health status of community members, keeping records of health activities and ensuring maintenance of barangay health centers/ stations including safe custody of equipment, supplies and health records. *Primary care refers to initial-contact, accessible, continuous, comprehensive and coordinated care that is accessible at the time of need including a range of services for all presenting conditions, and the ability to coordinate referrals to other health care providers in the health care delivery system, when necessary. Source: • R.A. 7883 IRR, Rule II, Section 8 • R.A. 11223 IRR, Section 4.25 • AO 2021-0063 or Health Promotion Framework Strategy 2030

Below is the link to the National BHW Registry System containing the data on BHW population as encoded by Centers for Health Development and MOH BARMM: https://bhw.doh.gov.ph

In recognition of their services, all accredited BHWs who are actively and regularly performing their duties shall be entitled to the following incentives and benefits: • Hazard Allowance – for BHWs exposed to situations, conditions or factors in the work environment or place where foreseeable but unavoidable danger or risks exist which adversely endanger his health or life and/or increase the risk of producing adverse effect on his person in the exercise of his duties, to be validated by the proper authorities in an amount to be determined by the Local Health Board and the local peace and order council of the LGU concerned. • Subsistence allowance – for BHWs who render service within the premises of isolated barangay health stations (BHS)in order to make their services available at any and all times. This shall be equivalent to the meals they take in the course of their duty computed in accordance with the prevailing circumstances as determined by the LGU concerned. • Training and education and career enrichment programs (TECEPS) - the DOH in accordance with the Department of Education, and other concerned agencies and non-government organizations shall provide opportunities for the following: o educational programs which shall recognize years of primary health care service as credits to higher education in institutions with stepladder curricula that will entitle BHWs to upgrade their skills and knowledge for community work or to pursue further training as midwives, pharmacists, nurse or doctors o continuing education, study and exposure tours, training, grants, field immersion, scholarships o scholarship benefits in the form of tuition fees in state colleges to be granted to one child of every BHW who will not be able to avail of the above programs; and o special training programs such as those on traditional medicine, disaster preparedness and other programs that address emergent community health problems and issues. • Civil service eligibility – a second grade eligibility shall be granted to BHWs who have rendered (5) years continuous service as such, provided that should the BHW become a regular employee of the government, the total number of years served as BHW shall be credited to his/her service in computing retirement benefits. For more information, you may visit this link http://www.csc.gov.ph/barangay-health-worker-eligibility-bhwe.html or inquire with the nearest CSC Regional Office. • Free legal services – legal representation and consultation services shall be immediately provided by the Public Attorney’s Office (PAO) in cases of coercion, interference, and in other civil and criminal cases filed by or against BHWs arising out of or in connection with the performance of their duties as such. • Preferential access to loan – The agencies providing loan services will set aside one per cent (1%) of their loanable funds for organized BHW groups that have community-based income generating projects in support of health programs or activities. • Source: R.A. 7883 IRR, Rule VII

Name of Office: Bureau of Local Health Systems Development R.A.7883 is The Barangay Health Workers’ Benefits and Incentives Act of 1995 which is an Act granting benefits and incentives to accredited BHWs for voluntary health services rendered to the community.

Name of Office: Bureau of Local Health Systems Development A person who has undergone training programs under any accredited government and non-government organization and who voluntarily renders primary 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 DOH Source: R.A. 7883, Section 3

Name of Office: Bureau of Local Health Systems Development Administrative Order #2020-0023 dated 27 May 2020, "Guidelines on Identifying Geographically-Isolated and Disadvantaged Areas and Strengthening their Health Systems"

Name of Office: Bureau of Local Health Systems Development: = Barangay Level and must have both Factors (Physical and Socio-economic Factors). = Physical Factor - At least 25% of sitios/puroks have no access to an RHU nor a hospital within 60 minutes of travel in any form of transport, including walking - Socio-Economic Factor - at least ONE of the following: - At least 10% of its population are IPs - At least 10% of its population are affected by Armed Conflict or Internally Displaced or the barangay is identified as a Communist Terrorist Group (CTG)/Local Extremist Group (LEG) area by the National Intelligence Coordinating Agency (NICA) -At least 50% of its population are enrolled in 4Ps/CCT. - Performance of barangay in at least 4 indicators is less than their latest provincial data (IMR, U5MR, FIC, CPR, Adolescent Birth Rate, ANC, SBA, Access to improved water supply)

Geographically-Isolated and Disadvantaged Area/s

Office/Bureau: Bureau of Local Health Systems Development Section: Equity in Health Address: 2nd Floor, Building 3, DOH, San Lazaro Compound, Sta. Cruz, Manila Contact Number: (02) 8651-7800 loc. 1309 Email address: [email protected]

Name of Office: Bureau of Local Health Systems Development The program components of GIDA are: 1. Community development. - Community organization and mobilization. - Community needs analysis. - Participative community planning. - Generation and allocation of resources (resource mobilization). - Alliance building and multi-sectoral partnership. 2. Provision of technical and financial assistance. - Upgrading of health facilities. - Capacity snd capability building. 3. Monitoring and Evaluation - Documentation of Best Practices. - GIDA Indicators

Name of Office: Bureau of Local Health Systems Development a. To provide guidelines and directions for identifying GIDAs & strengthening their health systems; and b. To improve access to quality health care through province-wide/city-wide health systems, and equitable and sustainable health care financing in GIDAs

Name of Office: Bureau of Local Health Systems Development Better health service delivery and health outcomes for the residents in GIDA and Indigenous Cultural Communities/Indigenous Peoples (ICCs/IPs)

Name of Office: Bureau of Local Health Systems Development Refers to barangays which are specifically disadvantaged due to the presence of both physical and socio-economic factors. 1. Physical Factors - refer to characteristics that limit the delivery of and/or access to basic health services to communities that are difficult to reach due to distance, weather conditions, and transportation difficulties. 2. Socio-economic Factors - refer to social, cultural, and economic characteristics of the community that limit access to and utilization of health services.

The MAT benefits were originally intended to be provided in-kind or as actual services. However, health facilities that were not able to disburse the originally allotted amounts for such purpose, and opted to return the unspent funds to the DOH before 2020 ended, to prevent reversion of funds to the Treasury. These funds, in turn, were used by the DOH to support other requirements for the pandemic response. Recognizing that a number of healthcare workers have not been able to receive the MAT benefits, DOH has made representation to the Office of the President (OP) and on December 03, 2021, the OP issued a memorandum approving the DOH’s request for modification in the allotment of funds, from the Presidential Contingent Fund initially released to DOH for procurement of COVID-19 vaccines to cover the provision of MAT benefits in the form of its cash equivalent to HCWs that have yet to receive the said benefits covering the period September 15 to December 19, 2020. Ang orihinal na MAT benefits ay nakaplanong ibigay bilang in-kind o aktwal na mga serbisyo. Subalit, ang mga health facilities ay hindi nakapag-disburse ng nakatalagang halaga para rito, at pinagdesisyunang ibalik ang mga hindi nagamit na pondo sa DOH bago natapos ang 2020 para maiwasan ang reversion ng mga pondo sa Treasury. Ang mga pondong ito ay ginamit na lang ng DOH upang suportahan ang ibang requirements para sa pandemic response. Sa pagkilala na maraming healthcare workers ang hindi nakakuha ng kanilang MAT benefits, gumawa ng pagkatawan ang DOH sa Office of the President (OP) at noong December 03, 2021, nag-issue ang OP ng memorandum na nagaapruuba sa request ng DOH na magbago ang allotment ng pondo, mula sa Presidential Contingent Fund na ini-release sa DOH para sa procurement ng COVID-19 vaccines upang ma-cover ang probisyon ng MAT benefits sa anyo ng cash equivalent para sa HCWs na makakatanggap pa lang ng mga benepisyong sumasaklaw mula Setyember 15 hanggang Disyember 19, 2020.

Fulfillment of ANY of the criteria would result in EXCLUSION for the grant of MAT benefits 1. Public and private HCWs who have already received the said benefits, using MAT funds provided by the Department of Health Bayanihan funds, in any form such as actual meals, accommodation or transportation, cash or cash equivalent, e.g. groceries, vouchers, gift certificates, prior to the release of the memorandum from OP dated December 03, 2021; 2. HCWs who are uniformed personnel with ranks, armed or unarmed, and primary involved in the enforcement of laws; 3. Consultants and experts engaged for a limited period to perform specific activities or services with expected outputs; 4. Laborers engaged through job contracts (pakyaw) and those paid on piecework basis; 5. Student workers and apprentices; and, 6. HCWs NOT engaged in COVID-19 response. Facilities need only to submit the forms in the annexes of the AO: A.1 request for MAT funds, A.3 certification attesting to eligibility of HCWs and certification of truthfulness of the contents of the report signed by the head of HR or personnel division and MCC/director, and A.4 consent for sharing of data

Do private and public health facilities need to be certified by the DOH as a COVID-19 facility to be included in this benefit? NO. Certification is not needed, however, the health facility need to show proof that they cater to COVID 19 patients as validated by the CHD. --------------------------------------------------------------------------------------------------------------------------------- Kinakailangan bang maging DOH certified ng pampubliko at pampribadong health facilities bilang COVID-19 facility upang makasali sa pagtanggap ng benefits? Hindi na kinakailangan ng katibayan mula sa DOH. Ngunit, ang healthcare facility ay kailangang magpakita ng pruweba na sila ay nagserbisyo at tumanggap ng mga pasyenteng mayroong COVID-19

Can the funds be used as reimbursement for the private facilities who provided MAT benefits to their HCWs from their own funds last year? NO. The OP approved funds for the grant of MAT is specifically for the ""provision of MAT benefits which may be in the form of its cash equivalent, to healthcare workers that have yet to receive the said benefits covering the period of September 15 to December 19, 2020"". Hindi. Ang aprubadong pondo para sa MAT ay para lamang sa ""provision of MAT benefits which may be in the form of its cash equivalent, to healthcare workers that have yet to receive the said benefits covering the period of September 15 to December 19, 2020"". ----------------------------------------------------------------------------------------------------------------------------------------------------------------- Maaari bang ireimburse ng mga private facilities ang naibigay nilang MAT benefits sa kanilang HCWs mula sa sarili nilang pondo noong nakaraang taon? The health facilities are NOT entitled for reimbursement but their employees are STILL eligible for the grant of MAT.

What if our facility was not included in the initial list of facilities granted the MAT benefit? Will we still be given the benefit? The grant of the MAT benefits is subject to availability of funds. Hence, we advise all health facilities to submit the complete requirements promptly. Health facilities with completed submitted eligibility lists shall be prioritized. If the funds are fully utilized, subsequent submissions of lists of eligible HCWs shall be submitted to DBM for additional funding subject to their approval, which may or may not be granted. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Paano kung ang aming facility ay hindi naisama sa paunang listahan na mabibigyan ng benepisyong MAT? Mabibigyan pa rin ba kami ng benepisyong ito? Ang pagkakaloob ng benepisyong MAT ay nakaalang sa availability ng pondo. Dahil dito, inaabisuhan namin ang lahat ng health facilities na isumite ang mga kinakailangang dokumento kaagad. Ang mga health facilities na nakakumpleto na ng mga kinakailangang dokumento ay bibigyang prayoridad. Kapag nagamit na ng buo ang pondo, ang mga kasunod na listahan ng HCWs na isusumite ay ipapadala sa DBM para sa dagdag na pondo at kakailanganin ng kanilang pahintulot. May posibilidad din itong hindi maaprubahan.

NO. The grant of MAT as provided for in Bayanihan II is limited to the period of September 15 to December 19, 2020 only. There is no legal basis to the grant of MAT benefits for HCWs beyond this date. Hindi. Ang pagkakaloob ng MAT, alinsunod sa Bayanihan II, ay limitado lamang sa mga petsa mula Setyember 15, 2021 hanggang Disyembre 19, 2020. Walang ligal na basehan sa pagkakaloob ng benepisyong MAT para sa HCWs na lumalagpas sa mga nasabing petsa.

The claims should be filed through the health facilities who shall then submit and process the grant of MAT to their eligible HCWs. In the event that the health facilities/LGUs are unable to execute a MOA with the CHD, the HCW may file a claim directly to the DOH. Kinakailangang isumite ang mga claims sa mga health facilities habang sila ang magsusumite at magpoproseso ng grant ng MAT sa kanilang mga eligible HCWs. Sa pagkakataong hindi makagawa ng MOA ang health facilities/LGUs kasama ang CHD, maaaring direktang magfile ng claim ang HCW sa DOH.

Do HCWs need to submit tickets or receipts of meals, accommodation, and transportation to liquidate the provided MAT in cash? NO. The HCWs does not need to submit liquidation of the provided MAT CASH. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Kinakailangan pa bang magsumite ng tickets o resibo ng pagkain, akomodasyon, at transportasyon para sa pag-liquidate ng MAT kung cash ang natanggap? HINDI. Hindi kinakailangang magpasa ng liquidation ng HCWs sa MAT cash na matatanggap.

With the passage of the bill extending the validity of appropriations of CY 2021, any unobligated allotment of 2021 are considered as continuing appropriations and may still be utilized this year. Sa pagkapapasa ng bill patungkol sa pag-eextend ng bisa ng appropriations ng CY 2021, ang anumang unobligated allotment noong 2021 ay maituturing na pagtutuloy ng appropriations at nangangahulugang maaari pa rin itong gamitin ngayong taon

The funds will be from the CY 2021 Contingent Fund. CHD will transfer funds to LGUs and private health facilities based on the number of submitted eligible HCWs subject to their compliance of the submission of documentary requirements, particularly those required per government accounting rules and regulations. Ang pondo ay manggaling sa CY 2021 Contingent Fund. Ang CHD ay maglilipat ng pondo sa LGUs at sa mga pribadong health facilities base sa bilang ng mga kwalipikadong HCWs na nakapagsumite ng kinakailangan dokumento, partikular na ang mga nangangailangan ng pagsunod sa government accounting rules and regulations

HCWs may only claim MAT benefits ONCE regardless of the number of health facility the HCWs has engagement/employment with. If they claim more than once, that would be considered as DOUBLE COMPENSATION or UNJUST ENRICHMENT, with their corresponding sanctions. Included in the function of the CHDs in Section VI.B.4 is the evaluation, VALIDATION, and processing of claims, as such, they shall ensure that there are no duplication of entries/names of eligible HCWs between submissions of different facilities. ISANG BESES lamang maaaring makatanggap ng MAT benefits ang mga HCWs maski na sa maraming health facility ito nagtatrabaho. Kung makatatangap sila ng mahigit sa isang beses, maituturing itong DOUBLE COMPENSATION o UNJUST ENRICHMENT at magkakaroon ito ng karampatang parusa. Kalakip sa function ng CHDs sa Section VI.B.4. ang ebalwasyon, VALIDATION, at pagpoproseso ng claims upang masigurong walang duplikasyon ng pangalan ng eligible HCW sa pagsusumite ng iba't ibang facitlity.

What will happen if the facility already granted MAT benefits to those who already received any of the MAT benefits in cash or in kind last year? This would be considered as DOUBLE COMPENSATION or UNJUST ENRICHMENT and will most likely result in COA finding and ultimately in disallowance. Hence the grant of MAT benefits to those who have already received the benefit last year are considered NON ELIGIBLE. --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Ano ang mangyayari kung nabigyan na ng facility ng MAT benefits ang mga nakatanggap na ng MAT benefits, mapa-cash o in kind noong nakaraang taon? Ito ay makokonsidera na DOUBLE COMPENSATION o UNJUST ENRICHMENT at masisita at ipagbabawal ng COA. Kaya naman, ang pagbibigay ng benepisyong MAT sa mga nakatanggap na nito ay pagiging kabilang sa mga NON-ELIGIBLE.

We have already been provided meals, accommodation OR transportation benefits last 2020. Are we still entitled to this MAT benefits? NO. Those who have already received MAT benefits in cash or in kind such as actual meals, accommodation OR transportation are no longer eligible for the grant of MAT being released by DOH as of December 2021. The fund issued for the grant of MAT is designed to be provided to those eligible HCWs which have NOT YET RECEIVED ANY MAT benefits. ------------------------------------------------------------------------------------------------------------------------ Kami ay nakatanggap na ng meals, akomodasyon o transportation benefits noong nakaraang 2020. Entitled pa rin ba kami sa MAT benefits? HINDI. Ang mga nakatanggap na ng MAT benefits sa pamamagitan ng cash o ng ibang pamamaraan kagaya ng pagkain, akomodasyon o transportasyon ay hindi na eligible sa MAT grant na inilabas ng DOH noong Disyembre 2021. Ang pondong ilalabas para sa MAT grant ay para sa mga eligible HCWs na HINDI PA nakatatanggap ng KAHIT NA ANONG MAT benefits.

Php 3,500.00 only covering the entire period September 15, 2020 to December 19, 2020, subject to availability of funds and pertinent budgetary requirements. Nakadepende pa sa pagkakaroon ng pondo at mga pangangailangan sa budget ang pagcocover ng Php 3,500.00 para sa kabuuan ng ika-15 Setyembre hanggang ika-19 ng Disyembre taong 2020. This is NOT pro-rated. Ito ay hindi pro-rated. Buong makukuha ang benepisyo kung ikaw ang eligible. This will be given in the full amount regardless of the number of days rendered. Ang halagang ito ay ibibigay nang buo kahit na hindi nakumpleto ang bilang ng mga araw. HOWEVER, if an HCW was on leave, official travel or absent for the ENTIRE duration of September 15 to December 19, 2020, they will NOT be eligible for MAT benefits. Ngunit, kapag ang HCW ay naka leave, nasa opisyal na travel o absent sa kabuuan ng Setyembre 15, 2020 hanggang Disyembre 19, 2020, sila ay hindi mabibigyan ng benepisyong MAT.

Fulfillment of ANY of the criteria would result in EXCLUSION for the grant of MAT benefits 1. Public and private HCWs who have already received the said benefits, using MAT funds provided by the Department of Health Bayanihan funds, in any form such as actual meals, accommodation or transportation, cash or cash equivalent, e.g. groceries, vouchers, gift certificates, prior to the release of the memorandum from OP dated December 03, 2021; 2. HCWs who are uniformed personnel with ranks, armed or unarmed, and primary involved in the enforcement of laws; 3. Consultants and experts engaged for a limited period to perform specific activities or services with expected outputs; 4. Laborers engaged through job contracts (pakyaw) and those paid on piecework basis; 5. Student workers and apprentices; and, 6. HCWs NOT engaged in COVID-19 respon

The following eligibility requirements (3 out of 3) should be satisfied: 1. Public OR private HCWs who have yet to receive the MAT benefits for the period of September 15 to December 19, 2020 2. Public and private HCWs who are assigned to hospitals, laboratories, or medical and quarantine facilities OR whose official duties and responsibilities are related to COVID-19 response, who are any of the following: a. civilian employees occupying regular, contractual or casual positions, whether full or part-time; b. workers engaged through contract of service (COS) or job order (JO); c. duly accredited and registered Barangay Health Workers (BHWs), In the case of LGUs, the list of HCWs, including BHWs, shall be determined by their respective local health boards. 3. Public and private HCWs who rendered services reckoned from September 15 to December 19, 2020, regardless of the number of days rendered. Ang LAHAT (3/3) ng mga sumusunod na batayan ay dapat maipakita: 1. Mga publiko at pribadong healthcare workers na tatanggap pa lang ng MAT benefits para sa buwan ng ika-15 ng Setyembre hanggang ika-19 ng Disyembre taong 2020. 2. Mga publiko at pribadong healthcare workers mula sa ospital, laboratoryo, medikal and quarantine faciities O mga healthcare workers na ang opisyal na katungkulan na may kaugnayan sa pagtugon sa COVID-19. Sila ay maaring: a. mga kawaning may regular, kontraktwal o kaswal na katayuan, full-time o part-time; b. mga manggagawang nasa ilalim ng contract of service (COS) o job order (JO); c. duly-accredited at mga rehistradong Barangay Health Workers (BHWs), Para sa mga Healthcare workers na nasa ilalim ng Lokal na pamahalaan, ang listahan ng HCWs na kwalipikado para benepisyo, na maaring maging kabilang ang mga BHWs, ay dapat na sinang-ayuman ng kani-kanilang local health boards. 3. Mga publiko o primadong healthcare workers na nakapaglaan ng serbisyo mula ikaw-15 ng Setyembre hanggang ika-19 ng Disyembre, 2020, hindi alintana kung ilang araw ang inilaang serbisyo.

The following are the existing programs and their brief descriptions. a) Medical Pool Placement and Utilization Program (MP-PUP) – Physicians and/or medical specialists are assigned in DOH hospitals and/or Provincial Hospitals based on needs and program criteria. b) Doctors to the Barrios (DTTB) – Physicians are assigned, for two years primarily in 4th to 6th class municipalities that has not have a doctor for at least 2 years. c) Registered Nurses for Health Enhancement and Local Service (RN HEALS) – Deployed nurses are assigned for 6 months in the community (Rural Health Units) and then another 6 months for hospital service. d) Rural Health Midwives Program – Midwives are assigned in Barangay Health Stations and Rural Health Units for improved maternal and child care. These facilities can then provide Basic Emergency Obstetric and Newborn Care (BEmONC) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC) e) Rural Health Team Placement Program (RHTPP) – Dentists, medical technologists, and nutritionist-dietitians are assigned in field health facilities to complement existing RHU personnel.

Deployment programs are geared towards providing HRH to areas of needs – unserved and underserved for more effective and efficient health service delivery. The deployed HRH complement the existing HRH in the facilities.

The National Database of Selected Human Resources for Health (NDHRHIS) can be used by researchers and HR planners as it has information on a) geographical distribution of HRH, b) distribution based on age, sex, by type of facilities, and other data.

NDHRHIS stands for National Database of Selected Human Resources for Health. It contains list of basic aggregated demographic information about selected HR professionals – doctor, nurse, midwife, dentist, pharmacist, nutritionist-dietitian, medical technologist, physical therapist, and occupational therapist.

The National Database of Selected Human Resources for Health (NDHRHIS) can be accessed at http://www.hhrdb.doh.gov.ph/ndhrhis. Click on the STATISTICAL REPORT for the available data generated by the system.

No. Studies have shown that the IUD does not cause cancer of the uterus.

Name of Office: BUREAU OF LOCAL HEALTH SYSTEMS DEVELOPMENT The LGU Health Scorecard is a component of the FOURmula One (F1) Plus for Health Monitoring and Evaluation (M&E) for equity and effectiveness. Since 2008, it has been used as a primary tool to assess and monitor the performance of LGUs in the implementation of local health reforms within the province-wide/city-wide health system. It facilitates the reporting of LGU progress in meeting the national health targets based on the priority programs, projects and activities of the Department of Health (DOH). (AO 2021-0002)

Name of Office: BUREAU OF LOCAL HEALTH SYSTEMS DEVELOPMENT Republic Act (RA) No. 11223 or the “Universal Health Care (UHC) Act” highlights the critical role of the LGU Health Scorecard as one of the performance measurement tool to monitor and evaluate the outcomes of health sector reforms in the province-wide and city-wide health systems. The implementation of the LGU Health Scorecard is aligned with the provisions stipulated in Chapter VIII, Section 31(a) of the UHC Act on the Evidence-Informed Sectoral Policy and Planning for UHC. In addition, the data generated through the LGU Health Scorecard may be used as reference for health policy development and systems research.

- The implementation of the LIPH is monitored by tracking the conduct and physical accomplishment of PPAs, as contained in the AOP, as well as fund commitments and assistance from the key stakeholders (LGU, DOH, other partners). - Monitoring may include the conduct of systems or program-based Program Implementation Review (PIR), LGU Health Scorecard review, regular staff meetings, submission of monitoring reports, and review of implementation evidences, among other.

- UHC Act IRR prescribes that the DOH shall contract “province-wide and city-wide health systems..., through a legal instrument to ensure shared responsibilities and accountabilities among members of the health system for the delivery of population-based services including those that impact on the social determinants of health. - The Terms of Partnership (TOP) is the legal instrument for contracting P/CWHS; it formalizes the agreement between the DOH Center for Health Development and the LGU on the implementation of the AOP for a particular year. - The TOP contains the outputs and performance milestones to be attained, roles and responsibilities of contracting parties, the amount of resources, whether financial or non-financial, that LGUs, DOH, development partners, and other institutions shall provide, and conditions and requirements pertaining to the release/provision of funds/resources for the implementation of the AOP. - The financial grants that will be provided by DOH to the P/CWHS, as stated in the TOP, will be transferred through the Special Health Fund. PhilHealth payments will also accrue to the Special Health Fund, through a separate contractual agreement between PhilHealth and the P/CWHS. - Non-financial grants (e.g. HFEP, HRH, commodities, cap bldg.) are provided through the guidelines of relevant DOH offices.

- The AOP is the yearly translation of the LIPH; it details the programs, plans and activities (PPAs) and systems interventions that are to be implemented in the Province/City-wide Health Systems (P/CWHS) in a particular year. - The AOP updates the LIPH and shall be aligned with the LGU’s Annual Investment Program (AIP).

- Development of policies and guidelines on the crafting of LIPHs and Annual Operational Plans. - Capacitation of key DOH and LGU players on LIPH/AOP development. - Provision of technical and financial assistance. - Harmonization and alignment of national and local health planning processes, timelines and plans. - Monitoring of plan implementation.

- To develop policies, guidelines, procedures and tools to support and facilitate the development of LIPH and Annual Operational Plans (AOPs). - To build capacities of key DOH and LGU players on local investment planning, adopting bottom-up approach and consideration of health needs of Geographically Isolated and Disadvantaged Areas (GIDA), Indigenous Cultural Communities/ Indigenous Peoples (ICC/IP), indigents, senior citizens, Persons with Disabilities, women and children and other vulnerable populations. - To improve matching of national resources and technical assistance with the needs identified in the LIPH.

- To institutionalize local health planning as a sectoral endeavor involving not just the LGUs and DOH, but all key stakeholders and development partners, towards a whole-of-system, whole-of-government, whole-of-society approach in the development, implementation and monitoring and evaluation of the LIPH. - To guide the implementation of the UHC in the P/CWHS, unifying efforts and resources towards achieving health goals and reforms.

- Medium term public investment planning for health is to be undertaken by Local Government Units in partnership with DOH, NGOs, CSOs, development partners and other stakeholders to attain local and national health sector refor goals through a bottom-up planning procedure that allows lower level units such as barangays, municipalities and component cities to have their plans incorporated in the province-wide health plan; or in the case of HUCs and ICCs, to have their plans consolidated in the city-wide health plan. - The resulting Local Investment PLAN for Health specifies the strategic direction of the concerned LGU for the next three years, in terms of improving health service delivery, strengthening the health systems operations and addressing social determinants of health, and actions and commitments of different local stakeholders. The LIPH translates national health goals (AmBisyon Natin 2040, Sustainable Development Goals, Philippine Development Plan and National Objectives for Health) into specific concrete actions at the local level. - The LIPH (plan) serves as the costed strategic plan of the Province/City-wide Health System (P/CWHS) for the implementation of the UHC, covering the needs of all its municipalities (for provinces) and barangays (for cities).

The timeline given for the processing of a certificate of product registration (CPR) is ninety (90) days. This is considering that all the documents submitted are in compliance with the requirements. In cases there are deficiencies issued to the company, the counting of the timeline stops and will resume only upon submission of the compliance documents.

The BHDT is the technical arm of BFAD by virtue of Administrative Order 2007-0003. The regulated medical devices are based on BFAD’s Memorandum Circular No. 7 dated April 24, 1992. Also for mandatory registration are medical devices that are implantable, invasive and sterile.

Based on the regional and global definition of medical device, it is defined as: Medical Device means any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software, material or other similar or related article: a) Intended by the manufacturer to be used, alone or in combination, for human beings for one or more of the specific purpose(s) of: - diagnosis, prevention, monitoring, treatment or alleviation of disease, - diagnosis, monitoring, treatment, alleviation of or compensation for an injury. - investigation, replacement, modification or support of the anatomy or of a physiological process, - supporting or sustaining life. - control of conception. - disinfection of medical devices. - providing information for medical or diagnostic purposes by means of in-vitro examination of specimens derived from the human body; - and which does not achieve its primary intended action in or on the human body by pharmacological, immunological or metabolic means, but which may be assisted in its intended function by such means. To explain further, medical devices are from a simple tongue depressor to a complicated MRI machine. Medical devices also included condoms, cottons, test tubes, etc. In-vitro diagnostic devices or self test tubes are also considered as medical devices.

Only two documents will be required from the company who will be importing medical devices, the LTO and the CPR. For medical device that is for registration, a special certification will be issued stating that the product to be imported will be issued as a sample only for registration. For exempted medical devices, a certificate of listing will be issued prior to the importation of the device. These new requirement will be coordinated with the Bureau of Customs prior to its implementation.

Manufacturers, importers, wholesalers, exporters and retailers will be required to secure license to operate as medical device establishment. The new guidelines will be published once approved. Refurbishers will also be regulated but in a later time.

The projected date of implementation is third quarter of 2011 considering that the IRR of RA 9711 is approved in 2010. There will be seminars that will be conducted before the implementation of the new regulatory system once the administrative guidelines are approved to guide the medical device industry on the new system of medical device regulation.

Companies who are selling registrable medical devices should apply for LTO. The requirements for the application of LTO can be downloaded from the DOH website. http://gwhs-stg01.i.gov.ph/~dohgov/licensing Only complete documents will be accepted during the application and will be scheduled for inspection. If the company complies with the requirements and passed the inspection, a license to operate will be issued. The company is given sixty days to comply with all the deficiencies. Non-compliance will result to temporary stoppage of the selling of medical devices.

The timeline given for the processing of the LTO is ninety (90) days. This is considering that all the documents submitted are in compliance with the requirements and that the company passed the inspection.

Companies with valid license to operate (LTO) as medical device distributor-importer/wholesaler can file for application for product registration. The requirements for the application for CPR can be downloaded from the DOH website. http://gwhs-stg01.i.gov.ph/~dohgov/licensing Only complete documents will be accepted during the application. The application will be reviewed and evaluated if in accordance with the requirements. All complying applications will be issued a certificate of product registration. All non-complying applications will be issued a notice of deficiency. Each company is given a non-extendable ninety (90) days compliance period. All those who will not be able to comply will be disapproved but will be given a period of sixty (60) days to file for re-application and comply with all the deficiencies. In case after this period the application did not satisfactory comply all the requirements, the application will be disapproved and the company needs to file for initial application. The BHDT is the recommending office for approval of the CPR. All CPRs are forwarded to FDA (BFAD) for approval.

- The DOH-HHRDB has already accepted a total of 175 scholars in partner schools and has already deployed 40 scholars since the program started in 2008. - Currently there are 58 Level 2 and 50 Level 1 scholars enrolled in the DOH Partner Midwifery Schools.

· As MSPP Scholar They are duty bound to follow the rules, regulations and standards set by the school and the DOH while in the Scholarship Program, at the same time, they must bear in mind that they are carrying the names of the school and the DOH, hence must not indulge in any action unbecoming of a scholar. · DOH – HHRDB - The DOH-Central Office through the HHRDB shall ensure the timely release of allowances and school fees - After the scholars have finished the academic requirements and passed the licensure examination by the PRC, the DOH prepares the scholars for deployment to areas previously chosen for community service as Rural Health Midwives.

Yes. The HHRDB conducts continuous monitoring and evaluation of the performance of MSPP scholars through the CHDs and partner midwifery schools. Issues and concerns that have not been resolved in school or CHD level shall be referred to DOH for appropriate action.

The Midwifery Licensure Examination shall be taken and passed within a period of two (2) years upon completion of academic and PRC requirements. Scholars who fail to pass the licensure exam within two (2) years shall still take chance, however, shall observe the following while in the process: a. Continues with the licensure renew for free at the partner school in preparation for the next examination b. Devote six (6) hours per week of community work to area of choice until he/she passes the licensure examination c. Submit a weekly journal of the community work conducted.

Yes. The following conditions shall be grounds for the removal of scholar from the Program after a written report of the partner midwifery school and thorough investigation by the DOH-HHRDB and the CHD concerned: a. Failure to comply with school standards and policies b. Falsification of submitted documents, application or enrollment under false pretense. c. Failure to meet academic requirements with the school’s prescribed period of time due to absence within notice, reasons of willful neglect or other causes within his/her control, and upon request of the grantee. d. Failure to pass the Midwifery Licensure Examination within two (2) years after completion of academic and PRC requirements. e. Behavioral misconduct in such a manner as to bring embarrassment or humiliation to DOH and partner midwifery school f. Engagement in reprehensive, illegal or subversive activities as defined by existing Philippine laws. Failure of the scholar to observe above stipulations means he/she shall refund to DOH the total amount of tuition and matriculation fees already provided to the said scholar including all other expenses incurred with ten percent (10%) markup per year.

A scholar, upon receiving his/her Professional Regulation Commission (PRC) Midwives License, shall render service to the government on the ratio of two (2) years of service for every year of study or scholarship. Return service shall be in a form of an area assignment to the chosen identified priority areas in the country.

· A qualified applicant may apply directly to the CHD. · CHDs endorse qualified applicants based on documentary requirements to partner midwifery schools for selection process. · Professional organizations may recommend applicants to CHDs.

- Duly accomplished MSPP Application Form (MSPP Application Forms are available upon request in partner midwifery schools). - High School Report Card – Form 138 (photocopy only; original to be brought to entrance examination venue) or Transcript of Records. - High School Diploma (photocopy only; original to be brought to entrance examination venue). - Certificate of Good Moral Character (photocopy only; original to be brought to entrance examination venue). - Passport size color picture with name (3 copies). - Long brown envelope.

* Must be 15-35 years of age; * Preferably be part of, or are child/children/grandchildren of: - Traditional Birth Attendant - Indigenous People - “Hilot” - Barangay Health Worker (BHW) - Government Healthcare Worker * With a combined gross family income of Php 50,000/month or 600,000/annum or lower. * High school graduate with weighted average of 80% and above; * Minimum height of 5 feet or thumb-to-middle finger span or 6 inches or more; * Shall have no more than one year of college education.

· Scholar The DOH provides the scholar, a package that includes: a. Monthly Living Subsidy b. Monthly Lodging Subsidy c. Monthly Transportation allowance d. Semestral book and uniform allowance e. Annual PhilHealth insurance (new) · Partner Midwifery Schools The DOH provides partner midwifery school a package that includes payments for the scholars’: a. Tuition and other matriculation fees b. School uniforms c. Duty kit d. Affiliation and transportation fees e. Board review and materials fees f. PRC examination and registration fees

- Dr. Jose Fabella Memorial Hospital-School of Midwifery (DJFMHSM) Lope de Vega St., Sta. Cruz, Manila (NCR). - Naga College Foundation, Inc. Naga City (Luzon). - University of the Philippines Manila School of Health Sciences (UPMSHS) Palo, Leyte (Visayas Region). - Tecarro College Foundation, Inc. Davao City (Mindanao Region).

* Child/children/grandchildren of: - Traditional Birth Attendant (TBA) - Any applicant willing to practice/work in an MDG priority/BeMONC/CCT Area/Municipalities.A resident of an MDG priority/BEmONC/CCT area. - Indigenous People - "Hilot" - Barangay Health Workers (BHW) - Government Healthcare Worker. *

The Department of Health Executive Committee approved the DOH Resolution No. 112-232 series 2007 to implement/adopt both the Deployment Program and the Rural Health Midwife (RHM) Scholarship Program on February 11, 2008.

The Department of Health created the Midwifery Scholarship Program of the Philippines (MSPP) in support to the achievement of the Millenium Development Goals to decrease maternal and neonatal morbidity and mortality rate by producing and ensuring a constant supply of consistent competent midwives fit to serve the identified priority areas of the country. The program provides a two-year midwifery scholarship grant to qualified applicants in partnership with midwifery schools. MSPP will be producing graduate midwives to be deployed as Rural Health Midwives (RHMs) in a priority areas identified by the Department of Health (DOH) in the country.

You may contact the MSPP secretariat at 743-1776 or visit the Department of Health- HHRDB, 2nd Floor, Bldg 12-A, San Lazaro Compound Sta. Cruz, Manila Contact Persons: Dr. Josephine H. Hipolito Ms. Winselle Joy C. Manalo

City-wide Investment Planning for Health (CIPH) is a tool that provides a framework for the development of a medium-term public investment plan in health for cities. It is undertaken by the City Health Office particularly of Highly Urbanized Cities (HUCs) in coordination with other local health partners and key stakeholders. It serves as a guide for LGU action and DOH support to the LGU.

Any initiative that pertains to the development or enhancement of existing projects to improve the policy, design and practice of an urban transport system (e.g., decreasing air and noise pollution and greenhouse gas emission from motor vehicles, pedestrian footpaths, bicycle lane) and lead to improvement of health and safety of urban population.

You may contact the MSPP secretariat at 743-1776 or visit the Department of Health- HHRDB, 2nd Floor, Bldg 12-A, San Lazaro Compound Sta. Cruz, Manila Contact Persons: Dr. Josephine H. Hipolito Ms. Winselle Joy C. Manalo

The DOH-HHRDB, in partnership with the CHDs and Local Government Units (LGUs) have hired 175 Rural Health Midwives for 2010-2012 serving the identified priority areas, in coordination with the DSWD CCT areas. There are 27 scholars under the Midwifery Scholarship Program of the Philippines (MSPP) who were deployed to DOH identified priority areas for “Return Service).

Successful applicants /hired RHMs will be deployed to DOH identified priority area for a period of two (2) years.

The RHM shall receive the following: a. Receive a salary equivalent of salary grade 11 (P 17,099.00). b. Representation allowance. c. Magna Carta for Health Workers. d. Continuing Professional Education.

a. Licensed midwife. b. Bonafide Filipino citizen. c. Physically and mentally fit. d. Certified to be of good moral character. e. Willing to work in depressed and hard to reach areas for two (2) years. f. Interested in community health. g. Not more than 50 years old.

Interested applicants should submit the following application requirements to Centers for Health Development (CHDs) in their respective regions a. Application letter addressed to: Dr. Kenneth G. Ronquillo, MD, MPHM, CESO III Director IV, HHRDB b. Curriculum Vitae c. Photocopy of valid PRC license d. Original NBI clearance e. Letter of application that includes applicant’s preference area of assignment based on the list of areas for assignment Applications will undergo a standard documents review and applicants will be asked to appear in person for an interview. Venues and schedules of interviews will be announced Successful applicants should submit the following documentary requirements to CHD/HHRDB: a. Personal Data Sheet (PDS) b. Position Description Form (PDF) c. Photocopy of PRC Board Rating and PRC ID d. Notarized Statement of Assets and Liabilities e. Original NBI Clearance f. Medical Certificate g. Transcript of Records (TOR) h. Diploma i. Oath of Office Additional requirements for hired RHMs: a. PhilHealth forms (M1a, M2 – whichever is applicable) b. BIR Forms (1902, 2305, 1905 – whichever is applicable) c. Pag-ibig Forms (FPF 020, FPF 400, FPF 110 – whichever is applicable) d. GSIS Form (MIS-05-02) e. Application for DOH ID Issuance: for request of DOH) f. Land Bank Savings Account No. through ATM g. Memorandum of Agreement (MOA)

· A qualified applicant may apply directly to the CHD and submit their application requirements for review. · Qualified applicants who have complete documents will be scheduled for interview in the CHD.

The Center for Health Development (CHDs), through the Human Resource Development Unit (HRDU) shall submit to the HHRDB a list of areas qualified to be recipients of Rural Health Midwives. This shall be supported with the written request in the form of a resolution passed by the Local Health Board and the Sanguniang Bayan approved by the Local Chief Executive.

The Department of Health Executive Committee approved the DOH Resolution No. 112-232 series 2007 to implement/ adopt both the Deployment Program and the Rural Health Midwife (RHM) Scholarship Program on February 11, 2008.

The Rural Health Team Placement Program (RHTPP) recruits allied health professionals to complement the existing workforce of the Rural Health Units (RHUs) and allows them to work as team. The Rural Health Midwives deployed under the Rural Health Team Placement Program (RHTPP), specifically, aims to ensure safe motherhood and newborn care, with the objectives of reducing maternal and perinatal morbidity and mortality. The RHMs deployed to serve poor performing and hard-to-reach communities work hand in hand with different healthcare professionals under RHTPP such as dentists, nutritionists, medical technologists and other healthcare professional to improve the holistic health of each and every Filipino in the country.

The proportion of urban population in the Philippines has been increasing over the last two decades, i.e., Year Urban Population Proportion of Urban 1990 28,530,506 47 % 2000 44,530,000 59% 2010 63,684,791 65% Total Phil. population: 97,976,603 (July 2010)

There are 122 cities in the Philippines as of August 28, 2010. Thirty-eight cities are independent: 33 are classified as "highly urbanized" and 5 as "independent component;" the rest are component cities of the provinces in which they are geographically located.

Healthy urbanization is the desired direction of urban health systems development that aims to protect and promote public health rather than threaten or erode health of individuals and communities in urban areas.

Social determinants of health are those critical characteristics of societies and communities in which people live that have an impact on their health. These include the level of education, water and sanitation, housing, employment, food production, among others.

The CIPH is translated to operational terms through the formulation of Annual Operational Plans (AOPs), which provide a mechanism for the adjustment of LGU and CHD/DOH actions. The yearly translation of the approved CIPH also includes supplemental plans (Training Plan, Procurement Plan, and Rationalization Plan).

The CIPH usually covers a period of 3-5 years.

The CIPH process challenges the city-wide health system, wherein the City Health Officer has effective control, to develop public investment plans in health covering the utilization, mobilization, and rationalization of the cities’ relatively abundant resources, more extensive capabilities and stronger institutions to attain health sector goals of the city. In developing PIPH, which is province-wide in scope, a lot of effort is needed to coordinate the Provincial Health Office and all the Municipal Health offices of a province. In terms of focus and scope, the CIPH includes the identification of health-enhancing activities and partnership with non-health sectors whose concerns impinge on health, and application of interventions on urban poor populations particularly those living in slum communities. This is in line with the DOH approach on UHSD that emphasizes the management of social determinants.

The key components of Urban HEART are: 1. Intersectoral Technical Working Group (TWG). 2. Data Collection. 3. Data Assessment 4. Response

Urban Health Equity Assessment and Response Tool (Urban HEART) is a tool that measures performance in poor or vulnerable populations across health and socio-cultural indicators. It is used in situational assessment and monitoring for planning purposes in cities, in tandem with the LGU Scorecard.

The following are the target participants of SCUHE: 1.City Health Officer. 2. City Health Office Technical Staff. 3. City Planning and Development Officer 4. City Social Welfare/Budget/Urban Development 5. Technical Staff of Government Agencies

Short Course on Urban Health Equity (SCUHE) is a 6-month course that aims to improve the knowledge, practice and skills of health practitioners, policy and decision-makers at the national, regional and city levels to identify and address urban health inequities and challenges, particularly in relation to social determinants of health.

Reaching Every Depressed (RED) Barangay is a strategy that targets depressed communities in the delivery of special health services in order to reach the vulnerable groups and hidden slums.

Any initiative that pertains to the development or enhancement of existing projects to improve the policy, design and practice of an urban transport system (e.g., decreasing air and noise pollution and greenhouse gas emission from motor vehicles, pedestrian footpaths, bicycle lane) and lead to improvement of health and safety of urban population.

Healthy Cities Initiative (HCI) is an approach that continually creates and improves physical and social environments to address social determinants of health and improve health of urban dwellers.

The components of the Urban Health System Development are. * Programs/Strategies. - Healthy Cities Initiative (HCI). - Environmentally Sustainable and Healthy Urban Transport (ESHUT). - Reaching Every Depressed (RED) Barangay. *B.Planning Tools and Framework. 1. Urban Health Equity Assessment and Response Tool (Urban HEART). 2. City-Wide Investment Planning for Health (CIPH). *Capacity Building. 1. Short Course on Urban Health Equity (SCUHE).

It implies that ideally, everyone could attain their full health potential and that no one should be disadvantaged from achieving this potential because of their social position or other socially determined circumstance.

The Urban Health Systems Development framework specifies the DOH approach to urban health systems by putting emphasis on the management of social determinants of health in urban settings with focused application on urban poor populations particularly those living in slum communities/settlements in order to reduce health inequities.

A city with: (1) a minimum population of 200,000 inhabitants, as certified by the National Statistics Office; and (2) the latest annual income of at least 50 million pesos based on 1991 constant prices, as certified by the city treasurer.

The guidelines embodied in AO-No. 2021-0018 shall apply to all actions and proceedings regarding complaints against the Anti-Hospital Deposit Law

For question or clarifications , please reach out to your respective CHDs. For questions and clarifications of CHDs, please reach out to Administration and Financial Management Team. Para sa inyong mga katanungan, abutin lamang ang inyong mga CHD. Para sa mga katanungan at paglilinaw ng mga CHD, abutin ang Administration and Financial Management Team.

Since GAA 2022 does not apply to 2021, there no legal basis to cover July - December 2021 but this will be addressed in the proposed bill that is currently at the Office of the President which has retroactive effect on July 2021. The DOH shall update HCWs should the said bill be already signed and enacted into law. Dahil hindi maaaring i-apply ang GAA 2022 sa 2021, walang sapat na legal na batayan upang ma-cover ang Hulyo-Disyembre 2021. Tinugunan naman ito ng ipinasang batas sa Office of the President kung saan retroactive simula Hulyo 2021 ang epekto nito. Mangyaring mag-uupdate ang DOH sa mga HCW kung mapipirmahan at maipapasa ang batas.

The Department Memorandum No. 2022-0072 recommended guidelines for the validation process of the uploaded CREC for the following: 1. For public and private health facilities under LGUs, and Municipal/City/Provincial Health Offices: a.The submitted reports shall be validated by the respective Development Management Officer (DMO) of each local government unit where the health facility is situated based on the Service Delivery Network. b. Each DMO shall create an account under their respective CHDs in order to access the same database. 2. For DOH health facilities (PDOHO and CHD) a. The submitted reports shall be validated by the Human Resource Management Office (HRMO) or Personnel Division of the respective CHDs. b. The HRMO shall create an account under their respective CHD in order to access the database.

Health facilities need to submit the following: 1. Annex A (COVID-19 Risk Exposure Classification of HCWs, number of hours physically rendered and OCA amount) and; 2. Annex B (attestation on the truthfulness of the contents of the report and consent for sharing of data has been obtained from the personnel involved). The certification must be signed by the head of human resource or personnel division (if such division is in the structure) and the head of agencies/operations, clearly indicating his/her designation or position. The electronic submissions of reports will be implemented once the electronic reporting system has been developed. A DOH circular shall be issued once the said system is available and operational. Kinakailangang isumite ng mga facility ang mga sumusunod: 1. Annex A (COVID-19 Risk Exposure Classification ng mga HCW, bilang ng oras nang physical reporting at halaga ng OCA) at 2. Annex B (patunay na totoo ang mga report at pahintulot na ibahagi ang mga personal na data ng mga personnel). Kinakailangang pirmado ng pinuno ng human resource o ng personnel division at ng mga pinuno ng ahensya/operasyon ang mga dokumentong nagpapatunay ng posisyon ng empleyado. Maaaring ipasa electronically ang mga kahingian sa sandaling madevelop na ang electronic reporting system. Magpapalaganap ng DOH Circular kung sakaling available at operational na ang system.

YES. Health facility shall be duly licensed or designated by the DOH for COVID-19 response in accordance with the latest National Action Plan Against COVID-19. However, the National Action Plan for COVID-19 Response also clearly stipulates that certain health facilities are part of COVID-19 response. BHS, RHUs and Urban Health Centers while not licensed are considered as part of COVID-19 response and thus need not be certified by DOH as part of COVID-19 response. OO. Kinakailangang lisensyado o itinalaga ng DOH bilang tumutugon sa COVID-19 batay sa National Action Plan Against COVID-19 ang mga favility. Gayunpaman, may paglilinaw na sa National Action Plan for COVID-19 Response na ang ilang health facility ay kabilang sa mga tumutugon sa COVID-19. Ang mga BHS, RHU, at UHC ay hindi lisensyado ng DOH ngunit binibilang sila bilang tumutugon sa COVID-19. Hindi na kinakailangan ng mga nabanggit ang ma-certify ng DOH bilang bahagi ng mga tumutugon sa COVID-19.

The funds will be from the Fiscal Year (FY) 2022 General Appropriations Act (GAA). CHD will transfer funds to LGUs-owned health facilities and private health facilities based on the number of submitted eligible HCWs and non-HCWs subject to their compliance with the submission of documentary requirements, particularly those required per government accounting rules and regulations. Magmumula ang mga pondo sa Fiscal Year (2022) General Appropriations Act (GAA). Ang CHD ang maglilipat ng pondo sa mga LGU-owned health facility at private health facility batay sa bilang ng mga isinumiting eligible HCWs o non-HCWs na nakadepende sa compliance sa pagpapasa ng mga kahingiang dokumentaryo, parikular sa mga kahingian ng gobyerno para sa accounting rules and regulations.

The OCA of an eligible public or private HCW or non-HCW detailed to another government agency shall be granted by the parent agency. Makukuha ng eligible detailed public o private HCW o non-HCW sa kanyang parent agency.

The OCA of personnel hired on a part-time basis in one or more health facilities involved in COVID-19 response shall be in direct proportion to the services rendered, provided that the total OCA received from all sources shall not exceed PhP 9,000.00 for high risk, PhP 6,000 for medium risk, and PhP 3,000 for low risk. Otherwise, that will be considered as DOUBLE COMPENSATION or UNJUST ENRICHMENT, with corresponding sanctions. The higher risk classification of the healthcare worker among all the health facility he/she is affiliatedd with shall prevail and serve as basis for computation. Included in the function of the CHDs in Section VI.B.4 is the evaluation, validation and certification of the submitted claims for the grant of the OCA to eligible HCWs and non-HCWs assigned in health facilities involved in COVID-19 response. On the other hand, in the case of different risk classifications, the highest compensation shall serve as the maximum limit. Nakabatay ang OCA sa serbisyong gagampanan ng hired personnel na naka-part time sa higit isang facility basta hindi ito lalampas sa Php 9,000, kung high risk; Php 6,000, kung moderate risk; at Php 3,000 kung low risk. Kung hindi, ito ay maituturing na DOUBLE COMPENSATION o UNJUST ENRICHMENT, at magkakaroon ito ng karampatang parusa. Ang mas mataas na risk classification ng healthcare worker ang susundin at magiging batayan ng kanyang benepisyo. Kinakailangan ang evaluation, validation, at certification ng pagsusumite ng grant ng OCA para sa mga eligible HCW at non-HCWs na nakatalaga sa mga facility na tumutugon sa COVID-19 batay sa Section VI.B4 ng CHDs. Sa kabilang banda, kung magkakaiba ang risk classifications, ang may pinakamataas na konpensasyon o rate ang magsisilbing limit.

What if the HCW only rendered a few days in high risk area and spent the rest of the month in moderate or low risk area? The higher risk classification shall prevail. The full rate based on the health care work risk classification shall be granted to those who physically rendered their service in a month for 96 hours. ----------------------------------------------------------------------------------------------------------------------- Paano kung ang HCW ay ilang araw lamang nagtrabaho sa high risk area at nailipat na sa natitirang mga araw ng buwan sa moderate o low risk area? Susundin pa rin ang higher risk classification. Ang full rate ay nakabatay sa health care work risk classification at maibibigay sa mga nakapag-physical reporting ng 96 hours sa loob ng isang buwan.

The formula below for prorated benefits shall be applied: Prorated allowance = (actual hours physically reported for work/96 hours) x full amount Gamitin ang formula na nasa ilalim para sa prorated benefits: Prorated allowance = (actual hours physically reported for work/96 hours) x full amount

YES. The full rate based on the health care work risk classification shall be granted to those who physically rendered their service in a month for 96 hours. If hours physically rendered is below 96 hours, the formula below for prorated benefits shall be applied: Prorated allowance = (actual hours physically reported for work/96 hours) x full amount OO. Ang full rate ay nakabatay sa health care work risk classification at maibibigay sa mga nakapag-physical reporting ng 96 hours sa loob ng isang buwan. Kung mas mababa sa 96 na oras ang naigugol, gagamitin ang formulang nasa ibaba para sa pagbibilang ng benepisyo. Prorated allowance = (actual hours physically reported for work/96 hours) x full amount

The full rate based on the health care work risk classification shall be granted to those who physically rendered their service in a month for 96 hours. Mabibigyan ng full rate batay sa healthcare work risk classification ang mga nag-physical reporting ng 96 na oras sa loob ng isang buwan.

The rate of OCA per COVID-19 Risk Exposure Classification of HCWs and non-HCWs shall be as follows: COVID-19 Risk Exposure Classification Rate 1. High PhP9,000.00 2. Moderate PhP6,000.00 3. Low PhP3,000.00 Nakadepende ang rate ng OCA sa COVID-19 Risk Exposure Classification ng mga HCW o non-HCW. Narito ang mga sumusunod na rate: COVID-19 Risk Exposure Classification Rate 1. High Php 9,000.00 2. Moderate Php 6,000.00 3. Low Php 3,000.00

The grant of OCA shall be based on the number of hours that the public and private HCWs and non-HCWs physically report for work in a month, as certified by the head of the health facility, or his/her authorized representative, reckoned starting January 1, 2022. Also, it shall be based on risk classification to high, moderate or low risk of the eligible public and private HCWs and non-HCWs as guided by the DOH Administrative Order No. 2022-0001. Ang grant ng OCA ay nakabatay sa bilang ng oras na nag-physical reporting ang mga public at private HCW at non-HCW sa loob ng isang buwan. Kinakailangan itong mapatunayan ng pinuno ng kanilang health facility na ito mula Enero 1, 2022. Gayunding nakabatay ito sa risk classification na high, moderate, o low risk ng eligible public at private HCWs at non-HCWs batay sa DOH Administrative Order No. 2022-0001.

The One COVID-19 Allowance is the most inclusive and equitable benefit for all healthcare workers. The grant of SRA, AHDP and MAT will no longer continue in 2022 due to lack of Legal Basis, instead OCA will be provided to eligible HCWS starting January 2022. Ang One COVID-19 Allowance ang pinaka-inclusive at makatarungang benepisyo para sa lahat ng healthcare workers. Ang grant ng SRA, AHDP, at MAP ay hindi na magtutuloy sa pagpasok ng 2022 dahil sa kakulangan ng Legal na Batayan. Kaya naman, umpisa Enero 2022, OCA na ang ipamamahagi sa mga eligible HCWs.

Yes, OCA is taxable. Oo, may buwis ang OCA.

Fulfillment of ANY of the criteria will result in EXCLUSION for the grant of OCA: The following HCWs and non-HCWs who are engaged without employer-employee relationship and funded through non-Personnel Services appropriations/budgets are excluded from the grant of OCA, specifically: 1. Consultants and experts engaged for a limited period to perform specific activities or services with expected outputs; 2. Laborers engaged through job contracts (pakyaw) and those paid on piecework basis; 3. Volunteers, student workers and apprentices; 4. Individuals, and groups of individuals whose services are engaged through COS or JO, including BHWs, who are NOT assigned in health facilities involved in COVID-19 response; 5. HCWs and non-HCWs assigned in health-related establishments; 6. Those personnel who are in work-from-home arrangements for the entire month; 7. Those who are under quarantine and/or treatment due to COVID-19 and have not rendered actual physical services in health facilities for the entire month; and, 8. Institutional contract of service workers or outsourced personnel. Magreresulta sa EKSLUSYON sa grant ng OCA ang pagpunan sa KAHIT na anong criterion: Hindi mabibilang sa grant ng OCA ang mga HCW at non-HCW na walang employer-employee relationship at binabayaran sa pamamagitan ng non-Personnel Services appropriations o budget partikular kung: 1. Sila ay mga consultant at experts na limited lamang ang oras na iserserbisyo at may kinakailangang mga output; 2. Mga trabahador na naka job contract (pakyaw) o binabayaran sa piecework basis; 3. Mga volunteer, student workers, at apprentice; 4. Mga indibidwal o grupong naka-COS o JO kabilang na ang mga BHW na HINDI nakatalaga sa mga health facility na tumutugon sa COVID-19; 5. Mga HCW at non-HCW na nakatalaga sa mga establisyimentong health-related; 6. Mga personnel na naka-work-from-home nang buong buwan; 7. Mga naka-quarantine at/o nagpapagaling dahil sa COVID-19 na hindi nakapag-physical reporting sa mga health facility sa loob ng isang buwan; at 8. Mga trabahanteng naka-institutional COS o mga outsourced.

The following eligibility requirements (3 out of 3) shall be satisfied AND at the same time do not fulfill ANY of the exclusion criteria for PUBLIC HCWs and non-HCWs: 1. The public HCWs and non-HCWs should be: a. Employees occupying regular, contractual, or casual positions, whether full-time or part-time; or b. Workers engaged through a contract of service (COS) or job order (JO) basis, including duly accredited and registered barangay health workers (BHWS). In the case of local government units (LGUs), the list of the public HCWs including BHWs, shall be determined by their respective local health boards. 2. The public HCWs and non-HCWs should be assigned in health facilities involved in COVID-19 response in line with the National Action Plan COVID-19 strategy of PDITR+ strategy. 3. The public HCWs and non-HCWs should be physically reporting for work at their assigned work stations in health facilities on the prescribed official working hours, as authorized by the head of agency/office. The following eligibility requirements (2 out of 2) shall be satisfied and at the same time do not fulfill ANY of the exclusion criteria for PRIVATE HCWs and non-HCWs: 1. The private HCWs and non-HCWs should be assigned in health facilities that are involved in COVID-19 response in line with the National Action Plan COVID-19 strategy of PDITR+ strategy. 2. The private HCWs and non-HCWs should be physically reporting for work at their assigned work stations in health facilities on the prescribed official working hours, as authorized by the head of agency/office. Kinakailangang mapunan ang TATLO (3 sa tatlo) mga kahingian habang hindi napupupunan ang MASKI ISA sa exclusion criteria para sa PUBLIC HCWs at NON-HCWs: 1. Ang mga public HCW at non-HCW ay kinakailangang: a. Mga empleyadong regular, kontraktwal, o nasa kaswal na posisyon - mapa-full time o part-time; o b. Mga trabahanteng naka-contract of service (COS) o job order (JO) basis kabilang na rito ang mga accredited at rehistradong barangay health workers (BHWs). Sa kaso ng mga lokal na pamahalaan, kinakailangang tukuyin ng mga local government unit (LGU) ang mga BHWs kung ito ay nakatalaga bilang mga public HCW. 2. Kinakailangang ang mga public HCW at non-HCW ay nakatalaga sa mga health favility na tumutugon sa COVID-19 na may kaugnayan sa National Action Plan COVID-19 strategy na PDITR+. 3. Kinakailangang mabuo ang itinalagang oras ng physical reporting ng mga public HCW at non-HCW batay sa itinalaga ng pinuno ng kanilang ahensya o opisina. Ang mga kahingian para sa eligibility ay kinakailangang mapunan lahat (2 sa 2) habang hindi napupupunan ang MASKI ISA sa exclusion criteria para sa mga PRIVATE HCW at non-HCW: 1. Kinakailangang ang mga private HCW at non-HCW ay nakatalaga sa mga health favility na tumutugon sa COVID-19 na may kaugnayan sa National Action Plan COVID-19 strategy na PDITR+. 2. Kinakailangang mabuo ang itinalagang oras ng physical reporting ng mga private HCW at non-HCW batay sa itinalaga ng pinuno ng kanilang ahensya o opisina.

Health-Related Establishment - shall refer to a health service facility or unit which performs health service delivery functions within an agency whose legal mandate is not primarily the delivery of health services. Ang mga Health-Related Establishment ay mga unit na nagsasagawa o nagbibigay ng mga serbisyong medikal bagamat ang unit na ito ay kabilang sa isang ahensya na ang pangunahing mandato ay hindi tungkol sa pangangalaga ng kalusugan.

The health facilities involved in COVID-19 response may refer to any public and private institution with health care as their core service, function or business. Health care pertains to the maintenance or improvement of the health of individuals or populations through the prevention, diagnosis, treatment, rehabilitation and chronic management of disease, illness, injury and other physical and mental ailments or impairments. On the other hand, health facilities refer to those duly licensed or designated by the DOH, including the DOH-Central Office, Centers for Health Development (CHDs), Provincial/City/Municipal Health Offices, and Local Government Health Offices, for COVID-19 response in accordance with the latest National Action Plan Against COVID-19. Maituturing na may kaugnayan ang isang health facility sa pagtugon sa COVID-19 kung healthcare ang pangunahin nitong serbisyo, tungkulin, o negosyo - mapa-pribado man ito o pampubliko. Ang health care ay tumutukoy sa maintenance o pagpapabuti ng kalusugan ng mga indibidwal o populasyon sa pamamagitan ng prevention, diagnosis, treatment, rehabilitation, at chronic management ng mga sakit, karamdaman, injury, o kahit na ano pang physical at mental impairments. Sa kabilang banda, ang mga health facility ay lisensyado o itinalaga ng DOH, kabilang na ang DOH-Central Office, Centers for Health Development (CHDs), Provincial/City/Municipal Health Offices, and Local Government Health Offices na tumutugon sa COVID-19 alinsunod sa National Action Plan Against COVID-19.

Refer to personnel assigned in all health facilities involved in COVID-19 response in line with the National Action Plan COVID-19 strategy of Prevention, Detection, Isolation, Treatment, Rehabilitation, and Vaccination (PDITR+) strategy. HCWs comprise medical and health allied personnel who provide direct health care, whereas, non-HCWs provide technical, administrative and support care within the health facilities. Sila ay ang mga personnel na nakatalaga sa mga health facility na tumutugon sa COVID-19 na may kaugnayan sa National Action Plan COVID-10 stategy na Prevention, Detection, Isolation, Treatment, and Vaccination (PDITR+). Ang mga HCW ang mga medical at health allied personnel na direktang nagbibigay ng pangkalusugang pangangalaga sa mga pasyente habang ang mga non-HCW naman ay nagbibigay ng technical, administrative, at support care sa mga health facility.

For question or clarifications, contact details of point person for COVID-19 benefits specifically HEA can be found at the landing page of the HEAPS (https://heaps.doh.gov.ph/). Also, the said contact details are disseminated through Department Memorandum No. 2022-0362 or the Contact Details for the Endorsement of Concerns Related to the Grant of COVID-19 Health care Workers’ Benefits and Sickness and Death Compensation.

YES. Health facility shall be duly licensed or designated by the DOH, including the DOH Central Office, Centers for Health Development (CHDs), Provincial/City/Municipal Health Offices, and Local Government Health Offices for COVID-19 response in accordance with the latest National Action Plan Against COVID-19. However, the National Action Plan for COVID-19 Response also clearly stipulates that certain health facilities are part of COVID-19 response. BHS, RHUs and Urban Health Centers while not licensed are considered as part of COVID-19 response and thus need not be certified by DOH as part of COVID-19 response.

The DOH is facilitating the request to the Department of Budget and Management for the release of additional funds for the grant of HEA. CHD will transfer funds to private and LGUs-owned health facilities based on the approved HEA form subject to their compliance with the submission of the documentary requirements, particularly those required per government accounting rules and regulations.

Payment of HEA shall be based from the approved Health Emergency Allowance (HEA) Form generated from the HEAPS.

All processing for the provision of HEA, starting from masterlisting of HCWs and non-HCWs, submission of CREC reports, up to the processing of HEA forms and reporting of the disbursement of the HEA shall be done through the Health Emergency Allowance Processing System (HEAPS), formerly known as the One COVID-19 Allowance Information System (OCAIS).

The HEA of an eligible public or private HCW or non-HCW detailed to another government agency shall be granted by the parent agency. The HEA of an eligible DOH Office/Hospital/Drug Abuse Treatment and Rehabilitation Center (DATRC) personnel detailed to another government office/agency shall be granted by the parent agency. On the other hand, the HEA of an eligible non- DOH Office/Hospital/DATRC personnel detailed to another government office/agency shall be granted by the receiving agency.

The HEA of personnel whose mandated roles and responsibilities are not involved in COVID-19 response but are assigned through a duly approved office order for a certain number of days in health facilities involved in COVID-19 response shall be based only on the number of hours physically rendered on such health facilities involved in COVID-19 response. If the parent office of the said HCW is not a health facility involved in COVID-19 response, he/she shall be reported by the receiving office involved in COVID-19 response.

In cases wherein a personnel reports to more than one (1) health facilities involved in COVID-19 response, the personnel shall be listed under one (1) facility’s CREC report only. They reserve the right to choose which facility they prefer to be listed under to claim their HEA, provided proper documentation is presented to the chosen health facility to allow proper verification of information to be included in the CREC report.

The HEA of personnel hired on a part-time basis in one or more health facilities involved in COVID-19 response shall be in direct proportion to the services rendered, provided that the total HEA received from the chosen health facility shall not exceed PhP 9,000.00 for high risk, PhP 6,000 for medium risk, and PhP 3,000 for low risk.

In the case of different risk classifications, the grant of HEA shall be based in direct proportion to the hours of services physically rendered under each risk classification, as exemplified in this automated HEA calculator: bit.ly/HEAcalculator.

The formula below for prorated benefits shall be applied: Prorated allowance = (actual hours physically reported for work/96 hours) x full amount

YES. The full rate based on the risk exposure classification shall be granted to those who physically rendered their service in a month for at least 96 hours. If hours physically rendered is below 96 hours,the formula below for prorated benefits shall be applied: Prorated allowance = (actual hours physically reported for work/96 hours) x full amount

In case of different risk classifications, the grant of HEA shall be based in direct proportion to the hours of services physically rendered under each risk classification, as exemplified in this automated HEA calculator: bit.ly/HEAcalculator This computation shall be applied to all CREC reports for the months of July to December 2021, appealed reports for January to June 2022, and reports from July 2022 onwards until the declaration of Public Health Emergency is lifted by the President. There shall be no HEA above Php 9,000 per month.

No. OCA is not on top of HEA.

The full rate based on the risk classification shall be granted to those who physically rendered their service in a month for at least 96 hours.

The rate of HEA per Risk Exposure Classification of HCWs and non-HCWs shall be as follows: Risk Exposure Classification Rate 1. High PhP9,000.00 2. Medium PhP6,000.00 3. Low PhP3,000.00

The rate of HEA shall be based on the number of hours that the public and private HCWs and non-HCWs physically report for work in a month, as certified by the head of the health facility, or his/her authorized representative, reckoned starting July 1, 2021. Also, it shall be based on risk classification (i.e. high, medium or low risk) of the eligible public and private HCWs and non-HCWs as guided by the DOH Administrative Order No. 2022-0001-A.

Yes, HEA is taxable.

Administrative Order No. 2022-0001-A or the Guidelines for COVID-19 Risk Exposure Classification of Healthcare Workers shall be the basis of CREC.

Fulfillment of ANY of the criteria will result in EXCLUSION for the grant of HEA: The following shall be excluded from the grant of HEA: 1. Consultants and experts engaged for a limited period to perform specific activities or services with expected outputs except medical consultants as mentioned in the inclusion criteria; 2. Laborers engaged through job contracts (pakyaw) and those paid on piecework basis; 3. Volunteers (except BHW), student interns and apprentices; 4. Individuals, and groups of individuals whose services are engaged through COS or JO, including BHWs, who are NOT assigned in health facilities involved in COVID-19 response ; 5. HCWs and non-HCWs assigned in health-related establishments NOT duly licensed or designated by the DOH for COVID-19 ; 6. Those personnel who are in work-from-home arrangements for the entire month; 7. Those who are under quarantine and/or treatment due to COVID-19 and have not rendered actual physical services in health facilities for the entire month.

The following inclusion criteria (3 out of 3) shall ALL be satisfied AND at the same time do not fulfill ANY of the exclusion criteria for PUBLIC/PRIVATE HCWs and non-HCWs: 1. The HCWs and non-HCWs are either of the following: a. Employees occupying regular (permanent or temporary), contractual, or casual postions, whether full-time or part-time; b. Workers engaged through contract of service (COS), including but not limited to regular, active, visiting, affiliate, honorary, medical or one-peso consultants, and job order (JO), as certified by the head of the health facility; c. Outsourced personnel hired under institutional or individual COS or JO basis assigned in licensed health facilities; d. Duly accredited and/or registered barangay health workers (BHWs) in the DOH National BHW Registry. Pending the registration and accreditation of BHWs not included in the DOH National BHW egistry, the local health board or the Municipal/City Registration and Accreditation Committee (M/CRAC) shall issue a resolution stating that these BHWs are assigned BHERTs or their successor entities 2. The public/private HCWs and non-HCWs are assigned to licensed health facilities involved in COVID-19 response in line with the NAP Against COVID-19 PDITR+ strategies; and 3. The public/private HCWs and non-HCWs physically report for work at their assigned work stations in licensed health facilities on the prescribed official working hours, as authorized by the head of agency/office.

Refer to a health service facility or unit which performs health service delivery functions within an agency whose legal mandate is not primarily the delivery of health services.

Health facilities refer to any public or private institution with health care as their core service, function, or business. For the purposes of AO No. 2022-0039, health facilities and other health related establishments shall refer to those duly-licensed or designated by the Department of Health (DOH), including the DOH-Central Office, Centers for Health Development (CHDs), Provincial/City/Municipal Health Offices, and Local Government Health Offices, for COVID-19 response in accordance with the government’s National Action Plan (NAP) Against COVID-19 Prevent, Detect, Isolate, Treat, Reintegrate (PDITR+ ) strategies, based on the IRR of RA No. 11712.

COVID-19 Response refers to the implementation of specific activities to control further spread of infection, outbreaks or epidemics and prevent reoccurrence. It includes verification, contact tracing, rapid risk assessment, case measures, treatment of patients, vaccination, risk communication, conduct of prevention activities, and rehabilitation related to the treatment and care of COVID-19 patients, and other support activities contributory to the implementation and facilitation of activities related to COVID-19 response.

HCWs and non-HCWs refer to any of the following, based on the IRR of RA No. 11712: 1. All public and private medical, allied medical, administrative, technical, support and other necessary personnel employed by and assigned in hospitals, health facilities, laboratories, medical or temporary treatment and monitoring facilities, or vaccination sites, including those who are involved in COVID-19 response to mitigate transmission and further loss of lives in line with government’s NAP Against COVID-19 PDITR+ strategies; 2. Outsourced personnel hired under institutional or individual contract of service or job order basis who are similarly exposed to COVID-19, or other threats in times of public health emergencies, are included as non-HCWs. 3. Barangay Health Workers (BHWs) who are part of the DOH National BHW registry system assigned in health facilities, including swabbing and vaccination sites, and those administering medical assistance, as well as those assigned in barangay health emergency response teams (BHERTs) or their successor entities, are included as HCWs.

July 1, 2021 until the State of National Public Health Emergency is lifted by the President.

A singular benefit for public and private HCWs and non HCWs given during public health emergency, which shall replace and not be on top of the One COVID-19 Allowance (OCA).

Yes, the system can determine whether or not a HCW or non-HCW is eligible for HEA.

Technically, all the fields of HEA form are included in the CREC report except for the amount of HEA.

No, salary is not a required field.

Only three (3) users per facility.

Errors in the approved HEA form found during the process of disbursement of funds shall be reported by the health facility in their fund utilization report that shall be submitted to the respective CHDs, and the Financial and Management Service (FMS). Discrepancies in the obligated amount and the actual disbursed amount shall be taken into account in the allotment of funds for the succeeding months.

The sub-allotment/transfer of funds for the grant of HEA will be delayed.

No. However, if the CREC report is not yet approved by the MST, you may contact your respective validator to disapprove the said report.

All employees that were tagged as ineligible (with 0 value) in the previously submitted OCA forms shall be automatically listed in the new CREC report to be submitted. Users have the option to: a. Update their cadre, employment status, risk classification, and number of hours physically rendered per month; OR b. Delete the entire CREC report and upload a new one or encode them individually.

The process of submission of appeal shall be as follows: 1. Submit a letter (template is downloadable at https://heaps.doh.gov.ph/download ) requesting the inclusion of personnel who were excluded or deemed ineligible in the originally submitted CREC report. 2. The respective validators shall review the request with the following recommended actions: a. If the request is of the nature allowed by the DM No. 2022-0390, the MST/FICT/CHDs/MOH shall send an official response granting the request, and the health facility may submit a new CREC report for the specified month. b. If the request is NOT of the nature allowed by the DM No. 2022-0390, the request shall be returned with no action. Even if the health facility submits a new CREC report for the specified month in the HEAPS, it shall NOT be processed by the respective MST/FICT/CHDs/MOH. The approved letter of request shall be uploaded by the health facility to the HEAPS upon submission of their new CREC report for the month specified, along with the new attestation form signed by the head of the health facility.

a. Appeals from the DOH Central Office, Bureau of Quarantine, Attached Agencies, GOCCs, PGH and PGC shall be addressed to the MST; b. Appeals from the CHDs, MOH-BARMM, DOH hospitals, DATRCs, and sanitaria shall be addressed to the FICT; c. Appeals from private and LGU-owned facilities shall be addressed to their respective CHDs/MOH-BARMM.

Only one (1) appeal for submission of a new or updated CREC report for each health facility shall be allowed and accommodated.

Appeals for corrections in the cadre, employment status, risk classification, and the number of hours of services physically rendered shall NOT be accommodated. All information in the submitted monthly CREC report is assumed to be correct and accurate as attested to by the head of the facility in the uploaded attestation form.

Only appeals of the following nature shall be accommodated by the MST: a. Submission of a new list of personnel who were not included in the original submitted CREC report for the month; b. Resubmission of the list of personnel who were initially excluded (with a 0 value in the generated OCA/HEA form) from the list of eligible HCWs and non-HCWs for the grant of HEA.

The health facilities can submit additional eligible HCWs and non-HCWs who were not included in the original submitted CREC through the "Request for Appeal" button.

The MST shall process the sub-allotment/transfer of funds to CHDs/MOH-BARMM, DOH hospitals, sanitaria, DATRCs, Bureau of Quarantine, GOCCs, PGH and PGC based on the official HEA forms generated by HEAPS. The CHDs and MOH-BARMM shall transfer funds to the private and LGU-owned health facilties and health-related establishments under their jurisdiction once all complete supporting documents are submitted.

HEA form is considered official and final. This CANNOT be returned to the health facilities for editing or modification. This form shall be duly signed by the head of the health facility to be included in the processing. We advise users to ensure that the CREC report is complete and accurate before submitting it.

Upon approval of the submitted CREC report, the validator must upload an Attestation form (which is downloadable at https://heaps.doh.gov.ph/download ) attesting that the CREC report underwent a validation process in accordance with the provisions indicated in the AO No. 2022-0001, as amended.

The HEA Form has ""Validation Remarks"" which contains the reason/s why the form was disapproved by the validator.

Disapproved CREC reports shall be returned to the account of the concerned health facility for editing and/or modification as deemed appropriate. Once revised, the health facilities shall resubmit their updated CREC report through the HEAPS during their scheduled date of usage .

The Center for Health Development (CHD)/Ministry of Health-Bangsamoro Autonomous Region in Muslim Mindanao (MOH-BARMM) through the assigned Development Management Officer (DMO) validates the CREC reports of private and local government unit (LGU)-owned health facilities and health-related establishments. The Field Implementation and Coordination Team (FICT) may do random spot validation to the said reports. Once approved by CHD/MOH-BARMM (and/or FICT), the MST will validate the HEA Form. The FICT validates the CREC reports of CHDs/MOH-BARMM, DOH hospitals, sanitaria and Drug Abuse Treatment and Rehabilitation Center (DATRCs). Once approved by FICT, the MST will validate the HEA Form. The MST validates the CREC reports and HEA Forms of DOH Central Office, Bureau of Quarantine, Attached Agencies, Government Owned and Control Corporations (GOCCs), Philippine General Hospital (PGH) and Philippine Genome Center (PGC).

In cases where duplicates are detected by HEAPS, the health facility may submit a formal query to [email protected] with the following details of the concerned personnel in order to initiate a proper investigation: a. Full name; b. Birthday; and c. PhilHealth Number (verified through a PhilHealth Identification Card or Member Data Record). In the event the PhilHealth Number was found to be misused after investigation, the CREC/HEA Form containing the questionable PhilHealth Number shall automatically be deleted.

If a HCW or non-HCW is hired on a part-time basis and/or works in multiple health facilities, he/she shall be listed in only one (1) health facility. If a health facility encodes a personnel who has already been listed under another health facility, the HEAPS shall tag this as a duplicate. Consequently, the health facility will not be able to upload this personnel in their CREC report. The HCW or non-HCW reserves the right to choose which facility they prefer to be listed under to claim their HEA, provided proper documentation is presented to the chosen facility to allow proper verification of information to be included in the CREC report.

"All CREC Reports must be submitted along with an Attestation Form duly signed by the head of the health facility or head of the human resources/personnel division, clearly indicating their designation/position, acknowledging the authenticity and correctness of the CREC report. Specifically, The CREC Report with the Attestation Form of the DOH-CO shall be duly signed by the Secretary of Health or the appointed Officer-in-Charge of the DOH, or the designated Officer-in-Charge (OIC), in accordance with the retroactive provision of RA No. 11712; and The CREC Report with the Attestation Form of the Bureau of Quarantine (BOQ) and the Food and Drug Administration (FDA) shall be duly signed by the Director IV and Director General, respectively, or their designated OICs, in accordance with the retroactive provision of RA No. 11712.

The health facility shall submit their CREC report monthly following the prescribed schedules and deadlines set by MST as shown in the landing page of the HEAPS website.

Yes, but it is the responsibility of the health facility to double check and update the information in the CREC report.

1. If the system detects that an individual is a duplicate or already registered to other CREC report. 2. Uploader did not use the prescribed CREC template of the MST; and 3. Required fields in the prescribed CREC template are not populated completely.

The health facilities can submit their CREC report in two (2) ways: a. Encode through HEAPS that allows users to register their employees directly to the system; or b. Upload the accomplished CREC template in the HEAPS.

No. Only the submitted CREC reports using the new template (version 8) provided by the MST shall be accepted by the system.

Yes. It is downloadable at https://heaps.doh.gov.ph/download along with other forms such CREC template v.8, attestation forms of health facilties and validators, etc. It can also be found in the annex of DM 2022-0390.

The concerned CHD shall process the the approval/disapproval of requests for registration of health facilities and health-related establishments in HEAPS.

For licensed health facilities (hospitals, infirmaries, diagnostic laboratories, COVID-19 testing laboratories, birthing homes, dialysis centers/clinics, ambulatory surgical clinics, blood centers and psychiatric facilities): Copy of latest and valid License to Operate (LTO) and duly Accomplished Letter of Intent (LOI) duly signed by the head of health facility; For Provincial/City/Municipal Health Offices, rural health units, barangay health stations, vaccination sites, TTMFs and other health facilities that may operate without a license: duly Accomplished LOI; For health-related establishments designated by the Department of Health for COVID-19 response: Copy of certification from their respective CHD/MOH designating the health facility for COVID-19 response and duly accomplished LOI; and For eligible health facilities not found in the system: Contact the concerned Center for Health Development (CHD)/DOH Regional Office in your area for inclusion.

No. Facilities previously registered in the OCAIS are no longer required to register in HEAPS.

The HEAPS uses the database of the COVID-19 Bakuna Center Registry (CBCR) as a basis to accommodate the vaccinations sites. Similarly, the system utilizes the database of the DOH Data Collect TTMF Tracker application for the Temporary Treatment and Monitoring Facilities (TTMFs) to ensure that all health facilities engaged in COVID-19 response are available and can be registered in the system.

Yes. The health facility must be registered to the NHFR in accordance with Administrative Order (AO) No. 2019-0060 . Only those health facilities registered in the NHFR will be able to register in HEAPS. If the name of the health facility cannot be found in HEAPS, the health facility may inquire with their respective regional Regulations, Licensing, and Enforcement Division (RLED) for inclusion to the NHFR.

The HEAPS retains all of the functionalities and features of the OCAIS like the (a) database; (b) user accounts and access; (c) CREC and OCA submitted. The submission, validation, approval and disbursement process flow of HEAPS follow Department Memornadum No. 2022-0390 or the “Implementation of the HEAPS for the Processing of Health Emergency Allowance for Eligible Public and Private Health Care Workers (HCWs) and Non-HCWs."

The HEAPS which builds on the One COVID-19 Allowance Information System (OCAIS), shall serve as the official platform automating the entire process for the grant of Health Emerency Allowance (HEA) starting from masterlisting of HCWs and non-HCWs, submission of COVID-19 Risk Exposure Classification (CREC) reports, up to the processing of HEA forms and reporting of the disbursement of HEA.

Name of Office: FHO, NCDPC It is a misconception. The mother needs practical help to lessen feeling of tiredness. Mother can drink water to refresh her, sit or lie down comfortably, clean herself so that she can be worry free when feeding her baby.

Name of Office: FHO, NCDPC Yes. Mothers with breast or nipple problem should ask help from breastfeeding/IYCF or lactation counselor in the Hospital, Health Center, or even in the Barangay with support group.

Name of Office: FHO, NCDPC Yes. When a mother is sick, antibodies are produced to fight infection. Antibodies are secreted in the breast milk and are transferred to the baby during breastfeeding. Although there are instances when sick mother should temporarily stopped breastfeeding like; when mother is undergoing chemotherapy or when exposed to radiation, she should be cleared first before returning to breastfeeding.

Name of Office: FHO, NCDPC There is a substance in the breast milk which can reduce or inhibit milk production. If a lot of milk is left in the breast because the baby did not feed well or did not feed at all, the inhibitor will protect the breast from harmful effect of being too full by not producing anymore milk. It is important that mother gives only breast milk in the first 6 months of life and allow the baby to stop on his/her own in order to empty the breast and be ready for the next production of breast milk. Breastfeeding should continue after 6 months while complementary foods are given until 2 years and beyond.

Name of Office: FHO, NCDPC All women are cable of producing milk. It is a misconception that a newly delivered woman has no milk. The frequent suckling of the baby to her mother’s breast stimulates oxytocin (love hormone) for milk ejection. Some factors will hinder oxytocin reflex like; stress, worry, pain and doubt, but are just temporary. It is important that breastfeeding mother is relax and confident that she can feed her baby optimally. Effective “Suckling” will help produce breast milk.

Name of Office: FHO, NCDPC Foods given to babies after six months to complement breast milk. Breastfeeding should continue when complementary foods are introduced for up to two years of age or beyond.

Name of Office: FHO, NCDPC Exclusive breastfeeding means giving a baby only breast milk, and no other liquids or solids, not even water.

IMCI is implemented in 70% of all health facilities nationwide. IMCI is also integrated in the Nursing, Midwifery and Medical Pre- Service Education. The attached lists/addresses of DOH Centers for Development (CHDs) in 17 regions can provide technical assistance in IMCI training. The list also includes the Nursing and Midwifery Schools designated as Training Institution for IMCI Pre-Service.

1. Addresses major child health problems because it systematically address the most important causes of children illness and death. 2. Responds to demands. 3. Promotes prevention as well as cure because IMCI emphasizes important preventive interventions such as immunization and breastfeeding. 4. Is cost-effective- most cost-effective interventions in low and middle income countries (World Bank). 5. Promotes cost-saving. 6. Improves equity – IMCI improves inequity in global health care.

1. ASSESS THE CHILDS ILLNESS. 2. CLASSIFY THE ILLNESS BASED ON SIGNS. 3. IDENTIFY TREATMENT. 4. TREAT THE CHILD. 5. COUNSEL THE CARETAKER. 6.FOLLOW-UP

- All sick children aged up to 5 years are examined for general danger signs and all sick young infants are examined for very severe disease. These signs indicate immediate referral or admission to hospital. - The children and infants are then assessed for main symptoms. For older children, the main symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For young children, local bacterial infection, diarrhea and jaundice. All sick children are routinely assessed for nutritional and immunization and deworming status and other problems. - Only a limited number of clinical signs are used. - A combination of individual signs leads to a child’s 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.

- Reduce death and frequency and severity of illness and disability. - Contribute to improved growth and development

Ten million children die each year and 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.

- Improving case management skills of health workers. - Improving over-all health systems. - Improving family and community health practices

Name of Office: FHO, NCDPC IMCI is an integrated approach to child health that focuses on the well-being of the whole child. IMCI aims to reduce death, illness and disability and to promote improved growth and development among children under five years of age. IMCI include curative and preventive elements that are implemented by families and communities and by health facilities. The strategy was developed by World Health Organization and UNICEF and is used by most countries in the world.

Pilot access sites: - East Avenue Medical Center - Jose Reyes Memorial Medical Center - Rizal Medical Center - Philippine General Hospital Expansion Sites: - Amang Rodriguez Memorial Medical Center - Bicol Regional Training and Teaching Hospita

Help improve the cure and survival rates of cancer patients and alleviate their financial hardships in paying for costly cancer treatment, DOH will target the most cost-effective and commonly used adjuvant chemotherapy for Stage I-IIIb breast cancer in women. The free medicines access program for cancer is not only meant to provide ready access to cancer medicines but to promote early-screening and cancer awareness among Filipinos emphasizing that detecting, treating and managing cancer in the early stages improves the overall prognosis and survival rates for patients.

A fully eligible cancer patient shall be referred by his / her surgeon / oncologist to the Patient Navigator Program managed by the Philippine Cancer Society as the duly recognized private non-government organization with the expertise on cancer treatment and management. The candidate patient and his /her attending physician must accomplish and submit the following documents list to receive the continuous free supply of anti-cancer medicines.

There are administrative sanctions that may be imposed by the Secretary of Health to violators. This is separate from any criminal or civil liability that may be incurred upon filing of appropriate charges in the courts of Law.

This allows development, testing, and experimental work for the registration of a generic medicine to take place during the patent period of the innovator product. Such development, testing, and experimental work may last from 6 months to 2 years. Thus, this allows generic counterparts to be readily available and marketed the day after the patent expires instead of 2 years after. In contrast, without Bolar provision, a company may only apply for registration after the patent expires, in which case, the effective life of the patent is extended subject to the time it takes to complete said registration processes (usually 6 months to two years). By exerting the early workings provision for patented medicines, generic competition is facilitated and cheaper yet quality counterparts for expensive innovators become available earlier in the market.

Parallel importation (Sec. 7), as applied to the local setting, is when a patented drug is brought into the country by Government or any private third party even without the consent of the patent holder as long as any of the 2 condition is met: a. It has been introduced in the Philippines by the patent holder, or b. It has been introduced anywhere in the world by the patent owner. It allows for an importer to “shop around” for a good price for a patented product, bring this into the country and sell it to a more competitive and affordable price than the prevailing price of the same patented product sourced locally from the innovator company. Example: a drug sold here at 45 pesos per tablet and sold at 8 pesos in another country, an importer may now bring the quality cheaper medicine in the country and sell it cheaper for our countrymen.

The Law recognizes competition as the primary instrument to attain the best price and best quality for drugs and medicines through generics promotion. Competition also encourages innovation so we can have newer and better drugs. However, in instances that effective competition is not attained, the Law and its IRR provides for regulations of prices as well as of all the other factors that contribute to high and inaccessible costs of drugs and medicines. Thus, a balance between these two may be best for our countrymen to reap the full benefits of quality affordable medicines without compromising innovation for research for newer drugs.

- The Secretary of Health has special powers to be able to make informed decisions and ensure the full implementation of the Law. Such influence extends even to the Local Government Units where the DOH shall actively engage in meaningful partnerships to ensure the Law is followed. - The DOH is the main implementing and monitoring agency for Cheaper Medicines Act but this is not a sole responsibility of the Department. DTI, IPO, FDA, PhilHealth, PITC, PITC Pharma Inc. are all collectively working together to get the intent of the Law done. Moreover, the Secretary can deputize any other government agency for any purpose related to the implementation and apt enforcement of the Law and its IRR. - Private Sector participation, partnerships, and advice are encouraged and sought in terms of monitoring implementation, building capacity, and reporting violations of the Law and its IRR.

The Law and its IRR intend to make medicines more accessible & affordable to Filipinos by enforcing provisions that improve market competition, availability, contain costs, improve healthcare provider and consumers behaviour, and when instances so require, even regulate prices. a. Interventions to Improve Competition: i. Parallel Importation of patented Medicines ii. Required Production of Generic Drugs iii. Promotion of quality generic drugs iv. Enforcement of the Early working Provision for patented medicines. b. Interventions to Improve Availability: i. Compulsory Licensing for patented Medicines ii. Special Compulsory Licensing for patented Medicines iii. Government Use of Patented Medicines iv. Mandatory Carry for patented parallel imports v. Non-traditional outlets like Convenience Stores and supermarkets allowed to sell Over-the-Counter drugs c. Cost containment Measures: i. PhilHealth Reimbursements ii. Government Pooled Procurement iii. Consignment d. Interventions to improve Professional behavior to serve the needs of the poor and vulnerable: i. Generics only prescribing in government facilities and by government health workers ii. Required use of generic terminology in all transactions including precribing for health workers and reimbursing for PHIC e. Interventions to regulate prices i. Imposition of Maximum Retail Prices ii. Drug Price Monitoring by the Government

The Law intends to achieve better health outcomes for the Filipino people by assuring that quality medicines are accessible and affordable to as many Filipinos especially the poor. There are a number of factors to be considered and a variety of issues and concerns to address when facing the problem of access to medicines. Among the major and critical issues include those of rational drug use, public perception on generics, health professional behaviour on prescribing and dispensing medicines, information asymmetry and exercising informed choice, pricing, supply and distribution, and procurement systems’ transparency, respect for patent rights vis-à-vis access by the poor, quality assurance, and many others. This is the reason why the Law too has many different interventions ready to address these critical and major issues.

For vehicle owners/motorist: - Maintain your vehicle by changing oil regularly (every 5,000 kilometers). - Keep the engine well-tuned following the owner’s manual. - Keep tires properly inflated. - Plan trips and observe proper driving habits. - Remove unnecessary things from the trunk. Don’t overload and travel only at speed required by traffic regulations and road conditions. For commuters: - Try talking to the jeep/bus/tricycle driver about the high health risks of poor vehicle maintenance and improper driving practices. - Patronize mass railway transit (i.e., MRT, LRT). For office workers: - Reduce use of air conditioning and ensure that rooms are sealed. - Make sure that lights are energy-efficient. - Use company vehicles wisely and make sure that they are well-maintained. - Use natural lighting by opening window curtains at daytime. At home: - Use low watt bulbs or energy-saving lights. - Limit the use of air conditioning units and keep the temperature a few degrees higher. - Don’t burn garbage. - Avoid using aerosols. - Properly dispose of refrigerant, refrigeration equipment, and used coolant. For everyone: - Talk to people on what they can do about air pollution. - Report smoke-belchers to LTO, MMDA, and/or the appropriate local government units. - Walk or ride your bike to places. - Take the bus or mass rail transit whenever you can. - Work with residential associations to stop burning of garbage. - Plant trees. - Spread the word about the ban on smoking in public places.

The implementation of the Act is a multi-sectoral undertaking to be spearheaded by the Department of Environment and Natural Resources (DENR). The institutions involved in the implementation of the various components of the Act are as follows: A. Mitigation of air pollution from mobile sources Motor Vehicle Inspection System: - Land Transportation Office (LTO). - Department of Transportation and Communications (DOTC). - private sector groups. Private Emission Testing Centers: - DOTC-LTO - Department of Trade and Industry (DTI) - DENR - private sector groups B. Reduction of emissions from vehicular use Introduction of emission control technologies: - DENR - DOTC - DTI - Department of Science and Technology (DOST) - Automotive industry Regular in the importation of second-hand vehicles: - Bureau of Customs - DOF - Bureau of Import Services - DTI - DOTC-LTFRB-LTO C.Mitigation of air pollution from stationary sources Stack monitoring and related permitting: - EMB and it's regional offices. - authorized/recognized private sector groups. Adjudication of air pollution access: - Pollution Adjudication Board (PAB). Funds for the Installation of Air Pollution Control Facility: - Land Bank of the Philippines - Development Bank of the Philippines D. Strengthening of ambient air monitoring, reporting ad management. - EMB in cooperation with concerned government agencies. - EMB Regional Offices E. Improvement of Fuel Quality. Change in composition of fuel quality: - Department of Energy (DOE) - DENR. - DTI-Bureau of Products Standards. - DOST - Chamber of Automotive Manufacturers of the Philippines, Inc. - Oil Companies - NGOs. Examination of potential for alternative fuels: - DOE - DOST - Private Sectors Groups F. Reduction in traffic congestion and improvement in traffic flow Road rehabilitation Program: - Department of Public Works and HIghways. Traffic Engineering and Management: - DOTC. - MMDA - LGUs - concerned government agencies. Transport Policy Studies: - MMDA - DOTC-Light Railway Transport Authority - Philippine National Railway - LGus G.Increasing public awareness. - DENR Public Affairs Office and the Environmental Education and Information Division-EMB, with Partnership for Clean Air. - Relevant Government Agencies. - Private Sector. - Civil Society

Smoking is banned beginning May 25, 2001, in any of the following locations: -Inside a public building; - Enclosed public places including public vehicles and other means of transport; - In any enclosed area outside of one’s private residence, private place of work; or. - Any duly designated area which will be enclosed. The local government units are mandated to implement this provision of the law. Penalty to violation of this provision is six months and one day to one year imprisonment, or a fine of ten thousand pesos (P10,000)

A fine of not more than P100,000 for every day of violation shall be charged against the owner of a stationary source, until such time that standards have been met. For gross violation, the penalty is imprisonment of not less than six years but not more than 10 years upon the discretion of the court. At the same time, the Pollution Adjudication Board (PAB) could close the firm through the issuance of a Cease and Desist Order. There is gross violation of the law or its rules when any of the following occurs: 1. Three or more specific offenses within a period of one year. 2. Three or more offenses within three consecutive years. 3. Blatant disregard of the orders of the PAB, such as, but not limited to the breaking of seals, padlocks and other similar devices, or operating despite the existence of an order for closure, discontinuance or cessation of operation. 4. Irreparable or grave damage to the environment as a consequence of any violation or omission of the provisions of the Act or its IRR.

All stationary sources must comply with the National Emission Standards for Source Specific Air Pollutants (NESSAP) and National Ambient Air Quality Standards (NAAQS) and must secure their permit to operate, prior to operation. For new or modified sources, the permit to operate shall be converted to authority to Construct. The Act also provides for the maintenance of attainment and non-attainment areas, in respective specifications as would be described shortly. Attainment areas are such where the existing ambient air quality complies with the National Ambient Air Quality Guideline Values. For existing sources or those established prior to the effectivity date (November 25, 2000) of the Implementing Rules and Regulations (IRR), in attainment areas, the following must be observed: - Must comply with the NESSAP and the NAAQS, or submission of compliance program in case of non-compliance; - May use emission trading and/or averaging as part of compliance plan; - Must comply within 18 months if found non-compliant; - Must pay mass emission fees. For new modified sources of air pollution, in attainment areas, the following must be observed: - Must comply with the NESSAP and NAAQS; - Must have an “Authority to Construct,” which is converted to Permit to Operate; - Must apply “Best Available Control Technology,” or such approaches, techniques or equipment which when used, result in lower air emissions, but in a cost-effective manner; - Emissions averaging is not allowed, but may generate emission credits for selling; - Must pay mass emission fees; - Must install continuous monitoring system (CEMS) for sources with potential to emit greater than or equal to 100 tons per year. For existing stationary sources in non-attainment areas, the following must be observed: - Must comply with the NESSAP and NAAQS; - In case of non-compliance, compliance plan to meet the standards within 12 months is required; - Must pay a higher fee for the mass rate of emissions (50% surcharge); - Must pay a 100% surcharge (i.e., 200% of base) for any penalties and fines relating to a violation of the non-attainment provisions. For new or modified sources in non-attainment areas, the following must be observed: - Must comply with the NESSAP and NAAQS; - Must install Lowest Achievable Emission Rate (LAER) control technology, or such technology or combination of technologies and process controls that result in the lowest possible emissions of a given air pollutant. The technical feasibility, rather than the cost, is the consideration, in determining the applicable LAER for a given source; - Must not use emissions averaging and trading for compliance; - Must install CEMS; - Must pay 50% surcharge on mass emission fees; - Must pay a 100% surcharge (i.e., 200% of base) for any penalties and fines relating to a violation of the non-attainment provisions.

Clean fuels are needed to achieve clean air. The CAA thus provides for: - The complete phase out of leaded gasoline before the end of the year 2000; - The lowering of the sulfur content of industrial and automotive diesel, respectively, from 0.5% to 0.3% and from 0.2% to 0.05%. - The lowering of aromatics in unleaded gasoline from 45% maximum to 35% maximum; and the lowering of benzene in unleaded gasoline from 4% maximum to 2% maximum. Further improvement on the fuel quality, excluding cleaner alternative fuels, will be spearheaded by the Department of Energy.

Smoke belching vehicles on the road shall be subjected to emission testing by properly equipped enforcement teams from the DOTC/LTO or its duly deputized agents. Violators will be subject to the following fines/penalties: 1st offense P1,000 2nd offense P3,000 3rd offense P5,000 plus a seminar on pollution management _______________

Exhaust emission standards for various mobile sources that are either in-use, new, rebuilt, and imported second-hand have been set. All new motor vehicles classified under the Philippine National Standards 1891 of the Bureau of Product Standards of the Department of Trade and Industry, whether locally assembled/manufactured or imported are to be covered by a Certificate of Conformity (COC). The COC is to be issued by the DENR to the motor vehicle manufacturer, assembler or importer. In-use motor vehicles will only be allowed renewal of their registration upon proof of compliance with emission standards through actual testing by the Motor Vehicle Inspection System (MVIS) of the DOTC/LTO, and authorized private emission testing centers. On the other hand, rebuild motor vehicles or imported second-hand completely built-up or pre-regulated vehicles retrofitted with secondhand engines will only be allowed registration or renewal of registration upon submission of a valid Certificate of Compliance to Emission Standards (CCES) issued by the DOTC. The CCES will only be issued if the exhaust emission standard for that specific motor vehicle is met, as verified by actual testing through the MVIS.

All potential sources of air pollution (mobile, point and area sources) must comply with the provisions of the law. All emissions must be within the air quality standards. Mobile sources refer to vehicles like cars, trucks, buses, jeepneys, tricycles, motorcycles, and vans. Point sources refer to stationary sources such as industrial firms and the smokestacks of power plants, hotels, and other establishments. Area sources refer to sources of emissions other than the above. These include smoking, burning of garbage, and dust from construction, unpaved grounds, etc.

The National Ambient Air Quality Guideline Values, in order to protect health, safety, and the general welfare, have been set in law. These are to be routinely reviewed by the DENR, through the EMB, in coordination with other concerned agencies and sectors.

Designation of air sheds The Secretary of the Department of Environment and Natural Resources (DENR), upon recommendation of the Environmental Management Bureau (EMB), will divide the country into different air sheds. Air sheds are to be designated based on climate, weather, meteorology and topology, which affect the mixture and diffusion of pollutants in the air, share common interests or face similar development problems. DENR Administrative Order No. 2002-05 and Memorandum Circular No. 2002-1 dated January 23, 2002 provided initial designation of the Metro Manila air shed (NCR, Region III, and Region IV-A) and the creation of its interim governing board. Management of air sheds Air sheds are to be managed by multi-sectoral Governing Boards chaired by the Secretary of the DENR with representatives from the local government’s concerned (province/city/municipality), the private sector, people’s organizations, NGOs and concerned government agencies. Functions of Governing Boards Each Governing Board shall: - Formulate policies and standards subject to national laws; - Prepare a common action plan; - Coordinate its members; - Submit and publish an annual Air Quality Status Report for their airshed. Support Groups To carry out the day-to-day work of the board, a nine-member Executive Committee is to be elected at large by the members of the Governing Board. Technical Working Groups are also to be formed to ensure broader participation of all stakeholders. The EMB will serve as the technical secretariat of each Governing Board. Air Quality Management Fund An Air Quality Management Fund (AQMF), to be administered by the DENR, through the Bureau, as a special account in the National Treasury, shall be established to finance containment, removal and cleanup operations of the government in air pollution cases, guarantee restoration of ecosystems and rehabilitate areas affected by violations to the Act, support research, enforcement and monitoring activities of the relevant agencies. Such fund may likewise be allocated per air shed for the undertakings herein stated. Sources for the AQMF shall include: air emission charges from industries and motor vehicles; fines and penalties for non-compliance with air pollution standards; grants from both private sector and donor organizations; and a limited percentage (5 to 10%) of the proceeds of the Program Loan for the Metro Manila Air Quality Improvement Sector Development Program.

The CAA provides that the State shall: - Protect and advance the right of the people to a balanced and healthful ecology in accord with the rhythm and harmony of nature; - Promote and protect the global environment while recognizing the primary responsibility of local government units to deal with environmental problems; - Recognize that the responsibility of cleaning the habitat and environment is primarily area-based; - Recognize that "polluters must pay"; - Recognize that a clean and healthy environment is for the good of all and should therefore be the concern of all.

Republic Act No. 8749, otherwise known as the Philippine Clean Air Act, is a comprehensive air quality management policy and program which aims to achieve and maintain healthy air for all Filipinos. _______________ Lifted from: Department of Environment and Natural Resources. (2003, August). Primer on the Clean Air Act. Diliman: DENR-Public Affairs Office

Special Bonus packs are treatment packages that exceed the one hundred pesos limit, but still are whom prices are still comparably cheaper by as much as 90% of the regular price of leading brands in the market.

There are 30 drugs included in the P100 list with an additional special bonus package. The DOH is in process of expanding the list to cover common ailments and serve the Filipino people better.

· A program headed by the Department of Health that aims to give Filipinos Drug Packages for 100 Pesos or less available in all DOH hospitals and select LGU Hospitals. · The project allows sale of a list of prescription drugs that are packaged in complete treatment course for antibiotics, or for better compliance for maintenance drugs for diseases such as Hypertension, Diabetes and Asthma. Such secondary packaging was done based on existing clinical practice guidelines. · The plan is to have the P100 as entry and initial outpatient benefit package for PHIC reimbursement.

Yes, it is the only drug package that is reimbursable by PHIC (PhilHealth Board Resolution No. 1214 s 2099 and 1831 s-2010) as take-home medicines for all PHIC members.

P100 drug packages are sold in ALL DOH retained hospitals and selected LGU hospitals.

90% Cheaper

The NFC committee has resigned on April 2009. An AO 2006-0018 Subject: Implementing Guidelines for the Philippine National Drug Formulary System (PNDFS) was created on May 08, 2006. The DOH finds it necessary to revise the inputs, processes, and outputs of the PNDF, collectively referred to, thereafter, as the Philippine National Drug Formulary System (PNDFS) There have been a Department Personnel Order (DPO) for the Creation of the Formulary Executive Council (FEC)for the Philippine National Drug Formulary System

Drugs not listed in the PNDF Volume I, needs a written request for exemption for procurement with corresponding justification addressed to the Head of the National Center for Pharmaceutical Access and Management (NCPAM) who may approve or disapprove the request. (Refer to EO 49 “Directing the Mandatory Use of the Philippine National Drug Formulary (PNDF) Volume I as the basis for Procurement of Drugs Products by the Government” and Administrative Order 163 s. 2002 “Implementing Guidelines and Procedures in the Procurement and Requisition of Drugs and Medicines by the Department of Health pursuant to Executive Order No. 49 dated January 21, 1993.

As stated in the of the Republic Act No. 9502 or the Universally Accessible Cheaper and Quality Medicines Act of 2008 and its Implementing Rules and Regulations Rule No. 36, “All government agencies, including local government units, shall procure drugs and medicines within the Philippine National Drug Formulary (PNDF) current edition in accordance with Republic Act 9184 and any other pertinent procurement reforms”. Also, pursuant to Executive Order No. 49 of 1993 states that, “all government entities concerned are mandated to use the current PNDF (Volume I) as the basis for procurement of drug products”.tial medicines that are registered with Food and Drug Administration (FDA)

The previous process of identifying drugs and medicines to be included in the PNDF include a series of deliberation meetings and evaluations of the National Formulary Committee (NFC) which consists of member physicians and specialists from different fields of expertise with relevant years of experience and distinction in their respective fields.

The Philippine National Drug Formulary (PNDF) is an integral component of the Philippine Medicines Policy which aims to make quality essential drugs available, accessible, efficacious, safe and affordable The PNDF (Volume I) is the Essential Medicines List (EDL)for the Philippines prepared by the National Formulary Committee (NFC) in consultation with experts and specialists from organized professional medical societies, medical academe and the pharmaceutical industry. List of essential medicines that are registered with Food and Drug Administration (FDA).

Population must be recognized as a principal element in long-range planning, it the government is to achieve its economic goals and fulfill the aspirations of its people.

As its contribution to the social and economic growth of the country, the population program aims to lower the population growth rate (PGR) from the present 2.04 (2007 Census) to 1.48 by 2015 and the total fertility rate (TFR) from 3.3 (2008 NDHS) to 2.4 by 2015. This TFR is based on the desired number of children as expressed by Filipino women based on the 2008 National Demographic and Health Survey. These objectives can be attained if the contraceptive prevalence rate (CPR) will increase from 50.7% in 2008 to 63% in 2015. These targets, if achieved, will open a window of opportunity or a “breathing space,” which the country can exploit to recover and regain its balance to attain its development goals.

1. Pre-Marriage Counseling’s a half day orientation program for couples applying for marriage license. It is designed to provide pre-marriage couples with a realistic view of what marriage is all about. 2. Presently, the centerpiece of the RP-FP Program is the Responsible Parenting Movement (RPM). The Responsible Parenting Movement is a program to organize and activate a group of parents who would want to take on responsible parenting as a way of life. This idea is brought down to where it really matters – the more than 42,000 barangays nationwide. These groups of parents are organized through an 8-hour seminar (called “classes”) at the community level. They are called as such because the participants who are parents will undergo an orientation on concepts and values of responsible parenting and how to achieve them. These groups of parents are the critical mass that will evolve into a movement. The RPM is now on its Phase II. The aim of the Responsible Parenting Movement Phase II is to socially and economically empower the couple for them to carry out their plans and aspirations for their families. The RPM Phase II is piloted in the Municipality of Tanay, Rizal in Region IV and in Marikina City in the National Capital Region (NCR). 3. On the Adolescent Health and Development component, the LEARNING PACKAGE FOR PARENT EDUCATION ON ADOLESCENT HEALTH AND DEVELOPMENT (LPPED) was developed to equip parents with the necessary knowledge on adolescent sexual and reproductive health concerns as well as skills on how to communicate these concerns to their adolescent children. The LPPED complements the training package for the youth and adolescent which is called “Sexually Healthy and Personally Effective Adolescent” or SHAPE. 4. On the Population and Development (POPDEV) Integration Program, the “Sourcebook on Designing and Implementing PHE Integrative Initiatives” was developed to highlight the population, health, and environmental (PHE) concerns which are among the crucial development issues that have to be addressed as we are now beginning to feel the interlink of these three concerns and their impact on our lives. 5. On Gender and Development, the MAGNA CARTA OF WOMEN mandates all government offices, including government-owned and controlled corporations and local government units to adopt GENDER MAINSTREAMING as a strategy for implementing the law and attaining its objectives. In this area, the PPMP is adopting the Men’s Responsibility on Gender and Development or MR GAD, which emphasizes the participation of males in the Gender and Development issues. This is necessary because the male is the other half of the couple and without the participation of both partners, GAD issues cannot be easily resolved.

To attain its objectives, the following are the strategies of the Program: - Work for universal access (accessibility, availability, and affordability) of all medically, ethically, and legally approved family planning methods and services to help couples/parents plan their families; - Promotion of male participation/involvement in Responsible Parenting and Family Planning (RP-FP) within the context of gender equality and equity; - Continue to utilize community organization and participatory strategies (Responsible Parenting Movement, community-based volunteers) to sustain/broaden acceptance of responsible parenting as a social norm; - Provide age-appropriate and values-laden human sexuality education for the youth thru the formal and non-formal educational systems and equip/educate parents with appropriate skills and information on adolescent health and human sexuality concerns; - Intensify/sustain communication, education, and advocacy campaign for population management and RP/FP programs by broadening alliances and strengthening networks with Program stakeholders; LGUs, NGOs, business community, academe, media and faith-based organizations, among others; - Conduct scientific population and related researches/studies and strengthen data & information management for policy, plan, and program development; and • Advocate for increased investment on the population management program by the national government and LGUs through legislative agenda and budgetary support.

The objectives of the PPMP are: - Help couples/parents exercise responsible parenting to achieve the desired number, timing, and spacing of children and to contribute in improving maternal, neonatal and child health, and nutrition (MNCHN) status; - Help adolescents and youth avoid pre-marital sex, teenage pregnancies, early marriages, sexuality transmitted infections and other psycho-social concerns; and. - Contribute to policies, plans and programs that will assist government to attain population growth and distribution consistent with economic activities and sustainable development.

1. The central idea of the program is responsible parenthood. It is oriented towards the overall improvement of family well-being; it is not concerned with just fertility reduction. It views family welfare, including that of the individual welfare, as the central objective of the national development program. Thus, the program promotes family development and responsible parenting. It believes that parenting and raising a family is a shared responsibility of the husband and the wife. 2. The program is non-coercive. It respects the rights of couples to determine the size of their family and choose voluntarily the means to do so in accordance with their moral convictions and religious beliefs, and cultural mores and norms. It believes in informed choice. 3. The program rejects abortion as a means to control fertility. Abortion is illegal and the program will never consider it as a family planning method. 4. The program promotes self-reliance and multi-sectoral participation. It gives priority to projects that are self-sustaining and with community participation. It encourages coordinative and participative approaches through the participation of Local Government Units and Non-Government Organizations and other critical stakeholders. 5. The program adheres to gender equality and equity which is non-discriminatory in all political, social, and economic development concerns.

The Responsible Parenthood Program is firmly anchored in the 1987 Constitution, especially in Article XV, Section 3.1 and Article II, Section 12. Article XV, Section 3.1 says that “The State shall defend the right of the spouses to found a family in accordance with their religious convictions and the demands of responsible parenthood.” Article II, Section 12 also says that “The State recognizes the sanctity of family life and shall protect and strengthen the family as a basic autonomous social institution. It shall protect the life of the mother and the life of the unborn from conception. The natural and primary duty of parents in the rearing of the youth for civic efficiency and development of moral character shall receive the support of the Government.”

POPCOM defines Family Planning as a program that enables parents to deliberately and responsibly decide the number and spacing of their children, by avoiding for the time being, or even for an indefinite period, a birth. It is not a prognosis imposed on the parents but an expression of responsible parenting based on informed choices and decisions of couples to achieve their desired family size based on their social and economic capacity.

Responsible Parenthood, as defined in the Directional Plan of POPCOM, is the will and ability of parents to respond to the needs and aspirations of the family and children. It is a shared responsibility of the husband and the wife to determine and achieve the desired number, spacing, and timing of their children according to their own family life aspirations, taking into account psychological preparedness, health status, socio-cultural, and economic concerns.

The legal basis of the Philippine Population Program is Republic Act 6365, otherwise known as the “Population Act of 1971.” It created the Commission on Population (POPCOM). It was amended in 1972 by Presidential Decree No. 79. As mentioned in PD 79, the tandem of Responsible Parenthood and Family Planning is the basic program of the Philippine Population Program (PPP). The PPP was later renamed the Philippine Population Management Program (PPMP).

BnB Notarized Petition Form Notarized Memorandum of Agreement (MOA) (Annex B) SEC / CDA Registration or Barangay Resolution Photocopy of valid PRC ID of Pharmacist Certificate of Attendance/Participation to a training of the BnB Operator Location/Vicinity Map of the BnB outlet (direction going to the BnB Outlet; indicate land marks and contact number) Note: Application shall be coordinated with the CHD where the BnB will be established.

50-70% cheaper compared to leading brands.

Refers to a drug outlet managed by a legitimate community organization (CO)/non- government organization (NGO) and/or the Local Government Unit (LGU), with a trained operator and a supervising pharmacist. Refers to a drug outlet wherein primary, non-prescription generic drugs listed in the Philippine National Drug Formulary (PNDF) and selected prescription drugs (Cotrimoxazole, Amoxicillin, Metoprolol, Captopril, Metformin, Glibenclamide and Salbutamol) are sold/made available. The BnBs serves a total population of approximately 90,457,200.

You may feel a slight sting in the beginning, lasting only a couple of seconds, but there should be no discomfort during the donation.

From a single blood donation, there are 3 main components that can be derived. Each component will be used for specific patient need. The people who can benefit from your donated blood are: • Patients suffering from severe blood loss. • Leukemia patients. • Hemophilia patients. • Mothers giving birth with complication. • Major trauma patients. • Transplant patients, etc.

National Voluntary Blood Services Program (NVBSP) A. Before blood donation You will be asked to fill up a Donor's Form upon arrival at the blood collection site. Questions regarding your health history wil be asked by a trained professional staff. Pre-donation educationand counselling will be given by a trained professional staff. Your weight, blood pressure, pulse rate and temperature will be checked. You will be examined by a physician. Small sample of blood will be taken to check your blood type and hemoglobin level. Screening and selection procedure will usually take about 10 to 15 minutes. You are encouraged to give accurate data for your own safety and that of the recipient. All information gathered wil be treated with utmost confidentiality. B. During Blood Donation You will be asked to lie down on the blood donor's couch for blood collection which will be done by a skilled phlebotomist. The amount of blood which will be taken and will be determined by a physician. It will depend mainly on your body weight and does not exceed 450 ml. This will take another 10 to 15 minutes. C. After Blood Donation You will be advised to rest for 10 more minutes. Beverage and simple snacks will be served. Post-donation education and counselling will be given by a trained professional staff. You will be advised to drink more fluids. The volume of fluids taken is completely replaced by the body within 3 to 5 hours.

While a given individual may be unable to donate, he or she may be able to recruit a suitable donor. The Blood Center is always in need of volunteers to assist at blood draws or to organize mobile blood drives. In addition, volunteer works are always welcome help the blood center ensure the continuous supply of safe blood to those in need.

Basic requirement of a potential blood donor: Weight: At least 110 lbs (50 kg). Blood volume collected will depend mainly on you body weight. Pulse rate: Between 60 and 100 beats/minute with regular rhythm. Blood pressure: Between 90 and 160 systolic and 60 and 100 diastolic. Hemoglobin: At least 125 g/L.

Be sure to eat well at your regular mealtimes and drink plenty of fluids.

The most common blood type is Blood Group O followed by A, then B and AB. More than 99% of Filipinos are Rh positive while less than 1% has Rh negative blood.

To ensure the safest possible blood supply, all donors must be all the screening questions at each donation. The DOH requires blood centers conform to this practice.

Most blood donations are processed and available for use within 48 hours. The reason for this is because each blood samples collected from donors will have to be tested for 4 markers of infectious diseases (HIV 1/2, Hepatitis B, Hepatitis C, Syphilis and Malaria) Blood grouping and Rh typing will also have to be determined to complete the testing.

The actual donation takes about 5 to 10 minutes. The entire donation process, from registration to post-donation refreshments, takes about one hour.

Not long at all. The volume of fluids will adjust within a few hours of your donation. The red blood cells will be replaced within a few weeks.

For a whole blood donation, approximately one pint (which weighs about one pound) is collected. This is also equivalent to about 450 to 500 milliliters. For a platelet donation, the amount collected depends on your height, weight and platelet count if collected through Apheresis or about 50 to 70 milliliters for random donor platelet concentrate.

Share your blood at the following: > Blood Service Facilities (BSF) Philippine Blood Center DOH Hospital (BSF) PRC (BSF) LGUs / NGOs (BSF) > During various mobile blood donation activities Community Participating government organizations Private Kabalikat agencies Schools / Universities

Yes. The body contains 10 to 12 pints (5 to 6 liters) of blood. Your whole blood donation approximately one pint or equivalent to 450 to 500 milliliters.

There are three types of blood donors: 1. PROFESSIONAL/PAID DONORS They sell their blood, which is of very poor quality and can transmit very dangerous diseases to the recipient. It is illegal to take blood from any professional or paid donor. 2. REPLACEMENT DONATION Healthy relatives and friends of the patient give their blood, of any group, to the blood bank. In exchange, the required number of units in the required blood group is given. 3. VOLUNTARY DONATION Here, a donor donates blood voluntarily. The blood can be used for any patient even without divulging the identity of the donor. This is the best type of blood donation where a motivated human being gives blood in an act of selfless service.

No. There is no risk of contracting AIDS or any other disease through the donation process. Each collection kit is sterile, pre-packaged and used only once.

After blood is drawn, it is tested for ABO group (blood type) and RH type (positive or negative). Test for unexpected red blood cell antibodies that may cause problems for the recipient can be performed upon the request of the patient's attending physician. Screening tests performed are listed below: Hepatitis B surface antigen (HBsAg) Hepatitis C virus antibody (anti-HCV)/ antigen (HCV Ag) HIV-1 and HIV-2 antibody (anti-HIV-1 and anti-HIV-2) antigen (HIV-1 and HIV-2 Ag) Serologic test for syphilis Nucleic acid amplification testing (NAT) for HIV-1, HCV and HBV if available

There are certain conditions that prevent a person from donating blood temporarily or permanently. Among the temporary conditions are: -Pregnancy. - Acute fever. - Recent alcoholic intake. - Ear or body piercing and tattooing. - Surgery. Persons with the following conditions are not allowed to donate blood anytime: Cancer Cardiac disease Sever lung disease Hepatitis B and C HIV infection, AIDS or Sexually Transmitted Diseases (STD) High risk occupation (e.g. prostitution) Unexplained weight loss of more than 5 kg over 6 months Chronic alcoholism Other conditions or disease stated in the Guide to Medical Assessment of Blood Donors.

If your deferral is of a premature nature, you will be informed. Otherwise, the deferral time depends upon the reason for deferral. Prior to each donation, you will be given a mini-physical and medical interview. At that time, it will be determined if you are eligible to donate blood on that particular day.

Most blood centers strive to maintain an optimum inventory level of a three day supply. Due to unpredictable demands from trauma incidents, the inventory fluctuates hourly. When the blood supply drops below a three day level, the blood center starts alerting local donors to increase the inventory to a saef operating level.

Individuals disqualified from donating blood are known as "deferred" donors. A prospective donor may be deferred at any point during the collection and testing process. Whether or not a person is deferred temporarily or permanently will depend on the specific reason for disqualification (e.g. a person may be deferred temporarily because of anemia, a condition that is usually reversible). If a person is to be deferred, his or her name is entered into a list of deferred donors maintained by the blood center, often known as the "deferral registry."If a deferred donor attempts to give blood before the end of the deferral period, the donor will nt be accepted for donation. Once the reason for the deferral no longer exists and the temporary deferral period has lapsed, the donor may return to the blood and be re-entered into the system. Those who may be deferred include: - Anyone who has ever used intravenous drugs (illegal IV drugs). - Men who have had sexual contact with other men. - Anyone who has ever received clotting factor concentrates. - Anyone with a positive test for HIV (AIDS virus). - Men and woman who have engaged in sex for money or drugs. - Anyone who has had hepatitis. - Anyone who has taken Tegison for psoriasis. - Anyone who has risk factors for vCJD

Blood supplies can vary depending on the region and time of year. As donor qualifications continue to become stricter and as the donor population ages, our nation is at risk of a low blood supply. If you are eligible, your blood donations are needed.

While donated blood is free, there are significant costs associated with collecting, testing, preparing components, labeling, storing and shipping; recruiting and educating donors; and quality assurance. As a result, processing fees are charged to recover costs. Processing fees for individual blood components vary considerably. The following are acceptable maximum allowable processing fee for blood/components:Whole blood: Php 1,500.00; Pack Red Cells: Php 1,100.00; Fresh FrozenPlasma: Php 700.00; Cryopprecipitate: Php 700.00; and Cryosupernate:Php 700.00. (AO 181 s. 2002). Hospitals charge for any additional testing that may be required, such as the crossmatch, as well as for the administration of the blood.

Donors may be deferred from donating due to a low hematocrit (iron) level. This restriction is for the safety of the donor and ensures that after donation, the donor's hematocrit level will still be within the normal range for a health adult. Since hematocrit levels can fluctuate daily, a deferral for a low hematocrit level does not mean a donor is anemic. A donor may help increase his or her hematocrit levels by eating foods high in iron such as red meat, dark green vegetables and raisins or by taking a multivitamin that contains iron.

Scientists have yet to find a successful substitute for human blood. This is why blood donors are so vital to the lives of those who are in need of blood.

You cannot give blood if you have anemia. However, this can often be a temporary condition. Your hemoglobin will be tested before you donate to make it is at an acceptable level.

No. Each unit of whole blood normally is separated into several components. Red blood cells may be stored under refrigeration for a maximum of 42 days depending on the anti-coagulant-preservative or additive used in the blood bag, or they may be frozen for up to 10 years.Red cells carry oxygen and are used to treat anemia. Platelets are important in the control of bleeding and are generally used in patients with leukemia and other forms of cancer. Platelets are stored at room temeperature and may be kept for a maximum of five days. Fresh frozen plasma, used to control bleeding due to low levels of some clotting factors, is made from fresh plasma and may be stored frozen up to one year. Granulocytes are sometimes are used to fight infections, although their efficacy is not well established. They must be transfused within 24 hours of donation. Other products manufactured from blood include albumin, immune globulin, specific immune globulins, and clotting factor concentrates.Commercial manufacturers commonly produce these blood products.

Aspirin and Ibuprofen will not affect a whole blood donation. Apheresis platelet donors, however, must not take aspirin or aspirin products 36 hours prior to donation. Many other medication are acceptable. It is recommended that you call the Philippine Blood Center ahead of time to inquire about any medication you are taking.

The minimum interval between 2 donations is 12 weeks (3 months). This interval allows our body Val allows our body to restore it iron stock. Platelet (aphaeresis) donors may donate more frequently than - as often as once every two weeks and up to 24 times per year. This is because the body replenishes platelets and plasma more quickly than red cells. Platelets will return to normal levels.

Yes, if your blood pressure is under control and within the limits set in the donation guidelines.

Of course! Routine work is absolutely fine after the initial rest. Rigorous physical work should be avoided for a few hours.

In order to donate, blood centers require that you be in generally good health (symptom-free) and recommend that you are feeling well.

Yes. The donor needs rest, preferably lying down, so that the amount of blood that has been donated soon gets poured into the circulation from the body pools in a natural way. The donor should take it easy for about 15 to 20 minutes.

Yes. There is no waiting period to donate after receiving a flu shot.

Absolutely not, rather a donor after having given blood voluntarily gets a feeling of great pleasure, peace and bliss. Soon, within a period of 24 to 48 hours, the same amount of new blood gets formed in the body, which helps the donor in many ways. His own body resistance improves, the circulation improves, and he himself feels healthier than before.

No. Blood collected for transfusion in this country is given by altruistic volunteer blood donors.

Most people feel great after giving blood. If you feel any abnormal symptoms, let a staff member at the blood center or blood drive know. You should avoid lifting heavy objector strenuous exercise for the next 24 hours; otherwise you can resume full activity as long as you feel well.

There is no known correlation between pill use and multiple births.

No. The pill is taken to prevent conception not to cause an abortion. The pill prevents ovulation (maturing and release of an egg) so that fertilization cannot occur. Therefore, if there is no fertilization, there can be no pregnancy. Abortion cannot occur without pregnancy.

No. Studies have clearly shown that the pill does not cause infertility. Also, the pill does not reduce your chances of becoming pregnant once you stop taking it.

No. The pill has been used safely by millions of women for over 30 years and has been tested more than any other drug. Studies show that the pill can protect women from some forms of cancer, such as cancers of the ovary and uterus. More clinical studies are currently being conducted to determine if there is any association of pill use with other forms of cancer.

No. A woman must take her pills every day in order not to become pregnant even when she does not have sexual contact.

Name of Office: NCDPC Injectable can sometimes slightly reduce woman’s libido. On the other hand, the sense of security against the risk of pregnancy may remove her fears and inhibitions and therefore enhances relationships.

Name of Office: NCDPC No. Menstrual blood is not stored inside the uterus while using injectable. Though it is common for women using DMPA to stop having their periods for a long time, this is not harmful.

Name of Office: NCDPC No. Pregnancy during injectable use is very rare. In the rare event that a woman becomes pregnant while using injectable, there is no harm to the baby because the hormones in injectable are the same that women produce during pregnancy

Name of Office: NCDPC No. It is uncommon for a woman who is using injectable to experience nausea or vomiting.

Name of Office: NCDPC Injectable prevent ovulation. If there is no ovulation, no egg is released, and no fertilization takes place. If there is no fertilization, there can be no pregnancy. And abortion cannot occur without pregnancy.

Name of Office: NCDPC No. Studies show that injectable does not increase the risk of ovarian and cervical cancers. In fact, injectable are associated with less chance of cancer of the lining of the uterus. International clinical studies find that there is a very small increased risk of breast cancer just after a woman begins using injectable, but there is no overall risk with long-term use.

Name of Office: NCDPC No. Studies show that, on the average, women get pregnant 9 to 10 months after their last injection of DMPA, or 1 to 2 months after their last injection of the CIC.

Name of Office: NCDPC The injectable is a modern, temporary and highly effective method of family planning. A woman can get pregnant again once the effects of the injectable wear off. It is injected into the upper arm or buttocks of the woman to prevent pregnancy. The injectable prevents the meeting of the egg of the woman and the sperm of the man. It works by preventing the release of a mature egg from the ovary. It also thickens the cervical mucus in the neck (top) of the uterus, making it difficult for the sperm to pass through. So sperm and egg cannot unite and no pregnancy occurs. Using injectable facilitates early diagnosis and treatment of health problems because the woman regularly goes to a health provider for her injections and checkup.

Name of Office: FHO, NCDPC There are no ill effects arising from the cessation of menstruation as a result of injectable.

It is well to advise him/her to undergo Drug Dependency Examination (DDE) to be conducted by a physician preferably accredited by the Dangerous Drugs Board (DDB) or Department of Health (DOH) to diagnose and manage drug dependents. If diagnosed to be a drug dependent, he/she deserves to undergo treatment and rehabilitation. For the purpose of treatment and rehabilitation under Voluntary Submission Program, the law requires that DDE be don by a DOH-accredited physician (pursuant to Sec. 54, Art. VIII of R.A. 9165 otherwise known as the "Comprehensive Dangerous Drugs Act of 2002") or by DDB-accredited physician (pursuant to Sec. 20 of DDB Board Regulation No. 4, series of 2003, titled "Implementing Rules and Regulations Governing Accreditation of Drug Abuse Treatment and Rehabilitation Centers and Accreditation of Center Personnel").It is to be noted that under existing rules and regulations, an applicant for driver's license who tested positive (in screening and confirmatory tests) for any dangerous drug can legitimately undergo another drug test after a period of six (6) months for the purpose of securing a driver's license, etc.

The signing of the Administrative Order 2009-0025 last Dec. 1, 2009 institutionalizes policies and guidelines for government and private health facilities to adopt the essential newborn care protocol. Advocacy and dissemination for a have been done since its launch. Scale-up implementation in all health facilities and social marketing are both in the pipeline to ensure that the policy is implemented all over the country.

The ENC Protocol seeks to provide a firm foundation for an environment that complies with the “Ten (10) Steps to Successful Breastfeeding” of the Mother-Baby Friendly Hospital Initiative (MBFHI), breastfeeding initiation crucial to the IYCF WHO global strategy and in the implementation of the R.A. 10028.

The Maternal, Newborn, Child Health and Nutrition (MNCHN) Strategy is in line with the DOH Administrative Order 2008-0029 that seeks to rapidly reduce maternal and newborn morbidity and mortality. Foremost to this is the provision of Basic and Comprehensive Emergency Obstetric and Newborn Care (BEmONC and CEmONC) capability of health facilities to meet the UN MDGs 4 and 5. Newborn care has been incorporated in the provision of these service capabilities. The Administrative Order 2009-0025 formalized the adoption of policies and guidelines on essential newborn care.

Healthcare professionals, either in government or in private facilities, involved in maternal and newborn care not limited to obstetrician-gynecologists, pediatricians/neonatologists, nurses, midwives, but also the hospital administration officials, anesthesiologists, hospital infection control officers, hospital PhilHealth/Quality officers, clinical nutritionists, clinical pharmacists, nursing attendants, health promotion and information officers. At the community level, the local government up to the barangay officials, together with their health workers, nutrition scholars, community health teams and volunteers, mothers’ groups are likewise enjoined to ensure proper information is disseminated to pregnant women and women of the reproductive age group.

The following practices should never be done anymore to the newborn: - Manipulation such as routine suctioning of secretions if the baby is crying and breathing normally. Doing so may cause trauma or introduce infection. - Putting the newborn on a cold or wet surface. - Wiping or removal of vernix caseosa if present. - Foot printing. - Bathing earlier than 6 hours of life. - Unnecessary separation of the newborn primarily for weighing, anthropometric measurements, intramuscular administration of vitamin K, Hepatitis B vaccine and BCG vaccine. - Transferring of the newborn to the nursery or neonatal intensive care unit without any indication.

Name of Office: NCDPC 1. Immediate and thorough drying of the newborn prevents hypothermia which is extremely important to newborn survival 2. Keeping the mother and baby in uninterrupted skin-to-skin contact prevents hypothermia, hypoglycemia and sepsis, increases colonization with protective bacterial flora and improved breastfeeding initiation and exclusivity 3. Properly timed cord clamping and cutting until the umbilical cord pulsation stops decreases anemia in one out of every seven term babies and one out of every three preterm babies. It also prevents brain (intraventricular) hemorrhage in one of two preterm babies. 4. Breastfeeding initiation within the first hour of life prevents an estimated 19.1% of all neonatal deaths.

Name of Office: NCDPC At the heart of the protocol are four (4) time-bound interventions: 1) immediate and thorough drying, 2) early skin-to-skin contact followed by, 3) properly-timed clamping and cutting of the cord after 1 to 3 minutes, and 4) non-separation of the newborn from the mother for early breastfeeding initiation and rooming-in.

Name of Office: NCDPC The wide variations in newborn care practices in health facilities, both government and private, and also the proper sequence or order of newborn care services need to be standardized based on current evidences that show reduction in neonatal mortality and morbidity. This is to achieve the United Nations Millennium Development Goal 4 of Reducing Under 5 Child Mortality (through reduction of neonatal deaths).

Name of Office: NCDPC The ENC Protocol was developed the Newborn Care Technical Working Group (TWG) that conducted a systematic search and critical appraisal of foreign and local medical and allied health literature on practices in the immediate newborn period. An evidence-based draft was then developed and reviewed by the Department of Health (DOH), United Nations Children’s Fund (UNICEF), United Nations Population Fund (UNFPA), the Philippine Obstetrical and Gynecological Society (POGS), the Philippine Society of Newborn Medicine (PSNbM, a subspecialty society of the Philippine Pediatric Society, PPS), other health professional organizations/associations, Save the Children, the academe and other stakeholders.

● Reproductive rights embrace certain human rights that are already recognized in national laws, international laws and international human rights documents and other consensus documents. ● Recognition of the basic rights of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and the means to do so. ● Right to attain the highest standard of sexual and reproductive health. ● It also includes their right to make decisions concerning reproduction free of discrimination, coercion and violence, as expressed in human rights documents.

During weekdays, only toiletries are allowed while on weekends, food is allowed on the center

Yes, after two months of client rehabilitation including requirement of petitioner’s attendance in seminar.

Yes

Minimum of 8 months.

The therapeutic community modality is more on the four aspects which is the bio, psycho social and spiritual

No payment is needed. Only admission kit which includes uniform.

To get a court order, seek assistance to the local government or anti-drug abuse council.

The necessary requirements are Chest X-ray results and court order. If person is above 35 years old, the ECG result is also needed.

Treatment and Rehabilitation Center Camp Bagong Diwa Bicutan, Taguig City Tel#: 379-5553;838-0261, 837-6540, 838-0093 Email: [email protected] Website: http://dohtrc-bicutan.weebly.com/

You can contact those in charge which are the psychologists and social workers

Name of Office: Bureau of Local Health Systems Development It is within the responsibility of the Centers for Health Development to provide supervision to the DOH Representatives. The CHD shall ensure that the DOH Representatives are equipped with appropriate competencies and are provided with adequate technical and financial support to be able to deliver the expected roles and functions. The CHD also monitor their performance and conduct regular coaching and mentoring.

Name of Office: Bureau of Local Health Systems Development The roles of the DOH Representatives are categorized into three (3) major responsibility areas: 1. Representation a. Represents the DOH in the Local Health Board of the LGUs and other sectoral bodies and councils where the presence of the DOH is needed. b. Links and installs coordinative mechanisms among LGUs and among various stakeholders in health c. Promotes and advocate local adoption of national and regional policies, standards and guidelines on health 2. Provision of Technical Assistance a. Act as local coaches of the LGUs on local health systems development and management b. Assist the LGUs and CHD program managers in the planning, implementation, monitoring and evaluation of national health programs c. Endeavor to align local plans on health, including that of hospitals, to national strategies and priorities d. Assist the LGU in the organization and functionality of integrated province-wide and city-wide health systems 3. Personnel Supervision and Office Management (Applicable to Provincial DOH Representatives and DOH Representatives for Highly Urbanized and Independent Component Cities only) a. Provide general administrative and technical supervision to all DOH personnel assigned and deployed in his or her area of jurisdiction. b. Manages the day to day operation of the DOH offices in his or her area of jurisdiction (as maybe applicable) In summary, a DOH Representative serves to assist the LGU in health service delivery and health systems management. It is still the LGU who is mainly responsible in the delivery of basic government services including healthcare. Source: AO 2020-0029 or Roles, Functions and Responsibilities of DOH Representatives

Name of Office: Bureau of Local Health Systems Development Qualification, appointment and designation of the DOH Representatives shall, at all times, conform with Chapter 12 Section 46 of the “DOH Rules and Regulations Implementing the Local Government Code of 1991”, Omnibus Rules on Appointment and Other Human Resource Actions and other relevant issuances of the Civil Service Commission. Source: AO 2020-0029 or Roles, Functions and Responsibilities of DOH Representatives

Name of Office: Bureau of Local Health Systems Development A DOH Representative refers to a Development Management Officer (DMO) or other CHD personnel designated to represent the DOH as member of the local health board (LHB) and who has the capacity to vote on issues or act on matters pertaining to health on behalf of the DOH. Every Local Government Unit (LGU) has a designated DOH Representative. On average, one DOH Representative is assigned to 3-4 LGUs. Source: AO 2020-0029 or Roles, Functions and Responsibilities of DOH Representatives

Please contact the web team of the Knowledge Management Division - KMITS for proper coordination/approval (see contact details at the back).

After proper identification of said personnel, please coordinate registration with the web unit of KMITS.

Pending due order and proper notifications, certain personnel of DOH offices and programs will be designated as operators and content managers that will be responsible for uploading duly-approved contents. Identification, registration and approval of these managers and users by both IMS and requesting office/program will be required to ensure proper permissions and security of information.

The new interactive website of the Department of Health enables an individual or a community of users to easily publish, manage and organize a wide variety of their own content. It also allows for a real-time uploading of content and a dynamic hosting of databases. Its collaborative authoring environ provides for file/attachment uploads and downloads, online forums, peer-to-peer networking, newsletters, podcasting, pictures galleries, and other modules easily installed and enabled. Further, its variety of features may be enabled to cater to interactions among health personnel and/or wit the public. This, above all, will foster a close tie with the public through accessible and updated health information, the contents/data being easily published and public documents posted and made readily available. Public interaction may also be possible through web-based forums, comments, and other modes of online interaction. Useful and important Features: Content publishing - allows for authorship/ownership of content with file uploads and downloads features. Content syndication (RSS) and News Aggregator - built-in news aggregator for subscribing, reading and blogging news, feeds and articles from other sites from the comfort of one's desktop. Statistics, tracking and Analysis - generation of browser-based reports with information about site visits, referrals, content popularity and how visitors navigate your site. Logging and Reporting - all important activities and system events are captured in an event log to be reviewed by an administrator at a later time. Friendly web based data administration - administrators and users per office/program may be assigned to ensure content collection, uploading and availability, security using the web browser, making it possible to be accessed and managed anywhere with an internet connection requiring no additional software to be installed on your computer. Discussion forums - may be enabled to allow for interactive, threaded discussions of important topics/issues, among DOH personnel and/or with the public. Threaded comments - comments on particular articles or stories may be posted and viewable to the author for feedback; or may be enabled to the public to allow discussion on published issues; comments are hierarchical as in a newsgroup or forum.

http://umis.doh.gov.ph/eedpms

- Drug establishment. - Drug outlets. - Government procuring entities

The e-EDPMS refers to Electronic Essential Drug Price Monitoring System which was created by the DOH to support the establishment of an efficient and effective system and procedures for collecting price and inventories of essential drugs and other drugs stated in RA 9502. The intent is for the DOH and DTI to monitor essential drug prices as well as stocks of medicines in the local market and detect practices such as overpricing and non-compliance to efforts of the DOH to regulate excessive price of drugs such as the GMAP & the MDRP. It also aims to educate consumers on prevailing market prices of essential drugs to enable them to make informed choices.

One sachet of Micronutrient Powder (MNP) per child per day provides an adequate intake of vitamins and minerals for children.

There have been no reports of diarrhea from the micronutrient supplement in young children. Diarrhea occurs due to other factors such as unhygienic food or unhygienic environment or contaminated water.

Yes, the amount of micronutrients in Micronutrient Powder (MNP) sachet is high enough to meet the needs of infants with micronutrient deficiencies (e.g. Iron Deficiency Anemia) but not too high for those who do not have deficiencies. Thus, it is safe to use Micronutrient Powder (MNP) even in infants without micronutrient deficiencies.

No, Micronutrient Powder (MNP) is not a medicine but it is a powdered nutrient supplement or food supplement for children 6-59 months that contains 15 essential vitamins and minerals that promote optimum growth and development in children.

It was observed that the standard iron drops were not effective, as adherence to treatment remained poor. A simple, inexpensive and potentially viable new method to provide micronutrients was conceptualized. Responding to the challenge, micronutrient supplements (with different brand names) were developed. "Sprinkles" was the first brand developed by the "Sprinkles Global Health Initiative" at The Hospital for Sick Children, University of Toronto.

Studies conducted in other countries concluded that micronutrient supplement has no side effects. But because of the iron content in Micronutrient Powder (MNP), a child's stool may be darker than normal. Unabsorbed iron makes the child's stool darker which is not of concern.

Micronutrient Powder (MNP) can be continued even if the child is sick. The child needs extra vitamins and minerals to recover from the illness, so it should be continued.

It is recommended to give Micronutrient Powder (MNP) containing food to a child when the child eats most as per habit. It can be given any time during the day.

It is not recommended to use Micronutrient Powder (MNP) without mixing it into food first because the child may not like the taste and will be difficult to swallow. It's better to mix it into food to ensure the child eats it.

Micronutrient Powder (MNP) does not need cooking. It can be sprinkled and mixed with cooked regular home based food on the basis of one sachet per child per day.

Several studies have shown the effectiveness of Micronutrient Powder (MNP) in improving micronutrient status and reducing the burden associated with micronutrient deficiencies like iron deficiency anemia.

If Micronutrient Powder (MNP) is mixed into liquids, the micronutrients will float to the top of the liquids and tend to stick to the side of the cup or glass and therefore some will be lost in the process. It is therefore recommended not to add Micronutrient Powder (MNP) to liquids.

Micronutrient Powder (named "Sprinkles" at that time) was discovered by Professor Stanley Zlotkin in Canada in 1996. It has already been tested and even implemented as a part of emergency relief in many countries around the world.

Micronutrient Powder (MNP) is a power blend of vitamins and minerals, and very safe and effective in reducing micronutrient malnutrition.

Zinc supplementation is given especially for diarrhea. Zinc present in Micronutrient Powder (MNP) is based on the recommended dietary allowance (RDA), so there is no chance of overdosing.

Micronutrient deficiencies lead to various disorders like Iron Deficiency Anemia, Vitamin A Deficiency, and Iodine Deficiency Disorder; which lead to impaired motor development and growth, decreased immunity as well as adversely affect intellectual development and mental capacity. To prevent children from such disorders, it is very important to give MNP.

Yes, it can be used by the Muslims. Neither alcohol nor pork products are used in the production of Micronutrient Powder (MNP). They have Halal Certification.

Infants and children aged 6-23 months should be given MNP per child per day.

Can Micronutrient Powder (MNP) be used in emergency rations?

60 sachets only for 6-11 months and 120 sachets only for 12-23 months.

There is no need to stop other vitamins. The more vitamins consumed by a child, the better. Micronutrient Powder (MNP) is a nutrient supplement that contains many vitamins and minerals to support optimal growth and development in young children.

Since Micronutrient Powder (MNP) contains essential Vitamins and Minerals important to improve a child's immunity, the child will be healthy. A healthy child will have a good and increased appetite for food. Continuous use of Micronutrient Powder (MNP) will improve a child's health and increase the appetite for food.

- Prevent micronutrient deficiencies specially anemia. - Improve the body's immune system. - Improve a child's appetite. - Improve a child's ability to learn and develop. - Makes a child clever, strong and active.

Micronutrient Powder (MNP) contains Vitamins and Minerals. Unlike tea/coffee and other substances, Vitamins and Minerals are not addictive.

Micronutrient Powder (MNP) contains a recommended daily allowance of 15 different vitamins and minerals: Vitamins A, D, E, B1, B2, B6, B12, C, NIacin, Folate, Iron, Zinc, Copper, Selenium and Iodine.

There is no risk of toxicity. The dose of Vitamin A in Micronutrient Powder (MNP) is formulated to help the child meet the daily Vitamin A requirement. When WHO initiated the high dose capsules, they did not stipulate that the child receiving the supplement should not eat food containing Vitamin A. Indeed they recommended an age appropriate diet which would contain all micronutrients, including Vitamin A.

The potential for overdose is unlikely because numerous individual packages (approximately 20 sachets) would have to be opened and ingested to reach toxicity levels.

Signs and symptoms for acute chemical poisoning of chemicals may be non-specific and may manifest as headaches, nauseas, vomiting, dizziness, irritation of the skins, eyes, mucous membrane.

Most common chemicals are those used in households, personal care and consumer products; those used in agriculture and industry.

Yes, there are treatment/ medications for chemical poisoning, you need to consult with chemical toxicologists in the poison centers.

Exposure to chemicals maybe through the environment (air, water, soil, food) and/or occupational.

There are various effects of chemicals depending on the dose, duration of exposure and vulnerability of the individuals. It may effect the different organ systems such as the central nervous system, neurological, effects on the liver and the kidneys, reproductive system among others.

1. Intrazonal and interzonal travel shall be allowed without regard to age and comorbidities. 2. Intrazonal and interzonal travel shall be allowed without regard to age and comorbidities.

1. Intrazonal and interzonal movement shall be allowed. However, reasonable restrictions may be imposed by the LGUs, which should not be stricter as those prescribed under higher alert levels and subject to the oversight, monitoring, and evaluation of their respective RIATF. 2. Casinos, horse racing, cockfighting and operation of cockpits, lottery and betting shops, and other gaming establishments shall not be allowed to operate, or be undertaken in areas classified under Alert Level 2 except as may be authorized by the IATF or the Office of the President. 3. The following establishments, or activities, shall be allowed to operate, or be undertaken at a maximum of 50% indoor venue capacity for fully vaccinated individuals and those below 18 years of age, even if unvaccinated, and 70% outdoor venue capacity. Provided, that all on-site workers/employees of these establishments, or organizers of activities are fully vaccinated against COVID-19 and MPHS shall be strictly maintained. Provided further, that there is no objection from the LGU where these activities may take place a. Venues for meetings, incentives, conferences, and exhibitions (MICE); b. Permitted venues for social events such as parties, wedding receptions, engagement parties, wedding anniversaries, debut and birthday parties, family reunions, and bridal or baby showers; c. Visitor or tourist attractions such as libraries, archives, museums, galleries, exhibits, parks, plazas, public gardens, scenic viewpoints or overlooks, and the like; d. Amusement parks or theme parks; e. Recreational venues such as internet cafes, billiard halls, amusement arcades, bowling alleys, skating rinks, archery halls, swimming pools, and similar venues; f. Cinemas and movie houses; g. Limited face-to-face or in-person classes for basic education subject to prior approval of the Office of the President; h. Limited face-to-face or in-person classes for higher education and for technical-vocational education and training; i. In-person religious gatherings; gatherings for necrological services, wakes, inurnment, and funerals for those who died of causes other than COVID-19 and for the cremains of the COVID-19 deceased; j. Licensure or entrance/qualifying examinations administered by their respective government agency, and specialty examinations authorized by the IATF subject to the health and safety guidelines as approved by the IATF; k. Dine-in services of food preparation establishments such as kiosks, commissaries, restaurants, and eateries, subject to DTI sector-specific protocols; l. Personal care establishments such as barbershops, hair spas, hair salons, and nail spas, and those offering aesthetic/cosmetic services or procedures, make-up services, salons, spas, reflexology, and other similar procedures including home service options, subject to the sector-specific protocols of the DTI; m. Fitness studios, gyms, and venues for individual non-contact exercise and sports; Provided that patrons/clients and workers/employees wear face masks at all times and subject to DTI sector-specific protocols. n. Film, music, and television production subject to the joint guidelines as may be issued by the DTI, DOLE, and the DOH; o. Contact sports approved by the LGU where such games shall be held; p. Funfairs/peryas or kid amusement industries such as playgrounds, playroom, and kiddie rides; q. Venues with live voice or wind-instrument performers and audiences such as in karaoke bars, clubs, concert halls, and theaters; and r. Gatherings in residences with individuals not belonging to the same household. 4. Agencies and instrumentalities of the government shall remain to be fully operational and shall adhere to at least a 80% on-site workforce. Those assigned to work off-site shall be subject to alternative work arrangements as approved by the head of agency in accordance with the relevant rules and regulations issued by the Civil Service Commission (CSC). Heads of agencies providing health and emergency frontline services, laboratory and testing services, border control, or other critical services shall operate at a workforce beyond the minimum as may be necessary to deliver their mandates

1. Intrazonal and interzonal movement shall be allowed. However, reasonable restrictions may be imposed by the LGUs, which should not be stricter as those prescribed under higher alert levels and subject to the oversight, monitoring, and evaluation of their respective RIATF. Provided, that those below eighteen (18) years of age, and those belonging to the vulnerable population, shall be allowed access to obtain essential goods and services, or for work in permitted industries and offices in accordance with existing labor laws, rules, and regulations. Individual outdoor exercises shall also be allowed for all ages regardless of comorbidities or vaccination status 2. The following establishments and/or activities characterized as high-risk for transmission shall not be allowed to operate, or be undertaken in areas classified under Alert Level 3: a. Face to face or in-person classes for basic education, except those previously approved by the IATF and/or the Office of the President; b. Contact sports, except those conducted under a bubble-type setup as provided for under relevant guidelines adopted by the IATF, Games and Amusement Board, and Philippine Sports Commission, and approved by the LGU where such games shall be held; c. Funfairs/peryas and kid amusement industries such as playgrounds, playroom, and kiddie rides; d. Venues with live voice or wind-instrument performers and audiences such as in karaoke bars, clubs, concert halls, and theaters; e. Casinos, horse racing, cockfighting and operation of cockpits, lottery and betting shops, and other gaming establishments except as may be authorized by the IATF or the Office of the President; and f. Gatherings in residences with individuals not belonging to the same household. 3. The following establishments, or activities, shall be allowed to operate or be undertaken at a maximum of 30% indoor venue capacity for fully vaccinated individuals only and 50% outdoor venue capacity. Provided that all on-site workers/employees of these establishments, and organizers of activities are fully vaccinated against COVID-19 and MPHS shall be strictly maintained. Provided further, that there is no objection from the LGU where these activities may take place. a. Venues for meetings, incentives, conferences, and exhibitions (MICE); b. Permitted venues for social events such as parties, wedding receptions, engagement parties, wedding anniversaries, debut and birthday parties, family reunions, and bridal or baby showers; c. Visitor or tourist attractions such as libraries, archives, museums, galleries, exhibits, parks, plazas, public gardens, scenic viewpoints or overlooks, and the like; d. Amusement parks or theme parks; e. Recreational venues such as internet cafes, billiard halls, amusement arcades, bowling alleys, skating rinks, archery halls, swimming pools, and similar venues; f. Cinemas and movie houses; g. Limited face-to-face or in-person classes for higher education and for technical-vocational education and training; h. In-person religious gatherings; gatherings for necrological services, wakes, inurnment, and funerals for those who died of causes other than COVID-19 and for the cremains of the COVID-19 deceased; i. Licensure or entrance/qualifying examinations administered by their respective government agency, and specialty examinations authorized by the IATF subject to the health and safety guidelines as approved by the IATF; j. Dine-in services in food preparation establishments such as kiosks, commissaries, restaurants, and eateries, subject to DTI sector-specific protocols; k. Personal care establishments such as barbershops, hair spas, hair salons, and nail spas, and those offering aesthetic/cosmetic services or procedures, make-up services, salons, spas, reflexology, and other similar procedures including home service options, subject to the sector-specific protocols of the DTI; l. Fitness studios, gyms, and venues for non-contact exercise and sports, subject to DTI sector-specific protocols. Provided that patrons/clients and workers/employees wear face masks at all times and that no group activities are conducted; and m. Film, music, and television production, subject to the joint guidelines as may be issued by the DTI, DOLE, and the DOH. 4. Agencies and instrumentalities of the government shall remain to be fully operational and shall adhere to at least a 60% on-site workforce. Those assigned to work off-site shall be subject to alternative work arrangements as approved by the head of agency in accordance with the relevant rules and regulations issued by the Civil Service Commission (CSC). Heads of agencies providing health and emergency frontline services, laboratory and testing services, border control, or other critical services shall operate at a workforce beyond the minimum as may be necessary to deliver their mandates.

1. Intrazonal and interzonal travel shall be allowed subject to the reasonable regulations of the LGU of destination, except for those (i) below eighteen (18) years of age, and (ii) belonging to the vulnerable population, namely, those who are over sixty-five (65) years of age, those with immunodeficiencies, comorbidities, or other health risks, and pregnant women, provided that: a. Those below eighteen (18) years of age, and those belonging to the vulnerable population, shall be allowed access to obtain essential goods and services, or for work in permitted industries and offices in accordance with existing labor laws, rules, and regulations b. Fully vaccinated individuals belonging to the vulnerable population and those below eighteen (18) years of age shall be allowed to participate in the following activities: i. Specialized markets of the Department of Tourism such as Point-to-Point Travel subject to the reasonable regulations of the LGU of destination, and Staycations; and ii. Individual outdoor exercises even beyond the general area of their respective residences. Provided that, the minimum public health standards and precautions such as the wearing of face masks and the maintenance of social distancing protocols are observed. 2. Fully vaccinated individuals, including those belonging to the vulnerable population, may participate in the permitted activities under this Section 3. The following establishments and/or activities characterized as high-risk for transmission shall not be allowed to operate, or be undertaken in areas classified under Alert Level 4: a. Face to face or in-person classes for basic education, except those approved by the IATF and/or the Office of the President; b. Face-to-face or in-person classes for higher education or for technical, vocational education and training, except those approved by the IATF and/or the Office of the President; c. All contact sports, whether indoor or outdoor; d. Cinemas and movie houses; e. Funfairs/peryas and kid amusement industries such as playgrounds, playroom, and kiddie rides; f. Venues with live voice or wind-instrument performers and audiences such as in karaoke bars, bars, clubs, concert halls, and theaters; g. Casinos, horse racing, cockfighting and operation of cockpits, lottery and betting shops, and other gaming establishments except as may be authorized by the IATF or the Office of the President; and h. Gatherings in residences with individuals not belonging to the same household. 4. The following establishments, or activities, shall be allowed to operate, or be undertaken at a maximum of 10% indoor venue capacity for fully vaccinated individuals only and 30% outdoor venue capacity provided that they have been issued a Safety Seal Certification. Provided further, that all on-site workers/employees of these establishments, or organizers of activities are fully vaccinated against COVID-19 and minimum public health standards shall be strictly maintained. Provided further still, that there is no objection from the LGU where these activities may take place: a. Venues for meetings, incentives, conferences, and exhibitions (MICE); b. Permitted venues for social events such as parties, wedding receptions, engagement parties, wedding anniversaries, debut and birthday parties, family reunions, and bridal or baby showers; c. Visitor or tourist attractions such as libraries, archives, museums, galleries, exhibits, parks, plazas, public gardens, scenic viewpoints or overlooks, and the like; d. Amusement parks and theme parks; and e. Recreational venues such as internet cafes, billiard halls, amusement arcades, bowling alleys, skating rinks, archery halls, swimming pools, and similar venues. 5. The following establishments, or activities, shall be allowed to operate, or be undertaken at a maximum of 10% indoor venue capacity for fully vaccinated individuals only and 30% outdoor venue capacity. Provided that all on-site workers/employees of these establishments, or organizers of activities are fully vaccinated against COVID-19 and minimum public health standards shall be strictly maintained. Provided further, that there is no objection from the LGU where these activities may take place: a. In-person religious gatherings. Provided that gatherings shall be limited to the conduct of religious worship and/or service, and processions and other similar mobile religious gatherings shall not be allowed. Provided further, that pastors, priests, rabbis, imams, or other religious ministers and the assistants of these religious congregations have been fully vaccinated; b. Licensure or entrance/qualifying examinations administered by their respective government agency, and specialty examinations authorized by the IATF subject to the health and safety guidelines as approved by the IATF; c. Dine-in services in food preparation establishments such as kiosks, commissaries, restaurants, and eateries, subject to DTI sector-specific protocols; d. Personal care establishments such as barbershops, hair spas, hair salons, and nail spas, and those offering aesthetic/cosmetic services or procedures, make-up services, salons, spas, reflexology, and other similar procedures including home service options, subject to the sector-specific protocols of the DTI; e. Fitness studios, gyms, and venues for non-contact exercise and sports, subject to DTI sector-specific protocols. Provided that patrons/clients and workers/employees wear face masks at all times and that no group activities are conducted; and, f. Film, music, and television production, subject to the joint guidelines as may be issued by the DTI, Department of Labor and Employment (DOLE), and the DOH. 6. Gatherings for necrological services, wakes, inurnment, funerals for those who died of causes other than COVID-19, and for the cremains of the COVID-19 deceased, shall be allowed, provided that the same shall be limited to immediate family members, upon satisfactory proof of their relationship with the deceased and with full compliance with the prescribed minimum public health standards. 7. Agencies and instrumentalities of the government shall remain to be fully operational and shall adhere to at least a 40% on-site workforce. Those assigned to work off-site shall be subject to alternative work arrangements as approved by the head of agency in accordance with the relevant rules and regulations issued by the Civil Service Commission (CSC). Heads of agencies providing health and emergency frontline services, laboratory and testing services, border control, or other critical services shall operate at a workforce beyond the minimum as may be necessary to deliver their mandates.

Areas placed under Alert Level 5 shall observe the guidelines applicable to Enhanced Community Quarantine (ECQ) as provided for under the IATF Omnibus Guidelines on the Implementation of Community Quarantine in the Philippines, as amended. The benefits applicable to ECQ shall be applicable in Alert Level 5.

*No, testing is not required or mandatory prior for resumption of classes or to participation in every class. *Symptom and exposure screening remain the most cost effective way to screen individuals who do not present any symptoms; especially with high false negatives for these groups. *Protocol in case of a COVID infection. 1. Isolated in designated isolation rooms. 2. Immediately notify family member/ guardian. 3. Isolated and referred based on severity of their symptom. 4.ensure the provision of necessary emergency care to the personnel or learner. 5. referred/fully disclosed to the identified health authority (e.g., barangay health station, rural health unit) for further evaluation or referral. 6.Concerned learners and personnel shall strictly observe the advice of health authorities. 7. Closely followed up by the attending/assigned school health personnel or the designated clinic teacher, and necessary information shall be reported to the SDO School Health and Nutrition Unit/Section. 8. school shall ensure that learners and personnel who have tested positive for COVID-19 shall not return to school, even if they are already asymptomatic, unless cleared by medical authorities. DOH DM 2020-0512: Revised Omnibus Interim Guidelines on PDITR Strategies for COVID-19 Indiscriminate rRT-PCR testing beyond close contacts of a confirmed COVID-19 case is not recommended. AO 2021-0043: Omnibus Guidelines on the Minimum Public Health Standards for the Safe Reopening of Institutions The use of the rapid diagnostic test (RDT) as a complementary test to RT- PCR shall be allowed for screening and diagnostic testing of suspect, probable, including symptomatic and asymptomatic close contacts who fit the updated WHO case definitions in hospitals or community settings when RT-PCR capacity is insufficient or not immediately available, and in areas with suspected or confirmed outbreaks.

1. Follow a decision model and prepare a contingency plan for closing and reopening the school in case of COVID-19 resurgence Separate guidelines will be issued as support for the preparation of Schools Contingency Plan Includes: a. Decision points for school lockdown; b. Distance learning modalities during lockdown c. Strategies for the reopening of schools after the lockdown 2. Include strategies for the continuity of learning while the school is closed until the local authorities have determined the safe resumption of face-to-face classes

1. Specify physical design of chairs and classroom arrangements that ensure proper physical distancing 2. Seats must be at least 1 meter at the minimum to 2 meters apart 3. Follow required number of maximum learners in each classroom. - Kindergarten: 12. - Grade 1-3: 16. - Grade 4-6: 20. - Grade 7-10: 20. - Grade 11-12: 20. - TVL: 12. 4. Limited number of learners on scheduled days. - Schools days shorter complemented by online class. - Increased learning hours in school but less number of school days in a week - Same set or pods of students and staff in contact with each other. 5. Ventilation. - All classrooms must have working electric fans, and windows and doors shall be open at all times to. - In air-conditioned spaces, filters such as high- efficiency particulate air (HEPA) filtration air purifiers can be used to clean recirculated air, provided that the unit is adequate for the size of the room. -Use of CO2 monitoring devices to achieve an air change rate of 6 to 12 Air Change per Hour (ACH)

*Protection of the child. - Prioritization of learners. - Appropriate PPE. - Behavioral adjustment. *Protection of the family or household. - Household vaccination. - Routine disinfection. - Implementation of minimum public health standards. *Protection of the school. - Prioritization of school staff. -Passed School Readiness Assessment. - Continuous School Health Promotion through Safety and Surveillance Officers. *Protection of the community. - Minimal and low risk of transmission in community. - Vaccination of most vulnerable and exposed. - LGU and Hospital Coordination

- Lesser risk of transmission. - Lesser burden of disease (lower infections and mortality rates). - Higher need for F2F learning given brain plasticity. - Higher chance of success in pilot implementation to improve confidence in safe reopening of F2F learning in schools at all levels.

-FIRST PHASE - Pilot implementation of up to 100 public and 20 private schools for 2 month duration. - SECOND PHASE - possible expansion into other areas and age groups. - Rolling assessment of eligible schools based on (a) school readiness assessment by DepEd, (b) minimal or low risk status assessment of the DOH, (c) concurrence of the LGUs, (d) consent of parents and stakeholders.

1.Elimination or reduction of tobacco use and exposure shall be strongly and proactively encouraged and effectively sustained. The following guidelines of Department Memorandum No. 2020-0246 also known as “Interim Guidelines on Tobacco Control in Light of COVID-19 Pandemic” are reiterated: - Cessation of all forms of tobacco and electronic cigarettes (e-cigarettes) use shall be strongly and proactively encouraged and effectively sustained through the promotion of a healthy lifestyle and continued provision of tobacco cessation programs. - LGUs and other government agencies shall continue to prohibit the use of tobacco and vape in public spaces, and ensure that all related policies and local ordinances are properly enforced and monitored by the respective persons-in-authority and their agents. - Information dissemination on the harmful effects of tobacco and vapor products shall be continued, including the relationship between these products and COVID-19.

1. Close contacts: Fourteen (14)-day quarantine has been completed regardless of negative test result and vaccination status. 2. Fully vaccinated individuals who are close contacts of probable and confirmed COVID-19 cases may undergo a seven (7) day- quarantine period, provided that the individual remains asymptomatic for the duration of the seven-day period with the first day being the date immediately after the last exposure. (IATF Resolution No. 142 s.2021). 3. Suspect, probable or confirmed cases, whether fully vaccinated, unvaccinated, or with incomplete vaccination: - For asymptomatic: Ten (10)-day isolation have passed from the first viral diagnostic test and remained asymptomatic throughout their infection; - For mild to moderate COVID-19 confirmed cases: Ten (10)-day isolation have passed from onset of the first symptom, respiratory symptoms have improved (cough, shortness of breath), AND have been afebrile for at least 24 hours without use of antipyretic medications; - For severe and critical COVID-19 confirmed cases: Twenty-one (21)-day isolation has passed from onset of the first symptom, respiratory symptoms have improved (cough, shortness of breath) AND have been afebrile for at least 24 hours without the use of antipyretic medications.

For those that will be cremated, cremains shall be reduced to the size of fine sand or ashes and packed in a cremains container before they are turned over to the relatives of the deceased; and be placed in a container made of polyethylene provided with a liner bag (preformed 5 ml plastic), locking tie and identification label.

For those that will be buried, remains shall be placed in a durable, airtight and sealed metal casket. For patients with Islamic faith, remains shall alternatively be placed in a double sealed cadaver bag.

Large gatherings at the crematorium/ burial ground should be avoided.

Procedures for burial and cremation shall be done within 12 hours after death.

As stated in the DOH DM No. 2020-0158, otherwise known as, "Proper Handling of the Remains of Suspect, Probable and Confirmed COVID-19 Cases", suspect and probable COVID-19 patients who died with pending test results shall be handled similar to a confirmed COVID-19 case. Standard safety precautions must be observed at all times. Burial and cremation of the remains of suspect, probable, and confirmed COVID-19 cases are safe for as long as strict infection and prevention control measures are observed.

Severe or critical suspect, probable or confirmed COVID-19 cases shall be referred to a pulmonologist and infectious disease specialist and managed in the appropriate health facility.

For Probable or Confirmed COVID-19 cases that are classified as either Mild or Moderate, symptomatic treatment may be provided. There is no need for antibiotics nor prophylaxis.

Safety and Health Officers shall regularly monitor the status of employees in the office who are quarantined in their homes or in the isolation facilities and health facilities.

To ensure the adequacy of medical assistance, all concerned entities shall ensure its employees, whether contractual, temporary, and permanent, are enrolled and adequately covered with Philhealth benefits.

All entities shall adopt a reporting and coordination mechanism with the Local Government Unit for referral into health facilities, access to a health care provider network (HCPN) and telemedicine, and provision of medical and psychosocial services.

The Philippine Society for Microbiology and Infectious Diseases (PSMID)’s Philippine COVID-19 Living Recommendations and the Unified COVID-19 Algorithms shall guide treatment and patient management decisions.

All individuals shall be given support, either in cash or in kind, during the duration of their isolation and quarantine and shall be given sick leave benefits equivalent to the days of their isolation or quarantine.

All children in facility isolation shall be accompanied by a guardian in the quarantine or isolation facility. Parents or guardians that are not confirmed COVID-19 cases may accompany the COVID-19 confirmed child provided risks and benefits are explained, informed consent is provided, and the adult has no comorbidity putting them at risk for severe disease and death.

Designed for short-term physician-and-caregiver directed care to help stable COVID-19 patients recover illness through provision of basic supportive management and psychosocial support, monitoring of warning signs of COVID-19 progression and prevention of further illness and hospital stay. Home quarantine shall be allowed for suspect, probable, and confirmed cases of COVID-19 who are either asymptomatic or with mild symptoms only and controlled comorbidities, provided that the following requirements are met: a. Infrastructure Line of communication for family and health workers Electricity, portable water, cooking source Bathroom with toilet and sink, if possible, separate from family (if none, disinfect bathroom after use) Solid waste and sewage disposal Well- ventilated room b. Accommodations Separate bedroom - no vulnerable person in the household Accessible bathroom in the residence c. Resource for patient care and support Primary caregiver who will remain in the residence (not high risk for complications and educated on proper precautions) Medications for pre-existing conditions, as needed Digital thermometer (disinfected before and after use) and pulse oximeter Meal preparation Masks, tissues, hand hygiene products Household cleaning products

Suspect, probable and confirmed cases shall be isolated in the proper facility depending on the severity of their symptoms: - Asymptomatic and mild confirmed cases shall be admitted and isolated in Temporary Treatment and Monitoring Facilities (TTMFs), community-based facilities, or in their homes as long as they meet the criteria for home quarantine or isolation. - Moderate cases shall be isolated and managed in Level 1 or 2 hospitals or in their homes as long as they meet the criteria for home quarantine or isolation. - Severe and critical cases shall be isolated and managed in Level 2 or 3 hospitals. -For individuals with co-existing medical conditions, they shall be referred to their attending physician for further assessment and recommendation with regards to their admission to the appropriate facility.

Quarantine and isolation protocols for travelers shall be based on the latest guidelines from the IATF

i. Immediate isolation shall be required for any individual with fever OR at least two (2) or more symptoms of COVID-19 (i.e. cough and cold, or cold and sore throat). ii. All asymptomatic confirmed cases shall be placed in isolation for a minimum of 10 days from first viral diagnostic test. All symptomatic suspect, probable, and confirmed cases shall be placed in isolation for a minimum of 10 days from onset of the first symptom, without prejudice to attendance requirements or leaves.

i. Immediate quarantine of asymptomatic close contacts of the suspect, probable, or confirmed cases shall be completed in 14 days, regardless if testing has not been done, or resulted negative ii. If symptoms develop, they shall be admitted to a TTMF and be tested using RT-PCR, or if not available, antigen test. If results are NEGATIVE, they shall be discharged after the completion of 14 days quarantine. If results are POSITIVE, they shall be isolated, managed and discharged, as per guidelines.

Individuals who have any of the following: a. elevated temperature, b. presence of flu-like symptoms, c. any yes/ confirmatory answer to the Health Declaration Form or d. exposure history to a COVID-19 case or probable case

1. For asymptomatic close contacts of probable or confirmed COVID-19 cases, RT-PCR testing shall be done 5 to 7 days from exposure. If limited test kits are available, the following conditions shall be prioritized: - Age is >60 years old and/or they have a comorbidity, - There are sufficient RT-PCR testing kits. -Enough human resources for additional contact tracing. 2. For mild or moderate suspect or probable COVID-19 cases, RT-PCR test shall be done immediately if RT-PCR test is available in a nationally accredited laboratory. If not and a rapid antigen test is available, rapid antigen test shall be performed. 3. For severe and critical suspect or probable COVID-19 cases, patients must first be stabilized prior to testing. Once stable, RT-PCR test shall be done if RT-PCR test is available in a nationally accredited laboratory. If not and a rapid antigen test is available, rapid antigen test shall be performed.

1. Lockdowns shall be used to facilitate disinfection and immediate contact tracing to guide isolation and quarantine decisions of personnel involved. 2. Building (or floor) lockdowns shall be implemented by the respective institutional authorities (i.e. Administrative Services, Executive Board, etc.) and shall be done to facilitate disinfection of common areas such as stairways and corridors when clustering is reported in two (2) or more rooms / offices in that building. 3. Granular Lockdowns in the community, down to the level of the barangay, shall be implemented by local government unit authorities consistent with the latest national or IATF guidelines. “Granular Lockdown” are Micro-level quarantine, singularly or collectively, in the level of barangay, block, purok, street, subdivision/ village, residential building, or house, that are tagged as "critical zones (or CrZ)" by the DILG and Regional Inter-Agency Task Force (RIATF). 4. National government, local government, and establishments shall provide assistance to those affected by lockdowns depending on needs, whether in cash or in kind.

1. The Safety and Health Officer shall submit the list of all cases and close contacts to the general manager and their respective LGU and DOH for reporting, including investigation details on sources of transmission. 2. The Case Investigation Form (CIF) Version 9, or its subsequent versions, shall be utilized by all laboratories, LGUs, and other disease reporting units (DRUs) as the standard form for COVID-19 notifiable disease reporting as per Department Memorandum 2021-0285, also known as the Implementation of the Use of the COVID-19 Case Investigation Form Version 9.

1. Upon identification of a suspect, probable, or confirmed case, the designated Safety and Health Offices shall initiate contact tracing within the office/floor/building to identify 70% of all possible close contacts within 24 hours and 100% within 48 hours. Contact tracing shall also commence for contacts of suspect cases upon identification while waiting for specimen collection for SARS- CoV-2 diagnostic testing or RT-PCR results. Identification of second and third - generation close contacts is highly encouraged. 2.The Safety and Health Officer shall notify the contacts of suspect cases and advise them to self-monitor and adhere to stringent minimum public health standards. If the suspect case turns out to be probable or confirmed, their contacts shall be instructed to undergo quarantine or isolation, whichever is appropriate.

1. Safety and Health Officers shall conduct daily monitoring of temperatures, symptoms, absences, and positive cases and clusters, which shall be consolidated by management to track ongoing transmission within the setting. 2. Establishments may develop active surveillance mechanisms that include testing of employees that are at high risk given the nature of their work, such as workers who cannot dutifully meet minimum public health standards, or in areas with frequent clusters of symptoms, absences, or positive cases, subject to established and evidence-based protocols and guidelines on testing.

Reiteration of the minimum public health standards for COVID-19 shall be done by the Safety and Health Officers. If there is an increase in non-compliance to such instructions, it shall be determined if a formal training or convening of the employees is necessary to deliver adequate information to improve compliance.

1. All persons shall wear well-fitted face masks and face shields, if necessary, especially in public areas and enclosed spaces. 2. Mandatory use of a face shield on top of face masks shall be done in high risk activities under the 3C’s (Closed, Crowded, and Close Contact) framework. These 3C’s settings and activities shall include: - Indoor activities and settings, especially when there is crowding or higher risk of exposure or close contact based on the nature of activities, as applicable. These may include activities in commercial establishments and public transport, among others. - Indoor and outdoor dining, except during actual eating of meals. - Indoor and outdoor gatherings or crowded settings, especially when one (1) meter physical distance is not possible. These may include, but not limited to, indoor and outdoor commercial establishments such as food establishments, malls, and public markets, and transport terminals and PUV stops. - Indoor and outdoor activities that promote close contact, such as personal care services, among others. -Other activities not otherwise specified that follow the 3C’s framework. -All other activities identified by the IATF-EID in succeeding issuances which can be accessed through this link: tinyurl.com/IATFResolution. -The voluntary use of a face shield on top of face masks is recommended in other settings not otherwise stated, especially in Alert 3, 4, and 5 areas. 3. Medical grade masks are recommended for healthcare workers, vulnerable populations (elderly, with comorbidities, immunocompromised), all persons with any symptoms suggestive of COVID-19 (even if mild), and the general population in high transmission risk settings based on their community risk or nature of work. 4. All persons with any symptoms suggestive of COVID-19, even if mild, as well as vulnerable populations (elderly, with comorbidities, immunocompromised), shall wear a medical-grade mask. Use of cloth face masks is not recommended in view of rising cases of COVID-19 in the country. However, if a medical grade mask or surgical mask is unavailable, wearing of two cloth masks could be an alternative. 5. Individuals who are at risk of suffocation (children under the age of two, persons with breathing problems, persons who are unconscious, incapacitated, or otherwise unable to remove their mask on their own) are not recommended to wear masks. As an alternative, they may wear well-fitted face shields instead. Per CDC recommendation, well- fitted face shields should wrap around the sides of the face and extend below the chin. 6. Gloves and other appropriate PPE shall be used in performing activities such as cleaning and disinfection.

1. Ensure, monitor, and evaluate proper implementation and strict observance of minimum public health standards within their respective institutions 2. Effectively orient and constantly provide reminders to occupants regarding minimum public health standards, in coordination with management and LGUs for immediate action 3. Provision of the appropriate personal protective equipment (PPE) to occupants or employees 4. Develop policies to sanction non-compliance to use of PPE in the workplace or institution 5. Conduct daily health and exposure screening 6. Isolate and test identified suspect cases 7. Lead the conduct of contact tracing, especially in the workplace or establishments, and their quarantine and, as needed, testing 8. Lead the investigation of the source and underlying cause of COVID-19 transmission, up to the capacity they can provide in conducting an investigation 9. Report detected cases and close contacts to the LGU and DOH 10. Conduct regular re-orientation and health education and promotion activities using the BIDA campaign principles. 11. Manage the directory of point persons for BHERTS, LESU, and RESU, and coordinate for activities like isolation, testing and management of employees.

1. Sodium hypochlorite recommended ratio of 0.1% (1000 ppm) for regular disinfection, and recommended ratio of 0.5% (5000 ppm) for body fluids 2. Ethanol in all surfaces at a recommended ratio of 70-90% 3. Hydrogen peroxide in all surfaces at a recommended ratio of >0.5%

1. Designate COVID-19 Response Teams and Safety and Health Officers 2. Conduct internal risk exposure assessment through walk-through inspection to identify choke points and high-risk areas for mass gatherings, frequently visited areas, highly touched surfaces, and other high-risk areas 3. Ensure adequate provision of personal protective equipment to all employees, regardless of employment status, such as: *Cloth or surgical masks,or face shield as necessary. *Gloves and other appropriate PPE for all personnel tasked to do regular cleaning and disinfection of the workplace or institution. 4. Reduce physical capacity in entities and business establishments 5. Use of digital tools 6. Guidelines and monitoring mechanism limiting unnecessary gatherings (e.g. face-to-face meetings, crowding in common areas, group activities, cating together). *Scheduling or clearance process for use of meeting rooms and other common areas. *Limit the entry of visitors or entertain only on scheduled visits. *Use of plated meals as standard means of food packaging. *Limit use of pantries and dining areas especially in those without physical barriers or ventilation. 7. Availability and adequacy of public and private shuttle services or transportation modes to and from work. *Observe reduced capacity in compliance to the standards set by the Department of Transportation and other relevant national guidelines. *Conduct proper health screening prior to entry to the vehicle. *Documentation per passenger per trip to enable contact tracing. *Schedule shuttles to designated groups or bubbles to limit the number of possible contacts, as much as possible. *Develop mechanisms for provision of other safe and innovative modes of transportation, such as but not limited to, gas allowances or subsidies, and the like. 8. Disinfection, which include the following actions at the minimum: *Develop a routine schedule for disinfection such as at least twice a day cleaning and disinfection for high contact surfaces; such as telephones, printers, biometric machines, copiers, physical barriers, etc. *Disinfect specific operations, facilities, and/or work areas depending on their use. *Use of Food and Drug Administration (FDA) - approved disinfectants. *Developing lockdown disinfection protocols such as having a 24-hour lockdown period for disinfection, only after which canit be opened for use to other personnel or occupants. 9. Employers shall be encouraged to establish flexible policies on the provision of sick leaves and health benefits.

1. Maintain physical distancing or spacing through the installation of physical barriers in enclosed areas where physical distancing may be compromised, i.e. sneeze guards (Acrylic Plastic Sheets), fixed glass panels, theater ropes and stanchions, hazard warning tape, etc 2. Ensure adequate air exchange in enclosed (indoor) areas thru the following strategies: a. Maximize natural ventilation through open windows b. Use low-cost modifications to improve air flow i.e. addition of fans or exhaust fans. Identify multi-occupant spaces that are used regularly and are poorly ventilated. Air flow shall be controlled to ensure indoor CO2 concentrations be maintained at-or below-1,000 ppm in schools and 800 ppm in offices. Since outdoor CO2 concentration directly impacts the indoor concentration, it is critical to measure outdoor CO2 levels when assessing indoor concentrations. Indoor CO2 levels shall not exceed the outdoor concentration by more than about 600 ppm. c. Installation and regular maintenance of exhaust fans and air filtration devices with High-Efficiency Particulate Air (HEPA) filters 3. Installation of hand hygiene and sanitation facilities, and provision of materials such as the following: a. Adequate and safe water supply b. Hand washing station or sink c. Soap and water or 70% Isopropyl (or Ethyl) Alcohol d. Hands-free trash receptacles, soap and towel dispensers, door openers, and other similar hands-free equipment 4. Separate Entry and Exit points in high traffic areas: a. Use of unidirectional markers b. Installation of signages for queuing and unidirectional movement c. Sectioning d. Queuing e. Footbaths are not recommended 5. Establishment of a Screening or Triage area at different points-of-entry: a. Health Declaration or Symptom Assessment b. Non- contact Temperature Check c. Isolation area near points-of-entry for symptomatic individuals 6. The use of foot baths, disinfection tents, misting chambers, or sanitation booths for preventing and controlling COVID-19 transmission are not recommended even for individuals in full PPE (e.g. pre-doffing misting). 7. Use of ionizing filters and UV lamps outside the health facility setting are not recommended by Philippine COVID-19 Living Recommendations. 8. Installation of visual cues or signages to communicate: a. Physical distancing of at least one meter distance b. Cough and sneeze etiquette c. Proper hand hygiene and control i. Face, eyes, nose, and mouth shall not be touched ii. Thorough handwashing with soap and water for 20-30 seconds iii. In the absence of soap and water, use alcohol-based hand sanitizer (=60% alcohol) or isopropyl (or ethyl) alcohol. Hand sanitizer is not a replacement for good hand hygiene. iv. Proper use and disposal of PPE v. Other critical reminders in the PDITR+ strategy and BIDA Solusyon 9. Facility for proper storage, collection, treatment, and disposal of used PPE and other infectious waste. a. Storage i. Designate an isolated area for containment/storage of the leak-proof yellow trash bag/container with used PPE ii. Secure the storage area so it is not frequented by the personnel b. Collection, Treatment, and Disposal i. Dispose of all used PPE in a separate leak-proof yellow trash bag/container with a cover properly labeled as “USED PPE” ii. Collect the leak-proof yellow trash bag/container regularly or twice a day (before and after working day) from designated/specific area to the general collection area for treatment and disposal iii. Require the utility staff to wear a medical-grade face mask and puncture-proof gloves when collecting/handling the leak-proof yellow trash bag/container iv. Treatment through disinfection or spraying of the collected wastes with a chlorine solution (1:10) v. Disposal of the disinfected PPE with general waste to the final disposal facility.