Municipality of Baliangao

MUNICIPAL HEALTH OFFICE

Northern Poblacion Baliangao Misamis Occidental

DISASTER RISK REDUCTION

MANAGEMENT IN
HEALTH
2023-2025

“Working together for a resilient community”

TABLE OF CONTENTS
Introduction Page

Message from Head of Institution / Local Chief Executive 4

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Goals of the Health Sector on Emergencies and Disasters 5

Background (2-5 pages) 6

Geographic Description

a. Topography 7

b. Geo-hazard mapping (i.e., areas prone to erosions and flooding, presence of fault lines and 7
volcanoes)

c. Location of communities and health facilities vis-à-vis this map 8

d. Risks or hazards (i.e., occurrence of typhoons, storm surge, disease outbreaks) 8

e. Disasters that have occurred with lessons learned and gaps in response 9

Demographic Profile 11

a. Population Growth Rate 11

b. Population density 11

c. Number of households 11

d. Number of barangays 11

e. Death rate 11

f. Vulnerable populations 11

Health Statistics 12

a. Three- to five-year year reports on leading causes of morbidities and mortalities 12

b. Infant mortality rate 12

c. Maternal mortality rate 12

d. Nutritional status/ Malnutrition rate 12

e. Vaccination coverage 12

f. Indicators for basic health services and preventive health programs 13

g. Environmental sanitation, sources and status of potable water 14

h. Health human resource (number and capacity for health) 14

Socio-economic Situation 15

a. Major economic activities 15

b. People’s sources of income 15

c. Poverty incidence and areas of concentration 15

d. Education 17

e. Peace and order 18

f. Source(s) of food such as agricultural or fishing industry 20

g. Support facilities such as transportation, communication, access to information 21

Hazard, Vulnerability, and Risk Assessment 22

Inventory of Resources and Possible Partners in DRRM-H Institutionalization 22

Plan per Thematic Area (5-10 pages) 23

Prevention and Mitigation Plan 23

Preparedness Plan 25

Response Plan 27

Recovery and Rehabilitation Plan 29

Appendices

a. Policy on Health Emergency Management 30

b. Policy on Disease Surveillance 32

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c. Expanded Local Health Board Resolution No. 004-2023 34

d. Resolution Adopting the Minimum Requirements of Disaster Risk Reduction Management in Health 36

e. Policy on the Identification of DRRMH Manager and Assistant 38

f. List of Emergency Response Team 40

g. Health Emergency Response Team and Organizational Structure 43

h. Memorandum Order No. 006-2023 44

i. Summary of activities to be conducted and commodities to be procured with corresponding amount 45

j. Gantt Chart (Schedule of Activities) 48

Annex 52

INTRODUCTION

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Message from Local Chief Executive

Foreword

The Municipal Health Office of Baliangao, with the Local Disaster Risk Reduction and
Management Council lead in the prevention, mitigation, preparedness, response, recovery and
rehabilitation for health emergencies and disasters.
Institutionalizing Disaster Risk Reduction and
Management in Health (DRRM-H) through a
comprehensive plan consistent with the national
and international policies such as the Sendai Framework
for Action, RA 10121 or the Philippine Disaster Risk
Reduction and Management Act, National Objectives for
Health, the Fourmula One Plus, and RA 11223 or the
Universal Health Care Act is paramount in addressing
the health risks and inequalities aggravated during
emergencies and disasters. As we continue to assist
our barangay officials and constituents’ in
institutionalizing the Disaster Risk Reduction Management
in Health, it is indeed my fervent hope that we will be
able to guarantee uninterrupted quality health service delivery during emergencies and disaster;
avert preventable morbidities and mortalities and ensure no outbreaks.
May we continue to develop partnership and network to ensure integrated
response and encourage each other to work together for a safe and disaster resilient community.

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Goals of the Health Sector on Emergencies and Disasters

VISION:
“A resilient community for health disaster with health emergency management that is
countrywide competitive and locally responsive”

MISSION:
“To contribute to the local disaster risk reduction and management from preparedness to
response in building a resilient community by warranting an acceptable comprehensive and
tangible health emergency management.

GOALS:
1. To provide and guarantee a responsive uninterrupted health services delivery during
disasters and health emergencies.
2. To forestall preventable morbidities and mortalities and other health disabilities
secondary to health emergencies and disasters.
3. To conduct immediate disease surveillance with outbreaks potentials and ensure
necessary response to avert health emergency disabilities and outbreaks.
4. To establish a Health Emergency Operation Center (HEOC) within the Municipal
Epidemiology and Surveillance Unit Facility to ensure comprehensive Disaster Risk
Reduction Management for Health (DRRM-H).

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BACKGROUND

The Municipality of Baliangao is a 5th class municipality located in the northern tip of the
Province of Misamis Occidental, Philippines. It is located 53 kilometers north of the capital city
of Oroquieta, 68 kilometers to Dipolog City Airport and to the seaports of Ozamiz, Plaridel and
Pulawan, Dapitan City is 99 kms, 26 kms, and 60 kms respectively. It is considered the most
peaceful and hospitable municipality in the province.

It is located within the geographic coordinates of parallel 8 ⁰34 to 8 ⁰40’ north latitude and
meridian 123⁰34’ 123⁰40’ east longitude. It is bounded on the North by the Mindanao Sea, on
the West by the Murcielagus Bay and the Municipality of Sapang Dalaga via Dioyo River as
natural political boundary, on the South by the Municipality of Calamba, and on the East by the
Municipality of Plaridel via Itusan River as the natural political boundary.

The Municipality of Baliangao, Misamis Occidental is composed of 15 barangays

namely; Del Pilar, Landing, Lumipac, Lusot, Mabini, Magsaysay, Misom, Mitacas, Naburos,
Northern Poblacion, Punta Miray, Punta Sulong, Sinian, Southern Poblacion, and Tugas.

The term Baliangao originally came from the words, “baling langaw” which in English
roughly means “how plenty are the flies” and “balay langaw” (house of flies). The presence of
flies is due to the super abundance of the fishes in the area. Later on, these terms where corrupted
and made into “Baliangao.”

As for tourism, Baliangao is the only Municipality in the Province of Misamis Occidental
where white sand beaches abound in its shoreline, which is why it calls itself the White Sand
Beaches and Seafood Destination of Misamis Occidental. Baliangao can be reach thru public
transport of motorcabs from its neighboring municipality of Calamba.

The climate in Baliangao is characterized by more or less an evenly distributed rainfall

throughout the year.

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 GEOGRAPHIC DESCRIPTION
A. Topography, Slope, and Elevation

The Municipality occupies an approximate land area of 8,172 hectares based on the
actual political boundary survey conducted by the contractor of the Department of Environment
and Natural Resources (DENR), Region 10. It comprises a total of 15 barangays, 2 urban and 13
rural. Brgy. Sinian covers the biggest area of 1,009.60 hectares or 12.35 % of the total area.
Brgy. Northern Poblacion covers the smallest area of only 43.88 hectares or 0.54. Out of the 15
barangays of the Municipality, nine (9) are coastal, two (2) of which are urban.

As per topographic survey of the municipality, the terrain of the town proper is level. The
area is plain especially in the Barangays of Northern Poblacion, Punta Miray, and Tugas with
slightly rolling terrain in some interior barangays extending to the boundaries of Calamba,
Sapang Dalaga, and Plaridel. The municipality is mainly flat to nearly level with slope ranging
from 0-3% having the largest area of 3, 886 hectares covering the town core extending to
Barangay Del Pilar, Lusot, and Sinian. Gently sloping to undulating areas with slopes ranging
from 3-8% is the second largest area of 1, 263 hectares and found mostly in Barangay Sinian
extending towards Barangay Landing, Mabini, and Lusot. Portions are found in Barangay
Lumipac and Del Pilar. Moderately sloping to slightly rolling areas are found in Barangay Punta
Sulong and Mabini extending to Barangay Lumipac with an area of 292 hectares. Strong rolling
or rolling areas are found in Barangay Mitacas and Magsaysay with an area of 1, 134 hectares.
Very steep or mountainous terrains are found in the island of Naburos and Cabgan with an area
of 50 hectares.

B. Geo-hazard mapping
The most prominent geo-hazard that will likely impact on the study area is flooding. This
usually resulted in an abnormally excessive precipitation. The most flood-prone portions in the
study area are the low-lying area, coastal area and the floodplains of Dioyo River, Sinian River,
Kawayan Creek and the minor tributaries. Based on historical accounts some portions of Brgys.
Landing, Lusot, Sinian, Magsaysay, Mitacas, Southern Poblacion and Northern Poblacion and
swampy grounds of the western part of Baliangao are flood-prone areas. Areas along Bigaan and
Ilihan hills, Baliangao, which is characterized by moderately steep to very steep slopes, are most
likely prone to landslide. The presently tapped shallow aquifer in Brgys. Punta Miray, Poblacion
and Tugas are nearing depletion and to a certain degree intruded by saltwater. Subsidence may
be caused by roof collapse, leading to the formation of a sinkhole in areas underlain by
limestone. The said areas are usually characterized by high dissolution that results to the
formation of numerous caverns underground. In the study area, most susceptible to this type of

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movement are noted in Brgys. Northern Poblacion and Tugas, situated at the northernmost tip of
Baliangao. Subsidence appears imminent. Regulatory floodways at both sides of rivers should be
kept open to carry floodwaters and ensured that habitation and development are prohibited in
these zones. Dwelling units that have to be built within the confines of stream bed that is
periodically flooded, as is often unavoidable, should be at least set on stable pole-type
foundations to allow floodwaters to pass harmlessly underneath. The strength of wave energy
mainly responsible for coastal erosion can be controlled by proven measure such as appropriately
located groins and breakwaters. Extra precaution, however, must be considered so as not to
affect down-drift sediment supply. Land use development along the coastal zone should be
regulated including establishment of setback codes. Appropriate land use zoning should also be
implemented. (See Map 1)

LOCATION OF COMMUNITIES AND HEALTH FACILITIES

In Baliangao, the Municipal Health Office along with its TB-DOTS Center, MCP (Lying-
in) and its laboratory is the only health-related facility in the municipality. No clinics, pharmacy
or any other facility is present. (See Map 2)

RISKS OR HAZARDS

Baliangao has identified (1) Storm Surge, (2) Sea-level Rise, (3) Flooding, and (4)
Siltation as climate change and disaster related risks. Fortunately, these identified risks have not
been experienced by the municipality for the past few years.

The most flood-prone portions are the low-lying area, coastal area, and the floodplains of
Dioyo River, Sinian River, Kawayan Creek and the minor tributaries.

BARANGAY PUROK LANDSLIDE FLOOD OTHER REMARKS/

SUSCEPTIBILITY SUSCEPTIBILITY HAZARD ELEMENTS AT
RISK
Del Pilar Low to Moderate Feb 2012
(National Dec 2022
Highway)
Landing Flash flood Dec 2022
Mabini Flash flood Dec 2022
Misom Impassable road
to Mabini
Mitacas Flash flood Dec 2022
Naburos Purok 5 High
Northern Purok 1 and 2 Seasonal Coastal
Poblacion Flooding*
Punta Portion of Seasonal Coastal
Miray Purok 1 Flooding*
and
Cabgan
Island

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 Purok 5 Storm Damage fishing
(Tamban) Surge boats
and 7 (2007)
(Balasdiot
)
Sinian Seasonal Coastal 2 creeks in Purok
Flooding* Rubia

Southern Purok 2 and 3 Seasonal Coastal

Poblacion Flooding*
Tugas Purok 5 Storm Damage fishing
(Tinago) Surge boats
and 6 (2007)
(Bulalo)
Storm Destroyed Bantay
Surge Dagat Outpost –
(2007) BWP (Danao
Bay)
*Seasonal Coastal Flooding- refers to flooding that usually occurs during high tides in the
months of May to August and strong waves from December to March which affects mostly
low-lying coastal areas.

Last December 2022, due to the presence of the Shear Line, an unexpected strong rainfall
affected the municipality. A landslide/soil erosion was noted along the national highway which is
in Barangay Del Pilar. Flash flood was also experienced by some individuals in Barangay
Landing, Mitacas, and Mabini. These four (4) mentioned barangays are part of the identified
rural barangays in the locality.

DISASTERS THAT HAVE OCCURRED WITH LESSONS LEARNED AND

GAPS IN RESPONSE

For the past two decades, the Municipality of Baliangao had not encountered any major
disaster-related incident. But just recently, due to the presence of the Shear Line which caused
moderate- heavy rainfall, flash flood was experienced in some parts of the municipality which
affected some families.

LIST OF FLASH FLOOD AFFECTED POPULATION

DECEMBER 2022

Barangay No. of Families Affected No. of Individuals Affected

Del Pilar 5 23
Landing 7 28
Mabini 3 16
Mitacas 2 5
TOTAL 17 72
Source: MSWDO

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 MAP 1
MUNICIPAL MAP SHOWING GEOHAZARD

MAP 2
MUNICIPAL MAP SHOWING HEALTH FACILITIES

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 DEMOGRAPHIC PROFILE
Population 18, 041

Population density 2.20

No. of Households 4, 028
No. of Barangays 15
Coastal: 9
Urban: 2
Rural: 13
Death Rate 10.6 %

VULNERABLE POPULATION
BARANGAY UNDER 1 1-5 YEARS 60 YEARS PREGNAN PWD WITH
YEAR OLD OLD AND T SERIOUS CO-
OLD ABOVE MORBIDITIES

DEL PILAR 8 56 135 4 24 3

LANDING 26 132 344 7 27 3
LUMIPAC 8 51 140 2 23 0
LUSOT 13 155 240 17 48 1
MABINI 24 88 177 6 22 1
MAGSAYSAY 6 33 49 4 8 1
MISOM 39 161 229 4 46 2
MITACAS 12 77 135 1 20 0
NABUROS 3 27 57 3 9 0
NORTHERN POBLACION 14 49 158 4 20 1
PUNTA MIRAY 18 145 260 12 19 0
PUNTA SULONG 17 112 161 4 25 1
SINIAN 25 120 190 11 22 0
SOUTHERN POBLACION 18 82 160 4 20 2
TUGAS 13 103 201 5 18 1
GRAND TOTAL 244 1391 2636 88 351 16
BHW Census as of Jan 2023

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 HEALTH STATISTICS
THREE-YEAR REPORT ON LEADING CAUSES OF MORBIDITY
2020 2021 2022
1 Hypertension Upper Respiratory Tract Hypertension
Infection
2 ARI Hypertension Acute Respiratory Infection
3 Animal Bite Infected Wound Pneumonia
4 Diabetes Mellitus Acid-related Diseases Upper Respiratory Tract
Infection
5 Tuberculosis Pneumonia Animal Bite
6 Pneumonia Allergy Infected Wound
7 Upper Respiratory Tract Abrasion Skin Diseases
Infection
8 Infected Wound Pyoderma Urinary Tract Infection
9 Allergies UTI Punctured Wound
10 Arthritis Lacerated Wound Bronchitis

THREE-YEAR REPORT ON LEADING CAUSES OF MORTALITY

2020 2021 2022
1 Hypertension Cardiac Arrest Cardiac Arrest
2 Pneumonia Hypertension Cardio-respiratory Arrest
3 Acute Myocardial Infarction COVID-19 Confirmed Cerebrovascular Disease
4 Congestive Heart Failure Renal Failure Hypertension
5 Renal Failure Septicemia Cardiovascular Disease
6 Septic Shock Pneumonia Cardio-pulmonary Arrest
7 Bleeding Peptic Ulcer Breast Cancer Cerebrovascular Accident
(CVA)
8 Neoplasm of the Neck Diabetes Mellitus Respiratory Failure
9 Acute Pancreatitis Cardiovascular Accident Acute Respiratory Failure
10 Suffocation by Drowning Dehydration Cancer (All Forms)

INFANT MORTALITY, MATERNAL MORTALITY, NUTRITIONAL STATUS AND

VACCINATION COVERAGE

2020 2021 2022

Infant Mortality Rate 0 0 0

Maternal Mortality Rate 0 0 0

Nutritional Status/ Malnutrition Rate 15.11% 12.77 % 11.72 %

Vaccination Coverage (FIC) 59.10 % 58.42 % 48.36 %

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 INDICATORS FOR BASIC HEALTH SERVICES AND PREVENTIVE HEALTH
PROGRAMS

Basic Health Services 2021 2022

No. Rate No Rate
A. Maternal Care
4 ANC 139 37.77% 144 66.67%
2 PPV 169 45.92 % 203 93.98%
Initiated BF 126 34.23 % 186 86.11%
SBA 175 98.87 % 201 93.06%
FBD 175 98.87 % 204 94.44%
CPR 9.09 % 522 11.19%
B. Child Care
BCG 188 51.09 % 221 65.58%
Penta 3 205 55.71 % 185 54.90%
OPV 3 192 52.17 % 132 39.17%
Measles 198 53.80 % 196 53.55%
MMR 215 58.42 % 177 48.36%
FIC 215 58.42 % 177 48.36%
EBF 166 203 780.77%
NBS (CHO)
NBS (Hospital)
Vit. A (6-11 mos) 369 183 108.28%
Vit. A (12-59 mos) 1, 743 73 5%
Dewormed 2, 073
Municipal Health Office
PREVENTIVE HEALTH PROGRAMS

2020 2021 2022

No. Rate No. Rate No. Rate
NTP NTP NTP
Detection 27 25% Detection 35 32% Detection 35%
Rate Rate Rate
Cure Rate 9 64% Cure Rate 11 58% Cure Rate 73%*
Treatmen 22 81% Treatment 29 83% Treatmen
t Success Success t Success 89%
Rate Rate Rate
*as of March 2023 Municipal Health Office

As for other preventive health programs, there are no cases for Leprosy.

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 ENVIRONMENTAL HEALTH AND SANITATION

Actual Total No. of HHs: 4780

1. With access to basic safe water supply
 Level I 2794
 Level II 1986
 Level III 0
2. HH using safely managed drinking water services 2794
3. HH with basic sanitation facility
 Pour/flush toilet connected to septic tank 3450
 Pour/flush toilet connected to community sewer/sewerage 0
system or any other approved treatment system
 Ventilated improved pit latrine (VIP) 0
4. HHs using safely managed sanitation services 3450
5. HHs with satisfactory solid waste management 3450
6. HHs with complete sanitation facilities 2794

HEALTH HUMAN RESOURCE

Health personnel Regular Employee Casual Employee

Total Number of Doctors 1 -
Total Number of Nurses 2 8 (DOH-augment)
Total Number of Midwife 5 2 (DOH-augment)
1 (LGU hired)
Total Number of Medical Technologist 1 -
Total Number of Dentists 1* -
Total Number of Dental Aide 1** -
Total Number of Barangay Health Worker - 94 (Barangay-hired)
Total Number of Pharmacy Aide - 1**
Total Number of Barangay Nutrition Scholar - 15 (Barangay-hired)
Total Number of Sanitary Inspector 1 (Designate) -
Total Number of Driver - 2
Note: * - from IPHO with fixed schedules **- Municipal Job Order.
The Municipal Health Office of Baliangao has a total of 9 Regular Employees, Which
composed of 2 nurses (1 PHN, 1 DRRM-H Assistant Manager/ DSO), 5 Job orders (1 Pharmacy
Aide/Encoder, 1 Dental Aide/ Program Documentor , 1 Utility, 2 Drivers) 1 of which are
augmented from the Provincial Health Office with specific schedules. The Office had an
additional manpower of 8 Nurses and 2 Midwives through the Department of Health’s Human
Resource for Health Deployment Program. Aside from this, the LGU/MHO has 2 building
watchmen.

The Municipality of Baliangao has no other available health facilities in the locality.
Other health facilities are available within the Inter-local Health Zone (ILHZ).

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SOCIO- ECONOMIC SITUATION

MAJOR ECONOMIC ACTIVITIES

Baliangao is a small town whose economy is primarily dependent on fishing industry
and just recently on tourism-related commercial activities with the presence of white sand
beaches. Thereby, historical data on Industrial Areas and its attendant activities such as
manufacturing and industrial processing is virtually non-existent. Recently, breakthroughs on
fish processing is being noted with two (2) entities namely: Magsillum Multi-Purpose
Cooperative and D’Farm and Processing. The former is a cooperative and the latter is a privately
owned business enterprise in which both are engaged in bangus bottling preservation.

In terms of sustainability, the privately-owned business establishment is doing well

considering its back-up fishpond operation supplying their own bangus supply here under control
of its raw material ingredients is present. The cooperative is struggling as indicated on their off-
and-on operation due to problem of sources of bangus supply and internal management problems
which are common in cooperatives.

Other developments in the industrial sector have yet to be tapped by the municipality of
Baliangao in terms of formulating policies and programs along this area considering that
industrialization is considered as the partner of progress by an economy. However, proper care
must be exercised in promoting industrialization because of its attendant disadvantages and
threats.

PEOPLE’S SOURCES OF INCOME

In Baliangao, the source of income of the people is from the agriculture and fishing
industry. Some are also employed in the government service while others are small-town
business owners. With the presence of white-sand beaches in the municipality, the tourism
industry has also been booming creating more job opportunities for the locals.

POVERTY INCIDENCE AND AREA OF CONCENTRATION

The latest information on the income poverty incidence of Baliangao Misamis Occidental
was taken as 2018. Based on this survey on conducted by the Philippines Statistics Authority

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(PSA) found on Wikipedia, the Municipal Level poverty incidence is around 26.76 percent of the
population.

The National Household Targeting System for Poverty Reduction (NHTS-PR) is a data
bank and an information management system that identifies who and where the poor are in the
country. With such information, National Government Agencies (NGAs), Local Government
Units (LGUs), and Non-Government Organizations (NGOs) can now have knowledge on its
potential beneficiaries for their different programs and can direct resources to the ones who need
them the most.
The table below shows the list of barangays in the Municipality of Baliangao with its
corresponding NHTS-PR households for 2023 against the actual households of the same year
with its equivalent percentage. The finding shows that out of the 4, 780 households in the
municipality, 2, 459 households are under the NHTS-PR program which is equivalent to 51.44%.
Barangay Naburos, being a Geographically Isolated and Disadvantaged Area (GIDA)
barangay, obtained the highest number of NHTS household beneficiaries which is 84 households
out of 116 or 72.41%, followed by Barangay Sinian which has a total of 256 NHTS households
out of 392 or 65.31%, then Barangay Mabini with 211 NHTS households out of 355 or 59.44%,
then followed by Barangay Magsaysay with 85 NHTS households out of 146 or 58.22%, and
lastly, we have Barangay Lumipac with 133 NHTS households out of 230 or 57.83%. Most of
the barangays with higher number of NHTS household recipients are from the rural barangays.
Out of the 15 barangays, Barangay Southern Poblacion, an urban barangay, has the lowest
number of NHTS households of 74 out of 230 or 32.71%.

RANK BARANGAY PROJECTED TOTAL TOTAL NHTS-PR %

POPULATIO ACTUAL HOUSEHOLDS
N 2023 HOUSEHOLDS
1 NABUROS 494 116 84 72.4
1
2 SINIAN 1595 392 256 65.3
1
3 MABINI 1392 355 211 59.4
4
4 MAGSAYSAY 476 146 85 58.2
2
5 LUMIPAC 863 230 133 57.8
3
6 LUSOT 1798 509 288 56.5
8
7 MITACAS 839 228 123 53.9
5
8 PUNTA SULONG 1230 280 147 52.5
0
9 PUNTA MIRAY 1690 411 206 50.1
2

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 1 TUGAS 1512 352 171 48.5
0 8
1 MISOM 1870 518 243 46.9
1 1
1 DEL PILAR 876 256 115 44.9
2 2
1 LANDING 1547 503 216 42.9
3 4
1 NORTHERN POBLACION 1051 254 107 42.1
4 3
1 SOUTHERN POBLACION 808 230 74 32.1
5 7
BALIANGAO 18041 4780 2459 51.4
4
Source: MSWD & MHO 2023

EDUCATION

The Municipality of Baliangao has 14 Public Elementary Schools and 2 Public High
Schools. Also present is a private educational institution, Mt. Carmel High School located in
Southern Poblacion. The other private elementary educational institution is Baliangao Liberty
Baptist Academy located in Northern Poblacion.

LIST OF SCHOOLS IN BALIANGAO

Barangay Name of School

Del Pilar Del Pilar Elementary School
Landing Landing Elementary School
Lumipac Lumipac Elementary School
Lusot Lusot Elementary School
Mabini Timoteo Su Elementary School
Roque L. Su National High School
Magsaysay Lipacon Elementary School
Misom Quezon Elementary School
Baliangao School of Fisheries
Mitacas Magacamiguing Elementary School
Naburos Naburos Elementary School
Northern Poblacion Baliangao Central School
Baliangao Liberty Baptist Academy
Punta Miray Punta Miray Elementary School
Punta Sulong Punta Sulong Elementary School

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 Sinian Sinian Elementary School
Southern Poblacion Mt Carmel High School
Tugas Agapito Yap Sr Elementary School

LIST OF GRADUATES PER LEVEL OF EDUCATION (2022)

LEVEL OF EDUCATION NO. OF ENROLLED NO. OF GRADUATES

Elementary 317 317
Secondary
 Junior HS 191 191
 Senior HS 147 147
Department of Education, Baliangao District

PEACE AND ORDER

Manpower

The Philippine National Police is mandated to enforce law, prevent and control crimes,
maintain peace and order, promote public safety and internal security with the active
participation and support of the community. At present, the actual total number of police
personnel in Baliangao is 28 + 4 NUP (Non-Uniform Personnel). Unfortunately, this doesn’t
meet the 1:500 police-population ratio. Over-all the municipality of Baliangao is relatively a
peaceful town with lesser incident of criminality.

MEDICO- LEGAL REPORT 2022

CATEGORY GRAND
POST- RAPE/ CHILD LESS SLIGHT TOTAL
BARANGAY MORTEM SEXUAL PHYSICAL SERIOUS PHYSICAL
CHILD ABUSE PHYSICAL INJURY
ABUSE INJURY
LUSOT 1 1
MISOM 1 1
NABUROS 1 1
PUNTA 1 2 3
MIRAY
PUNTA 2 2
SULONG
SINIAN 1 1
TUGAS 1 1 1 3
OTHERS 2 2
TOTAL 1 3 2 6 2 14
Municipal Health Office/ Baliangao Municipal Police Station

PNP DETAINEE MEDICO- LEGAL REPORT 2022

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 CRIME COMMITTED NO. OF DETAINEE
Frustrated Murder 1
Violation of RA 10654 4
Acts of Lasciviousness 1
Violation of RA 10591 1
Rape 1
TOTAL 8
Municipal Health Office/ Baliangao Municipal Police Station

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Baliangao Municipal Police Station, 2022

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 As for the Bureau of Fire Protection, they are responsible for ensuring public safety
through the prevention or suppression of all destructive fires on buildings, houses, and other
similar structure, forests, and land transportation vehicles and equipment, ships/vessels docked at
piers, wharves or anchored at major seaports, petroleum industry installations. It is also
responsible for the enforcement of the Fire Code of the Philippines (PD 1185) and other related
laws, conduct investigations involving fire incidents and causes thereof including the filing of
appropriate complaints/cases. Their firetruck-population ratio is at 1: 28,000 and per firetruck
there should be 14 personnel. Currently, the total fireman personnel in Baliangao is 10 which
doesn’t meet its ideal criteria.
A newly put-up Philippine Coast Guard (PCG) Sub-Station is also in the locality. This
sub-station caters not just only Baliangao, but also its neighboring municipality of Sapang
Dalaga. The Philippine Coast Guard (PCG) are tasked primarily with enforcing laws within
Philippine waters, conducting maritime security operations, safeguarding life and property at sea,
and protecting marine environment and resources; similar to coast guard units around the world.
The coast guard personnel- kilometer (coastal length) ratio is 1: 1,000 km. Baliangao’s coastal
length is approximately 26 km. Presently, the total coast guard personnel are 4.

SOURCES OF FOOD

Agriculture is one of the primary economic drivers of the Municipality of Baliangao

with farming, fishing and livestock raising as its main economic activities. The present
agricultural land area of the municipality represents 70.22 % of its total land area. Coconut has
the biggest area of 3,894.2500 hectares with an average of 100 trees per hectare constituting
67.86 % of the total agriculture land and 58.78% of the total municipality area. Of all crops
production, coconut constitutes the biggest area but provides less production due to senility and
cutting of trees for lumber and for residential usage thus giving low income to farmers.
Aside from agriculture, fishing also serves as another source of income or food for the
community. Fisherfolks conduct subsistence fishing. Currently, only one coastal barangay
considers fishing as its main source of livelihood.
LIST OF REGISTERED FARMERS, FISHERFOLKS, and LIVESTOCK OWNERS 2022

CATEGORY: FARMERS NO. of REGISTERED INDIVIDUALS

RICE 640
CORN 258
OTHERS (i.e Vegetable) 847
TOTAL 1, 745
CATEGORY: FISHERFOLKS
FISHERFOLKS 2, 604
CATEGORY: LIVESTOCK OWNERS
POULTRY 15
PIGGERY 5
TOTAL 20
Municipal Agricultural Office

21 | P a g e
SUPPORT FACILITIES SUCH AS TRANSPORTATION and
COMMUNICATION

As for Baliangao’s support facilities, there are no Seaport, Airport, and Bus Terminal
present in the municipality. Availability of this facilities are found in nearby municipalities.

As for transportation, the major mode of public transportation used in Baliangao from the
main highway is by Habal-Habal or Pedicab. The frequency of trips of the pedicabs are
contingent with the capacity of the vehicles. Habal-Habals on the other hand are more lenient
since most leave with just one (1) passenger but usually at a higher price. Presently, there is one
registered organization for transportation. It is called the Baliangao-Calamba Motor Operators
and Drivers Association (BACAMODA). The BACAMODA serves as the springboard for
efficient transportation system by coordinating with the municipality of Calamba as its main
route with a designated terminal to ferry passengers back and forth to the municipality.

As for communication, all telecommunication companies (SMART/Talk ‘N Text,

Globe/TM, Sun Cellular) have facilities and reception in Baliangao. Signal is strongest in the
town proper where most of the cellular site towers are located. Internet connection is also
strongest in the town proper at a specific time. Most tourist attractions however have barely
available cellular reception.

22 | P a g e
HAZARD, VULNERABILITY, and RISK
ASSESSMENT INVENTORY of RESOURCES and
POSSIBLE PARTNERS in DRRM-H
INSTITUTIONALIZATION PLAN per THEMATIC
AREA
The NDRRM Framework provide a comprehensive, all hazards, multi-sectoral, inter-
agency and community-based approach to DRRM which shall serve as the primary guide to
DRRM efforts of the country. It indicates the paradigm shift towards a proactive and preventive
approach to DRRM with the end in view of increasing people’s resilience and decreasing
vulnerability. It lays down the DRRM goal of a safer, adaptive and disaster resilient Filipino
communities toward sustainable development and each of the goals of the four thematic areas
towards achieving the over-all DRRM goal. In particular, the goal of the thematic area on
Disaster Rehabilitation and Recovery is to restore and improve facilities, livelihood and living
conditions and organizational capacities of affected communities and reduce disaster risk in
accordance with the “build back better” principle.

Over-all DRRM Framework

23 | P a g e
 DRRM-H PLAN FOR THEMATIC AREAS
2023-2025
2023 2024 2025
100,00
1. PREVENTION AND MITIGATION PLAN 0 150,000 150,000
100,00
2. PREPAREDNESS PLAN 0 250,000 200,000
130,00
3. RESPONSE PLAN 0 100,000 100,000
130,00
4. RECOVERY AND REHABILITATION PLAN 0 50,000 50,000
460,00
TOTAL 0 550,000 500,000

1ST THEMATIC AREA: PREVENTION and

MITIGATION PLAN
RISK REDUCTION AGENCIES
/
MEASURES/ STRATEGIES RESOURCES BUDGETARY REQUIREMENTS DEPARTM
ENTS
HAZARD OBJECTIVES PREVENTION MITIGATION NEEDED INVOLVED
IN
IMPLEME
N-TATION
2023 2024 2025
Flood, Storm Reduce Early evacuation Increase Funds for MDDRMO
Surge vulnerability of people living people’s meetings, , Municipal
and exposure of near flood-prone, awareness in orientations, Engineerin
identified storm-surge relation to and seminar g Office,
hazards areas existing among Municipal
hazards. community Health
people and Funds for 1000 4000 4,000 Office
institution. meetings /

Awareness and
participation in
executing
evacuation
plans.
Awareness of Procurement of Funds for 44,000 34,000 34,000
the ill-effects of medicines such medicines
Leptospirosis as but not
limited to
Doxycycline TOTAL 45000 38000 38000
Climate To mitigate ill- Inventory of Increase Funds for Funds for 3,000 3,000 3,000 Municipal
Change effects of possible sources people’s bacteriological bacteriological Health
Climate Change for potable water awareness in testing of water testing= P Office,
(El Niño in barangays relation to sources 3,000/yr/water MDRRMO
Phenomenon) possible effects source , MLGO
on Health to health
brought about
by Climate Funds for Funds for 1,000 2,000 2,000
Change tarpaulin tarpaulin printing
printing,
conduct of IEC

TOTAL 4,000 5,000 5,000

Disease Out Reduce Strict Enhance Work and Meeting / 500 2,000 2,000 Municipal
break morbidity and implementation Immunization Financial Plan orientation funds Health
mortality of Sanitation Program for Disease Office,
Code vaccination Outbreak MDRRMO
Response , MLGO,
Municipal
Engineerin
g Office

24 | P a g e
 Establish Activation of Funds for
Functional Emerging and meetings and
Epidemiology Re-emerging orientation
Surveillance Unit Infectious
(ESU) Diseases
(EREID)
Monitoring and
Surveillance

Intensify IEC on Printing and Printing and 500 5000 5,000

Health Publication of publication of
Promotion and IEC materials IECs
Disease
Prevention

Procurement and Funding for

prepositioning of ESU
surveillance Establishment:
logistics
- Manpower
Strict - IT Equip. LOPTOP 40,000
implementation
of Minimum
Health Standards

-Reporting ESU
Forms establishment
funds
-Disease Fogging/Misting 80,000 80,000
Surveillance machine and
and Response Paraphernalia
Logistics Integrated

-Trainings / Office Supplies 10000 20,000 20,000

Seminars
TOTAL 51,000 107,000 107,000
OVERALL TOTAL 100,000 150,000 150,000

25 | P a g e
 2ND THEMATIC AREA: PREPAREDNESS PLAN
PREPAREDNESS MEASURES / RESOURCES BUDGETARY REQUIREMENTS
STRATEGIES NEEDED

HAZARD OBJECTIVES Conduct on the following Disaster Work and Funds for 2023 2024 2025
Risk Reduction Management in Financial Plan for DRRM-H
Health (DRRM-H) Trainings: Preparedness Trainings
Activities: 2,000 5000 5,000 AGENCIES/
DEPARTMENTS
INVOLVED IN
IMPLEMEN-
TATION

Flood, Storm Reduce Basic Life Support - Trainings Municipal Health

Surge, vulnerability Office,
and exposure Standard First-Aid - Drills Conduct of MDRRMO,
of identified drills c/o MLGO, MSWD,
hazards Emergency Medical Technician MDRRMO 15,000 Municipal
(Basic) Orientation (EMT-B) Engineering
Office

Health Emergency Response 6,000

Operation (HERO)
Public Health Emergency 9000
Management for Asia and the
Pacific (PHEMAP)

Water, Sanitation and Hygiene 2,100

Nutrition in emergency (NIE)
training
Mental Health and Psychosocial
Services
Surveillance in Post Extreme 4,500
Emergency and Disaster (SPEED)
Incident Command System 4,500
Training
Orientation on Mass Casualty 6,000
Management (MCM)

Procurement of Operation Center Establishment HEOC) 60,000 110,000 82,900

Equipment, Devices and Materials Health Emergency furniture’s and
and IT related products: Operation Center fixtures
(HEOC
- Hand Held Radio
- Cellphone
- Call Cards
- Flat Screen TV
- TV Decoder
- FM/AM Radio
- Emergency Light
- Laptops/Desktop
- 3 in 1 Printer
- Tables and Chairs
- Filer
- Monthly Internet Subscription
- Bond Papers

Conduct of Risk Assessment Logistics for Funds for 3,000 3,000

Training among Local Responders Emergency and logistics for
Disaster Response Emergency and
Disaster
Response
- Communication 2,000 2,000
Allowance
Conduct of Basic Epidemiology - Internet
and Disease Surveillance Training Subscription
- Local Health
Emergency
Networking

Updating of Disaster Risk - Communication

Reduction Management in Health and IT logistic
Plan

Conduct of Earthquake Drill ● Venue

● Training
Materials

● Resource
Speakers

26 | P a g e
 ● Printing and
publication
● Drill
Evacuation Plan

Procurement of the following 1.Medicines 37,000 94,000 84,000

logistics for Emergency and
Disaster Response:
- Drugs and Medicines 2.Life Support
Equipment
- Hygiene Kits -Nebulizer

- First-Aid Kits -Oxygen

- Sexual Reproductive Health -Spine Board

Kits
- Trauma Kits -Lighting and
Early Warning
Equipment’s
- Automated External Defibrillator
- MHPSS related materials
- Megaphone
- Spine Board
- Bandages
- Splints
- C-Collar
- Nutrition Surveillance tools
- Vitamin A, Iron and
Micronutrient Supplementation
Products
- Personal Protective Equipment
(PPE)
Procurement of Cadaver Bag

Establishment of Health Operation

Center

Designation of driver and vehicle

for emergency / disaster response

Conduct IEC in relation to Disaster

Preparedness

TOTAL 99,000 244,000 194,000

Establishment Conduct of Epidemiology and Funds and Work Funds for 1,000 1,000 1,000
of Code Alert Disease Surveillance and Financial Plan Disease
Levels ( White, Trainings/Activities: for the following: Outbreak
Blue and Red). Preparedness
Activities
- Philippine Integrated Disease - Disease
Surveillance and Response Training Outbreak
Preparedness
Activities
Disease Outbreak Reduce - Event-Based and Surveillance - Procurement of Trainings Municipal Health
morbidity and and Response Training Epidemiology and Office, MDRRMO
mortality Surveillance
Logistics
- Basic Epidemiology and - Freight and Basic
Surveillance Training Handling Service Epidemiology
Fee for specimen and
Surveillance
- Donning and Doffing - Hiring of
additional
Manpower
- Specimen collection, packing
and transport
- Risk Assessment Training
- Philippine Integrated Disease
Surveillance Orientation

● Procurement of Epidemiology Funds for

and Surveillance Logistics Procurement of
(NPS/OPS, Transport Media, etc…) Epidemiology
and
Surveillance
Logistics
● Hiring of additional manpower
for disease surveillance
● Creation of SOI/SOP for
outbreak investigation / response

● Provision of Disease
Surveillance IEC materials

Conduct of bloodletting activity Funds for Rice 5,000 5,000

Incentives to
Bloodletting
Activity
Donors

27 | P a g e
 TOTAL 1,000 6,000 6,000

OVERALL 100,000 250,000 200,000

2ND THEMATIC AREA: TOTAL

PREPAREDNESS PLAN

3RD THEMATIC AREA: RESPONSE PLAN

HAZARD OBJECTIVES RESPONSE
MEASURES / TIMELINE BUDGETARY
STRATEGIES REQUIREMENTS
ANTICIPATORY 0 – 48 > 48 HOURS 2023 2024 2025
ACTIONS HOURS

ALL ● Activation of · Issuance of 130,000 100,000 100,000

HAZARD Code Alert recommendation
S Levels (White, from DRRM-H
Blue and Red). Manager to the ✓
chairperson.
● To activate · HEARS FIELD/ ✓
Health ESR report to PESU
emergency and RESDRU .
operations
center ● Situation ✓
equipped with Assessment
response ● Attend Pre- ✓ ✓
workforce Disaster Assessment
Meeting among
LDDRM Council
● To ensure the ● Activation of ✓
timely, DRRMH Response
effective and Plan
well- ● Activation and ✓ ✓
coordinated Issuance of Health
health response Code Alert System
actions
● Pre-positioning ✓
To ensure
adequate, of drugs and
prompt and medicines
well- ● Establish 24/7 ✓
coordinated Health Emergency
assessment of Operation Center
needs and
damaged health
● Risk assessment ✓
for influenza or
facilities
COVID-19 Infection
among identified
responders
● Assign and ✓
deploy resources
and assets to achieve
established initial
health response
objectives

● Address health-
related requests for
assistance and
information from
other agencies,
organization
● Initial risk ✓ ✓
communications
activities
● Document all
response activities

28 | P a g e
● Ensure that the ✓ ✓
needs of special
populations (e.g.,
children, disabled
person, elderly,
pregnant etc.) are
being addressed
● Management of ✓ ✓
field/on-site
activities especially
on Medical, WASH,
Nutrition and
MHPSS
✓ ✓
● Conduct of Field
Disease Surveillance

● Coordination
with
responding/receivin
g hospitals for
management of
casualties and
provision for
continuing
operations/services
● Manage health- ✓ ✓
related volunteers
and donations
● Inventory and ✓ ✓
maintenance of a 24-
hour supply of
drugs, medical
supplies, PPEs,
diagnostic supplies
(e.g., specimen
bottles), water
treatment; also
including
management of
donations
● Update ✓
emergency risk
communication
messages

● Management ✓
and use of
emergency transport
vehicles in
coordination with
the hospital and
response team
members.
● Collect and ✓ ✓
analyze data that are
becoming available
through health
surveillance and
laboratory systems
● Periodically ✓
assess health
resource needs and
acquire as necessary
● Address ✓ ✓
psychosocial and
mental health
concerns
● Prepares for ✓
transition to
extended operations
or response
disengagement

● Continue health ✓
surveillance/
epidemiologic
services

29 | P a g e
 ● Ensure that local ✓ ✓
health system is
preserve and access
to health care,
including essential
drugs and vaccines,
is guaranteed
● Psychological ✓ ✓
First-Aid among
responders

● Reiteration of ✓
PDITR Strategies

● Provision of ✓
accident insurance
among responders
TOTAL: 130,000 200,000 200,000

4TH THEMATIC AREA: RECOVERY AND

REHABILITATION
HAZARD OBJECTIVES REHABILITATION WITHIN 1 YEAR WITHIN 1 – 3 YEARS BUDGETARY REQUIREMENTS
AND RECOVERY
ACTIVITIES /
STRATEGIES
All Hazards Assess damage, ● Conduct damage ✓ 2023 2024 2025
losses, and assessment (Hospital,
damage needs Health Office, BHS,
during disasters Pharmacy, Laboratory,
as basis for the etc…) and field
formulation of validation
rehabilitation and
recovery program of local
● Conduct ✓
estimation of losses
health sector
● Formulate health ✓
rehabilitation and
recovery framework
● Review post- ✓ ✓
disaster budget for
health
● Undertake ✓ ✓
investment
programming to
identify and prioritize
projects and activities
that incorporate
resilience building

● Promote resilient ✓ ✓
rehabilitation and
recovery activities in
both public and private
sectors

● Reconstruction or ✓
relocation of health
facilities applying the
“Building Back Better
Principle”

TOTAL 130,000 50,000 50,000

30 | P a g e
A. Policy on Health Emergency Management

31 | P a g e
32 | P a g e
B. Policy on Disease Surveillance

33 | P a g e
34 | P a g e
C. EXPANDED LOCAL HEALTH BOARD RESOLUTION NO. 004-2023

35 | P a g e
36 | P a g e
D. RESOLUTION ADOPTING THE MINIMUM REQUIREMENTS OF DISASTER RISK
REDUCTION AND MANAGEMENT IN HEALTH SYSTEM

37 | P a g e
38 | P a g e
E. SPECIAL ORDER DESIGNATION AND RESPONSIBILITIES OF MUNICIPAL DISASTER RISK REDUCTION AND
MANAGEMENT IN HEALTH MANAGER AND ASSISTANT MANAGER.

39 | P a g e
40 | P a g e
F. LIST OF HEALTH EMERGENCY RESPONSE TEAM

NAME OF PLACE OF STATUS OF TRAININGS YEAR CELL NUMBER

RESPONDERS ASSIGNMEN RESPONDER ATTENDED ATTENDED
T VOLUTEER
/LGU
CHOLLA J. RHU LGU BASIC LIFE 2017 & 09559277464
MAGALLON SUPPORT 2023
MHPSS 2023
ROEL JAY T. RHU LGU BASIC LIFE 2010 & 09050273349
ABRICA SUPPORT 2023
STANDARD 2010
FIRST AID
ARLYN B. RHU LGU BASIC LIFE 2022 09168628481
CABAHUG SUPPORT
STANDARD 2022
FIRST AID
GRACE O. RHU LGU BASIC LIFE 2023 09855816006
NUNEZ SUPPORT
LYNIE JEAN P. RHU LGU BASIC LIFE 2023 09177337555
VILLAN SUPPORT
GERALD E. LGU LGU BASIC LIFE 2022 09051522078
ADRIATICO SUPPORT
STANDARD 2022
FIRST AID
ARLIE Q. LGU LGU BASIC LIFE 2023 09709879545
TENORIO SUPPORT
RAYMUND A. LGU LGU BASIC LIFE 2023 09757648101
VELEZ SUPPORT
JOZELYN S. MDRRMO LGU WASAR 2022 & 09305137092 /
MILALLOS 2023 09359810185
BASIC LIFE 2018 &
SUPPORT 2023
STANDARD 2018 &
FIRST AID 2023
PHOEBE JANE MDRRMO LGU WASAR 2022 & 09097740009
R. AQUE 2023
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
VINCENT A. MDRRMO LGU BASIC 2021 09265120997 /

41 | P a g e
 GOOC EMERGENC 09519459406
Y RESPONSE
BASIC LIFE 2022 &
SUPPORT 2023
STANDARD 2022 &
FIRST AID 2023
WASAR 2022 &
2023
HERBERT S. MDRRMO LGU WASAR 2022 & 09653080149
LOPINA 2023
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
GERJEN S. MDRRMO LGU WASAR 2022 09655488422
GOOC
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
ROVIC KLENN MDRRMO LGU WASAR 2022 & 09468672774
T. AJIAS 2023
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
JIMRO S. MDRRMO LGU BARANGAY 2004 09558442580
BLANDO TANOD
SKILLS
ENHANCEM
ENT
PROJECT
FIRE 2004
VOLUNTEER
TRAINING
WASAR 2023
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
DERWIN C. LGU VOLUNTE WASAR 2022 09675972970/
SUBRADO ER 09300235633

42 | P a g e
 BASIC 2021
EMERGENC
Y RESPONSE
ELVIS R. LGU LGU WASAR 2018 & 09758065738
CABILLO 2023
BASIC 2021
EMERGENC
Y RESPONSE
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
BERNALDO L. LGU LGU WASAR 2018 & 09558031936
SAMPORNA 2023
BASIC 2021
EMERGENC
Y RESPONSE
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
HEROEIN T. LGU LGU WASAR 2018 0975 667 1419
HOLOYOHOY
BASIC 2021
EMERGENC
Y RESPONSE
BASIC LIFE 2023
SUPPORT
STANDARD 2023
FIRST AID
ANGELO LGU LGU BASIC LIFE 2023 09304334605
BRIEL P. SUPPORT
ABELO
STANDARD 2023
FIRST AID

Source : MHO & MDRRMO Office , 2023

G. Health Emergency Response Team and Organizational Structure

43 | P a g e
 HON. HANEYA THERESA YAP-CHIONG
CHAIRPERSON

HON. AGHMAR A. YAP

VICE CHAIRPERSON
SB ON HEALTH

JOZELYN S.MILLALOS RODANTE T. CHIONG, MD, MPH, FPSMS

MDRRMO DRRM-H Manager

ADAH MAE A. CABASAN

CHRISTINE RONQUILLO
Communication Liason Officer

ROEL JAY T. ABRICA CHOLLA J. MAGALLON

Assistant DRRM--H Manager Response

MAYOR'S STAFF RESPONSE

PLANNING

TRESURER'S OFFICE
FINANCE CHOLLA J. MAGALLON
MEDICAL/MHPSS TEAM
JENNY PORTACION
LOGISTICS
SANITARY INSPECTOR
WASH TEAM

MNAO
NUTRITION TEAM

JENNY PORTACION
LOGISTICS TEAM

ROEL JAY T. ABRICA

SURVEILLANCE TEAM

HOSPITAL TEAM
IF NEEDED

H. MEMORANDUM ORDER NO. 006-2023

44 | P a g e
I. Summary of Activities and Commodities to be procured with corresponding
amount

Trainings Account/ Cost

45 | P a g e
Priority Activities Item/ Quantity 2023 2024 2025 Remarks
1 pax 700/day x DRRM-H Preparedness
1. WASH emergency Training - 2,100
3days Funds
2. Surveillance in Post Extreme 1 pax 1500/day DRRM-H Preparedness
- 4500
Emergency and Disaster (SPEED) x 3 days Funds
1 pax 1500/day DRRM-H Preparedness
4 Incident Command System Training - 4500
x 3 days Funds
3. (BLS)Basic Life Support – 6 pax 600/day x
18,000 MDRRMO Funds
CPR/standard first aid 5 days

6 pax 600/day x
4. Standard First Aid Training 18,000 MDRRMO Funds
5 days

5. Orientation on Health Emergency 2 pax 1500/day DRRM-H Preparedness

- - -
Management Staff/ DRRM-H x 3 days Funds

6. PIDSR and DRRM-H orientation 10 pax

- - - DRRM-H Preparedness
among Health Emergency Response 1500/day x 3
Funds
Team days

7. Orientation on Mass Casualty 2 pax 1500/day DRRM-H Preparedness

- - 6,000
Management (MCM) x 2 days Funds
8. (PHEMAP) Public Health Emergency 2 pax 1500/day DRRM-H Preparedness
- 9,000 -
Management for Asia and the Pacific x 3 days Funds

9. (HERO) Health Emergency 2 pax 1500/day DRRM-H Preparedness

- 6,000 -
Response Operation Course x 3 days Funds

10. Orientation on Philippine

3 pax 1500/day DRRM-H Preparedness
Integrated Disease Surveillance - - -
x 5 days Funds
Response

11. Emergency Medical Technician 2 pax 1500/day DRRM-H Preparedness

- 15,000 -
(Basic) Orientation x 5 days Funds

12. Event based Surveillance and 3 pax 1500/day DRRM-H Preparedness

- - -
Response (ESR) Training x 5 days Funds
13. Roll-out of Research Institute for
Tropical Medicine Manual on 2 pax 1500/day DRRM-H Preparedness
- - -
Outbreak and Laboratory x 3 days Funds
Investigation
DRRM-H PREPAREDNESS FUNDS TOTAL 0 30,000 17,100
1 pax 1500/day
1 MHPSS Training 1,500 - - MHO Funds
x1day
2 pax 1500/day
2. Vaccine Preventable Diseases (VPD) - - - MHO Funds
x 3 days
3. Nutrition in emergency (NIE) 2 pax 700/day x
- 4,200 - MHO Funds
training 3days
4. Minimum Initial Service Package 2 pax 700/day x
4,200 - MHO Funds
Reproductive Health (MISP-RH) 3days
MHO Funds TOTAL 1,500 8,400 0

Description Account/ Cost Remarks

2023 2024 2025

I.1ST THEMATIC AREA DRRM-H Prevention and

Prevention and Mitigation

46 | P a g e
A. Flood, Storm Surge Mitigation Funds

1. Funds for Meetings 1,000 4,000 4,000

2. Funds for Medicines 44,000 64,000 64,000

Funds for bacteriological testing= 3,000 3,000 3,000

P 3,000/yr/water source

Funds for tarpaulin printing 1,000 2,000 2,000

B. Disease Outbreak

1. Meeting / orientation funds 500 2,000 2,000

Printing and publication of IECs 500 5,000 5,000

3. Loptop 40,000

4. Fogging/Misting machine and 50,000 50,000

Paraphernalia Integrated

5. Office Supplies 10,000 20,000 20,000

TOTAL 100,000 150,000 150,000

Description Account/ Cost Remarks

2023 2024 2025

II.) 2ND THEMATIC AREA: DRRM-H : Preparedness

PREPAREDNESS PLAN Funds
A. Flood, Storm Surge
a1.Funds for DRRM-H Trainings
Emergency Medical Technician (Basic) 15,000
Orientation (EMT-B)
Health Emergency Response Operation 6,000
(HERO)
Public Health Emergency Management for 9,000
Asia and the Pacific (PHEMAP)
Water, Sanitation and Hygiene 2,100
Surveillance in Post Extreme Emergency and 4,500
Disaster (SPEED)
Incident Command System Training 4,500
Orientation on Mass Casualty Management 6,000
a2. HEOC Furniture’s and Fixtures 60,000 110,000 82,900
a3.Funds for logistics for Emergency and 3,000 3,000
Disaster Response
*Communication Allowance 2,000 2,000

a4. Medicines
Life Support Equipment

Nebulizer
37,000 94,000 84,000
-Oxygen

47 | P a g e
Spine Board

Lighting and Early Warning Equipment’s

B.) DISEASE OUTBREAK

B1. Funds for Disease Outbreak Preparedness 1,000 1,000 1,000

Activities
B.4 Funds for Rice Incentives to Bloodletting 1,000 6,000 6,000
Activity Donors
TOTAL 100,000 250,000 200,000

III. 3RD THEMATIC AREA – RESPONSE PLAN DRRM-H : Response

Funds
ALL HAZARDS Activation of Code Alert Levels
(White, Blue and Red)
To activate Health emergency operations
To ensure the timely, effective and well-
coordinated health response actions.
To ensure adequate, prompt and well-
coordinated assessment of needs and damaged
health facilities
TOTAL 130,000 100,000 100,000

IV. 4TH THEMATIC AREA-RECOVERY AND 2023 2024 2025 DRRM-H : Recovery and
REHABILITATION Rehabilitation Funds

All Hazards
Conduct damage assessment (Hospital,
Health Office, BHS, Pharmacy, Laboratory,
etc…) and field validation
Conduct estimation of losses
Review post-disaster budget for health
Undertake investment programming to
identify and prioritize projects and activities
that incorporate resilience building
Promote resilient rehabilitation and recovery
activities in both public and private sectors
Reconstruction or relocation of health
facilities applying the “Building Back Better
Principle”
TOTAL 130,000 50,000 50,000

OVERALL TOTAL 460,000 550,000 500,000

J. Gantt Char

Month of the year 2023

Activities Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec

48 | P a g e
1. WASH
emergency
Training
2. Nutrition in
emergency (NIE)
training
3. MHPSS
Training
4. (BLS)Basic Life
Support –
CPR/standard
first aid
5. Standard First
Aid Training
6. Orientation on
Health
Emergency
Management
Staff/ DRRM-H
7. PIDSR and
DRRM-H
orientation
among Health
Emergency
Response Team
8. Orientation on
Mass Casualty
Management
(MCM)
9. (PHEMAP)
Public Health
Emergency
Management for
Asia and the
Pacific
10. (HERO)
Health
Emergency
Response
Operation Course
11. Orientation
on Philippine
Integrated
Disease
Surveillance
Response
12. Emergency
Medical
Technician
(Basic)
Orientation
13. Event based
Surveillance and
Response (ESR)
Training
14. Roll-out of
Research
Institute for
Tropical
Medicine Manual
on Outbreak and
Laboratory
Investigation
15. Vaccine
Preventable
Diseases (VPD)
16. Surveillance
in Post Extreme
Emergency and
Disaster (SPEED)

49 | P a g e
17. Incident
Command
System Training
18. Minimum
Initial Service
Package
Reproductive
Health (MISP-RH)

Month of the year 2024

Activities Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec

1. WASH
emergency
Training
2. Nutrition in
emergency (NIE)
training
3. MHPSS
Training
4. (BLS)Basic Life
Support –
CPR/standard
first aid
5. Standard First
Aid Training
6. Orientation on
Health
Emergency
Management
Staff/ DRRM-H
7. PIDSR and
DRRM-H
orientation
among Health
Emergency
Response Team
8. Orientation on
Mass Casualty
Management
(MCM)
9. (PHEMAP)
Public Health
Emergency
Management for
Asia and the
Pacific
10. (HERO)
Health
Emergency
Response
Operation Course
11. Orientation
on Philippine
Integrated
Disease
Surveillance
Response
12. Emergency
Medical
Technician
(Basic)
Orientation
13. Event based
Surveillance and
Response (ESR)

50 | P a g e
Training
14. Roll-out of
Research
Institute for
Tropical
Medicine Manual
on Outbreak and
Laboratory
Investigation
15. Vaccine
Preventable
Diseases (VPD)
16. Surveillance
in Post Extreme
Emergency and
Disaster (SPEED)
17. Incident
Command
System Training
18. Minimum
Initial Service
Package
Reproductive
Health (MISP-RH

Month of the year 2025

Activities Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec

1. WASH
emergency
Training
2. Nutrition in
emergency (NIE)
training
3. MHPSS
Training
4. (BLS)Basic Life
Support –
CPR/standard
first aid
5. Standard First
Aid Training
6. Orientation on
Health
Emergency
Management
Staff/ DRRM-H
7. PIDSR and
DRRM-H
orientation
among Health
Emergency
Response Team
8. Orientation on
Mass Casualty
Management
(MCM)
9. (PHEMAP)
Public Health
Emergency
Management for
Asia and the
Pacific
10. (HERO)
Health
Emergency
Response

51 | P a g e
Operation Course
11. Orientation
on Philippine
Integrated
Disease
Surveillance
Response
12. Emergency
Medical
Technician
(Basic)
Orientation
13. Event based
Surveillance and
Response (ESR)
Training
14. Roll-out of
Research
Institute for
Tropical
Medicine Manual
on Outbreak and
Laboratory
Investigation
15. Vaccine
Preventable
Diseases (VPD)
16. Surveillance
in Post Extreme
Emergency and
Disaster (SPEED)
17. Incident
Command
System Training
18. Minimum
Initial Service
Package
Reproductive
Health (MISP-RH

Annex

i. Management of Victims in Evacuation Centers

52 | P a g e
The LGUs have the overall responsibility for setting up and managing evacuation centers (EC) for displaced
populations during an emergency or disaster. The DOH and other concerned national agencies are called upon to
assist in managing and running these centers if the need goes beyond what the local governments can handle.

General Guidelines

1. All established evacuation centers should be able to provide the four essential packages of health services:
Health Care, WASH, Nutrition and Psychosocial.
2. The EC should have areas for medical station/clinic, isolation and quarantine facilities, breastfeeding corners.
3. The EC must be able to provide evacuees with access to safe water, sanitary toilet, and waste disposal area.
4. Essential drugs/medicines and medical supplies must always be available in the EC once activated.
5. The EC should be equipped with communication and transportation facilities to be able to refer and transfer
evacuees needing higher level of health care.
6. Health point persons assigned in managing evacuees must actively participate in the overall management of the
evacuation center.

53 | P a g e
Specific Guidelines

Ensure that the following essential services are available in the evacuation centers:

Table 1. Essential Services in Evacuation Centers

Health WASH Nutrition Psychosocial
Services

• Medical • Toilet and bathing •Establishment of • Rapid MHPSS

station/clinic areas; well lit, can be breastfeeding assessment
locked from inside; with areas/corners
• Isolation and • Level 1:
adequate ventilation; with privacy,
quarantine facilities psychosocial
separate for men and security and
for communicable services for
women; 4 female toilets supportive care
diseases acute needs:
to 3 male toilets; 1 toilet
• MUAC screening psychological
• Basic medicines for disabled
first aid,
and medical • Food and
• provision of
supplies – inspection and
Installation/construction basic needs
CAMPOLAS Plus kit monitoring of
of toilet facilities: toilets
milk code • Level 2:
• Medical teams for short-term
violations addressed to
available 24/7 displacement – 1 per 50
vulnerable
especially for high- persons; for long-term • Outpatient
groups -
risk EC/temporary displacement – 1 per 20 feeding for
community and
shelters persons moderately and
family support
severely acute
• Consultation and • Provision of potable
malnourished • Level 3:
treatment, drinking water (bottled
(MAM/SAM) focused
immunization, water, water
children (high-risk services at
chemoprophylaxis rationing/trucking);
group) managing high-
water analysis and
• Reproductive risk cases to
treatment • Referral of
health services; prevent and
severely acute
child care Services • Continuous water reduce risks of
malnourished
quality monitoring mental health
• Provision of children with
(water analysis and cases and their
services for TB and complications
treatment) consequences
other non- psychosocial
• IYCF assessment
communicable • Provision of water kits
and counselling processing
diseases (HPN, (PSP) or
• Provision of hygiene
diabetes, etc.), • Provision of debriefing,
kits;
including access to breast counseling, etc.
continuous • Promotion activities milk supply (milk
provision of banks and wet • Level 4:
• Vermin control specialized
medicines nurses)
program such as services for
• Provision of spraying, fumigation, • Blanket cases:
transport to misting if necessary Supplementary treatment by
other/higher level Feeding for specialists,
• Provision of garbage
health facilities children 6-59 management in
bins or labeled waste
months mental health
Note: receptacles
facilities
• Provision of
• ECs within 500 • Repair/restoration of
vitamin A • Provision of
meters of nearest water facilities
capsules (VAC), psychotropic
public health
Multiple drugs
facility shall utilize
Micronutrient
that facility. • Consultation
Powders (MNP);
iron with folic and treatment;
• ECs more than
500 meters from acid;
• Provision of
nearest public transport to
• Zinc
health facility higher-level
supplementation
should be manned

54 | P a g e
 by health staff 8
hours on a daily
basis for the first 2
weeks.
Each respective Point Person of the Cluster In-Charge of the service packages shall carry out the tasks listed below.
In providing these services, there are international standards known as SPHERE that can be used as reference.
Pre-Impact
(A day or days before)
• Ensure collection and
dissemination of
information to partners
by HEMS
Operations Center.
• Identify high-risk areas
based on pre-event data
to determine areas to be
prioritized in logistics and
human resource
mobilization.
• Check inventory of
resources and prepare
logistical needs:
• CAMPOLAS Plus kits
• First aid kits
• Family kits
• Hygiene kits
• WASH supplies
• Cot beds
• Tents
• Cadaver bags
• Check coverage of
health programs in the
areas to be affected.
• Have standby medical
teams and public health
teams.
• Conduct pre-
deployment orientation
to teams.
• Map out partners (4Ws:
Who, What, When,
for all diarrheal health facilities
cases
• Inclusion of
fortified foods in
family packs
Table 2. Tasks of the Health Cluster Point Person
During Impact Post-Impact
(0 hour to 48 hours) (After 48 hours and
onwards)
• Coordinate with • Ensure adequate and
partners and call for a timely provision of different
cluster meeting for health services in areas
planning health response. affected:
• Activate Health Cluster • Medical consultation and
Response Plan. treatment
• Ensure deployment of • Measles immunization
rapid health assessment
• Tetanus vaccination
teams and regular
submission of reports • Chemoprophylaxis
which will be used in
planning response • Reproductive health
actions.
• Health education
• Ensure assessment of
• Activate SPEED.
established evacuation
centers/ temporary • Provide CAMPOLAS Plus
shelters. kits and other logistics.
• Ensure assessment of • Provide technical
all affected health assistance.
facilities.
• Augment medical and
• Deploy medical teams public health teams based
and public health teams on the assessments done
depending on needs of and surge of patients.
the assessed areas.
• Ensure assessment of all
• Decide activation of damaged health facilities.
SPEED in all health
facilities. • Map out Health Cluster
Response using 4Ws (Who,
• Augment logistics such What, When, Where).
as medicines, medical
supplies, WASH supplies, • Conduct regular cluster
cadaver bags, etc. to meetings.
affected areas. • Ensure proper
• Ensure submission of documentation of all health
reports to Operations responses provided, lessons
Head and HEM learned and
Operations Center. recommendations for the
improvement of future
• Continuously
55 | P a g e
Where) disseminate reports to response.
partners
• Ensure submission of
• Conduct Health Cluster reports to Operations Head
meetings; initiate quad or and dissemination of
tri-cluster meetings reports to partners.

• Prepare Recovery and

Rehabilitation Plan.

56 | P a g e
Table 3. Tasks of the Nutrition Cluster Point Person
Pre-Impact
(A day or days before)
• Monitor through the
Operations Center or
through quad media.
• Update resource
inventory/mapping of
logistics:
• Vitamin A capsules
• Multiple micronutrient
powders
• Ferrous sulfate or iron
with folic acid
• IECs for nutrition
• MUAC tapes
• Weighing scale
• Weight for height
reference table
• Height board
• RUTF
• RUSF
• Human milk banks
(inform them ahead for
proper coordination)
• Obtain pre-event data
and get nutrition status of
areas that have great risk of
the incoming
emergency/disaster.
• Coordinate with partners
in relation to their
availability, location, and
resources available.
• Activate Standby Teams
depending on the
magnitude expected or
projected:
• Joint Rapid Nutrition
Assessment Teams
• Infant feeding/
Breastfeeding Support
Groups
During Impact Post-Impact
(0 hour to 48 hours) (After 48 hours and
onwards)
• Obtain health • Provide technical
assessment reports, and assistance on the
real-time updates from following:
the Operations Center or
• Implementation of
other sources.
nutrition interventions
• Establish contacts and
• Information
gather critical
management
information (baseline) to
identify immediate • Monitoring and
priorities where situation evaluation
may worsen.
• Resource augmentation
• Identify areas for and generation
assessment, prepare
team, request for • Policy monitoring of
augmentation if EO51 (MILK Code)
necessary, and facilitate
• Lead/facilitate cluster
deployment; conduct
coordination initiatives.
pre-deployment
orientation • Lead in the preparation
of Recovery and
• Assist in the conduct of
Rehabilitation Plan.
gap-analysis and in the
prioritization and • Continuously review and
planning/ scheduling of update action plan.
nutrition interventions.
• Report daily to HEMS
• Disseminate daily OpCen on
situation report to DOH accomplishments and
HEMS and partners. interventions done.
• Alert notification to • Regularly report to quad
health facilities with or tri-cluster meetings.
capacities for severe
acute malnutrition (SAM) • Accomplish
or “severe wasting” documentation including
management in the area. Post-Incident Evaluation.
57 | P a g e

Pre-Impact
(A day or days before)
• Monitor event through
the Operations Center or
through quad media.
• Gather data and
information regarding
status and assessment of
evacuation
center/temporary shelters.
• Coordinate with partners
in relation to their
availability, location, and
resources available.
• Conduct inventory of
WASH logistics.
• Map and check status of
partners.
• Start communication and
coordination with
partners.
• Prepare WASH teams on
standby.
• Initiate action planning
for MHPSS response.
Note:
a. WASH assessment in
pre-Identified ECs c/o LGU
b. Prepositioning water
(bottled water) c/o LGU
and partners
c. Prepositioning of
hygiene kits c/o LGU or RO
Table 4. Tasks of the WASH Cluster Point Person
During Impact Post-Impact
(0 hour to 48 hours) (After 48 hours and
onwards)
• Obtain health • Provide technical
assessment reports and assistance on the following:
real-time updates from
• Implementation of WASH
the Operations Center or
interventions
other sources.
• Repair/restoration of
• Establish contacts and
water facilities c/o LGU,
gather critical
water providers and
information (baseline) to
partners
identify immediate
priorities where situation • Monitoring and
may worsen. evaluation
• Activate WASH cluster; • Conduct WASH damage
activate WASH response needs and assessment.
plan.
• Continuously augment
• Identify areas for water kits/water
assessment, prepare disinfectants, hygiene kits,
WASH assessment teams water testing reagents, IEC.
with logistic provision,
facilitate deployment; • Continuously and
conduct pre-deployment massively promote hygiene.
orientation.
• Identify response gaps
• Organize WASH and resource requirements;
services in the evacuation arrange for resource
centers, communities augmentation and
and hospitals. generation.
• Disseminate daily • Map out MHPSS response
situation report to DOH using 4Ws (Who, What,
HEMS and partners. When, Where).
• Ask for assistance from • Continuously review and
Regional WASH Team if update action plan.
needed.
• Lead/facilitate cluster
Note: coordination initiatives;
attend quad cluster
a. Provision of potable meetings.
water (bottled water,
water rationing/ trucking, • Lead in the preparation of
water treatment) c/o Recovery and Rehabilitation
LGU, partners and RO Plan.
b. Provision of water kits • Report daily to HEMS
and hygiene kits c/o LGU OpCen on accomplishments
or RO and interventions done.
c. Provision of labeled • Document response
waste receptacles c/o including Post-Incident
LGU and partners Evaluation.
58 | P a g e

Pre-Impact
(A day or days before)
• Monitor event through
the Operations Center or
through quad media.
• Conduct pre-disaster
MHPSS risk assessment.
• Coordinate with
partners in relation to
their availability, location,
and resources available.
• Review resource map
and check inventory of
resources (health facilities,
psychiatric facilities, rehab
and treatment centers,
trained MHPSS providers,
experts, drugs and
medicines, MHPSS kits, IEC
materials, etc.)
• Map and check status of
partners.
• Start communication
and coordination with
partners.
• Prepare MHPSS teams
on standby.
• Review stockpile of
logistical needs.
• Initiate action planning
for MHPSS response.
Table 5. Tasks of the MHPSS Cluster Point Person
During Impact
(0 hour to 48 hours)
• Obtain health
assessment reports and
real-time updates from
the Operations Center or
other sources.
• Establish contacts and
gather critical information
(baseline) to identify
immediate priorities
where situation may
worsen.
• Activate MHPSS cluster;
activate MHPSS response
plan.
• Identify areas for
assessment, prepare
MHPSS assessment teams
with logistic provision,
facilitate deployment;
conduct pre-deployment
orientation.
• Organize MHPSS
services in the evacuation
centers, communities and
hospitals.
• Disseminate daily
situation report to DOH
HEMS and partners.
Post-Impact
(After 48 hours and
onwards)
• Provide technical
assistance on the following:
• Implementation of
MHPSS interventions
• Screening and referral to
higher levels for high risk
cases
• Monitoring and
evaluation
• Conduct MHPSS
orientations as necessary.
• Disseminate IEC
materials.
• Identify response gaps
and resource requirements;
arrange for resource
augmentation and
generation.
• Map out MHPSS response
using 4Ws (Who, What,
When, Where).
• Continuously review and
update action plan.
• Lead/facilitate cluster
coordination initiatives;
attend quad cluster
meetings.
• Lead in the preparation of
Recovery and Rehabilitation
Plan.
• Report daily to HEMS
OpCen on accomplishments
and interventions done.
• Accomplish
documentation including
Post-Incident Evaluation.
59 | P a g e
ii. SPHERE Standards for the requirements in the provision of Health, WASH, Nutrition and Psychosocial
Services:

Table 6. SPHERE Standards for the Provision of Health,

WASH, Nutrition and Psychosocial Services
HEALTH

HEALTH SERVICE DELIVERY EMERGENCY SHELTER GUIDELINES

1 basic health unit 10,000
population
1 health center Accommodation
50,000 people
1 district/rural Minimum floor area 3.5 m2/person
hospitals 250,000
people Minimum Air space 10 m3/person
>10 inpatient and
maternity beds 10,000 people Minimum Air 30m3/person/
Circulation hr

Minimum distance 75 cms

between beds

HUMAN RESOURCES
1 medical doctor 50,000 Washing
population
1 nurse 1 hand basin 10 persons
10,000
1 midwife 1 wash (4-5m)/100
population
1 community health bench persons
10,000
worker
population
Clinicians
1,000
population

50 patients per
day

SEXUAL AND REPRODUCTIVE HEALTH

Pregnant women in their 3rd trimester Laundry platform (3 m double-
should receive clean delivery kits. sided)
At least 4 health facilities with
BEmONC and newborn care/500,000 Two/100 persons
population
At least 1 health facility with
CEmONC and newborn care/500,000
population
Proportion of deliveries by
Caesarian section is not less than 5% or
more than 15%

60 | P a g e
NUTRITION

NUTRITIONAL CLASSIFICATION OF MALNUTRITION IN

ASSESSMENT AND CHILDREN
MEASURING TARGETS
Nutritio Well- MAM SAM
Age Ave. % in n nourishe Give Ave. % in
Groups Populatio Indicato d additiona Populatio
n r l Vit A n

6-11 mos infants

Weight +2 to 1 WFH- 3- WFH 12-59 mos children and

Infants < 1.35 for SD <-2 Z <-3 Z postpartum women
6 mos (unless they have not
1.35 received similar dose
6-11 mos
10.8 Height (90- score score
12-59 120%) (70- (<70%
mos 11.7
79%) ) *Average daily energy
10.5 requirement is 2,100
5-9 years MUAC kcal/person/day broken
9.5 >13.5 cm into:
10-14 MUAC MUAC
years 48.6 11.5- <11.5 > 10% of total energy
15-19 <12.5c cm provided by protein (53g)
3.5 Edema m
years
Absent > 17% of total energy
3.0 provided by fat (40g)
20-59 Absen
years t
Absent > Adequate micronutrient
*Pregnan intake
t Women

*Lactatin *Special needs of

g Women pregnant women

>Needs additional 300

kcal/day

>If malnourished, need

another 500 kcal/day

>Should receive iron and

folate supplements

*Special needs of lactating

women

>Needs an additional 500

kcal/day

>If malnourished, need

another 500 kcal/day

>Should receive sufficient

fluids, taking into account
activity.

61 | P a g e
BREAST FEEDING Give Elemental Iron
Up to 6 mos *Breastfeed as often as child wants, at least 8x in 24 2-6 mos (low 0.3ml of 15
hours birth weight) mg /0.6ml
6 mos to 12 mos *Breastfeed as often as the child wants. In addition,
give adequate servings of
complementary food 3x a day
10-49 yrs 1 tab 60 mg
12 mos to 2yrs *Breastfeed as often as child wants. Give adequate servings of lactating iron with
complementary food at least 5 women/non- 2.8 mg folic
pregnant acid weekly
times a day
women
> 2 yrs *Give three meals of family food per day. Also give nutritious
food 2x a day
180 days 1 tab 60 mg
MICRONUTRIENT SUPPLEMENTATION DURING EMERGENCIES/DISASTERS
starting from Fe with
SITUATION
determinatio 400mcg
n of folic acid
pregnancy daily
Micronutrien
Give additional Vit A Ave. % in t Powder
Population (MNP)
supplement
6-11 mos infants 100,000 IU
6-23 mos. Anemic Therapeutic
children; patients less dose
expand than 10 yrs
12-59 mos children and postpartum 200,000 IU
provision of
women (unless they have not 1 tab of
MNP to 24-
received similar dose in past 4 wks.) 60mg Fe
59 y.o. as Anemic 10-49 with 400
well as yrs mcg folic
pregnant and
acid daily
lactating
until
women
Hemoglobi
n
normalizes
Measles
vaccine

Should be
available
targeting all
infants and
children 6-59
mos. (may be
expanded up
to 15 yrs with
substantial
crowding)

62 | P a g e
WATER, SANITATION AND HYGIENE (WASH)
WATER REQUIREMENTS FOR
SURVIVAL (PER PERSON)
Use Guideline quantity
Type of need Quantity
(liters per Health centers 5 liters/outpatient; 40-60 liters/in-
day) and hospitals patient/day (additional for laundry
equipment, flushing toilets)
Survival 2.5-3 lpd Cholera centers 60 liters/patient/day; 15
(drinking and Therapeutic liters/carer/day
food) 2-6 lpd
feeding centers 30 liters/in patient/day; 15
3-6 lpd Reception/ liters/carer/day
Basic transit centers 15 liters/ person/day if stay
hygiene 7.5- 15 lpd Schools is more than one day
practices Mosques 3 liters/pupil/day for
All flushing drinking and hand washing (use for
Basic cooking toilets toilets not included)
needs Anal washing 2-5 liters/person/day for
Livestock/day washing and drinking
TOTAL
1-2 liters/person/day
cattle, horses, mules: 20-30
MAXIMUM NUMBER OF
liters/head; goats, sheep, pigs: 10-20
PEOPLE PER WATER SOURCE
liters/head; chickens: 10-20 liters per
250 people Based on a 100
per tap flow of 7.5
liters/min
500 people
per hand Based on a
pump flow of 17
liter/min
500 people
per single Based on a
use open flow of 12.5
well liter/min

SUGGESTED QUANTITIES OF WATER AND WATER TREATMENT OPTIONS AND HOUSEHOLD DRINKING
DISTANCES OF WATER POINTS FROM SHELTERS WATER
AT DIFFERENT STAGES OF EMERGENCY
Item Amount
RESPONSE
Time Qty Distance

2wks-1mo 5 lpd 1 km 3.5 mg tab

(free available
Drinking Water
1-3 mos 10 lpd 1 km chlorine 2mg) for 1-
Disinfectant (tablet),
liter water
3-6 mos 15 (+) lpd 0.5 km sodium dicholoro- 67 mg tab
isocyanourate (free available
chlorine 40 mg) for
Minimum provision of domestic water twenty liters’ water
containers:

Two vessels 10-20 L for collecting water plus Stock

Solution: Mix 1 tsp/5
one 20 L vessel for water storage, (narrow Water Disinfectant grams of calcium
necks and covers) per 5 person HH (granular), calcium hypochlorite in 1-liter
hypochlorite (65-70% water
available chlorine) From Stock
Maximum distance 500 meters Solution: Mix 2 tsp in
from any HH 20 liters of water and
15 minutes let it stand for at
Maximum waiting least 30 min
time to collect water 1.2x1.2x1.8 meters in
size for every 500
Disposal of wastes persons Water disinfectant 3.5 ml of
(liquid) 1.25% sodium

63 | P a g e
 through communal hypochlorite solution
pit for every 20L water
LIST OF BASIC HYGIENE ITEMS
Item Amount

10-20-liter capacity 1/household

water container for
transportation 1/household

10-20-liter capacity 1/person/

water container for month
storage 1/person/
250 g bathing soap month

250 g laundry soap 1/person

Acceptable material
for menstrual
hygiene

WATER, SANITATION AND HYGIENE PSYCHOSOCIAL SERVICES

(WASH) (...continued)

BASIC SURVIVAL WATER NEEDS ESSENTIAL HEALTH SERVICES - MENTAL HEALTH:

KEY ACTIONS
Use Minimu Remarks
m
demand
* Ensure interventions are
Survival 2.5-3 L Depends developed on the basis of identified needs
needs: on the and resources.
water climate * Ensure that there is at least one
intake and staff member at every health facility who
(drinking individual manages diverse, severe mental health
and physiology problems in adults and children.
food) * Enable community members
including marginalized people to
Basic 2-6 L Depends strengthen community self-help and social
hygiene on social support.
practices and * Address the safety, basic needs
cultural and rights of people with mental health
norms problems in institutions.
* Ensure that community workers,
Basic 3-6 L Depends including volunteers and staff at health
cooking on food services, offer psychological first aid to
needs type and people in acute distress after exposure to
social and extreme stressors.
cultural * Minimize harm related to
alcohol and drugs.
norms
As part of early recovery, initiate
TOTAL plans to develop a sustainable community
7.5-15L mental health system.

MINIMUM WATER DEMAND PER DAY

(PROLONGED PERIOD)
Use Minimum
demand

Drinking 2
liters/person/da
Food
y
preparatio

64 | P a g e
n and 10
cooking liters/person/da
y
Bathing
15
Laundry
liters/person/da
Sanitation y
and
15
hygiene
liters/person/da
TOTAL y

10
liters/person/da
y

52
liters/person/da
y

iii. Five major kits that must be prepared and prepositioned during an emergency or disaster:
(i) Family Kit,
(ii) First Aid Kit,
(iii) Trauma Kit,
(iv) Hygiene Kit, and
(v) CAMPOLAS kit’s.

Family Kit. This kit is intended for families living in far-flung areas to meet their medical needs during the
emergency to minimize their movements. One kit is estimated to be adequate for a family of five members.

Components of the Family Kit

Items Specifications Qty Unit

Hydrogen peroxide 3% solution, 60 ml plastic bottle 1 Plastic bottle

Povidone iodine 10% solution, 60 ml plastic bottle 1 Plastic bottle

Calamine lotion, 60 ml bottle 1 Plastic bottle

Fucidate sodium/fusidic acid 2% cream, 5 grams’ tube in a box 1 Tube

Oral rehydration salts (ORS 75 replacement) total weight - 20.5 g. per sachet in 1 Packet/ sachet
aluminum foil

Composition:

Sodium chloride - 2.6 g

Trisodium citrate dihydrite - 2.9 g

Potassium chloride - 1.5 g

Glucose anhydrous - 13.5 g

Total weight - 20.5 g

Reduced osmolarity ORS- equivalent in mmol/L:

Sodium - 75

65 | P a g e
Chloride - 65

Potassium - 20

Citrate - 10

Glucose anhydrous - 75

Total osmolarity - 245

Paracetamol 500 mg tablet 10 Tablets

Mefenamic acid 500 mg capsule 10 Capsules

Silver sulfadiazine 1% cream 20 or 25 grams 1 Tube

Lagundi 300 mg tablet 10 Tablets

B. Medical supplies

Gauze pads, 2 x 2 inches, 8-ply, 24 x 20 mesh, sterile, individually packed 5 Packs

Surgical paper tape, hypoallergenic, 1/2-inch x 10 yards 1 Roll

Cotton, absorbent, 12 grams, individually packed 1 Roll

Plaster strips, strong adhesive, perforated strips, sterilized, soft absorbent layer, non- 5 Pieces
stick film

Bayabas (herbal) soap, 25 grams, bar in box 1 Bar

Instruction Guide for Family Kit, laminated 1 Piece

Family Kit bag 1 Piece

a. First Aid Kit. These kits are intended to be brought by the team of responders on site. Each kit must
contain the following items.

Components of the First Aid Kit

Items Specifications Qty Unit

Surgical gloves, latex, disposable, sterile 5 Pairs

Elastic bandage, 10 cm. x 1.6 (un stretched) approx. 4.5 m. stretched, permanent strong 2 Rolls
compression bandage with high stretch for controllable compression, with selvedges
and fixed ends, made of cotton, compression bandage with high stretch, individually
packed

Cotton, absorbent, 25 grams, individually packed 1 Pack

Bandage scissors, standard, stainless steel, length 5 ½” (14 cm) approximately 1 Pair

Triangular bandage, 100% cotton, white, non -sterile, 40 "x 40" x 56", with 2 safety pins, 1 Piece
individually packed

Gauze pads, 2 x 2 inches, 8-ply , 24 x 20 mesh, sterile, individually packed, 100 packs per 10 Packs
box

Gauze pads, 4 x 4 inches, 8-ply , 24 x 20 mesh, sterile, individually packed, 100 packs per 10 Packs
box

Surgical paper tape, hypoallergenic, 1-inch x 10 yards, roll 1 Roll

Gauze bandage, 2 " x 6 yards, 24 x 20 mesh, individually packed in box 1 Roll

66 | P a g e
 Gauze bandage, 4 " x 6 yards, 24 x 20 mesh, individually packed in box 1 Roll

Plaster strips, soft absorbent layer, perforated strips, strong adhesive, non-stick film 10 Pieces

Hydrogen peroxide 3% solution, 60 ml plastic bottle 1 Plastic Bottle

Povidone iodine 10% solution, 60 ml plastic bottle 1 Plastic Bottle

Calamine lotion 60 ml 1 Plastic Bottle

Oral rehydration salts (ORS 75 replacement), 20.5 grams per sachet 5 Packets

Paracetamol 500 mg tablet 30 Tablets

Lagundi 300 mg. tablet 30 Tablets

Mefenamic acid 500 mg capsule 30 Capsules

Silver sulfadiazine 1% cream, 25 grams’ tube 1 Tube

Fucidate sodium/ fucidic acid, 5 grams tube 1 Tube

Amoxicillin 500 mg capsule 30 Capsules

Bayabas herbal soap, 65 grams 1 Bar

First Aid Kit bag 1 Piece

Instruction Guide for First Aid Kit, laminated 1 Piece

c. Trauma Kits. These kits are intended for affected areas with moderately or severely damaged Barangay Health
Stations (BHS), for initial response.

Components of the Trauma Kit

Items Specifications Qty Unit
Personal safety
Surgical gloves, sterile, size 7, 50 pairs per box 10 Pairs
Safety goggles individually packed with plastic 1 Pair
Minor cuts and scrapes
Elastic bandage, 4 inches’ width, 2 metal locked, length unstretched 60 " or 5 ft, 10 Rolls
permanent strong compression bandage with high stretch for controllable compression
with selvedges and fixed ends, made of poly cotton, individually packed
Gauze pad/swab 2 inches’ x 2 inches, 12-ply, 24 x 20 mesh, sterile, individually packed, 25 Packs
100 packs per box
Tongue depressor, wooden, individually packed, sterile 2 Pieces
Surgical paper tape, hypoallergenic, 1/2-inch x 10 yards, 24's box 1 Roll
Larger trauma/injuries
Gauze pad/swab 4 inches x 4 inches, 12-ply , 24 x 20 mesh, sterile, individually packed, 25 Packs
100 packs per box
Gauze bandage, 4" x 6 yards, 24 x 20 mesh, individually boxed 4 Rolls
Triangular bandage, muslin cloth, cream, non – sterile, approximately 90 cm x 90 cm x 2 Pieces
127 cm, individually packed
Elastic bandage, 4 inches’ width, 2 metal locked, length unstretched 60 " or 5 ft, 10 Rolls
permanent strong compression bandage with high stretch for controllable compression
with selvedges and fixed ends, made of polycotton, individually packed
Survival blanket 1 Piece
5 Oral airways 1 Set
Stethoscope 1 Set
Sphygmomanometer, aneroid with case 1 Set
Cold packs, large 2 Packs
Wound Dressing
Sodium chloride irrigation solution, 250ml 2 Bottles
Antiseptic wipes 20 Packs

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Alcohol hand sanitizer 4oz 1 Bottle
Antibiotic ointment 5 Tubes
Splinter forceps 1 Pair
Alcohol prep pads 12 Packs
Resealable plastic bag 1 Piece
Biohazard trash bag 2 Pieces
Ballpen 1 Piece
Bag/container for the contents 1 Piece
Minor suturing set: needle holder, tissue scissor, tissue forcep, eye towel, cotton swab, 3 Sets
betadine swab
PNSS 1 liter 1 Bottle
Asepto syringe 50 cc (plastic) 2 Pieces
Suture set 2.0 12 Pieces

d. Hygiene Kit. These are intended for families primarily in the evacuation center to ensure personal cleanliness
and minimize infection. One kit is good for a family of five members.

Table 6. Components of the Hygiene Kit

Items Specifications Qty Unit

Detergent bar, 420 grams 2 Bars

Toothbrush 5 Pieces

Toothpaste, 145 grams 1 Tube

Shampoo 10 ml 5 Sachets

Sanitary napkin/pads, 8 pads 3 Packs

Water dipper (tabo) 1 Piece

Towel, rectangular, white, cotton 5 Pieces

Utility pail w/ cover, plastics, 12 L, lock-zip tie 1 Piece

Bath soap, 135 grams 2 Bars

Panty (4 small, 4 mediums, 4 large) 12 Pieces

Malong 1 Piece

e. CAMPOLAS (Cotrimoxazole, Amoxicillin, Mefenamic, Paracetamol, Oresol, Lagundi and Skin ointment) Plus Kit.
This contains two kits: one which includes treatment for 100 diagnosed patients normally seen in evacuation
centers; plus, a kit which includes medicines for non-communicable diseases like diabetes, hypertension, and for
the treatment of wounds. Each kit can address 100 patients diagnosed. Each kit is good for 1000 evacuees. It is
assumed that 10% of a given population is expected to get sick. Hence, about 1,000 people are expected to get sick
in a population of 10,000 in each affected Barangay.

Table 7. CAMPOLAS Plus Kit for Barangay

Items Specifications Qty Unit

Cotrimoxazole 800 mg tablet 100 tabs/box 45 Treatment packs

Cotrimoxazole syrup 200 mg 60 ml 20 Bottles

Amoxicillin 500 mg capsule, 100 tabs/box 45 Treatment packs

Amoxicillin 250 mg, 5 ml powder susp. 60 ml 20 Bottles

Metformin 500 mg tablet, 100 tabs/box 2 Boxes

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 Paracetamol 250 mg, 5 ml powder susp. 60 ml 20 Bottles

ORS, 10 sachet/box 30 Sachets

Lagundi 300 mg, 5 ml syrup, 120 ml 20 Bottles

Lagundi 300 mg tablet, 100 tabs/box 600 Tablets

Skin ointments

Plus

Sulfur ointment, 30 grams tube 10 Tubes

Fusidate/fucidic acid tube 20 Tubes

Imidazole 10 Tubes

Losartan 500 mg tablet/100 tablet/box 3 Boxes

Vitamin A (Retinol) 200,000 IU/ 100 caps/bottle 1 Bottle

Vitamin B complex, 100 tabs/box 6 Boxes

Doxycycline 100mg, 100tabs/box 3 Boxes

Amlodipine 10 mg, 100 tabs/box 3 Boxes

Sambong 300 mg tabs, 100 tabs/box 2 Boxes

Gauze pad 4 x 4, 100 pads/box 1 Box

Gauze pad 2 x 2, 100 pads/box 1 Box

Plaster strip, 100 pcs/box 1 Box

Surgical tape 1/2 inch, 24 rolls/box 1 Box

Cotton 100 grams 1 Roll

Povidone Iodine 5 Bottles

i. Specific Guidelines in the Management of Logistics

Management of Logistics during pre to post impact

Pre-Impact Impact Post-Impact

• * Preposition the necessary • * Coordinate with the IC or on-site • * Evaluate logistics

logistics in identified strategic
areas along the path and
within the diameter of the
hazard.
• * Check/update inventory of all
essential logistics
(drugs/medicines, equipment, • * Facilitate the release of all
supplies/ materials) in all
warehouses. * Check
prepositioned logistics in all
implementing agencies, most
especially in areas that might
be affected by the incident.
• * Anticipate and project
coordinators for additional assistance
logistics needed in addition to provided during
what have been previously the Response
prepositioned (in terms of Phase, covering
additional quantity or other types adequacy of the
of drugs/medicines or supplies). logistics,
timeliness of
delivery, quality of
essential logistics to the response
commodities,
teams, health facilities, on-site
prioritization,
advance medical post, and
wastage incurred
evacuation centers needing
and how this can
logistics assistance in addition to
be minimized in
those prepositioned.
the future,
• * Monitor the movement of the alternative

69 | P a g e
 requirements for goods and commodities from measures
drugs/medicines, equipment source to intended recipients. undertaken,
and other logistical needs (e.g., contributions and
• * Coordinate with concerned
food, clothing of medical staff, sharing from other
offices/agencies, health facilities
linens for patients, sources, and
and other previously identified
housekeeping/cleaning condition of
sources for augmentation of
materials, etc.) Validate these warehouses/
commodities and other logistical
against the commodities storage areas.
needs, determining which source
identified in rapid health
to mobilize and for affected • * Update inventory
assessment;
areas/sites to be prioritized for of resources and
• * Assess adequacy and status of assistance. submit inventory
essential drugs and medicines to concerned
• * Receive, store and distribute
currently maintained by the offices.
commodities from various
LGU where the event is
sources (DOH-CO, ROs, • * Review and
expected to occur.
contiguous ROs, LGUs) including update systems
• * Source out logistics from donated commodities. and plans.
warehouses, regional offices or
• * Assess the situation and make • * Replenish utilized
hospitals as needed, and also
necessary adjustments in the resources and
tap all possible sources, both
allocation and delivery of endorse remaining
internal and external. Based on
goods/commodities according to logistics to
the inventory and assessment,
number of victims and those concerned
decide to make emergency
affected or severity of the facilities/offices.
procurement.
damages and loss.
• * Reposition
• * Review existing data on
• * Anticipate surge demand for regional resources
available suppliers and special
commodities and undertake for emergency.
arrangements made with the
emergency procurement as
following:
needed.
- * Credible pharmaceuticals/
suppliers (e.g., credit lines) to
ensure continuous supply of
needed
drugs/medicines/supplies

Pre-Impact Impact Post-Impact

• Maintenance service I Identify and organize Logistics * Document the

providers to ensure prompt Team on-site to help logistics
repair and/or temporary load/unload commodities, carry, management process
replacement of critical and unpack/repack as needed. and outcome and
medical equipment that Ensure that all submit report.
may break down during commodities/logistics received
• Provide reports to
disasters are in accordance to DOH
donors.
recommended protocol.

Forwarders, to be informed
of the need; also identify
other sources as ICDRRMC
and other means.
Orient all staff involved in
logistics management on
their tasks and the proper
protocols and procedures.
May set up a one-stop shop for
emergency procurement to
facilitate acceptance of
procured drugs, medicines and
equipment and facilitate
processing of payment if Code
Red.
• Record the end distribution

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• Coordinate with HEMS destination for items in the
Coordinator, Logistics and stock records to ensure that
Supply they are used appropriately and
to provide reliable reports.

Officer, Budget Officer, and

the person in charge of
warehouse management to
ensure a single coordinated
logistics operation.

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 i. How to Activate and Run the OpCen

Steps/Tasks in Activating the OpCen Pre- During- Post Impact

Pre-Impact During Impact Post-Impact

(A day or days before) (0 hour to 48 hours) (After 48 hours

and onwards)

• * Activate or continue operation 24/7. • * Continue monitoring • * Continue

24/7. monitoring (24/7)
• * Identify needed staff based on the
all response
Code Alert level. • * Recommend elevation,
efforts for
downgrading or lifting of
• * Ensure that all staff are oriented as reporting
alert codes anytime during
to their tasks based on the OpCen purposes and
the entire operation.
Manual guideline. documentation.
• * Adjust staffing based on
• * Ensure availability of all • * Ensure that all
the code.
communication lines and other aspects of
lifelines. • * Record/update all operations in the
reports from all OpCen are
• * Support the Command Center and adequate and
implementing offices and
the IC if activated. sufficient (staff,
include in the daily
reports. communications
• * Continue monitoring (24/7) quad
and fuel, food,
media, social networks, all agencies
• * Coordinate with the field rest etc.)
of the government, and all other
offices for important data
reliable sources.
needed (deaths, logistics, • * Continue
accomplishments, status preparation of
• * Analyze data and prepare reports
of health facilities, drugs Power Point
as needed.
and medicines, etc.) and presentation and
• * Provide Flash Reports if necessary. as required by OCD. other reports
needed for
• * Send Alert Memos to regions, • * Coordinate for RHA evaluation,
hospitals and LGUS. reports. submission to
• * Monitor preparedness done higher authorities
• * Coordinate with
(OpCen activation, Code Alert levels, and relevant
appropriate ICDRRMC for
ready teams, OpCen staff availability, offices.
updated reports from
logistics prepositioned or standby, other sectors. • * Continue
etc.) by all implementing facilities. providing support
• * Receive requests for
• * Coordinate with disaster offices to the Command
augmentation of logistics
(ICDRRMC) partners, and cluster Center and the IC.
and/or team and submit
members for information and to operations or offices • * Monitor and
available resources. assigned for team track logistical
deployment. mobilization and
• * Coordinate with Logistics section
for all available resources. deployment of
• * Continuously report to
teams.
superiors and manage the
• * Answer queries from the public and
preparation of reports and • * Continue
provide necessary health advisories.
documentation. processing
• * Prepare timely and updated reports requested
and Power Point presentations that logistics by
might be needed by higher affected areas.
authorities.
• * Continue
• Report to superiors regularly. coordination with
appropriate
offices for
requests
pertaining to their
respective
mandates.

72 | P a g e
 • * Determine and
send
representatives to
Operations
Centers of
ICDRRMO and
affected areas.

• * Assist in the
preparation of
the Recovery and
Rehabilitation
Plan by providing
needed reports.

ii. List of Physical Facilities, Equipment and Materials in the OpCen

List of Physical Facilities, Equipment and Materials in the OpCen

Type Specific Items

Physical Facilities • Monitoring station • Quarters

• Communication area • Sanitary and
• Work station lodging area
• Conference room • Storage room
• Pantry
Communication Equipment • Landline • LCD television
• Cell phone • Computer
• Base radio (desktop, laptop)
• Hand-held radio • Printer
• Fax machine • Xerox machine
• Satellite phone • Scanner
• LCD projector
Operations Equipment • Wall clock • Air conditioning
• Conference table and chairs unit
• Book shelves and cabinets • Electric fan
• Generator
Office Supplies • White board • Fastener
• Bulletin boards •
• Cork boards Flashlights/emerg
• Cassette recorder ency light
• Extension cords • Logbook
• Stamps • Copy paper
• Staplers • Cartolina
• Staple remover • Manila paper
• Scissors • White-board
• Push-pins marker
• Paper clips • Ballpen
• Masking tape • White board
• Scotch tape eraser
• Puncher
• Laminating
machine
• File binder
• File system box
Food Service • Hot beverage containers, •
cups, bowls Refrigerator/freez
• Food preparation/serving er
equipment • Dish-washing
• Food storage supplies
• Stove • Pitchers, glasses
or paper cups
• Garbage bins

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 • Water dispenser
Sanitary and Lodging • Toiletries
• First aid kit
• Linens and beddings
• Cot beds
Others • Specimen Refrigerator

i. Recommended OpCen Staff Complement by Code Alert Level

Conditions for code alert activation

Code Alert Levels (White,Blue and Red)

Alert – The period when it is believed that resources maybe required to enable an increased level of
awareness.
Stanby- the period normally following an alert when the controlling organization believes that the
development of resources is imminent-personnel are placed on Stanby to respond immediately.
Call-out- The command to deploy resources.
Stand-down- The period when the controlling organization has declared that the emergency is
controlled and that the resources maybe recalled.
1.Conditions for adopting Code White
Strong possibility of a military operation (e.g., coup attempt, armed conflict) with a national
implication
• Any planned mass action or demonstration with a national implication
WHITE • Forecast typhoons (signal no. 2 up)
• local elections and other political exercises
• Local events, holidays or celebrations with potential for MCI
• Any emergency with potential 10-20 casualties (deaths, injuries)
• Notification of reliable information of terrorist attack/activities
• Any other hazard that may result in emergency
• Unconfirmed report of reemerging diseases (e.g., bird flu, SARS, COVID-19,)
2. Human Resource requirements for responding to the code:
 All health personnel on Alert Status (On-Call)
 First Response Team should be on call and ready for dispatch to include the ff:
Doctor,Nurse, First Aider/EMT, Driver
 Second Response Team should be on call.
 The Disease Surveillance Team (DST) should be on call.
3.Other Requirements:
 HEOC should be activated, it should continuously report and coordinate with Barangay Health
Emergency Response Team (BHERT), DST and the LDRRMO First Responder.
 Emergency medical supplies including medicines and service medical personnel should be
READY in local be activated.
 Activated Emerging and Re-emerging Disease and enforce use of PPE for all health personnel.
1.Condition for adopting Code Blue:
 When 21-50 casualties (Red Tags) are suddenly rushed to hospital.
 For condition other than MCI, the influx of injured patients/individuals is beyond the capacity
of the health facility receiving emergency/triaging.
BLUE  Confirmed/document report of reemerging diseases (SARS,Human to human avian flu, Covid-
19)
2. Human Resource requirements for responding to the code:
 On scene response team
 BHERT on affected areas on scene
 Triage Team and DST deploy on duty.
 First Aider/EMT and LDDRMO 1st responder on scene.
 HEOC personnel functioning on duty with 1st health emergency incident command meeting
started.
 Social Welfare Service on duty and goods food packs pre-positions.
3. Other Requirements:
 Media/Press Briefing –Officially channel to the HEOC
 PNP assistant on traffic and crowd control.
 LDRRM Council emergency meeting called with Incident Command System (ICS)
activated.
Any condition mentioned in Code White plus any of the two below:
• Mobilization of CHO resources is needed (manpower, materials, etc.)
• 30-50% of health facilities in the area are affected or damaged.
• No capability of the Barangay level and/or lack of resources of the Barangay to respond to the
affected area.
• Magnitude of the disaster based on geographic coverage and number of affected population is
more than 30%.
• Any Mass Casualty Incident with 21-50 casualties irrespective of color code.
• High case fatality rate for epidemics.
• Confirmed human-to-human cases of avian flu or SARS.

74 | P a g e
 1. Condition for adopting Code Red:
 When more than 50 (Red Tag) Casualties are suddenly brought to hospital and/or
RED overwhelming influx of injuries/victims at the triage local health facility.
 When the referral hospital is paralyzed due to 50% of personnel are victims,
structurally damaged, on mandatory quarantine.
 Emerging-reemerging diseases with uncontrolled human to human transmission.
2. Human Resource requirements for responding to the code:
 On scene; All responders with additional Triage Team on Main health facility and
evacuation centers health responders, manager and psychological first aider.
3. Other Requirements;
 Media/Press Briefing-Officially channel to the HEOC
 PNP assistants on traffic and crowd control
 LDRRM Council on active conference mode.
 Evacuation centers prepared and functional with transport vehicles for dispatched.
 Provincial emergency response team dispatched for augmentation and/or
augmentation and/or for off-site medical assistance support.
 Funeral services contracted and briefed.
 Declaration of disaster in the affected area
• 100 or more casualties in one area
• Health personnel in the City not capable of handling entire operation
• Mobilization of the health sector needed
• Mobilization of key offices in CHO
• Uncontrolled human-to-human transmission of SARS/avian flu

Table 13b. Recommended OpCen Staff Complement by Code Alert Level

Code Alert Staff Complement

WHITE At least 2 staff with a supervisor; driver and security guard to assist, with 2
relievers on standby
BLUE 3 teams with supervisors with each team composed of 4 emergency officers–on-
duty for 24 hours rotated every 3 days, with a driver/security guard to assist.
Incoming team on standby.
A team comprising the following and is on duty for 24 hours, rotated every other
3-4 days and is relieved by the next team with the same composition.
RED • Team leader/assistant team leader/ • Data encoder/collector (SPEED)/ •
Logistics EOD
• Communications EOD (in charge of line list)/ • Team Mobilization EOD/ • Team
Mobilization EOD
• Driver/security guard to assist/ • Administrative officer

Staff in Operations
Code Alert: WHITE Code Alert: BLUE Code Alert: RED

75 | P a g e
● Schedule regular ● Ensure that Rapid Health ● Do continuous
meetings. Assessment is done, monitoring and
especially for affected gathering of
● Obtain regular,
areas. data/information.
timely, accurate
information for ● Perform continuous ● Perform daily
decision-making. monitoring and gathering of analysis of
Get from data; analyze available data/information
Operations Center. information to serve as and decide if
inputs for decision-making. there is a need to
● Send alert memo if
change or
necessary. ● Organize your team and
improve plan or
assign point persons to strategies.
● Get information on
critical areas. Schedule daily
available logistics at (regular) meetings. ● For destroyed
all levels from the facilities,
Logistics group. ● Decide where to prioritize
recommend to
support such as evacuation put up field
● Decide to add to
centers, whether to send hospitals or send
prepositioned teams, how many to send,
logistics to areas teams to augment
and place of deployment. their staff.
that might be
affected; prepare to ● Decide establishment of ● Discuss with the
tap other sources. SPEED in priority health Planning group
facilities. the needed
● Coordinate with
partners and ● Review logistical memo or
clusters depending requests/needs and discuss guidelines to be
on the impending with the Logistics group to issued in
threat. source out needs if response to issues
unavailable in ICHEMSU at hand.
● Ensure enough staff
warehouse/ Stockroom. ● Prioritize
at Operations
Center plus standby ● Recommend health ICHEMSU
teams: public health advisories, public concerns: Health,
team. information releases and WASH, Nutrition,
press conferences. Psychosocial, and
● Prepare and review services
disseminate health ● Prepare reports and brief provided if
advisories. the Incident Commander adequate.
and the General Staff. ● Have regular
meetings on the
clusters to
maximize
resources and
share
information.
● Recommend
manpower
support, or send
experts to
affected areas.
● Do continuous
reporting and
strategizing with
the Incident
Commander and
other members of
the General Staff.

76 | P a g e
Procedures in Activating the ICS

There is a need to activate the ICS at all levels. The ICS at higher levels are more strategic, giving guidance and
support to the lower administrative levels. The ICS in the regions and LGUs, on the other hand, are more tactical in
their roles and functions. In this regard, each office concerned must know if they are to take the role of gold
(Strategic), silver (Tactical) or bronze (Tasking) positions and discuss when to activate their ICS.

Steps/Tasks in ICS Activation Pre-During-Post Impact

(A day or days before) During Impact Post-impact

(0 hour to 48 hours) (After 48 hours and

onwards)

With warning • Activate the ICS • Conduct meetings to • Continuously

(typhoon, • IC to assume position and
volcanic designate key members
eruption, (could be predetermined
tsunami, rally, or assigned).
biological
• Review and familiarize with
emergencies
Job Action Sheets.
such as
epidemics and • Organize respective teams. Action Plan for
radiological
contamination • Instruct OpCen of any
report or information
and
needed.
international
events and
• Activate Command Center
activities)
and schedule meetings;
more often during the first
days but gradually
reducing in frequency as
incident is managed.
• Check all resources, both
material and human
resources.
evaluate incoming reports, conduct meetings
information from quad to evaluate
media and appropriate reports/informatio
agencies (e.g., PAGASA for n.
typhoon)
• Regularly review
• Develop, approve and plans, improving or
disseminate Initial Incident amending them
especially during
implementation. the escalation of
the incident.
• Make strategic decisions
and overall guidance to • Anticipate logistical
the implementing requirements and
facilities/offices in the ensure its
field. continuous support
both in logistics and
• Establish database of all
human resources
logistical resources
needed.
available in all warehouses
and other sources. • Continue reporting
to higher
• Identify all standby teams
authorities and
and have them ready for
providing feedback
deployment already with
to the field.
needed supply and other
needs. • Decide the start of
recovery and
• Continue reporting to
rehabilitation phase
higher authorities and
and prepare plans.
providing feedback.
• Conduct post
• Ensure reporting and
evaluation and
documentation.
review of response.

• Ensure
documentation

Without • Not applicable • Same as above • Same as above

warning

(earthquake,
bombing,
armed conflict,
chemical
accidents, mass
casualty
incidents
especially those

77 | P a g e
related to
transportation
accidents)

iv. Tasks of Designated Offices/Staff in Operations, Planning, Logistics and Administrative/Finance by Code
Level

Tasks of Designated Offices/Staff in Operations, Planning, Logistics and Administrative/Finance by Code Level
Area Code Alert: Code Alert: BLUE Code Alert: RED
WHITE

Operations • Schedule regular Ensure that Rapid Health Do continuous

meetings. Assessment is done, monitoring and
especially for affected gathering of
• Obtain regular,
provinces/cities data/information.
timely, accurate
information for Perform continuous Perform
decision- monitoring and gathering of daily analysis of
making. Get data; analyze available data/information
from Operations information to serve as and decide if there
Center. inputs for decision-making. is a need to change
Organize your team or improve plan or
• Send alert memo and assign point persons to strategies.
if necessary. critical areas. Schedule daily For
(regular) meetings. destroyed facilities,
• Get information Decide where to recommend to put
on available prioritize support up field hospitals or
logistics at all (evacuation centers), send teams to
levels from the whether to send teams, how augment their staff.
Logistics group. many to send, and place of Discuss
deployment. with the Planning
• Decide to add to Decide group the needed
prepositioned establishment of SPEED in memo or guidelines
logistics to priority health facilities. to be issued in
barangays that Review logistical response to issues
might be requests/needs and discuss at hand.
affected; with the Logistics group to Prioritize
prepare to tap source out needs if concerns: Health,
unavailable in ICHEMSU WASH, Nutrition,
other sources.
warehouses. Psychosocial, and
• Coordinate with Recommend review services
partners and transfer of funds. provided if
clusters Recommend health adequate.
advisories, public Have
depending on
information releases and regular meetings on
the impending
press conferences. the clusters to
threat.
Prepare reports and maximize resources
• Ensure enough brief the Incident and share
staff at Commander and the General information.
Staff. Recommen
Operations
d manpower
Center plus
support, or send
standby teams: experts to affected
public health centers.
team and Do
trauma team. continuous
reporting and

78 | P a g e
• Prepare and strategizing with the
disseminate IC and other
health members of the
advisories. General Staff.

79 | P a g e
 Area Code Alert: WHITE Code Alert: BLUE Code Alert: RED

Planning • In coordination with

Operations,
Develop the initial Continuously
anticipate risks
Incident Action Plan. evaluate and update
related to the
Develop interim the plan.
hazard or event.
policies and guidelines and Make
• Check manpower disseminate as needed. projections, including
resources and place Together with other length of operation
members of the General Staff, and needed
them on standby.
identify resource requirements resources to support
and where to source them out, the operation.
including manpower Recommend
requirements. /decide acceptance
of volunteers.
Recommend
/decide support for
administrative needs.

Logistics • Check inventory of

logistics in all the
Deploy logistics as Continuously
warehouses.
requested or needed. deploy logistics and
• Check prepositioned Review existing continuously track
logistics in all arrangement with forwarders those mobilized.
implementing and inform them; identify Do
agencies, most other sources, such as the continuous
military c/o ICDRRMC, procurement if
especially in areas
Philippine Coastguard, etc. needed.
that might be
Review existing Anticipate
affected by the system with pharmaceuticals and project logistical
incident. as regards emergency needs and tap all
procurement. sources, both internal
• Review existing
Follow a system of and external.
arrangement with
tracking mobilized logistics. Recommend
forwarders, and Prepare staff for the sources of logistical
inform them; tap packing and mobilization of requirements to the
other sources, such logistical needs. IC
as ICDRRMC, and Source out logistic Receive
other means. needs from other warehouses. donations and inform
Do emergency Operations.
• Follow a system of procurement for unavailable Set up a
tracking mobilized logistics or when critical stock one-stop shop for
logistics. level has been reached. emergency
Coordinate regularly procurement to
• Prepare staff for the
with Operations and other facilitate acceptance
packing and members of ICS. of procured drugs,
mobilization of medicines and
logistical needs. equipment, and
facilitate processing
• Review
of payment.
arrangements with
suppliers and
anticipate possible
emergency
procurement.

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 Area Code Alert: Code Alert: BLUE Code Alert: RED
WHITE

Administrative/ Check Make available Establish

availability of petty cash for emergency a one-stop shop
Finance procurement, for needs of for processing of
funds,
including QRF. responders and other payments and
administrative needs. provision of
• Ensure Sub-allot funds to financial needs.
availability of regions and hospitals and Ensure
vehicles and other facilities or offices. continuous
drivers 24/7. Facilitate provision of petty
processing of funds for cash.
• Have standby liquidation, payment of Facilitate
administrative goods, drugs, etc. payments,
staff, Make available liquidations, per
engineers, needed transportation, diem of response
security and communications, fuel and teams, and other
safety officers. electricity. administrative
Ensure continuous needs and
• Anticipate support in terms of requirements.
escalation of vehicles, drivers, fuel and In
incident and other administrative coordination with
start preparing concerns. Planning,
necessary recommend
support to
documents in
affected areas in
case petty cash
terms of financial
will be needed. management.
Identify
possible cash
donors; receive
cash donations.

v. Managing the Victims of Mass Casualty Incidents

General Guidelines

1. Mass casualties require different categories of response. A mass casualty incident is a result of many types of
hazards resulting in emergencies/disasters, and can occur in a variety of ways, all of which have a bearing on the
type of response to be mounted. Examples include earthquakes, transport or vehicular accidents, violent crimes,
building collapse, hazardous materials incidents, civil disturbances, natural disasters resulting in flash floods,
landslides or storm surges, major fires, and terrorist attacks.

2. Multi-level/Multi-Sectoral Participation. A comprehensive set of interventions are needed in managing victims

of a mass casualty incident, necessitating multi-level and multi-sectoral actions from various groups of
stakeholders.

3. Preparation for MCI. Adequate preparation is essential in order to effectively and efficiently manage victims in a
mass casualty incident. This requires good preplanning, training, tested coordination, establishment of guidelines
and procedures, early implementation of Incident Command, maximum use of existing resources, and adequate

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preparation and response. The first five minutes in managing mass casualties actually determine what will happen
in the next five hours of the event.

Specific Guidelines

Field Management in a Mass Casualty Management System

There are eight components needed to respond to mass casualty incidents involving multi-sector groups. Different
agencies are involved in implementing these components but the ICHEMSU is mainly involved in the following
areas: alerting process, identification of the Advance Medical Post (AMP) covering the triage and treatment,
evacuation of victims to the hospital.

Definition and Components of MCI Field Management

Establishing Mass Casualty Management System Field Management

Definition: Encompass procedures used to organize the disaster area in order to

facilitate the management of victims

Components:

● Alerting Process ● Search and Rescue

● Pre-identification of Field Areas ● Field Care

● Safety/Security ● Evacuation

● Command Post ● Management Center

1. Alerting Process

The organization of the field management begins with the alert process with the following objectives:
Objectives of the Alerting Process
1. Confirm the initial warning.
2. Evaluate the extent of the problem.
3. Ensure that appropriate resources are informed and mobilized.

2. OpCen Functions

a) The OpCens established at the ICHEMSU play a critical role in the management of casualty incidents as
summarized below:

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Functions of OpCen for MCI
1. Receive all warning messages via all sources.
2. Serve as dispatch center in times of emergencies.
3. Anticipate scenarios and alerts and guide additional teams going to the site as needed.
4. Alert all receiving hospitals to prepare for influx of patients.
5. Coordinate and monitor logistical requirements/needs at the site.

b) The Operations and Dispatch Center shall observe the following conditions in dispatching the Response
Teams:

Guidelines in Dispatching Response Teams

1. For confirmed MCI, teams within the catchment area will be the first to be dispatched.
2. Teams outside the catchment area can also be dispatched upon the request of the team on-site or
upon instruction of ICHEMSU Operations Center.
3. The ICHEMSU Operations Center, upon instruction of the Incident Commander, can dispatch teams
upon monitoring events that necessitate response.
4. While the initial Response Teams have been dispatched, the Operations and Dispatch Center shall
anticipate a scenario alert or actively get more information to decide when additional teams might
be needed.
5. Nearby hospitals and possible receiving hospitals should anticipate and prepare by reviewing
logistics and personnel requirements.

3. Organization of Field Management

Field management encompasses the procedures used to organize the disaster area in order to facilitate the
management of victims. As shown below, a number of activities and processes have to be properly managed on-
site (pre-hospital organization) prior to bringing the victims to the hospitals or referring them to the evacuation
shelter. These processes, where the ICHEMSU is heavily engaged, include the Advanced Medical Post (AMP) where
triaging and stabilization of victims take place, including the transport of victims to the hospital.

Psychosocial Concerns for Disaster Workers

Burnout Syndrome: Although there is no universally accepted definition of burnout, most researchers define it as a
state of physical, emotional, and mental exhaustion that results from long term involvement in work situations
that are emotionally demanding (Schaufeli & Greenglass 2001).

Burnout Signs and Symptoms

Cognitive Emotional Physical Behavioral

• Mental • Depression • Physical • Excessive fatigue

confusion exhaustion
• Hyper-excitability • Hyperactivity
• Slowness of • Loss of energy
• Irritability • Inability to
thought

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 • Inability to make • Excessive rage • Gastro-intestinal express
judgments and
reactions distress self
decisions
• Anxiety • Appetite
• Loss of
disturbances
objectivity in
evaluating • Sleep disorders

own functions

Management of Burnout

• Being aware of and on the alert for the symptoms

• Official temporary relief from work
• Rotation of workers to low/moderate/high stress tasks
• Briefing/debriefing
• Buddy-buddy system
• Limited exposure to high-stress assignments
• Counseling and/or referral to psychiatrist

Quick Self-Check for Burnout Syndrome

Questions YES NO

1. Do you feel unable to think clearly, which hampers simple decision

making?

2. Do you get easily confused or unable to concentrate on specific task?

3. Do you feel excessively sad or get over-excited at times?

4. Do you feel restless or irritable even with minor provocation?

5. Do you experience frequent physical ailments such as headaches,

diarrhea,

and other gastro-intestinal problems?

6. Do you experience appetite or sleep disturbance?

7. Do you get tired easily to the point of avoiding interaction with other
people?

If you answer YES to 3 or more questions presented, better check yourself first.
You might be experiencing burnout.

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OPERATION CENTER FLOOR PLAN AND
ACTUAL SET-UP
Location of DRRMH Unit within Municipal Health Office

MUNICIPAL HEALTH OFFICE

Ongoing Construction of Municipal Epidemiology and Surveillance Unit

(MESU) with the Health Emergency Operation Center (HEOC)
as of October 17, 2023

GROUND FLOOR PLAN ( MESU)

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 2ND FLOOR PLAN (HEOC)

DOCUMENTATION OF DRILLS AND TRAININGS

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 Nationwide Simultaneous Earthquake Drill (NSED)
@ Municipal Building

Fire Drill @ Baliangao School of Fisheries

DOCUMENTATION OF MEETINGS
EXPANDED LOCAL HEALTH BOARD
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 3RD QUARTER MEETING
SEPTEMBER 12, 2023

BASIC LIFE SUPPORT TRAINING

OCTOBER 18, 2023

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 LOCAL DISASTER RISK REDUCTION
MANAGEMENT QUARTERLY MEETING
DECLARATION OF
CODE WHITE FOR BSKE ELECTION
OCTOBER 30, 2023

MEMORANDUM ORDER NO. 51 s 2023

CODE WHITE ALERT in the observance of the 2023
Barangay and Sangguniang Kabataan Election
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