MEDICAL HEALTH SECTOR CONTINGENCY PLAN

Brief Description of Scenario: COVID-19 (All Variants)

Affected Population: PEOPLE OF AGOO

Objectives:

1. Minimize transmissibility, morbidity and mortality;

2. Minimize the burden on/ support health systems; and
3. Inform, engage and empower the public.
4. Maintain essential community health programs (TB DOTS, ABTC, Lying-In, Immunization)

Lead Agency
Municipal Health Office

Tasks:
I. Prevention
II. Preparedness
III. Response
IV. Recovery

I. PREVENTION

 Make sure your area/workplace are clean and hygienic

 Screen employees and visitors for symptoms of COVID19 (e.g., fever, cough, difficulty breathing)
before entering the facility.
 Implement DOH algorithm for COVID-19 suspected case.
 Distribute face masks and hand sanitizers as well as vitamin supplements to Healthcare workers
and Volunteers (FRONTLINE).
 Provide access to hand washing facilities and place hand sanitizing dispensers in prominent
locations throughout the workplace, if possible.
 Information dissemination through posters, social media and other means to guide the
community.
 Implement Social Distancing.
 Implement preventive strategies/guidelines set by DOH.

II. PREPAREDNESS

HEALTH HUMAN RESOURCES:

 There should be trained contact tracing personnel;

 At least 6 staff are trained on proper collection, packaging and transportation of samples for
COVID-19 testing;
 Organize Barangay Health Emergency Response Team (BHERTs) to help manage COVID-19
suspects, confirmed cases and their contacts.
a. Monitoring and proper reporting of suspect cases and confirmed cases
 Roster of trained and experienced health care workers to manage suspects, probable and
confirmed cases in different health facilities working in rotation and with ongoing training and
provided with updated guidelines.
INFRASTRUCTURE and EQUIPMENT:

 At least one (1) established TTMF as defined by DM 2020-123;

 At least one (1) ambulance or medical transport mechanism available for the patient within the
area;
 At least one (1) vehicle to transport specimens to COVID-19 testing laboratories;

SUPPLIES and COMMODITIES:

 At least 30 days’ buffer supply of PPEs are available;

 At least 30 days’ supply of testing kits, reagents and other commodities.

ORGANIZATIONAL PLANS AND PROCESS:

 Engagement of all public and private health facilities as a network to providing medical care for
COVID-19 and essential non-COVID-19 cases;
 Used of information technology to facilitate timely reporting of case, close contact, laboratory
and contact tracing efforts;
 Accurate and timely reporting of confirmed, probable and suspect COVID-19 cases and their
close contacts, testing and test results;
 Systematic healthcare waste management including proper waste handling as indicated in the
health care waste management manual and a sewage treatment plant for hazardous solid waste
through in-house treatment or third-party hauler;
 Ensure adequate access for supply chains especially for medicines, PPEs, testing supplies and
other health commodities;
 Ensure training and updating of all health care workers in latest contact tracing, testing and case
management protocols developed by DOH.

III. Response (COVID -19 suspects, probable and confirmed cases)

 minimize transmission
o Implement strict social distancing
o Implement strict home quarantine
 prepare and support health system needs;
 manage initial cases and contacts;
 provide information to support best practice health care and to empower the community and
responders to manage their own risk of exposure; and
 Confirm and support effective governance.
 ensure a proportionate response
o monitor suspect cases
o Ensure proper management of cases which needs testing and admission to LUMC
 support and maintain quality care;
 continue to communicate to engage, empower and build confidence in the community; and
 Provide a coordinated and consistent approach.
IV. Recovery (The public health threat can be managed within normal arrangements and monitoring
for change is in place.)

 Support and maintain quality care;

 cease activities that are no longer needed, and transitioning activities to seasonal or interim
arrangements;
 monitor for a second wave of the outbreak;
 monitor for the development of resistance to any pharmaceutical measures being used;
 Communicate to support the return from pandemic to normal services; and evaluate systems
and revise plans and procedures.

Support Agencies:
MDRRMO, MSWD, PNP, BFP, DOH, BHWs, BNSs, BSIs, BSPO, LUMC, Association of Pharmacies,
Association of Private Clinics/Hospitals, PhilHealth
 FLOW OF COORDINATION

Phase I - Initial Coordination and Action

EOC
(Emergency Operation Center)
Check availability of Health Personnel and
Activation of BHERT (Barangay Health
Emergency Response Team).

Check logistics/assets functionality and service-

ability and availability needed for operation
MHO convenes contingent for
briefing instruction and
guidelines;
Revisit/review and update existing SOPs, for
Inform EOC on status of activation, if the situation warrants
preparedness

Alert, on standy, ready for deployment

Narrative:

 Municipal Health Office (MHO) convenes staff/contingent for briefing, logistics preparation
and manpower assessment;
 Prepares schedule of duty roster for personnel;
 Check logistics functionality and serviceability, conduct repair/overhauling, if necessary;
 Revisit/review and update existing SOPs , attuned with the present situation for activation, if
the situation warrants;
 Alert, on stand-by, ready for deployment;
 Inform EOC on the status of preparedness
 FLOW OF COORDINATION
Phase II – Response Operation

IC EOC Request Support

(Incident Commander) (Emergency Operation Center) Prov’l,Reg’l, GOs,Gas, NGO, etc.

MHO staff/ personnel (BHERTS) check in to IC for

instruction and deployment

Report to IC/EOC on actions taken on the ground Covid-19 suspects

If with mild symptoms (fever, dry
Submit summary report to IC/EOC upon cough, fatigue, sputum production,
termination of operation sore throat, headache,
myalgia/arthralgia, chills,
nausea/vomiting, nasal congestion,
PATIENT (in the past diarrhea), No co-morbid (underlying
14 days) SYMPTOMS medical problems including
YES YES
Fever (> 38C) and/or cardiovascular disease, diabetes,
Traveller – local and Respiratory illness cancer, chronic lung disease,
international with local (cough and/or colds) immunosuppression), Non elderly.
transmission AND risk of
importation OR areas with PROVIDE instructions for
enhanced community
NO
quarantine at home or Brgy
quarantine
isolation units
OR
CLOSE CONTACT – with COVID If with mild +/- co-morbid +/- elderly
19 diagnosed pt Person under and severe manifestations (difficulty
OR Monitoring breathing, shortness of breath and/or
Healthcare and non-healthcare
Advice home respiratory rate >/= to 30/minute
worker engaged in
environment where COVID 19 quarantine or Refer to LUMC for further
barangay isolation
pt was diagnosed evaluation and management
unit

NO

Give
appropriate
work-up and
management

Narrative:

 Check-in/Report to IC for deployment upon instruction from the EOC ;

 MHO Personnel/ BHERT deployed to their respective areas of destination where
there is suspected COVID19 patient
 Conducts medical assessment and triaging.
 Administers treatment and/or referrals
  Provides updates to PHO and RHO
 Conducts IEC on proper hand washing and hygiene
 Submits reports to DOH HEMS Coordinator.

I. RHU SCHEME (Heightened Community Quarantine Status)

A. ENHANCE COMMUNITY QUARANTINE

1. Strengthening TRIAGE
2. Teleconsultation
3. ABTC – 8am to 12nn
4. TB DOTS – 8am – 12nn
5. Immunization programs – 8am to 12nn
6. COVID 19 related cases – 24/7
7. Covid-19 Operation Center
8. Lying – in
a. pre-natal/post-partum care, newborn screening and immunization-8am-12nn
b. birth or delivery service - 24/7

B. LOCK DOWN

1. Programs/services to conducted in Barangay health station

a. ABTC – BHERTS will inform Midwife of cases requiring immediate intervention

b. TB DOTS – Provision of medication for on-going treatment for TB patients

c. Lying – in – Prenatal check-ups, post-partum care

d. Immunization programs

2. Programs/services to be conducted in RHU

a. COVID-19 related cases 24/7 – ensuring strict monitoring, reporting and referral of suspects
in the barangay

b. Birth or delivery services – immunization and newborn screening

3. Basis on declaring community quarantine

a. ADAR (Average Daily Covid-19 Attack Rate) = daily cases/projected population x 100

b. 2WGR (2 weeks growth rate) = new cases (present 2 weeks) – new cases (previous 2 weeks)  100
new cases (previous 2 weeks

Interpretation:
HIGHER ADAR Higher Risk for Infection
2WGR POSITIVE GROWTH OF THE PANDEMIC
NEGATIVE SHRINKAGE OF THE PANDEMIC
II. Check points

1. Market
a. Checking of temperature and provision of hand sanitation in entrances from 6am-6pm

2. PNP designated check points

a. Checking of temperature and provision of hand sanitation 24/7

III. Disinfection

1. Scheduled misting/disinfection of Public places - Daily

a. RHU
b. Municipal hall
c. Market
d. Check point
e. Other operational business establishments

IV. Intensification of Contact Tracing and Case Investigation

a. Reorganization of Municipal contact tracing team

b. Training of BHERTS regarding contact tracing
c. The Agoo Covid-19 Operation Center shall investigate high risk areas and clustering of
cases
d. Tracing of close contacts up to third generation