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BARANGAY HEALTH BOARD

ORIENTATION FOR NDPS


BACKGROUND
1991 - devolution of national government services
1992 - devolved the management and delivery of health
services from the National Department of Health to locally
elected provincial, city and municipal governments.
DIFFERENT
STRUCTURES OF THE
HEALTH SECTOR
STEPS TO ESTABLISH
THE BHB:
• Mayor will release an Executive Order to create the BHB.
1

• Barangay Captains should gather the primary members


2 of the Barangay Health Board stipulated in the EO.

• Review the functions of the BHB and contents of this


3 manual.

• Exand the members of the Board by identifying other


4 stakeholders in the barangay.
• Formalize the function of the BHB, the member
composition and committees through a Barangay
5
Resolution.
• Submit to the Local Health Board a copy of the Barangay
6 Resolution.
FUNCTIONS OF THE
BARANGAY HEALTH BOARD
Generally, the Barangay Health Board is the local governing body that will ensure the delivery
of health services to the community. It is composed of key leaders that are tasked to assess
and identify health issues, plan for community-driven interventions, ensure community
participation in the solution creation and implementation of health programs. Specifically, the
expected outputs of the BHB are:

Annual Barangay Health Plan. This shall be based on the Barangay Scorecards. (See Annex A
and B).
Budget for health. This includes expenditures for the honoraria for the BHWs, community-
based health program initiatives and maintenance of the health facilities and services.
Barangay Resolutions. This is the legislative support to barangay health programs.
Delivery of basic barangay health services. This means that the services are regularly
available and accessible in the barangay. (See Annex C)
Adequate, well-compensated and competent community health volunteers.
Barangay Health Assembly. This is the venue for multi-stakeholder participation conducted at
least once in every quarter.
Supporting body to the Municipal Local Health Board. The BHB shall prepare and report
activities and progress of health programs to the Municipal Local Health Board. This
mechanism ensures the Bottom-Up approach to health planning.
MEMBERS AND ROLES OF
THE BARANGAY HEALTH
BOARD
The BHB shall be composed of the following members:

Chairman: Barangay Captain


Vice-Chairman: Midwife (assigned to the barangay)
Members: Barangay Kagawad on Health
Barangay Secretary
Barangay Health Worker President
Barangay Nutrition Scholar
THE CHAIRMAN OF
THE BOARD SHALL:
1. Prepare the Annual Barangay Health Plan.
2. Ensure the budget allocation for health programs and maintenance
of health facilities.
3. Pass health-related Barangay Resolutions.
4. Ensure complete delivery of primary health care services in the
barangay.
5. Regularly monitor, assess and evaluate efficiency and
effectiveness of program implementation in the barangay.
6. Ensure the participation of the community in health programs and
activities through assemblies, counselling and visitations.
7. Monitor activities of the Community Health Team and provide
assistance to identified challenges. Provide logistical support in
the conduct of barangay activities.
8. Conduct mortality reviews together with the Midwife and BHW.
THE VICE-CHAIRMAN
SHALL:
1. Prepare the Barangay Scorecards. This can be updated
quarterly for program planning and assessment of
program implementation.
2. Assist the Chairman in creating Barangay Health Plans
and submit copy to the MHO.
3. Prepare the agenda of the meeting for the BHB.
4. Supervise the activities of the Barangay Health Workers
and other members of the CHT.
5. Conduct mortality reviews together with the Barangay
Captain and BHW.
6. Ensure accuracy of health data for program planning.
BARANGAY KAGAWAD
1. Assist the Chairman in Barangay Health Planning.
2. Facilitate passing of health-related barangay resolutions.
3. Ensure the participation of the community in the health
programs and activities through assemblies, counselling
and visitations.
4. Conduct mortality reviews together with the Midwife and
BHW in the absence of the Barangay Captain.
BARANGAY
SECRETARY
1. Record keeping of the minutes of the meeting.
2. Inform schedule and ensure attendance of the members
in the monthly BHB meeting.
3. Update other members of the Barangay Council during
the regular barangay meetings the BHB plans, programs
and activities.
BARANGAY HEALTH WORKER
PRESIDENT AND BARANGAY
NUTRITION SCHOLARS

1. Represent the interest and concerns of other BHWs and


BNSs.
2. Assist the Chairman and Vice-Chairman in Barangay
Health Planning.
3. Echo program plans to other BHWs, BNSs and members
of the CHT.
MEETINGS AND
QUORUM
1. The BHB shall meet at least once a month or as often as
may be necessary.
2. A majority of all its members shall constitute a quorum,
but the chairman or vice chairman must be present
during meetings where budgetary proposals are being
prepared or considered. The affirmative vote of all the
majority of the members shall be necessary to approve
such proposals.
EXPANSION OF THE
BHB
Members of the BHB may be extended to other strategic
stakeholders in the barangay. These are:

1. Parent Leader of DSWD programs for convergence of


activities with health
2. Business sector for additional resources
3. School heads for tying-up education with health
4. Local religious leaders for representation and
compliance in health programs
BARANGAY HEALTH
PLAN

RESOURCE
REQUIREMENT
Program/ TIME PERSON
TAR EXPECTE
Project/ FRA RESPON
GET D OUTPUT
Activities ME SIBLE
AMOU FUN
ITEM
NT D
BARANGAY DATA BOARD
STATUS
Health Indicators
2016 2017 2018
Maternal Deaths
(Bilang ng mga babaeng namamatay sa pagbubuntis)

Infant Deaths
(Bilang ng namamatay sa sanggol)
BHW to Household Ratio
(Bilang ng BHW sa bilang ng mga pamilya)
BHW Honorarium
Budget for Health
BARANGAY HEALTH STATUS
Serbisyong Prenatal- at least 80%
Serbsiyong Post-Natal – at least 80%
Facility-Based Deliveries
(Bilang ng mga nanganak sa RHU, BHS o Ospital)

Births Attended by skilled health personnel


(Bilang ng mga pinaanak ng Doctor, Nurse o Midwife)
BARANGAY DATA BOARD
STATUS
Health Indicators
2016 2017 2018
Fully Immunized Child
(Bilang ng mga batang kumpleto ang Bakuna)

Malnutrition
(Bilang ng mga batang Malnourished)
TB Cases
(Bilang ng kaso ng may sakit naTB)
HH with access to safe water supply system:
(Levels I-III)
(Bilang ng mga pamilya na may mapagkuhanan ng malinis na tubig)

HH with Sanitary Toilets


(Bilang ng mga pamilya na may sariling palikuran)

Pag-iwas sa paglaganap ng Dengue


BASIC BARANGAY
HEALTH SERVICES
Basic Health Services
Programs/Services Activities
Expanded Program of Immunization (EPI)  BCG, OPV1-3, DPT 1-3
 Measles, Hepatitis B
 Tetanus Toxoid 1-5
National Tuberculosis Program (NTP)  Case-finding, sputum collection
 Treatment of sputum (+) patients through DOTS
 IEC Campaign
 Recording/Reporting

Reproductive Health/  Physical Assessment


Family Planning  Provide different FP methods
 Counseling and motivation
 IEC
 Pap smear
 Follow-up / next visit
BASIC BARANGAY
HEALTH SERVICES
Basic Health Services
Programs/Services Activities
Maternal Health Pre-natal
 Community Health Teams
 Masterlisting
 Pera ni Nanay para kay Baby (PNB)
 Iron and Vitamin A supplementation
 Referral to Dentist
 Referral to Med Tech for urinalysis
 Referral to MHO for high risk Pregnancies
 Breast feeding advocacy
Childbirth
 Normal Spontaneous Delivery (NSD)
 Postpartum (home visit)
 Iron and Vitamin A supplementation
After birth
 Motivation on FP and EPI
 IEC
 Recording and reporting
Child Health  Consultation of children aged 0-5 y/o for common illnesses/ infectious diseases
 Treatment
 Referral of cases to PHN or MHO
 IEC and follow-up
 Recording and reporting
BASIC BARANGAY
HEALTH SERVICES
Basic Health Services
Programs/Services Activities
Nutrition Services  Operation timbang (OPT)
 Under 5 clinics
 High risk case 0 – 18 months
 Micronutrient supplementation
 Salt testing
 Deworming
 Iron and Vitamin A supplementation
 July (Nutrition Month) – Nutrition Summit
 Pabasa sa Nutrisyon
 Food Always In The Home (FAITH)
 INSUMIX supplementation feedings
 Recording and reporting
Medical Consultation  Consultation of all ages for common illnesses/infectious diseases
 Treatment
 Referral of cases to PHN or MHO
 IEC and follow-up
 Recording and reporting

HPN/ DM  BP check-up and monitoring


 Referral to higher level when necessary
 IEC and follow-up