OFFICES DEPARTMENT UNDER DEPARTMENT OF HEALTH

Introduction:
The DOH has many different agencies that perform specific roles related to the pursuit of
health

Objectives:
 Discuss the different bureaus or offices of the Department of health
 Differentiate the roles of each bureau
 EPIDEMIOLOGY BUREAU

Law that was passed to create department

• EXECUTIVE ORDER NO. 102
Rediricting the functions and operations of the Department of Health

Objectives of the Bureau

• Develop and evaluate surveillance systems and other health information systems
• Collect, analyze and disseminate reliable and timely information on the health status
• Investigate disease outbreaks and other threats to public health
• Network public health laboratories in support of epidemiological and surveillance
activities

Examples of laws/administrative orders that the bureau implements

• Food Safety Act of 2013
Under Rule 15b.8: states that through the Epidemiology Bureau (EB), the DOH shall conduct
the monitoring and epidemiological studies on food-borne illness

• Philippine AIDS Prevention and Control Act of 1998

To collect information that will be used in planning activities to help stop the spread of HIV
and to support and treat those diagnosed to have HIV.
 FOOD AND DRIG ADMINISTRATION

Law that was passed to create department

 “REPUBLIC ACT No. 3720- "Food, Drug, and Cosmetic Act”
“AN ACT TO ENSURE THE SAFETY AND PURITY OF FOODS, DRUGS, AND COSMETICS BEING
MADE AVAILABLE TO THE PUBLIC BY CREATING THE FOOD AND DRUG ADMINISTRATION WHICH
SHALL ADMINISTER AND ENFORCE THE LAWS PERTAINING THERE TO”
To carry out the provisions of this Act, there is hereby created an office to be called the
Food and Drug Administration in the Department of Health.

Objectives:
 Establish standards and quality measures for food, drug, and cosmetic.
 Adopt measures to insure pure and safe supply of food, drug, and cosmetic in the
country.

Examples of laws/administrative orders that the bureau implements:

 Republic Act No. 9994
“Guidelines and Mechanism to Implement the Provisions of Republic Act No. 9994,
Otherwise Known as "The Expanded Senior Citizens Act of 2010", on the Sale of Medicines and
the Sharing of the 20% Senior Citizens' Discount.”

This Order is being issued to achieve the following objectives:

To establish guidelines and mechanisms in implementing the 20% Senior Citizens'

discount in drugs and medicines, medical equipment and other health related provisions of RA
9994;
 To create procedures for compulsory rebates and the sharing of burden of the Senior
Citizens' discounts among Retailers, Manufacturers and Distributors, taking into
consideration their margins by establishing a formula for said discounts; and
  To set up a system of monitoring the compliance of drug companies, distributors and
retailers to the 20%o discount.

 Administrative Order No. 2015-0053

“Implementing Guidelines on the Promotion and Marketing of Prescription
Pharmaceutical Products and Medical Devices”

Puposes:
To ensure that medical decisions are made in the best interest of the patients, and that
these are upheld by all stakeholders with the end goal of improving and promoting the rational
use of prescription pharmaceutical products and medical devices and safeguarding patient
rights and welfare.
To prescribe standards, guidelines, and regulations with respect to information
dissemination, advertisements, promotion, sponsorship, and other marketing activities and
instruments about prescription pharmaceutical products and medical devices with the end goal
of improving and promoting their rational use, and safeguarding patient rights and welfare.
 HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

Profile

By virtue of Executive Order 119 s. 1986 “Reorganizing the Ministry of Health, Its
Attached Agencies and for Other Purposes”, the Bureau of Medical Services (BMS) was
abolished and its regulatory functions were performed by the Bureau of Licensing and
Regulation (BLR). The implementation of E.O. 102 s. 1999 “Redirecting the Functions and
Operations of the DOH”, created structural and organization shift to improve efficiency and
effectiveness in the regulation of health facilities and services. The functions of the BLR scaled
up to include other regulatory functions, such as regulation of clinical laboratories and medical
x-ray facilities. The BLR became known as the Bureau of Health Facilities and Services (BHFS).
Thru the approval of the DOH Rationalization Plan in 2014, the name Bureau of Health Facilities
and Services has been changed to Health Facilities and Services Regulatory Bureau (HFSRB)

Cluster : Health Regulations Cluster

Target Population/Clients : Health Facilities
Area of Coverage : National

Mandates

• E.O. 102 s. 1999 – Redirecting the functions and operations of the Department of Health

• R.A. 4226 – Hospital Licensure Act

• R.A. 4688 – Clinical Laboratory Law

• R.A. 7719 – National Board Services Act

• R.A. 9165 – Comprehensive Dangerous Drugs Act

• R.A. 9288 – Newborn Screening Act

 • P.D. 1542 – Providing for the Regulation and Licensing of Dental Prosthetic Laboratories

Functions:

 Sets Standards for Regulation of health facilities and services

 Disseminates regulatory policies and standards for information and compliance
 Issues permit to construct (PTC), license to operate (LTO), clearance to operate
(CTO),Health Maintenance Organizations (HMOs), and certificate of accreditation (COA)
 Ensures sustainability of health facilities compliance with regulatory standards
 Provides consultation and advisory services to stakeholders regarding health facilities
regulation.

Divisions and Unit

1. Standards Development Division

⦁ Formulation of Standards and technical requirements

⦁ Dissemination of standards and technical requirements
⦁ Provision of Advisory service and technical assistance to stakeholders

2. Regulatory Compliance and Enforcement Division

⦁ Inspection of health facilities to establish compliance to standards and technical requirements

⦁ Issuance of Permit to Construct, License to Operate, Certificate of Accreditation for health
facilities
⦁ Issuance of Clearance to Operate for health maintenance organizations
⦁ Processing of Appeals regarding Certificate of Need for new hospitals
⦁ Processing of SEC Endorsements
⦁ Handling of specific complaints against health facilities
⦁ Authentication of medical examination and AIDS-free certifications for OFWs
3. Quality Assurance and Monitoring Division

⦁ Monitoring of licensed health facilities

⦁ Evaluation of status of health facilities under the Centers for Health Development (CHDs)
⦁ Surveillance of unlicensed health facilities
⦁ Advocacy on quality improvement guidelines
⦁ Implementation of quality management systems of HFSRB
 Disease Prevention and Control Bureau

Law that was passed to create department

 Executive order no. 119

"Reorganizing the Ministry of Heath, it's attached agencies and for other purposes"
otherwise known as the Reorganization Act of the Ministry of Health, issued by President
Corazon C. Aquino, last January 30, 1987.

Section 6 (b) Ministry Proper.

The Ministry proper shall be composed of the following offices, bureaus and services
including the Disease Prevention and Control Bureau

Objectives

 Develop plans, policies, programs , projects and strategies for disease prevention and
control and health protection.
 Provides coordination, technical assistance, capability building, consultancy and
advisory services related to disease prevention and control and health protection.

Example of laws under the Disease Protection and Control Bureau

 Administrative Order no. 2012-0222

National Policy for the Implementation of an International Health Regulation and Asia
Pacific Strategy for emerging Diseases in the Philippines.
  Administrative Order 2012-0005

National Policy on Climate Change Adaptation for the Health Sector

The unrelenting pressure on human health due to climate change, highlighted by the
devastation brought by Super Typhoon ‘Yolanda’ underscore the essentiality of a strategic plan
on climate change adaptation for health (CCAH). This document will compass the overall
direction of the country’s efforts towards a comprehensive climate change adaptation in the
health sector.

 Executive Order No. 168

Creating the Inter-Agency Task Force for the Management of Emerging Infectious Diseases
in the Philippines

 Administrative Order No. 10 s. 2011

Creating the Philippine Inter-Agency Committee on Zoonosis, Defining Its Powers,

Functions, Responsibilities, Other Related Matters and Providing Funds Thereof
 BUREAU OF INTERNATIONAL HEALTH COOPERATION (BIHC)

Law that was passed to create department

 BHIC MANDATE. 1. Under Executive Order 102 the BHIC was established to strengthen
international health cooperation and to centralize the management of foreign assistance to
the health sector.

Objectives

 Promotes and sustains international partnership through agreements and other

instrumentalities;

 Enhances policies, plans, agreements and systems for international cooperation/

partnership

 Establishes effective systems and mechanisms for collaboration/ coordination

 Monitor FAPs Plans, Bilateral/Multilateral Agreements

Laws/ Administrative Orders implemented:

 (DOH Administrative Order No. 179,s.2001)
- Sponsors of foreign medical and surgical missions must obtain clearance from the Bureau
of International Health Cooperation (BHIC), prior to the implementation of the medical
and surgical missions.
 BUREAU OF LOCAL HEALTH SYSTEMS AND DEVELOPMENT

Law that was passed to create department

 EXECUTIVE ORDER NO. 102 (May 24, 1999)

REDIRECTING THE FUNCTIONS AND OPERATIONS OF THE DEPARTMENT OF HEALTH

The Department of Health, hereafter referred to as DOH, has been transformed from being
the sole provider of health services, to being a provider of specific health services and technical
assistance provider for health, as a result of the devolution of basic services to local
government units.

The DOH seeks to serve as the national technical authority on health, one that will ensure
the highest achievable standards of quality health care, health promotion and health
protection, from which local governments units, non-government organizations, other private
organizations and individual members of civil society will anchor their health programs and
strategies.

To effectively fulfil its refocused mandate, the DOH is required to undergo changes in roles,:
functions, organizational processes, corporate values, skills technology and structures.

Objectives

• Identify and assess priorities in local health systems development;

• Develop policies, guidelines and standards on sustainable local health systems;
• Ensure multi-stakeholder participation in local health systems development;
• Monitor and evaluate functionality of local health system.
Examples of laws/administrative orders that the bureau implements
• Administrative Order No. 185 s. 2004
dated 27 August 2004 entitled “Establishment of the Geographically Isolated and
Disadvantaged Areas (GIDA) in support of Local Health Systems Development” provides general
policy statements for establishing and institutionalizing a system for managing local health
development in remote and marginalized communities to ensure provision of health services.
GIDAs, such as mountainous areas, islands, Conflict-Affected Areas (CAAs), and Indigenous
Peoples (IP)/Indigenous Cultural Communities, are characterized by poor geography hindering
access to health services, high poverty incidence, and health performance disparities, among
others
 BUREAU OF QUARENTINE

Law that was passed to create department

 Republic Act No. 9271

An act strengthening the regulatory capacity of the department of health in quarantine

and international health surveillance, repealing for the purpose republic act no. 123 of 1947,
as amended.

• SECTION 1. Title. – This Act shall be known as the "Quarantine Act of 2004."

Objectives

• To conduct surveillance and institutes measures to prevent the entry of diseases subject
to International Health Regulations and other emerging and re-emerging diseases and
health concerns from other countries that may impact on public health in the
Philippines.

Examples of laws/administrative orders that the bureau implements

• R.A. No. 123 (1947)

Reorganization and Operation of the Bureau of Quarantine Service and Promulgating

Regulations thereof.

An act to Provide for the Transfer of the Powers, Duties and Functions relating to the
Registration and Protection of Copyrights from the National Library to the Patent Office, and for
other purposes

 R.A. No. 3052 (1961)

 Amended the Reorganization Plan No. 13-A of the Department of Health

Paragraph two of Reorganization Plan No. 13-A of the Department of Health , is amended to
read as follows:

“There shall be an administrative division, an inspection and sanitation division, a detention

service division, and a vermin control division in the Bureau of Quarantine. The Secretary of
Health is hereby empowered to designate the respective sections of these divisions and to
transfer appropriations and personnel from the field operations, quarantine services to the
Bureau of Quarantine for the proper operation of the said bureau upon recommendation of the
Director of Quarantine.”
 DISEASE PREVENTION AND CONTROL

Law that was passed to create department

 Executive Order 109

July 12, 1993

POLICY TO IMPROVE THE PROVISION OF LOCAL EXCHANGE CARRIER SERVICE

FIDEL V. RAMOS, President of the Republic of the Philippines

Objectives:

To lead and synchronize all efforts in disease prevention and control towards healthy
families and communities through good Governance, Dynamic Partnership and Share Values.

Examples of Laws or Administrative Order

 Administrative Order 2012-0005

A National Policy on Climate Change

Adaptation for the Health Sector has been issued

 HEALTH EMERGENCY MANAGEMENT BUREAU

Law that was passed in order to create the department

• Section 1, Article D, Presidential Decree No. 1566

Strengthening the Philippine Disaster Control Capability and Establishing the National
Program on Community Disaster Preparedness, President Ferdinand Marcos, June 11, 1978)

• Administrative Order No. 6-B

“That there is hereby created a Health Emergency Preparedness and Response Program
within the Department of Health.” This program are designed to be comprehensive, integrated
and responsive emergency, disaster related service and research-oriented program with the
goal of promoting health emergency preparedness among the general public emergencies,
disaster and calamities. (dated February 12, 1999 by Secretary of Health Alberto Romualdez, Jr.)

• Republic Act No. 10121 also known as the Philippine Disaster Risk Reduction and
Management Act of 2010.

This Act provides for the development of policies and plans and the implementation of
actions and measures pertaining to all aspects of disaster risk reduction and management,
including good governance, risk assessment and early warning, knowledge building and
awareness raising, reducing underlying risk factors, and preparedness for effective response
and early recovery

Objectives

 Acts as the DOH Coordinating unit and Operation Center for all health
emergencies and disasters, as well as incidents with the potential of becoming
an emergency, and coordinate the mobilization and sharing of resources.
  Provides the communication linkage among DOH Central Office and other
concerned agencies, including the hospitals and the regions, during emergencies
and disasters.
 Maintains updated information of all health emergencies and disasters (except
epidemiological investigation reports) and provide such information to other
offices and agencies in accordance with existing protocols.
 Maintains a database of all health emergency personnel, technical experts, and
resource speakers. Together with the National Center for Health Facilities
Development (NCHFD), HEMB maintains a database of capabilities of health
facilities.

Objectives

 Leads in the development of Disaster Risk Reduction & Management in Health

(DRRMH) Plan and the development of protocols, guidelines and standards for
health emergency management.
 Provides technical assistance in the development of programs and planning activities
for HEM for other government and non-government organizations.
 Leads advocacy activities, including simulation exercises.
 Develops and implements an Integrated Human Resource Training Agenda for the
Health Sector for emergencies and disasters.
 Leads in the networking of hospitals and health sector organizations responding to
emergencies and disasters.
 Monitors and evaluates the enforcement of compliance to policies, and recommend
the formulation or amendment of policies related to health emergency
management.
 Two examples of administrative order that the bureau implements

 Administrative Order No. 155 s. 2004: Implementing Guidelines for Managing Mass
Casualty Incidents during Emergencies and Disasters

This Administrative Order prescribes guidelines as a basis for establishing systems, procedures,
and implementing mechanisms including the development of an integrated and comprehensive
action plan for field management and hospital reception that shall reduce possible loss of life
and prevent disability in cases of mass casualty incidents.

Health Emergency Management Services serves as the central body coordinating all mass
casualty incidents and they monitor, evaluate, and formulate new policies and guidelines.

 Administrative Order No. 2007-0017: Guidelines on the Acceptance and Processing

of Foreign and Local Donations during Emergency and Disaster Situations

This Administrative Order provides a rational and systematic procedure for the acceptance,
processing and distribution of foreign and local donations that are exclusively for unforeseen,
impending, occurring and experienced emergency and disaster situations.

The roles and functions of Health Emergency Management Bureau are the acceptance and
processing of foreign and local donations through developing in coordination with pertinent
bureaus, national centers and other offices of the DOH and stakeholders; ensure that the
proposed donation is evaluated based on the “DOH Package List of Emergencies and Disasters”,
provided that, items not on the list shall be evaluated based on the needs of the beneficiaries
and affected areas; and have an annual review, together with all concerned offices, all
donations entered into by the DOH for purposes of emergency and disaster situations and the
policy instruments that have been, issued pursuant thereto.
 HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU (HPDPB)

Law that was passed to create department

* Executive Order 102 series of 1999

And embodied in DO 2010-0251, “Functional Clustering of DOH Units and Attached

Agencies for the Implementation of the AHA to Achieve UHC,” where additional functions were
laid out for the implementation of strategies specified in the AHA-UHC policy

Objectives

Provide quality services related to planning and monitor and evaluate to support the
implementation of KP (Kalusugang Pangkalahatan)

General Functions:

* Develops the health sector policy, legislative and research agenda;

* Develops strategic plans towards the attainment of national goals

and objectives for health;

* Monitors and evaluates health sector performance in attaining the

national goals and objectives for health;

* Provides technical assistance in the development of policies,

plans, and programs for the health sector; and

* Makes recommendations to the Secretary of Health on matters

pertaining to national health policies, plans and programs.

Two examples of administrative order that the bureau implements

• REPUBLIC ACT No. 10532

AN ACT INSTITUTIONALIZING THE PHILIPPINE NATIONAL HEALTH RESEARCH SYSTEM

 HEALTH HUMAN RESOURCES DEVELOPMENT BUREAU

Law that was passed to create department

• Through Executive Order 102 in 2000, it became the Health Human Resource
Development Bureau.

Objectives

The Quality Objectives are established at different levels within the organization by
establishing Quality Objectives and Plans.
 HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU

Law that was passed to create department

• Is defined in Executive Order 102 series of 1999

• And embodied in DO 2010-0251, “Functional Clustering of DOH Units and Attached

Agencies for the Implementation of the AHA to Achieve UHC,” where additional
functions were laid out for the implementation of strategies specified in the AHA-UHC
policy.

Objectives

• Develops the health sector policy, legislative and research agenda;

• Develops strategic plans towards the attainment of national goals and objectives for
health;

• Monitors and evaluates health sector performance in attaining the national goals and
objectives for health;

• Provides technical assistance in the development of policies, plans, and programs for
the health sector; and

• Makes recommendations to the Secretary of Health on matters pertaining to national

health policies, plans and programs.