Republic of the Philippines

City of Roxas

CITY DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL

STANDARD OPERATING PROCEDURE FOR HEALTH

VISION: A Healthy Roxas City, always prepared for Health emergencies, disasters and calamities

Goal: To be always ready to efficiently and effectively respond to any health emergency, calamity or disaster

General Objectives:
a. To minimize complications, disability, mortality and morbidity associated with health emergencies and disasters
b. To strengthen the capability of Health personnel to respond to and recover from calamity and disaster

Specific Objectives:
1. To strengthen existing Disaster and HEM systems
2. To enhance knowledge, skills and attitudes of Health Workers on HEMs and Disaster Management
3. To ensure timely, coordinated and systematic response and rehabilitation
4. To establish coordination, and collaboration among all stakeholders
5. To identify/ capacitate the City Health Disaster Response Teams with specific assignments and contact numbers
6. To propose and lobby for provision of budget for HEMs and Disaster Preparedness

“Disasters can happen anytime, anywhere without warning. We must always be prepared to meet this challenge.”
Roxas City Health Office Standard Operating Procedure on Health Emergency and Disaster Response

1. The CHO Disaster Response Team is composed of the following personnel (with contact numbers)

MEDICAL COORDINATOR : Dr. Noel Dorado (09098571100)

Nurse Coordinator : Mrs. Maripi Burgos (09187165707)
Midwife HEMS Coordinator: Mrs. Crissini Belario (09088667290)
Sanitation Inspector: Mr. Joaquin Atienza (09062710936)
Ambulance Drivers: Mr. Nelson Dula (09196932234)
Mr. Andy Berjamin (09216923786)

2. The functions of each member are as follows:

a. The Medical Coordinator schedules biannual Disaster Preparedness and HEMS review for the team, annual Drills for
the CHO personnel, convenes the group for pre-disaster meetings and goes on first 24 hours duty during disaster.
b. The Nurse prepares the emergency kits and equipments, and goes on first 24 hours duty with the Medical Officer,
prepares and submits reports, including SPEED reports
c. The Midwife instructs assigned Midwives/ CVHWs to visit affected site/ evacuation areas to check on Women Friendly
Spaces/ monitor pregnant women with due dates, prepares stand by delivery kits and medicines/ attends to deliveries
when needed, facilitates referrals to birthing clinic or hospital
d. The SI conducts WASH inspection of the affected areas, evacuation sites and households, reports and records incidence
of food and water-borne diseases, and initiates remedial measures to control and correct unsanitary conditions in
evacuation sites
e. The ambulance drivers transport the team to the site and transport patients to the hospitals.

3. Other key health personnel during disasters are as follows with their corresponding responsibilities:
a. Supply Officer and Pharmacist: Prepare and release needed equipment, supplies and medicines for the use of the
HEM /Disaster Response Team.
b. Surveillance Officers ( Medical and Nurse ): Visit the affected site to investigate occurrence of reportable diseases
/prepares and submits reports (Dr. Lory Cahilog, Leila Angeles and Cisa Loyola)
 c. Nutrition Coordinators (Mrs Ruby Abalo/ Dr.Rona Simpas): Check on the Nutritional Status of the disaster survivors
with focus on mothers and children, and coordinates with DSWD and other agencies for feeding programs and referrals
for therapeutic interventions for severe and moderate malnutrition
d. Health Promotions and Education Officers: Prepares/ conducts press releases after consultation with CHO and LCE
e. City Health Administrative Officer: Makes sure that the City Health facility is well maintained pre, during and post-
calamity
f. Medical Teams led by the Medical Officers : Know their community and area of responsibility, advocates on HEMS in
their assigned barangays, administer patient care with triaging in the field, and care of the deceased/ goes on duty as
scheduled at the CHO , and after 72 hours visit their community for civac including specific care for the elderly and
handicapped, pregnant and young children in the evacuation sites
g. City Health Officer: Oversees operations before, during and post- disasters/ coordinates with the City Disaster Council
and the LCE, with IPHO and DOH Region 6, lobbies for budget for DP/ HEMS operations to SP and LCE, submits
request for contingency stocks for medicines and supplies

4. There will be a Post-Disaster Evaluation Meeting for analysis and reporting to improve the HEMS/DPP, on the following
issues:
a. Response Actions taken
b. Problems encountered
c. Corrective Actions made
d. Lessons learned

It is our duty to be PROACTIVE and ever- ready for any and all health emergencies!
Projects/ Programs/ Activities for
HEMS and Disaster Preparedness and
Response
1. Service Delivery: Provision of
Health services in times of
Calamity/ Disaster/ Health
Emergencies
2. Health Regulations:
Enforcement of Health Laws
and ordinances during & after
Calamities
3. Health Financing:
Provision of Budget for
HEMS and Disaster needs
4. Health Governance :
Establishment of Linkages
with other stakeholders for
close coordination pre, during
and after calamities, disasters
5. Human Resource for Health:
a. Review on Disaster
Management and HEMS for
HSPs
b. Recommendation for hiring
of Health Emergency Staff
6. Health Education and
Promotions:
Reproduction / Distribution of
IEC materials and advisories
on HEMS and Disaster
preparedness
OBJECTIVELY VERIFIABLE
INDICATOR WITH TARGETS
Number of Patients / Clients served
Number of Health Services rendered
Number of Barangays monitored on
Health laws enforcement
Number of citation tickets issued/
recommendation letters issued
Budget allocated for HEMS and Disaster
Preparedness
ILHZ/CDCC/BHERTS/ PHO/ DOH
R6/NGOs/ Trimedia activities conducted
in preparation, during and after
calamities or disasters
Number of Health Service Providers
attendees
2 PHN/ 2 drivers hired for HEMs team
Number of IEC materials made available
and distributed
Number of households/ barangays/
agencies given IEC materials
MEANS OF VERIFICATION
Patients Records, Log book, Target
Client Lists
Pictures, Documents/ Lists of services
SI log books
Dupl;icate Copies of citation tickets
issued
Copies of budget proposal and allocation
Minutes of meetings/ documentation of
agreements and activities
Attendance lists/ pictures, pre and post
test results
Copies of contracts
Distribution Lists with signatures of
recipients/ pictures
ASSUMPTIONS
All Health Personnel are trained/ updated
on HEMS/ Disaster Management
Health service providers and Barangay
officials are knowledgeable on Health
Laws, Ordinances and issuances on
Sanitation Code, Asin Law, Toilet
ordinance, Anti-Smoking Ordinance,
Solid Waste Management , etc
City Disaster Fund is available
ILHZ/ Bherts are functional
City and Provincial trainors are available
Funds are available for printing of IEC
materials
 ROXAS CITY HEALTH OFFICE CONTINGENCY PLAN FOR NUTRITION AND Mental HEALTH in times of EMERGENCIES, CALAMITY AND DISASTER

GOAL: To prevent and minimize nutrition related illnesses and disability during disasters and calamities

RESOURCE REQUIREMENTS LGU

TIME Persons
PROGRAM/ PROJECT / ACTIVITIES TARGET UNIT Source of Funds
FRAME ITEM COST PLGU CITY ILHZ Responsible
COST
Pre - Disaster                    
1. Training / Review on Nutrition Preparedness     IECmaterials 1000 1000   1000     CHO funds
in Emergencies and Disasters 60 HSPs Jan MUAC tapes 20px 60 1200 1200     Nutrition Coordinator  
2. Identification/ Listing of "Gatekeepers"                    
from CVHWs, IYCF facilitators, Brgy leaders 100 Feb ofc supplies 30x100 3000   3000     CHO funds
for High risk and vulnerable groups: 6 groups                  
a. Infants 0 to 1 year old                    
b. Children 13 months to 60 months old                    
c. Pregnant mothers                    
d. Lactating mothers                    
e. Adolescents                    
f. sick elderly and persons w/disablity                    
IEC
3. Provision of Logistics for Nutrition clinic, 47 Barangay   materials 100x 47 4700 2700 2000     CHO funds
Nutrition
vegetable gardens, feeding programs Committees   Isumix food             DA funds
CHO , Philhealth
      medicines 50000x4 200,000 100,000 100,000     trust
      vitamins             funds
vegetable
      seeds             DA funds
      rice packs             DSWD funds
4. Resource Generation                    
a. Stock Piling of food commodities : rice,   Sep/ Oct             DSWD DRRMC fund
dried fish, vegetables, canned goods                   DSWD fund
b. Coordination with donor agencies and
companies     phone lines           CHO/ Nutrition CHO funds

PROGRAM/ PROJECT / ACTIVITIES TARGET TIME RESOURCE REQUIREMENTS LGU Persons Source of Funds
 UNIT
FRAME ITEM COST PLGU CITY ILHZ Responsible
COST
DURING DISASTER                   CHO funds
1. Activation of Nutrition Emergency Response
Team 6 health units as fuel/oil 1000 x 2 2000   2000     CHO funds
2. Coordination with DSWD/ DRRRMC   need phone lines              
3. Monitoring of Evacuation Sites   arises                
4. Provision of immediate nutrition needs     chk lists              
forms/
5. Referral of severe malnutrition to hospital     ambulance             CHO funds
      fuel/oil 1000 x 2 2000   2000     ambulance trust
POST DISASTER                   fund
all evacuation w/in the
1. Nutrition evaluation using MUAC sites week                
2. Blanket Supplemental feeding of children   after nutritious             donor agencies
in affected areas and evacuation sites   disaster food              
3. Therapeutic Feeding of malnourished and     hi energy             donor agencies
sick children and mothers     food              
referral
4. Referral of severe malnourished patients     forms 100 100   100     CHO funds
for hospital care                    
5. Monitoring/ Supervision     supervisory              
6. Recording/ Reporting/ Documentation     chklist 200 200   200     CHO funds
7. Follow-up and reporting of outcome of                    
interventions                    
1 month
8. Presentation & Analysis of lessons learned 100 HSPs after ofc supplies 1000 1000 500 500     CHO funds
                     

PROGRAM/ PROJECT / ACTIVITIES TARGET TIME RESOURCE REQUIREMENTS LGU Persons Source of Funds
 UNIT
FRAME ITEM COST PLGU CITY ILHZ Responsible
COST
9. Provision of Psychosocial and Mental Health w/in 2
Support   wks   10,000     10,000     CHO funds
for Survivors and HSPs                    
a. Assessment / consultative meetings 2 meetings   venue/IEC              
b. Mobilization of volunteers 3 groups   phone lines              
c. Organization of support groups 3 agencies   venue/IEC              
d. Referral to psychiatrst/ psychologist 2 pschiatrists   forms              
e. Stress Management Sessions HSProviders   venue/IEC              
LGU
  employees                  
survivors
  groups                  
                     
104,400.0
TOTAL         215,200.00 0 120,800.00 -    

ROXAS CITY HEALTH OFFICE DISASTER PREPAREDNESS PLAN

City of Roxas
Province of Capiz
GOAL: TO BE ALWAYS READY TO EFFICIENTLY & EFFECTIVELY RESPOND TO ANY CALAMITY OR DISASTER
RESOURCE REQUIREMENTS LGU
TIME
PROGRAM/ PROJECT / ACTIVITIES TARGET UNIT Persons
FRAME ITEM COST PLGU CITY ILHZ Source of Funds
COST Responsible
                 
PRE-DISASTER:                    
1. Emergency Response Review disaster Jan IEC c/o Red         Disaster CHO training
on theory & application of team   materials Cross         Coordinator funds
knowledge members   snacks Pp200         Dr. Noel  
  21 h.p.     x 21 4,200.00   4,200   Dorado  
      honoraria Pp1,000 2,000.00   2,000      
2. Provision of Logistics   year             CHO  
a.Medical/ Surgical Equipments CHO CLINICS round O2,etc*           Supply MOOE for
b. Medicines & Supplies     disaster kits Pp2,000 200,000   200,000   Officer medicines / supplies
c. Ambulance fuel/ maintainance     fuel/oil PP10,000            
      , etc x2 x12 240,000   240,000     Calamity
d.Protective Gear       Pp500x20 1,000   1,000     funds
e.Generator     generator 100,000 100,000   100,000   City Mayor  
                     
3. Coordination with other stakeholders                 Disaster  
a. City Disaster Council LGU agencies As need phone           Coordinator  
b. ILHZ- RMPH 3M/ 1 hospital arises loads Pp 500/m 6,000   6,000   CHO  
3 private IEC
c. Hospitals hospitals   materials Pp180/Rm 1800     1800 CHO ILHZ
CHO Supply
      Ink P5,000 5000     5000 Officer ILHZ
d. IPHO                    
e. Regional Health Office                    
Gasoline &
f. BHERTS 47 Barangays   Oil              
g. Red Cross Local Chapter                    
4 stations/ 2 Cellphone
h. Press/Radio/TV mags   Load           HEPO  
4. Health Emergency response                    
Fire/ Earthquake drills CHO HP,s Feb/ Nov HEMs           HEMS coordinator  
      module 100x 6 600   600   CHO  
      consultant Pp1,000 1,000   1,000      
      honoraria              

PROGRAM/ PROJECT / ACTIVITIES TARGET TIME RESOURCE REQUIREMENTS LGU Persons Source of Funds
 UNIT
FRAME ITEM COST PLGU CITY ILHZ Responsible
COST
DURING DISASTER:                    
a. Mobilization of Disaster Team affected area as need             Disaster Team  
    arises vehicle/fuel           coordinator CHO funds
      first aid 5,000 30000   30000   MD- Dr. Dorado  
      kits           PHN-M. Burgos  
b. Shifting of CHO duty                    
Health Team: MO,PHN,MW,SI,NA 7 hp's q 12 hours clinic ES           CHO  
Pharmacist, Med Tech     meals Pp200/p 1,400   1,400   Supply Officer Calamity funds
c.Coordination with CDC / Command Center   ANA phone lines              
d.Provision of Medicines/ Supplies affected area ANA Med/supplies              
                     
POST-DISASTER:                    
a.Provision of necessary treatments affected patients                  
for common health problems during   ANA Supplies           MO on duty CHO funds
calamities     Medicies           or assigned  
b. Inspection/Disinfection of H2O                    
sources/ supplies affected area ANA 20kg              
      Chlorine Pp200 2,000   2,000   SI on duty CHO funds
      Lysol Pp200 2,000   2,000      
                     
d. Debriefing/ Post-Trauma Stress Mgt     IEC              
  victims 1 week after Psychiatrist           Dr. Lea Sicad ILHZ Funds
2 weeks
  health staff after honoraria Pp2,000 2,000     2,000    
                     
Surveillance
e. Continuous Surveillance of after-effects   1 month             Officers  
of disasters/calamities affected area after             Dr. Gepilano  
f. Evaluation Meeting / Reporting   1 week after agenda           S.I. - Cisa Loyola  
  CHO staff   forms           CHO  
  LGU/ ILHZ   meals Pp2,000       2,000    
599,000.0
TOTAL         0   590,200 10,800