PROCESS FLOW CHART FROM ADMISSION TO DELIVERY OF SERVICES

RURAL HEALTH UNIT – DATU ABDULLAH SANGKI

STEP APPLICANT SERVICE Duration Requirement Person in charge Location F Form

CLIENT PROVIDER of e
activity e
s
1. Presentation Ask client to 1 min Referral slip Health staff Receiving/ Referral
of Referral present Registration slip
slip from referral slip Raya Jane Ebus, RN area
School/ Ruhayatil Batuwa, RN
DSWD/ Terrence Edison
PNP/ Aprosta, RM
barangay
2 Admission/ Ask the client 3-5mins ITR Health staff Receiving/ ITR
Registration to fill up the Registration
Taking of admission Raya Jane Ebus, RN area
vital signs sheet. Request Ruhayatil Batuwa, RN
(BP, Temp., patient to rest Terrence Edison
PR, RR, WT.) 5 mins. For BP Aprosta, RM
taking and
taking of other
vital signs.
3 Interview Ask the patient 30 min. ITR Counsellor Adolescent HEADSSS
taking to proceed to 1hr Job Aid form
history the AJA room Noriza M. Nor, RN room
HEADSSS PHN II
4 Consultation Ask the patient 1-2 hrs. ITR Counsellor AJA room HEADSSS
Counselling to proceed to form
the AJA room Noriza M. Nor, RN
PHN II
 OFFICE OF THE MUNICIPAL HEALTH OFFICE

Policy in confidentiality and privacy

 Each client with their accompanying adults is informed about the measures to maintain
confidentiality.
 Each client should have envelope or folder where their Medical records (ITRs), results of
laboratory examination or other special procedures done , referrals and other pertained
documents are filed. These are filed depending on a prescribed system (by numbers,
family name, barangays, etc.)
 Records are kept in filing cabinet with lock and keys. There will be designated personnel
with access to these records. They will only be pulled out only if client provider
instruction will occur or in any situation as ma y be necessary.
 Personnel working outside the facility should have a written note if they want to access
to the clients’ records for purposes of research, follow up, etc.
 A verbal/ written consent of the client should be obtained before information contained
in their records will be disclosed to outside parties. The staff should not discuss the
client’s situation with non- concerned parties.

Prepared by: Approved by:

NORIZA M. NOR, RN TAHIR B. SULAIK, MD, MPHM

PHN II OIC-Municipal Health Officer

Noted by:

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor

OFFICE OF THE MUNICIPAL HEALTH OFFICE

 Protocols and Guidelines for Patient- Provider Interaction

Introduction of the Health Care Personnel to the client and his/her

guardian/parent.
Explained the procedure to the Client Prior to Assessment.
Assessment is done with the use of HEADSSS assessment Tool
Reassure the client about the privacy and Confidentiality of the findings is
strongly between the Health Care Provider and the patient only.
Audio and visual privacy of the client must be maintained as much as possible,
there should be separate room where provider. Client interaction should take
place and where examination such as Pap smear, physical examination, etc.
should be done. If is not possible to provide privacy, make a barriers such as
curtains should be provided.
The provider should only attend to one client at a time not under the clients
request that they be counselled together with other client’s similar problems or
with friend’s /families/ significant others. Specifically, the following must be
observed.
Ensure that the consultation and examination are done in place where the
interaction between the health worker and the adolescent cannot be heard or
seen by anyone else.
Ensure that no interruption occurs when a consultation or examination is in
progress (like phone/text calls, signing papers, etc.).
Ensure that no needless occur.
Ensure that the adolescent is clear about what to do(e.g. by labelling the
different rooms such as pharmacy and providing clear instruction as to where to
go, have lab test and when to come back for the results).

Prepared by: Approved by:

NORIZA M. NOR, RN TAHIR B. SULAIK, MD, MPHM

PHN II OIC-Municipal Health Officer

Noted by:

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor
Standard Operating Procedures
 MAINTENCE OF THE FACILITY
Waste Handling:

1. Patient should be aware of the health hazards associated with infectious materials.
2. Used Personal Protective Equipment (PPE) where hazardous wastes are generated. Protective
gear like gloves, mask and apron shall be worn at all time by the waste handlers or utility
workers and not only contact of pathological or infectious waste.
3. Provision of 48 liters plastic container lined color-coded plastic bags at convenient location.
4. Coding and labels should be understood by all staff of the birthing home.

Storage:

1. General Waste- 48 liters Plastic Container lined black bag wash interval to avoid odor and
accumulation of fly supporting materials. Plastic and cans should be segregated at cartoons at
transfer station for possible re-cycle waste.
2. Pathological Waste - 48 liters Plastic Container lined with yellow plastic bag and soaked with
chlorine solution or Lysol.
3. Infectious Waste- 48 liters Plastic Container lined with yellow plastic bag and soaked with
chlorine solution or Lysol. It should be separated from general waste.
4. Sharps – a one-gallon p0Lastic Container soaked with chlorine solution located at near Nurse
Station
5. Pharmaceutical Waste- expired liquid medicines can be disposed directly to the sink while
medicines in tablet form should be pulverized prior to final disposal.
6. Toxic waste from laboratory and radiology shall be handled with care and shall be stored in a
specially sealed glass container to undergo delay-to-decay process prior to disposal.

Color Coded Waste Storage:

 Black – for collections of non-infectious wet and dry waste.
 Yellow – for collection of infectious and pathological waste
 Red – for collection of sharp 1 gallon container marked with red identification for
sharps.
 Green – for collection of non-infectious wet waste.

Receptacles that are color coded should be labelled accordingly in bold print.

Central Storage Area:

In lieu of disposal Garbage Disposal building, a waste storage shall be located at temporary holding area
near at front perimeter fence. Waste shall be at schedule such the Municipal garbage truck will be able
to collect the waste it’s routinely rounds.

Pre-treatment Requirements:
 1. Pathological Waste – Application of Chemical disinfectants is necessary to eliminate of emission
of offensive odor.
2. Chemical Waste – Storage compartment is necessary and the application of delay-to-decay must
be adopted prior to final disposal.
3. Infectious Waste - no to infectious to be collected or disposed by Municipal Garbage collector
system without of pre-treatment as it may post health hazard to garbage collector, scavengers,
etc.
4. Sharps – application of chlorine solution is a must prior to disposal.
5. Pharmaceutical Waste – Pre- treatment is in the form of delay-to- decay method to prevent re-
use or sale.

Hazardous Waste shall be documented prior to packaging by any of the following;

a. Chemical disinfections for 8 hours with any of the solutions mentioned below:
1. 0.1% - 0.5% sodium hypochlorite solution
2. 70% ethanol
3. 70% isopropyl alcohol
4. 2.5% polyvidone iodine
5. 4% formaldehyde
6. 2% glutaraldehyde
7. 6% hydrogen peroxide
b. Steam sterilization - autoclaving at 121 degree centigrade for at least 20 minutes.
c. Dry heat sterilization – 170 degree centigrade for at least two (2) hours (not for reusable plastic
items)
d. UV Light sterilization – twice a week sterilization at least 15 minutes for all rooms.
 Chemical should be copiously diluted with large amount of water before disposal

Collection and Transport system:

1. Organization
Determination of areas to be divide and assigning of two (2) Utility Workers.
2. Establishments of strategic collection points
Area division along collection route and selection of suitable collection site will be designated
according to the distribution of assign utility workers.
3. Procurement of equipment
a. Receptacles designed according to color coding
b. Rolling containers, carts boxes and plastic bags.
c. Wheelbarrows, shovels, forks, and brooms.

On site waste collection and transport system

d. General pharmaceutical shall be collected on a room-to-room basis using package type

large rolling container (Lifting and carrying method) and bought to the central storage
area accessible to Municipal garbage track.
 e. Pathological and Infectious waste shall be made separate air-tight container with inner
plastic bag and must not be mixed with other type of waste nor collected by Municipal
garbage crew useless it is treated and does not pose health hazards to the public.
f. Sharps shall be collected using puncture proof one gallon container labelled as “sharps”
prior to disposal.

Collection System Route:

1. Logical route should avoided the collected package type waste on congested areas.
2. Collection system must be laid out from the farthest point on the designated central storage
area.
3. Route drawn shall be compact and must be consider the logical progression of waste production
throughout the area.

Scheduling

1. Collection schedule by room

2. Assignment of responsible utility workers by area and rooms
3. Provision of daily collection schedule Municipal/barangay Garbage crew as follows:
6:00AM-7:00AM everyday

Collection System Frequency

Collection shall be made daily in all rooms before endorsement to the next shift
Station Storage/ Transfer Station
Since the birthing home has no Garbage disposal building

Disposal System

1. General Waste – Birthing Home can be disposed together with domestic/ municipal waste
Segregation of re-usable and factory returnable waste will be done by utility Workers assigned.
2. Pathological Waste - if properly treated can be disposed together with the general waste.
3. Chemical Waste – Toxic Chemical waste must undergo pre-treatment process prior to disposal
such as autoclaving.
4. Infectious Waste – Infectious waste after application of disinfectant shall be disposed in the CHB
vault at the back of motor and building. Dry and in-organic infectious waste shall be manually
burned.
5. Sharps – Disposed through CHB vault when container is full.
6. Pharmaceutical Waste – Wastes generated are mostly expired medicines. Those in tablet form
shall be pulverized and disposed by burying method while those in a liquid form can be disposed
directly into the sink. The container of the liquid medicines shall be powdered or recycled if
necessary.
 7. Pressurized Container – Container like Oxygen tank shall be return into suppliers for refill. Other
type like aerosols can be recycled whenever possible. Light weight pressurized containers can be
crushed before disposal together with the general waste.

Prepared by: Approved by:

NORIZA M. NOR, RN TAHIR B. SULAIK, MD, MPHM

PHN II OIC-Municipal Health Officer

Noted by:

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor

DIRECTORY OF ORGANIZATION
 SERVICE CONTACT
NAME ADDRESS CONTACT PERSON
PROVIDED NUMBER
Teen Center Datu Abdullah Consultation 09399187516 Noriza M. Nor, RN
Sangki Counselling
Family Planning
Safe Motherhood
Healthy Lifestyle
Dental Services
Laboratory
Services
PNP/VAWC Datu Abdullah Medico-legal
Sangki Police Assistance
PNP

DSWD/Youth Datu Abdullah Counselling VAWC

Center Sangki
RSW

Religious Datu Abdullah Counselling

Sangki
USTADZ
ANNEX 11

Subject: Adolescent & Youth Health (AYH) Policy

1. Background / Rationale

Currently, health program for young children (0-5) have been develop and are being
implemented successfully throughout the country. In the 1998, the Health Department
identified the need to develop a health program to address the need of adolescents & youth
who currently constitute 40% entire population. The challenges in this group of age are
numerous since this is the age stage where experimentation and unhealthy behaviors & habits
start eventually leading to chronic illnesses and disability. There is therefore are urgent need, to
develop a comprehensive program to meet the need of this special population group.

Adolescent and youth is not just transitional stage of life between children and adulthood.
These are biological, social physical and emotional miles stone specific to the age groups that
are critical to maturation. The World health Organization defines, an adolescent as one
belonging to ages 10-19 while youth covers the period 15-24 years old. The definition of
parameters of adolescent is problematic, since the children are introduce early to adult social
and economic responsibilities, while little transition between childhood and adulthood.

The stage of adolescence & youth is marked by rapid changes- in the physical, psychological
emotional and social development of the individual. Physically there is a spurt of growth
marked by changes in the size and shape of body. Psychosocially, the individual requires a sense
of identity, drawing apart from the elders with the developing intense relationship with peers
and interest in major life decisions (e.g. search for a mate or job). An important feature of this
stage is curiosity and the initiation of risk behaviour.
 Executive Order No. 2017-37
Series of 2017
AN EXECUTIVE ORDER CREATING THE MUNICIPAL HEALTH OFFICE AS AN ADOLESCENT AND
YOUTH HEALTH CENTER AND CREATING THE TECHNICAL WORKING GROUP FOR ADOLESCENT
AND YOUTH HEALTH PROGRAM ON THE MUNICIPALITY.

WHEREAS, the “adolescent” whose age group belongs to 10-19 years old, are the potent to
force for genuine development to bring forth economic progress, peace, security moral
ascendency and meaningful participation of local government .

WHEREAS, in recent years there has been a steady increase the number of teenage pregnancy,
adolescent victims of violence and abuse, substance use and abuse and physical, emotional and
psychosocial concerns among adolescents. Recognizing the need to address these concerns to
our adolescents, the Department of Health (DOH) has taken the forefront the Adolescent
Health and Development Program (AHDP) especially to assist and support clients in this age
group.

WHEREAS, Administrative Order 34-A, s. 2000, the Adolescent and Youth Health (AYH) Policy
was issued in April 2000, creating the Adolescent and Youth Health Sub-program under the
Program for Children’s Cluster of Family Health . In envisions “well-informed, empowered,
responsible and health adolescents & youth” and had a mission to “ensure that all adolescents
youth have access to quality comprehensive health care and services in an adolescent & youth-
friendly environment”.

WHEREAS, the Department of Health has taken steps to address the health concerns of
adolescents as well as preventive measures to encourage them to practice healthy behavior.
Standards for Adolescent Friendly Health Facilities and Services have been formulated to
encourage them to consult local health facilities. Coordination with organizations and agencies
with expertise on adolescent health are being done to ensure that we are on the right track.
Public health workers are being trained to ensure that they are able to deal with particular
psyche and needs of clients in this group.

HOW THERFORE, I, BAI MARIAM SANGKI MANGUDADATU , Municipal Mayor of Datu Abdullah
Sangki, Maguindanao by virtue of the power vested in me by the law, due hereby establish
Municipal Health Office of Datu Abdullah Sangki and Adolescent and Youth Center and creating
the Technical Working Group for Adolescent and youth Health Program on Municipality of
Datu Abdullah Sangki, Maguindanao

Section 1 – Composition
Chairman: BAI MARIAM SANGKI MANGUDADATU
Municipal Mayor

Vice Chairman: TAHIR B. SULAIK, MD, MPHM

Municipal Health Officer

Member:
DepEd District I Supervisor

DepEd District II Supervisor

DepEd District III Supervisor

PhilHealth BULUAN LHIO Representative:

NORIZA M. NOR, RN
Nurse II / Adolescent Health Deployment Program
Coordinator / Peer Education

MAURA C. BUENO, RN
IPHO-MAG. Family Planning Coordinator

GLORIA OLIVO, RN
IPHO-MAG. NTP/ Infectious Disease Coordinator

MS. DAISY BANSIL

Sanitation Inspector IV/ Supply Officer

DATU ABDULLAH JAMAL A. BANSIL

Trained Peer Education / Record officer

___________________________
PNP/ Focal Person for VAWC

___________________________
MSWD/ Youth Focal Person

___________________________
Religious Sector Representative

__________________________
 Pharmacists

_________________________
Clerk

Section 2 – Roles and Responsibilities

1. Municipal health Officer

a) Serve as the focal person for overall planning, management, monitoring, and
evaluation of AHDP
b) Provide technical leadership in all matters pertaining in AHD.
c) Advocate for adolescent health and development in national and local public forums.
d) Ensure meaningful participation of adolescent at all stages of the program cycle.
e) Create and strengthen, and maintain enter-agency link and private-public partnerships.
f) Formulate an age- and development-appropriate Reproductive Health Sexuality
Education curriculum in coordination with the DSWD, Deped, CHED, and TESDA
g) Provide parents with adequate and relevant scientific materials on the age-appropriate
topics and manners of teaching Reproductive Health and Sexuality Education to their
children.
h) Development, Implementation, and monitoring of a Health Promotion, Communication
and Advocacy Plan for Adolescent Health and Advocacy Plan for Adolescent Health and
Development
i) Provide age-disaggregated data necessary for monitoring and evaluation of results of
AHDP.
j) Provide technical assistance and guideline in matters pertaining to STI and HIV and AIDS
and services for Young Key Affected population.

2. Department of Education (Deped) Commission on Higher Education (CHED)

a) With the DOH and DSWD, formulate an age- and Development- appropriate
Reproductive Health and Sexuality Education Curriculum.
b) Provide parents with adequate and relevant scientific materials on the age-appropriate
topics and manners of teaching Reproductive Health and Sexuality Education on their
children.
c) Integrate other adolescent health concerns in school curriculum.
d) Mobilized teachers, guidance, councillors and parents implement the AHDP.

3. Department of Social Welfare and Development

a) With the DOH, DepEd, CHED, and TESDA formulates an age and development
appropriate Reproductive Health Sexual Education Curriculum.
 b) Provide parents with adequate and relevant scientific materials on the age-appropriate
topics and manner of teaching reproductive Health and Sexuality Education to their
children.
c) Provide adolescent-friendly health services protection to adolescent who are out of
school with disabilities in conflict with law, drug dependents on the street and
institution, survivors in calamity, in situation with armed conflict and survivors of abuse
and exploitation.
d) Train multi-disciplinary team for women and child protection unit and sustain 24/7 crisis
intervention units.
e) Formulate policies, programs and measures an adolescent participation.
f) Assist in monitoring and evaluation of the AHDP.
g) Create inter-agency link to build supports of local government units for the implantation
of the AHDP.
h) Advocate, mobilize, and generate resources for Adolescent development.
4. Philippine Health Insurance Corporation (PhilHEalth)
a) Provide benefits coverage for adolescent particularly marginalized sub-sectors.
5. Professional Medical and Allied Medical Association and other Academic Institution ,
Adolescent and Youth Organization
a) Develop members’ capacity to provide adolescent-friendly health services.
b) Provide technical assistance in the formulation of policies, guidelines and tools for
adolescent health and development.
c) Contribute to research adolescent health and development.
d) Participate in monitoring and evaluation of result in AHDP.
e) Participate in the design and implementation of adolescent health and development
programs.
6. Non-Government, Faith-based, Civil Society Organization, the United Nation and other
Development partners working with and on adolescents.
a) Implement adolescent-centered programs and outreach services in priority communities
that are in consistent with AHDP in coordination with government agencies.
b) Provide technical assistant in formulation of policies-guidelines and tools for adolescent
health and development.
c) Contribute to research on adolescent health and development.
d) Advocate, mobilized and generate resource for adolescent health and development.
7. Private Sector
a) Enforce policies for the protection of adolescent employees.
b) Implements workplace programs for parents fo adolescent
c) Support adolescent health and development in activities in communities school, and
other settings.
Section 3 – Meetings

The Adolescent and Youth Health TWG will meet quarterly every 1 st month of the quarter or as
the need arises.

Section 4- Effectivity

The executive order shall be effective immediately

Done this 13th day of August, 2018 at Datu Abdullah Sangki, Maguindanao.

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor
 OFFICE OF THE MUNICIPAL HEALTH OFFICE

Referral Form
(To be left in the referral facility)
Name of Referral Facility:

Address: Tel No.

Name/Position of Service Provider Referring: Date of Referral:

Name of the facility to which the client is being referred:

Name of the Client: Age:

Address:

Reason for referral:

Brief History (include PE and laboratory Findings and action and action taken, if any)

Clinical Impression:

Signature of Person Referring: Signature over Printed Name of client/ Guardians:

REFERRAL RETURN SLIP

(Please cut and instruct patient/guardians to deliver back to Referring Facility)
Reference No.____________________
Name of Referral Facility:

Address: Tel No.

Name /Position of Person who Attended to the Patient: Date:

Final Diagnosis:

Action Taken (include results of laboratory/ancillary procedures done and management)

Follow up advice:

Signature of Person Who Attended to the Patient: Signature over Printed Name of Client/Guardians:
 OFFICE OF THE MUNICIPAL HEALTH OFFICER

SCHEDULE OF CLINIC HOURS

INDIVIDUAL TREATMENT RECORDS

HEALTH SERVICES OFFERED

STANDARD OPERATING PROCEDUER (MAINTENANCE OF FACILITY)

DIRECTORY OF ORGANIZATION

ADOLESCENT PROCESS FLOW FROM ADMISSION TO DELIVERY OF SERVICES

POLICY IN CONFIDENTIALITY AND PRIVACY

PROTOCOLS AND GUIDELINES FOR PATIENT-PROVIDER INTERACTION

REFERRAL FORM

GAD PLAN

ACCOMPLISHMENT REPORT

CERTIFICATES

EXECUTIVE ORDER 2017-17(AN EXECUTIVE ORDER CREATING THE MUNICIPAL HEALTH

OFFICE AS AN ADOLESCENT AND YOUTH CENTER AND CREATING THE TECHNICAL
WORKING GROUP FOR ADOLESCENT AND YOUTH HEALTH PROGRAM IN THE
MUNICIPALITY OF ESPERANZA SULTAN KUDARAT.

NATIONAL POLICY AND STRATEGIC FRAMEWORK ON ADOLESCENT HEALTH AND

DEVELOPMENT
 SCHEDULE OF CLINIC HOURS

Consultation

Monday – Friday

8:00 am – 5:00 pm

Counselling Session:

Tuesday and Thursday on Schedule Basis

8:00 am – 5:00 pm

Prepared by: Approved by:

NORIZA M. NOR, RN TAHIR B. SULAIK, MD, MPHM

PHN II OIC-Municipal Health Officer

Noted by:

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor
 OFFICE OF THE MUNICIPAL OFFICE

Individual Treatment Records

DATE

Referred From: (Barangay/PNP/DESWD/DepEd)

Name of the client: Age:

Address:

Reason for Referral:

Brief History: (include pertinent PE and laboratory findings and action taken if, any)

Clinical Impression:

Action taken (Include results f laboratory/ ancillary procedures done and management)

Follow up advice:

Signature of Person who Attended to the Patient: Signature Over Printed Name of Client/Guardians
 OFFICE OF THE MUNICIPAL HEALTH OFFICE

Health Services Offered

1. ADOLESCENT & YOUTH HEALTH DEVELOPMENT PROGRAM

a. Consultation
b. Adolescent Job Aid
c. Counselling
d. Capability Building
e. Referral
2. SAFE MOTHERHOOD SERVICES
a. Prenatal Care
b. Natal Care
c. Post Natal
3. FAMILY PLANNING SERVICES
a. Dispensing of Contraceptives Supplies
b. Requisition & Contribution of Contraceptive Supply
c. Counselling
d. Pap Smear
e. Bilateral Tubal Ligation/ Vasectomy
4. CHILD CARE
a. New Born Care
b. Immunization & Micronutrient Supplementation
c. Nutrition Services
d. Management of Sick Children
e. Preventive & Promotive Child Care Services
 Oral health
 Monitoring & Stimulation of Psychosocial Development
 Auditory & Visual Screening
5. PREVENTION & CONTROL OF INFECTIOUS DISEASES
a. Identification & Management of Infectious Diseases
 TB
 Rabies
 STD.
 Leprosy
 Food & Water Borne Infection
 Soil Transmitted Helminthiasis
 Dengue
 Malaria
 Schistosomiasis
 Other infectious Diseases
 6. PROMOTION ON HEALTHY LIFESTYLE
a) Risk clients Screening on
 Diet
 Physical
 Smoking
 Alcohol Abuse
b) Health Education
 Basic Curative Service
 Asthma
 Diabetes Mellitus
 Hypertension
 Skin Disease
 Status Epilepticus
 Acute Glomerulonephritis/UTI
 Other Disease
7. LABORATORY SERVICES
a. Sputum Examination
b. CBC/Blood Typing /Platelet Count
c. Urinalysis
d. Fecalysis
e. BSMP (blood smear for malarial parasites)
f. Hemoglobin Determination
g. Blood Chemistry
h. VDRL
8. ENVIRONMENTAL SANITATION
9. PHILHEALTH ACCRIDATED (PHIC) – out patient package
10. DOTS CENTER PHILHEALTH ACCRIDATED
11. MATERNAL CARE PACKAGE

Prepared by: Approved by:

NORIZA M. NOR, RN TAHIR B. SULAIK, MD, MPHM

PHN II OIC-Municipal Health Officer

Noted by:

HON. BAI MARIAM S. MANGUDADATU

Municipal Mayor