WHEREAS, the priority target beneficiaries of public health services are the marginalized and poor constituents particularly the women and children in the barangays;
WHEREAS, there still exists geographically isolated and depressed areas (GIDA) in the city due to the lack of available public transportation (e.g.Tamontaka 2, Tamontaka 3, Tamontaka 4, Tamontaka 5, Poblacion 8, Poblacion 9, Kalanganan 1 and Kalanganan 2) and the absence of conveniently and readily accessible public or private facilities such as hospitals, birthing or obstetrics care centers or medical clinics;
WHEREAS, the only readily accessible health services unit in the barangays is a Barangay Health Center/Station manned only by a single Barangay Health Aide or Midwife;
WHEREAS, the Cotabato City Government's resources are not sufficient to deploy to every barangay much needed health personnel such as Doctors, Nurses and Dentists and more advanced facilities for birth deliveries and obstetrics care, medical consultations and emergency clinics to meet the standard ratios for such personnel and facilities;
WHEREAS, there is a need to optimize the existing resources of the Office on Health Services (OHS) and improve the supervision and monitoring of the implementation of the various health programs at the ground;
WHEREAS, the City's Comprehensive Development Plan and the Citywide Investment Plan for Health (CIPH) have recognized the above-cited felt needs thus incorporating therein the establishment of Clustered Barangays Health Centers and the Basic Emergency Obstetrics and Neo-natal Care Centers (BEmONC);
WHEREAS, the Cotabato City Local Health Board strongly recommends for the immediate implementation of the planned Clustered Barangay Health Centers;
NOW, THEREFORE, I, JAPAL J. GUIANI, JR., Mayor of the City of Cotabato, by virtue of the powers vested in me by law, hereby orders the clustering of barangays into sub-city units for health services delivery purposes and the creation and operationalization of the Clustered Barangay Health Centers (CBHC) with ensuing additional instructions, to wit:
SECTION 1. CLUSTERING OF BARANGAYS FOR HEALTH SERVICES DELIVERY PURPOSES.
Cluster 1 shall be composed of Barangays Kalanganan MB, Kalanganan 1, Bagua MB, Bagua 1 and Bagua 2. Barangay Bagua 1 shall be the Center.
Cluster 2 shall be composed of Barangays Poblacion 5, Poblacion 6, Bagua 3, Rosary Heights 1 and Rosary Heights 2. Barangay Poblacion 6 shall be the Center.
Cluster 3 shall be composed of Barangays Poblacion MB, Poblacion 1, Poblacion 2, Poblacion 3, Poblacion 4 and Poblacion 7. Barangay Poblacion MB shall be the Center.
Cluster 4 shall be composed of Barangays Rosary Heights MB, Rosary Heights 11, Rosary Heights 12 and Rosary Heights 13. Barangay Rosary Heights MB shall be the Center.
Cluster 5 shall be composed of Barangay Rosary Heights 6, Rosary Heights 7, Rosary Heights 8, Rosary Heights 9 and Poblacion 8. Barangay Rosary Heights 8 shall be the Center.
Cluster 6 shall be composed of Barangays Rosary Heights 3, Rosary Heights 4, Rosary Heights 5 and Poblacion 9. Barangay Rosary Heights 4 shall be the Center.
Cluster 7 shall be composed of Barangays Tamontaka MB, Tamontaka 1, Tamontaka 2, Tamontaka 3, Tamontaka 5 and Kalanganan 2. Barangay Tamontaka MB shall be the Center.
SECTION 2. ESTABLISHMENT AND OPERATIONS OF THE CLUSTERED BARANGAY HEALTH CENTERS.
a. The establishment and operation of the Clustered Barangay Health Centers shall be implemented by phase based on the available personnel and resources with the following order of priorities:
b. The CBHCs shall become a combined sub-city Health Office and merged Barangay Health Centers. It shall supervise the implementation of all health programs implemented by the respective Barangay Health Midwives in the barangays. In addition, the CBHC shall be established as an Emergency Clinic and initially as a birthing facility in the area (The CBHC shall gradually be upgraded and/or developed to become a Basic Emergency Obstetrics and Neo-natal Care Center (BEmONC). It shall therefore operate on a 24/7 basis (24 hours a day/7 days a week).
c. The minimum personnel of every CBHC shall consist of one (1) Doctor; One (1) Nurse; Two (2) Midwives; One (1) Sanitary Inspector; and, One (1) Barangay Health Aide as administrative support staff. All the existing Barangay Health Midwives and/or Barangay Health Aides shall serve under the CBHC on a duty shift basis to ensure the availability of personnel on a 24/7 basis for a total of 40 hours per week consistent with the Civil Service rules.
d. Every CBHC shall be headed by the assigned OHS Doctor who shall be designated as CBHC Manager. The CBHC Managers shall direct the day-to-day operations of their respective Centers and exercise supervision and control of the Center personnel. They are not obliged to report to the Centers 24 hours a day but as Doctors and CBHC Managers they are on-call 24/7. They shall always designate a Duty Officer in their absence.
e. All OHS personnel assigned to the CBHCs shall continue to perform their duties and responsibilities inherent in their respective official appointments or regular positions including other added functions (e.g. Health program coordination) unless otherwise specifically divested of such responsibilities by higher and proper authorities.
f. The CBHC Manager shall designate one of the staff who shall coordinate and consolidate all program reports of the respective Barangay Health Midwives covered by the CBHC.
g. The CBHC Managers shall report directly to the City Health Officer II who shall exercise overall supervision of the CBHC operations.
SECTION 3. All the CBHC Managers are hereby directed to jointly formulate a standard Manual of Operations and Procedures to include, but not limited to, the following aspects which were not otherwise hereto provided, to wit:
1. Services provided by the CBHC
2. Duties and Responsibilities of every CBHC personnel
3. Implementation of all Health Programs
4. Attendance to Birth deliveries
5. Attendance to Emergencies
6. Medical consultations/Examinations
7. System of referrals
8. Records Management
9. Monitoring and Reporting
The draft Manual of Operations shall be submitted to this Office for approval within one (1) month from the date of the issuance of this Executive Order through the City Health Officer II and subsequently reviewed and indorsed by the Local Health Board.
SECTION 4. FUNDING
1. All CBHCs shall prepare and submit their Annual Operational Plan and Budget for consolidation and incorporation to the overall Annual Operational Plan and Budget of the Office on Health Services (OHS).
2. The initial funding requirements for MOOE of the CBHCs shall be provided by the Office on Health Services (OHS) in accordance with existing government auditing rules and regulations.
SECTION 5. EFFECTIVITY. This Order shall take effect immediately.