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MUNICIPAL HEALTH OFFICE


aruta

DR. MARIFE C. ARUTA
Municipal Health Officer

mhs


NAME
POSITION

Dr. Marieta N. Daggi
Dentist II – MHC
Ms. Thelma L. Macailing
Nurse II – MHC
Mr. James F. Dapitan
Nurse II – MHC
Ms. Helma S. Angoluan
Midwife II
Ms. Elvie F. Paradillo
Midwife II
Ms. Florian C. Ragodos
Midwife II
Ms. Wahida M. Lumontod
Midwife II
Ms. Luzvimin E. Arcilla
Midwife II
Ms. Grace P. Juanico
Midwife II
Ms. Ella S. Navarro
Midwife II
Ms. Lorelie P. Talle
Midwife II
Ms. Rachel J. Obado
Midwife II
Ms. Rosalia C. Buclid
Midwife
Mr. Tommy D. Bello
Midwife
Ms. Marilyn E. Cabucos
Midwife
Ms. Winna P. Cabrejas
Midwife
Ms. Evangeline Palmones
Midwife
Ms. Nelia Taruc
Midwife
Ms. Hazel M. Lauban
Midwife
Ms. Jo-Anh Karen D. Gallardo
Midwife
Ms. Emie Hope D. Judilla
Lab. Tech. II
Mr. Jessie M. Cordero
Sanitary Inspector
Ms. Ma. Hannah P. Simon
Asst. Nutritionist
Ms. Corazon A. Belmores
Dental Aide
Ms. Inocencia Gargar
Utility
Ms. Charilyn C. Olegario
Nursing Aide
Ms. Tarhata K. Mastura
Nurse
Ms. Johnett B. Juanitas
Asst. Lab. Tech.
Ms. Joyce L. Arcila
Data Encoder
Mr. Ian Ceasar Delos Santos
Nurse
Mr. Adrian Pecaoco
Nurse
Ms. Lizel Balasa
Midwife
Ms. Derlina E. Neroza
Janitress
Mr. Ceasar A. Acut
Janitor
Ms. MAcricia Cortel
Health Aide
Mr. Nicodemus J. Arcilla
Field Asst. Worker

VISION:

A Healthy and productive populaces through a synergistic GO NGO, DOH partnership and collaboration in health services and the availability of competent, dedicated and committed health workers.

MISSION:

To deliver comprehensive, high quality, accessible, affordable, effective, efficient and sustainable health services through dedicated involvement and partnership among health workers and community.

 

MEDICAL CONSULTATION SERVICES

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Midwife

OPD

Admission/Registration

1 min

Referral slip

Midwife

OPD

Taking of vital signs (BP,Temperature,Weight)

10 min

ITR

Midwife

OPD

Consultation/Physical Examination

10-30 min

ITR

Physician

Consultation Room

Dispensing of medicine

5-20 min

Prescription from the doctor

Supply Officer

Dispensary

MATERNAL AND CHILD HEALTH CARE SERVICES FAMILY PLANNING SERVICES

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Midwife

OPD

Admission/Registration

1 min

Referral slip

Midwife

OPD

History taking/physical examination

10-30 min

ITR

Nurse/Physician

FP Room

Counseling

10-20 min

History/physical examination result

Nurse/Physician

FP Room

Given of chosen Family Planning Services Method


10 min-1 hour

Physician’s Prescription

Nurse/Physician

FP Room

PRE-NATAL SERVICES

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Midwife

OPD

Admission/Registration

1 min

Referral slip

Midwife

OPD

Issue laboratory request for urinalysis and hemoglobin determination

1-3 min

Patient/client

OPD

Submit specimen for laboratory examination and waiting of lab results

10-13 min

Urine and blood specimen

Nurse/Physician/Midwife

Laboratory

Counseling (PE and Counseling)

10-30 min

Laboratory result

Nurse/Physician/Midwife

OB Room

Issue prescription

2-3 min.

Physician’s Prescription

OB Room

Dispensing of drugs/medicine

5-20 min.

Physician’s Prescription

Supply Officer

Dispensary

IMMUNIZATION SERVICES

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Midwife

OPD

Admission/Registration

10-15 min

Referral slip

Midwife

OPD

Health Education

10-15 min

ECCD card/maternal & child record book

Nurse/Midwife

OPD

Giving of Vaccine

5-10 min

ECCD card/maternal & child record book

Nurse/Midwife

BHS

NUTRITION SERVICES

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS and ECCD Card

Upon arrival

Referral slip/ECCD Card

Midwife

OPD

Admission/Vital signs taking

10-15 min

Referral slip/ECCD Card

Midwife

OPD

Counseling

10-15 min

ECCD card

Nurse/Midwife Nutritionist

OPD

Giving of Micro-nutrients to referred high risk children below 6y.o

5-10 min

ECCD card/maternal & child record book

Nurse/Midwife Nutritionist

OPD

SPECIAL PROGRAMS

NATIONAL TUBERCULOSIS CONTRAL PROGRAM SMEAR POSITIVE

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip of Sputum positive from BHS/referring physicians

Upon arrival

Referral slip/sputum microscopy record

Nurse

TB DOTS center

Refer to MHO/RHP

1 min

Referral slip/sputum microscopy record

Nurse

TB DOTS center

Consultation (Diagnosis/Doctor’s)

10 min

Referral slip/sputum microscopy record

MHO/RHP

Consultation Room

Health Education (client treatment partner,BFW,RHM)

30 min

-none-

MHO/Nurse

TB DOTS center

Carry out Doctor’s order

1 hour

Referral slips, Tx-Card, NTP ID/MOA

Nurse

TB DOTS center

Registration  of client in the TB Registry

1 min.

TB Register

Nurse

TB DOTS center

Endorsement of patient’s record and NTP Drugs to RHM for distribution to NTP clients

1 min.

Patient’s record/complete treatment care

Nurse

TB DOTS center

SMEAR NEGATIVE BUT XRAY POSITIVE

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Smear negative but chest x-ray positive client with TBDC recommendations from BHS

Upon arrival

TBDC referral slip/x-ray reading film

Nurse

TB DOTS center

Refer to MHO/RHP

1 min

TBDC referral slip/x-ray reading film

Nurse

TB DOTS center

Consultation

5 min

-none-

MHO/RHP

Consultation Room

Health Education (client treatment partner,BFW,RHM)

30 min

-none-

MHO/Nurse

TB DOTS center

Carry out Doctor’s order

1 hour

Referral slips, Tx-Card, NTP ID/MOA

Nurse

TB DOTS center

Registration  of client in the TB Registry

1 min.

TB Register

Nurse

TB DOTS center

Endorsement of patient’s record and NTP Drugs to RHM for distribution to NTP clients

1 min.

Patient’s record/complete treatment care

Nurse

TB DOTS center

NATIONAL LEPROSY PROGRAM

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip of Sputum positive from BHS/Private dermatologists

Upon arrival

referral slip

Midwife

OPD

Admission/registration

1 min

referral slip

Midwife

TB DOTS center

History taking/physical examination

10-30 min

Midwife

OPD

Refer to MHO/RHP

5-10 min

LNCP Form/Referral slip

Nurse

OPD

Consultation (Diagnosis/Doctor’s advice)

15 min.

NLCP Form/Referral slip

MHO/RHP

NLCP Room

Carry out doctor’s order

2 hrs

NLCP Form/Referral slip

Nurse

Consultation Room

remaining meds given with

1 min.

Patient’s record/complete treatment care

Nurse

NLCP Room

MALARIA CONTROL PROGRAM

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

referral slip

Midwife

OPD

Admission and vital signs taking

1 min

referral slip

Midwife

OPD

Consultation

20-30 min

ITR

MHO

OPD

Health Education (client treatment partner,BFW,RHM)

1-3 min

Midwife

OPD

Carry out Doctor’s order

25-30 hour

Blood smear

Medical technologist

Laboratory

Registration  of client in the TB Registry

10-20 min.

Physician’s prescription

Nurse/Physician/Midwife

OPD

Endorsement of patient’s record and NTP Drugs to RHM for distribution to NTP clients

5-20 min.

Physician’s prescription

Supply officer

Dispensary

DENTAL SERVICES

TOOTH DECAY

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Midwife

Out Patient Department

Admission and vital signs are taking

10-15 min

Referral slip

Midwife

Out Patient Department

History taking/physical examination

10-30 min

ITR

Dentist /dental aide

Dental clinic

Counseling

10-20 min

Dentist

Dental clinic

Given of chosen Family Planning Services Method

10 min-1 hour

Prescription of drugs

Supply officer

Dispensary

GENERAL ORAL INFORMATION FOR PREGNANT WOMEN

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Presentation of referral slip from BHS

Upon arrival

Referral slip

Dentist /dental aide

Dental clinic

Admission

5-10 min

Oral examination

14-April

Dental health form 1

Dentist

Dental clinic

Dental health Counseling

15-20 min

Dentist

Dental clinic

Oral prophylaxis

20-30 min.

Prescription of drugs

Dentist

Dental clinic

Restorative filling

20-30 min.

Dentist

Dental clinic

ENVIRONMENTAL SANITATION SERVICES

ISSUANCE OF SANITARY PERMIT

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Accomplishments of application form for sanitary permit

Upon arrival

5-10 min.

Complete requirements and form

applicant

Office of the Sanitary Inspector

Submission of the accomplished application together with the complete required documents (including plans,specifications,designs,reviewed, DENR EMB Permit, Food & water certificates & employment Health Certificate

5-10 min

Duly filled up form and complete documents

Sanitary Inspector

Office of the Sanitary Inspector

Payment of sanitary inspection

5-10 min

-money

Based  on treasurer’s assessment

Municipal treasurer

Treasurer’s Office

Review submitted documents

10-30 min

Submitted documents

Sanitary Inspector/MHO

Office of the Sanitary Inspector

Conduct of inspection proper

Within 7 days

Sanitary Inspector

Business Site

Submit inspection result and recommendations to local health authority for approval or disapproval of application

Within 3 days

Sanitary Inspector’s report

Sanitary Inspector

Municipal Health Office

If approved, issue sanitary permit

1-2 days after submission of inspection report

Official receipt

MHO

Municipal

Health Office

If disapproved, inform client regarding the deficiencies and giving time to correct it.

1-2 days after submission of inspection report

Sanitary Inspector

Business Site

Conduct of reinspection of establishments

After 2 weeks

Sanitary Inspector

Business Site

If corrected, issue sanitary inspector

1-2 days

MHO

Municipal

Health Office

ISSUANCE OF HEALTH CERTIFICATE

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Accomplishment of application form for health certificate

2-5 min.

applicant

Municipal

Health Office

Payment of health certificate fee and laboratory fee

1 min

P 25 each

Municipal Treasurer

Municipal Treasurer’s Office

Submit specimen for laboratory examination

10-15 min

-OR for laboratory fees

applicant

Medical Laboratory

FOR GENERAL CLIENTS (PRE-EMPLOYMENT, FOOD HANDLERS/OPERATORS)

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Stool, urine, sputum exam, gram stain

Stool, urine, sputum specimen

Medical Technologist

Cedula, 1x1 ID picture

1 min

P 25 each

FOR DRIVERS

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Standard lab exam (stool, urine, blood, sputum exam)

30 min- 1 hour

Municipal

Health Office

Drug testing (if needed, referred to tertiary lab)

24 hour

Municipal

Health Office

Nuero Psychiatric Testing  (if needed referred to tertiary lab)

24 hour

Municipal

Health Office

Wait for laboratory result

30 min- 1 hour.

Municipal

Health Office

See if the physician with the lab for  physical examination

15-30 min.

Laboratory result and OR

Physician

Municipal

Health Office

Health Certificate Form Prepared

15-30 min.

Sanitary Inspector

& Physician

Municipal

Health Office

IEC Good Manufacturing Practices (GMP)

Issue Certificate

5-10 min.

Municipal

Health Office

ISSUANCE OF MEDICAL CERTICATE/MEDICO-LEGAL

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Admission

1 min.

Medico-legal presentation of request for medico-legal from the PNP

Midwife

Municipal

Health Office

Vital signs taking

5-10 min

Midwife

Municipal

Health Office

Consultation/ physical examination

10-30 min

Physician

Municipal

Health Office

Issue Medical Certificate

5-10 min.

Municipal Health Officer

Municipal

Health Office

ISSUANCE OF DEATH CERTIFICATE

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Get the accomplishments death certificate from the LCR

5-15 min.

Purok Certification

LCR

LCR

Go to the Municipal Health Office for signature

5-10 min

Purok Certification

Municipal Health Officer

Municipal

Health Office

Go to licensed embalmer for signature and proceed to Municipal Civil Registrar for registration

Licensed Embalmer & Municipal Civil Registrar

Municipal Civil Registrat

Get burial permit from mayor’s Office

5 min.

Duly signature death certificate

Clerk

Mayor’s Office


LABORATORY SERVICES

Gram Staining/ Pap’s Smearing
Stool Examination
Urinalysis
Complete Blood Count/Hemoglobin Determination
Sputum Examination of Malarial Smear

STEPS

DURATION

REQUIREMENTS

FEES

PEOPLE RESPONSIBLE

LOCATION

Present laboratory request

1 min.

Laboratory request


LCR

Laboratory

Pay to the municipal treasurer’s office for lab fee

2-5 min

Money


Municipal Health Officer

Municipal Treasurer’s Office

Submit specimen for laboratory examination (stool, urine ,sputum)

10-30 min.

OR


Licensed Embalmer & Municipal Civil Registrar

Laboratory

Wait for laboratory result

30 min.






Submit result to the physician





Client


 

 

WORLD TB DAY CELEBRATION

The Municipality of Lebak and Kalamansig joined together in celebrating the WORLD TB Day last March 30, 2011 held at Kalamansig Municipal Gymnasium with the theme: ISULONG ANG LABAN SA TB MALUSOG NA KABATAAN, PAG-ASA NG BAYAN.

This year’s theme focuses on the control and prevention of TB in children. It appeared that these children have been neglected in the fight against this old scourge of mankind thus mobilizing the public and health workers to build a stronger defense on TB disease.
Welcome address was given by Dr. Marife C. Aruta, the Municipal Health Officer of Kalamansig.

Dr. Henry Lastimoso, the Provincial Medical Coordinator, encouraged the health workers to continue counseling TB patients and made them realized the importance of taking their medications religiously as prescribed to avoid multiple drug resistance (MDR). MDR occurs to most TB patients who neglect their meds for a time and come back again if symptoms attack recurrently. Dr. Lastimoso stressed out that recurrent MDR-TB may lead to expensive drug resistance (XDR) TB. And that fears most the health workers since XDR TB has no medicines discovered to this time. This will lead eventually to death.

Dr. Johnny Tan, Municipal Health Officer of Lebak, in support with the message of Dr. Lastimoso, suggested that local pharmacist should be discouraged to sell anti-TB drugs since this drugs are available for free in the health centers and proper dosage has to be monitored by health workers.

Hon. Fe Caang, being the OIC Mayor had been asked for a message and according to her, it’s just but to focus on the health of the people especially nowadays that Kalamansig is becoming well known about its beauty and speed of development. “If the place is beautiful, it should be that people living in it are also beautiful and healthy” she quoted. She also added that Mayor Rolando P. Garcia is so much concern for the well being of his constituents hence he is very supportive of all health programs.

With this, we in the RHU headed by the MHO Dr.Marife C. Aruta strengthen our case finding strategy through “Tutok Gamutan” – DOTS Program. This is a campaign to control TB cases in our municipality and an answer to the aim of Department of Health (DOH) which is a “TB free country in the year 2020”.
The visitors from Provincial Health Office was headed by Dr. Henry Lastimoso, National Tuberculosis Program (NTP) Provincial Medical Program Coordinator and Staff, Ms. Pebe Razon RN, national Tuberculosis Program (NTP) Provincial Program Coordinator, Ms. Cecil Destor, RMT- Provincial Medical Technologist, Ms. Rose Maglasang and Ian Clark Pernaredondo, Project Assistant , Phil.Cat.


The celebration was attended by nurses, midwives and barangay health workers of Lebak and Kalamansig. Two patients from Lebak and Kalamansig respectively gave their testimonies as how they acquired the disease and how they were treated through “Tutok-Gamutan-DOTS Program. They were so thankful that our government has a program like this were in they were given treatment for free coupled with dedication and compassion.

 

Knocks on the Door of Measles-Free 2012

Can you imagine Philippines in the list of measles-free countries in the world? Well, you’re imagination isn’t that far for it may be achievable this coming 2012. Department of Health (DOH) and the health centers from all side of the country will work hand in hand to make this imagination ensue through their new-fangled strategy called “Door – to – Door immunization.”

As sequel to 1998, 2004 and 2007 mass measles campaign, this year’s “Ligtas sa Tigdas ang Pinas” is quite different from the past campaigns. With the new approach of eliminating measles and accelerating the control of rubella to all children with the age bracket of 9 months to below 8 years, a criteria is issued to provinces and cities to accomplish a measles-free certification.

What’s the strategy again? “Door –to- Door Immunization” surely makes your

Mind confused. The word “Door” leaves your mind in thoughts. Question like “How about those homeless children?” may pop out your head.

DOH gives another meaning of what they call “Door-to-Door.” The “Doors” refer to the houses, condominiums, apartments, tenements, orphanages and halfway homes. It as well covers on-conventional doors in the community such as families living under the bridge, inside the parks, cemeteries and open spaces, intents, carts, abandoned buildings, old vehicles, under the trees, in islands, on the middle of the streets, etc.

In short, in all places where children may possibly be located in. The term “Doors” in this strategy is not confined in its description as doors of houses. Children with or without home are entitled to such vaccination.

With this new strategy, parents will no longer knock on health centers’ doors. It would now be the other way around. Vaccination team will knock on the doors of your houses to make sure that no child is failed to spot. After vaccinating, stickers will be placed on their houses were visited by the team and eligible children living in it were vaccinated, indication whether it’s the 1st, 2nd or 3rd visit, signature of vaccinator, date and remarks.

DOH are in high expectation that the number of “missed” children (unavailable for vaccination) this time will dwindle to zero. Parents are advised to have their 9 months old to below 8 years old vaccinated. Everyone is encouraged to open their doors—doors that will save Filipino children from measles.

Undoubtedly, doors of our houses play an imperative function in creating our small community and sooner or later our country measles – free. Open them widely when 2012 Measles-Free Philippines comes knocking.









 

 

 

 


 

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