RURAL HEALTH UNIT

Office

OUTPATIENT CONSULTATION

Frontline Service

 ABOUT THE SERVICE:

The Municipal Health Office through its Main Health and Barangay Health
Centers regularly renders free primary health care services for medical
consultation and treatment of minor cases. The objective is more on the
preventive and promotive aspect of health. Major surgical and medical cases.
Are usually referred to nearby secondary and tertiary hospitals such as Porac
District Hospital, Diosdado Macapagal Memorial Hospital, Jose B. Lingad
Memorial Hospital, Romana Pangan District Hospital, and Ospital Ning Angeles.

 REQUIREMENTS:

 Family number;
 Early Child Care and Development (EDDC) card (for 0-5 yrs. old pts)
 Referral slip

 SCHEDULE OF AVAILABILITYOF SERVICE:

Monday to Friday from 8:00 am to 5:00 pm

 HOW TO AVAIL THE SERVICE:

Procedures Processing Time Person Responsible

1. Register the patient’s data on the
5-10 minutes
initial Treatment Record.
2. Take note of the vital signs and
5-10 minutes
medical history.
3. Assess the client’s illness but
BHW/Midwife on Duty
physical examination as per CARI,
CDD, IMCI, CVD, DM protocol.
10-15 minutes
Educate patients before referring to
the Public Health Nurse or Rural
Health Physician.
4. Examine the patient. Public Health Nurse/Rural
10-15 minutes
Health Physician
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 RURAL HEALTH UNIT
Office

REPRODUCTIVE HEALTH CARE

Frontline Service

 ABOUT THE SERVICE:

This is a program of the Municipal Health Office intended especially for

workers in the entertainment industry. The objective is to identify and treat
Sexually Transmitted Infections. It also claims. It also aims to promote
wholesome family and community welfare in keeping the municipality HIV/AIDS-
free. Those who pass the examination are given a health certificate.

 REQUIREMENTS:

 New client:
 Community Tax Certificate
 Birth Certificate
 Barangay clearance
 Police clearance
 3 pcs. 1 x 1 ID picture

 Old client:
 Health Certificate (Pink Card)

 FEES Based on Art. D, Sec. D.01(Imposition of Fee) of Tax Ordinance no.77

s 2002 also known as Updated Revenue Code of the Municipality of Porac.

Health Certificates Fee - Php 100.00

 SCHEDULE OF AVAILABILITY OF SERVICE:

Tuesday or Wednesday from 2:00 p.m. to 4:00 p.m.
 HOW TO AVAIL THE SERVICE:

Procedures Processing Time Person Responsible

1. Get information on the ff: name,
age, address, gravida/paritiy, Sanitation
5-10 minutes
name of establishment/operator’ Inspector/Midwife
location of business
2. Conduct physical examination and
prepare the client for smearing
while explaining the procedures to
be done. 15-20 minutes Midwife/Physician
3. Defending on the initial
assessment, refer client for further
evaluation and management.
4. Smear the client and advice to
claim the result after 2-3 working 5-10 minutes Physician
days.
5. Conduct laboratory procedures
such as gram’s staining, 15-20 minutes Med Tech
microscopic reading
6. Give the client the schedule of the
next smearing and/or confirmatory 5 minutes Med tech
testing
7. Issuance releasing of certificate 5-10 minutes Sanitation inspector
8. Conduct testing, treatment &
5-10 minutes physician
counseling when necessary
9. Advise the client to return after 7-
14 days after the visit for ff-up of 3-5 minutes physician
treated cases
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Office

IMMUNIZATION SERVICES

Frontline Service

 ABOUT THE SERVICE:

The purpose of this health program is to immunize 0 – 12 months old infants

from seven preventable diseases such as polio ,DPT, TB, measles, hepatitis B.

The Municipal Health Office also immunizes pregnant mothers on their 2nd
trimesters (5 months) to prevent the occurrence of Tetanus neonatorum in
infants.

 REQUIREMENT(S):

 Family Number
 Early Child Care Development Card (EDDC Card)

 SCHEDULE OF AVAILABILITY OF SERVICE:

Once a month per barangay as scheduled.

 HOW TO AVAIL THE SERVICE:

Person
Procedures Processing Time
Responsible
1. Register and interview the mother of infant and
check the ECCD card for the scheduled BHW/Rural
10-15 minutes
immunization. For new, register the infant to health midwife
obtain an EECD card.
2, Check for the vital signs of the infant to
determine the presence of illness/wellness
3, Immunize the infant for 1-1/2 mos.old BCG,
DPT/polio/HEPA B with 28-30 days interval for Public health
nd rd 15 minutes per
the 2 and 3 immunization. At nine (9) months Nurse/Rural
patient
old immunize the infant for anti-measles and Health Midwife
give 100,000 IU drops of vitamin A
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Office

MATERNAL HEALTH CARE

SERVICES
Frontline Service

 ABOUT THE SERVICE:

The Municipal Health Care Office through its main health center and satellite
barangay health stations provides maternal services to pregnant and lactating
mothers. The service includes pre-natal and post natal care to ensure safe
motherhood and deliveries to healthy babies.

 REQUIREMENTS

 Family Number
 Referral slip
 Home-based maternal record (HBMR)

 SCHEDULE OF AVAILABILITY OF SERVICE:

 Wednesday (RHU 1) from 8:00 am to 5:00 pm
 Tuesday and Friday (RHU 2) from 8:00 a.m to 5:00 pm
 Thursday (Pio Model Community) 8:00 am to 5:00 pm

 HOW TO AVAIL THE SERVICE:

Procedures Processing Time Person Responsible
1. Get maternal record. accomplish the Utility, BHW, dental
HBMR of the mother/birth plan form. 10-20 minutes aide, Rural health
midwife
2. Check for the vital signs of the mother to
determine the risk factor.
3. Conduct physical examination of the 10-20 minutes
mother. request for Hgb-Hct and
urinalysis, blood typing of the mother.
Public Health Nurse,
4. Orient the mother on proper nutrition and
Rural Health Midwife,
maternal care/ten nutritional guidelines for
Public Health Dentist,
Filipinos/dental health evaluation and
Dental Aide, Med
advice
Tech, Rural Health
5. Instruct mother on the danger signs of
20-30 minutes Physician
pregnancy.
6. Refer mother to physician for final
evaluation & management including lab
results and giving of Ferrous tab and other
meds
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 RURAL HEALTH UNIT
Office

ANTI-TUBERCULOSIS PROGRAM

Frontline Service

 ABOUT THE SERVICE:

Tuberculosis has burdened the country for so many years .presently, it is still
a major health hazard .The Municipal Health Office manages an anti-tuberculosis
program. It is geared toward preventing and controlling the spread/transmission
of tuberculosis (TB) in the community. the main objective is to identify and treats
patients with TB by providing anti-tuberculosis medication for free using the
DOTS.

 REQUIREMENTS:
 Family number
 Referral slips
 Sputum Exam result
 Chest X-ray result
 Chest X-ray result
 TB Treatment card
 TB Registration

 SCHEDULE OF AVAILABILITY OF SERVICE:

Monday to Friday, from8:00 a.m. to 5:00 p.m.

 HOW TO AVAIL OF THE SERVICE:

Procedure Processing Time Person Responsible

1. Determine if the client is TB symptomatic
through initial assessment on the
15 – 30 minutes Rural Health Midwife
medical history and record in the initial
Treatment Record.
2. Conduct physical an medical
15 – 30 minutes Rural Health Physician
examination of the client
3. Collect sputum specimen and submit it
5 – 10 minutes Midwife/Med Tech
to the Med Tech for exam the day after
4. Enrollment of Patient
a. Assess patient if eligible as National Public Health
Tuberculosis Program (NTP) Nurse/Rural Health
30 minutes – 1 hr.
beneficiary Midwife/Rural Health
b. If not eligible, proceed to Chest X- Physician
Ray for other categories of treatment
c. If eligible, enroll patient and issue
NTP identification card
d. Give patient info-education about TB
Disease and Control and the
Importance of the Directly Observed
Treatment (COTS) for Short Course
Chemotheraphy (SCC) with his/her
treatment partner
e. Issue initial TB drug supply to
treatment partner
f. Instruct patient where to report for
his/her daily intake of TB durgs; and
about the follow-up sputum re-
examination schedule.
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Office

FAMILY PLANNING SERVICES

Frontline Service

 ABOUT THE SERVICE:

Family planning service provides not only family planning commodities but also
includes Basic Family Planning Education, Information on different Family
Planning Methods as well as Family Planning Counseling to all women of
reproductive age geared towards responsible parenthood. It can also provide
mothers of malnourished children and malnourished pregnant and lactating
mothers information on nutrition to improve nutritional status.
 REQUIREMENTS:
 Family number
 Economic status (free commodities for patients belonging to the lower
income bracket)

 SCHEDULE OF AVAILABILITY OF SERVICE:

Monday to Friday from 8:00 a.m. to 5:00 p.m.
IUD insertion (RHU II) – as they come
Acetic Acid Wash (RHU I) 3rd Friday of the month
Pap’s Smear/Acetic Acid Wash (RHU II) – 3rd Wednesday of the month
 HOW TO AVAIL OF THE SERVICE:
Procedures Processing Time Person Responsible
1. Interview the client and ask to fill-up the
10 – 15 minute
Family Planning form.
2. Get the vital signs of client. Conduct initial Rural Health Midwife
physical examination before referring to the 5 – 10 minutes
physician
3. Assess the client, counsel the client on the Midwife/Public Health
family planning methods available. 15 – 20 minutes Nurse/Rural Health
Physician
4. Give instruction to the PHN/RHM on the Rural Health
20 minutes
chosen method of the client. Physician
5. Orient the client on the family planning
20 minutes Public Health
method selected.
Nurse/Rural Health
6. Remind the client on the regular follow-up
5 minutes Midwife
and pap smear schedule
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Office

DENTAL SERVICES

Frontline Service

 ABOUT THE SERVICE:

The dental services of the MHO are available to all pre-schoolers, targeted
school children, pregnant and lactating women, other adults and senior citizens
to prevent and treat dental problems. The MHO has an itinerant dental health
team on scheduled basis in every barangay to enhance awareness of dental
services.

 REQUIREMENTS:

 Home-based Maternal Record (for prenatal)

 Guardian/Parent (children below 18 yrs. Old)

 SCHEDULE OF AVAILABILITY OF SERVICE:

Monday to Friday from 8:00 a.m. to 5:00 p.m.

 Prenatal Check-up:
Wednesday (RHU I)
Tuesday & Friday (RHU II)

 Dental Extraction/Check-up
RHU I:
 Monday to Friday except Wednesday and on occasion,
 Tuesday and Thrusday (barangay visits)
RHU II:
 Monday & Tuesday (main) and on occasion, barangay visit
(Monday)
 Wednesday and Thursday (2x/month (PMC) & 2X/month (main)
 HOW TO AVAIL OF THE SERVICE:

Procedures Processing Time Person Responsible

1. Register the patient in the dental form.
5 – 10 minutes
2. Take and record the blood pressure of the Dental Aide/Midwife
patient.
3. Assess and take dental history of the
10 – 20 minutes Public Health Dentist
patient.
Dentist/Dental
4. Perform the necessary dental procedure on 20 – 45 minutes,
Aide/Midwife
the patient extraction
5. Prescription and issuance of medicines Dentist/Dental
5 minutes
Aide/Midwife

Procedures Processing Time Person Responsible

1. Register the patient in the dental form
2. Take and record the blood pressure of the 5 – 1- minutes Dental Aide/Midwife
patient.
3. Assess and take dental history of the
10 – 20 minutes
patient.
Rural Health Dentist
4. Educate the pregnant mother on proper
15 – 20 minutes
dental care & oral hygiene
5. Oral examination 5 – 1- minutes Rural Health Dentist
6. Refer back to physician for dental Dentist/Dental
3 -5 minutes
evaluation & management Aide/Midwife/RHP

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Office

LABORATORY SERVICES

Frontline Service

 ABOUT THE SERVICE:

The Municipal Health Office provides laboratory services to every constituents of

the municipality. The objectives of this service is to aid the clinician in arriving to
a proper diagnosis. These services include the following:

 REQUIREMENTS:
Specific Laboratory request

 FEES:
Based on Section D.01 Imposition of Fees of the Tax Ordinance no. 77 S
2002 also known as Updated Revenue Code of the Municipality of Porac
Laboratory services rendered by the MHO

P 20.00 - Urinalysis, stool exam, hemoglobin determination

P 25.00 - Genital smear

 SCHEDULE OF AVAILABILITY OF SERVICE:

Monday to Friday, 8:00 a.m. to 5:00 p.m.

 RHU I
 Monday, Tuesday, Thursday, and Friday – different laboratory services
(Laboratory request for check-up – a.m. only, p.m. – sputum
microscopy and Gram’s staining)
 Thursday – occasional barangay visits
 Wednesday prenatal day (8:00 a.m. to 12:00 p.m.; 1:00 p.m. – 5:00
p.m. sputum microscopic examination
 Monday to Friday – sputum submission

 RHU II
 Monday, Wednesday, and Friday – different laboratory services
(Laboratory for check-up – 8:00 a.m. to 12:00 p.m.. p.m. – sputum
microscopy and Gram’s staining)
  Tuesday & Friday – prenatal day (RHU II main) – 8:00 a.m. to 12:00
p.m.; 1:00 p.m. to 5:00 p.m. – sputum microscopy
 Wednesday – occasional barangay visits
 Thusday – prenatal day )PMC) 8:00 a.m. to 12:00 p.m.; 1:00 p.m. to
5:00 p.m. sputum microscopy and Gram’s staining (RHU I main)

 HOW TO AVAIL OF THE SERVICE:

Person
Procedures Processing Time
Responsible
1. Register the client in the logbook. Ask for the
laboratory request and instruct client on Medical
getting the specimen properly. 10 minutes Technologist

2. Submit/Extract Specimen Urine/stool: 10-15 minutes

E. Identify properly the specimen; Hgb/Hct: 5-10 minutes
F. Prepare and read specimen. Blood Typing: 3-5 minutes
Medical
CBC: 10-20 minutes
Technologist
Hgt (per sked): 3-5 minutes
Sputum exam: 20-30 minutes
G/S: 10-20 minutes
Malarial smear: 1 hr.
3. Release the result on the scheduled time Urine/stool: 5-10 minutes
Hgb/Hct: 5-10 minutes
Medical
Blood Typing: 3-5 minutes
Technologist
Sputum: after 3 days
G/S after 2-3 working days
Malaria: 1day

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 RURAL HEALTH UNIT
Office

SECURING A HEALTH CERTIFICATE

Frontline Service

 ABOUT THE SERVICE:

To ensure optimum health, any person/individual employed at any business

establishment that are operating within the municipality are required to secure a
health certificate. This certificate is issued by the Municipal Health Office.

 REQUIREMENTS:
a. Community Tax Certificate (personal)
b. Barangay personal clearance (optional)
c. Police Clearance (optional)
d. 1 pc. 1x1 picture
e. Test results:
1. CXR
2. Stool
3. Urine
4. Hepatitis Screening
5. CBC
6. Drug Test (optional)

 FEES:
Based on Art. D, Sec. D. 01 (Imposition of Fee) of Tax Ordinance No. 77 S
2002, a fee is collected in acquiring a health certificate.

P 25.00 – Health Certificate of employed workers in food and industrial

establishments.
P 100.00 – Health Certificate and Identification Card of employed workers
working on the ff establishments: videoke bars, laser/karaoke bars, beer
houses

 AVAILABILITY OF THE SERVICE:

Monday to Friday, from 8:00 a.m. to 5:00 p.m.
  HOW TO AVAIL OF THE SERVICE:

Procedures Processing Time Person Responsible

1. Validation of submitted requirements 5-10 minutes Rural Sanitation Inspector
2. Preparation of Health Certificate card. 5-10 minutes Rural sanitation Inspector
3. Refer card to RHP/MHO for approval 3-5 minutes Rural Health Physician
4. Releasing Rural sanitation
2-3 minutes
Inspector/Clerk

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 RURAL HEALTH UNIT
Office

SECURING SANITARY PERMIT

Frontline Service

 ABOUT THE SERVICE:

All business establishments operating within the municipality for public patronage
are required to secure a Sanitary permit pertaining to health and sanitation that
are based on the Implementing Rules and Regulations stated in IRR of PD 856
and Municipal Resolution No. 32 2002. The permit can be obtained from the
Municipal Health Office.

 REQUIREMENTS:
 Community Tax Certificate (personal and corporate)
 Barangay Business Clearance

1. Food (restaurant, canteens, fast foo, eatery, Sari-sari stores, catering

services, carinderia, bakery)
 Laboratory Results
2. Meat Processing Plants
 Certified true copy of Environmental Compliance Certificate (ECC)
 Permit to Operate
 Discharge Permit
 BFAD license to operate
 Contract of employment of the pollution control officer
3. Water refilling stations
 Specification Sanitary Plan (duly signed by a sanitary engineer)
 Results of water analysis (bacteriological every month,
plysical/chemical every 6 months)

4. Drugstores/medical-dental clinics/diagnostic laboratory

 BFAD license to operate
 Sanitary plan (optional)
5. Agro-industrial establishment
 ECC from DENR
 Permit to operate from DENR
 Discharge Permit from DENR
 Contract employment of the pollution control officer
 BFAD license to operate
 6. Videoke/Karaoke
Police Clearance

 FEES:
Based on Art. Section 4F, Imposition of Fee there shall be collected from the
operator of business establishment in this municipality an annual sanitary
inspection fee prescribed hereunder.

Capitalization
10 thousand and below - P 100.00
Over 10 thousand but not over 20 thousand - P 110.00
Over 20 thousand but not over 30 thousand - P 120.00
Over 30 thousand but not over 40 thousand - P 130.00
Over 40 thousand but not over 50 thousand - P 150.00
Over 50 thousand but not over 100 thousand - P 200.00
Over 100 thousand but not over 300 thousand - P 250.00
Over 300 thousand but not over 600 thousand - P 350.00
Over 600 thousand - P 600.00

 AVAILABILITY OF THE SERVICE:

Monday to Friday, from 8:00 a.m. to 5:00 p.m.

 HOW TO AVAIL OF THE SERVICE:

Procedures Processing Time Person Responsible

1. Validation of submitted requirement 10-15 minutes Rural Sanitation Inspector
2. Schedule the inspection of the establishment 3-5 minutes Rural Sanitation Inspector
3. Conduct scheduled inspection on a year-
1-3 minutes
round basis. If with corrective measures, Rural Sanitation Inspector
issue a Sanitary order
4. Prepare the Sanitary Permit with complete
5-10 hours Rural Sanitation Inspector
requirements
5. Refer to MHO/RHP for approval 5-10 minutes MHO/RHP
6. Log and release the permit Rural Sanitation Inspector in
3-5 minutes
charge
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 RURAL HEALTH UNIT
Office

SECURING MEDICAL CERTIFICATE

Frontline Service

 ABOUT THE SERVICE:

Individuals residing within the municipality can avail of a medical certificate

for the purpose such as absence from work/school due to sickness, as a
requirement to a scholarship grant, employment, etc. The certificate can be
obtained from the Municipal Health Office.

 REQUIREMENTS:
 Community Tax Certificate
 Medical Record (consult at the time of illness by a RHP)
 Family Number
 Lab results: CXR
 CBC
 Atoll Exam
 Urinalysis
 Hepatitis B
 Drug Test

 FEES:
Based on Section D.01 Imposition of Fee of Tax Ordinance no. 77 S 2002
also known as Updated Revenue Code of the Municipality of Porac

P 30.00 – medical certificate for evidence in court legislation

P 20.00 – copy of the initial medical certificate
P 50.00 – medical certificate for physical or health examination issued for
legal interest and purposes.
  SCHEDULE OF AVAILABILITY OF SERVICE:

Procedures Processing Time Person Responsible

1. Registration/Get medical record 5-10minutes BHW/Midwife on duty
2. Get vital signs 3-5 minutes Midwife on duty
3. Refer to RHP/MHO for medical certificate 5-10 minutes MHO/Rural Health Physician

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