Republic of the Philippines

Department of Health
E OF THE SECRETARY

February 20, 2023

DEPARTMENT MEMORANDUM
No. 2023 - ont4

TO : ALL DIRECTORS OF CENTERS FOR HEALTH DEVELOPMENT,

MINISTER OF HEALTH OF BANGSAMORO AUTONOMOUS
REGION IN MUSLIM MINDANAO (MOH-BARMM), CHIEFS OF
DOH HOSPITALS, ATTACHED AGENCIES, LOCAL HEALTH
SYSTEMS DIVISION CHIEFS AND OTHERS CONCERNED

SUBJECT : Interim Guidelines for the Transition of Disease-Based Programs to the

Implementation of Integrated Primary Care Services for UHC

One of the
pillars of the Republic Act No. 11223, otherwise known the Universal Health
Care (UHC) Act, is service delivery wherein providing integrated and comprehensive
as
primary care services for
all Filipinos is paramount.

Several policies have been issued to carry out the goals of the UHC which entails major shifts
to the current program implementation. These shifts must be done in phases through the
issuance of different supplemental and implementation guidelines, such as updating of
training packages, Manual of Procedures (MOPs), and other guidelines implementation tools.
Also, there are coordination meetings with the Health Facilities and Services Regulatory
Bureau (HFSRB) to
harmonize and streamline the certification process as a prerequisite to
the application of Department of Health-License to Operate (DOH-LTO), and the Health
Human Resource Development Bureau (HHRDB)
capacity-building activities and offer these trainings to the DOH academy.
to
facilitate the integration of different

In light of these, while the updating of standards and alignment with the relevant Bureaus are
still being finalized, the following are the interim transition guidelines:

A. Prioritize the following certification and/or trainings:

1. Trainings currently required for the application of DOH-LTO, DOH Accreditation

and/or PhilHealth accreditation (ANNEX A)

2. Trainings currently accessible in the DOH academy e-learning platform (Link to DOH
Academy: https://learn.doh.gov.ph/course/index.php );
3. Priority training of trainers conducted in partnership with development partners to
build the network of external training providers (ANNEX B)

4. Monitoring & Evaluation on the competency of healthcare providers (i.e. National

Competency Assessment for Malaria Microscopists (Validators), Outreach Training
and Supportive Supervision of Malaria Validators, Newborn Screening, etc.)

Interested health care providers, local government units (LGUs), and Centers for Health
Development (CHDs) shall directly coordinate for the request of capacity building to
external provider partners or DOH pool of trainers. (ANNEX C)

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila « Trunk Line 651-7800 Direct Line: 711-9501
Fax: 743-1829; 743-1786 « URL: http://www.doh.gov.ph; e-mail:[email protected]
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D
B. Use Existing Manuals of Procedures while guideline implementation tools for
implementation of the Omnibus Health Guidelines using the lifestage approach are being
developed. Please refer to the link: https://tinyurl.com/ExistingMOPs2023 for easy
reference.

C. Support Building Integrated Primary Care Capacity and Network Formation

1. CHDs may use disease-specific resources to help LGUs meet standards for primary
care services to increase the number of accredited primary care providers in their
localities, particularly for primary care licensing and PhilHealth accreditation.

2. CHDs may opt to utilize current resources to shift to lifestages approach within their
localities, prioritizing programs and interventions that address highest burden disease
and meet the target gaps.

3. CHDs may proactively develop partnerships with local academe, NGOs, private
partners, and relevant institutions to promote transition to the implementation of the
different programs using lifestage approach, which may include but not limited to,
organizational enhancement, staff development, group program managers, rollout
programs, etc., providedit is consistent with the following relevant issuances:

a. Department Circular No. 2022-0344: Dissemination of the Omnibus Health

Guidelines per Lifestage https://bit.ly/OmnibusHealthGuidelines

b. Department Circular No. 2021-0583: Dissemination of the Manual for Primary

Care Managers https://tinyurl.com/PrimaryCareManagers

c. Department Circular No. 2020-0176: Circulation of the Manual of Standards

for Primary Care Facilities http://bit.ly/PCFManualofStandards

d. Administrative Order No. 2020-0047: Rules and Regulations Governing the

Licensure of Primary Care Facilities in the Philippines, and its amendment.
(https://tinyurl.com/LicensingPCF) and https://tinyurl.com/AmendLTOPCE

4. CHDs shall coordinate and provide regular updates to DPCB through email address
[email protected] or local 2363. Please refer to ANNEX
and focal persons of DPCB for further clarifications.
for
the current structure

Please be guided accordingly.

By
the authority of the Secretary of Health,

BEVERLY LO INE C. HO, MD, MPH

Assistant Secretary Health
jof

Public Health Servi¢es Team

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ANNEX
A: List of Training and Certification Programs Required for DOH-LTO, DOH
Accreditation and/or PHIC Accreditation

Certification / Training program Prerequisite to Partner implementing institutions

1. Family Planning PhilHealth Trained CHDs

Competency-Based Training accreditation Updated list of FP trainers:
1&2 https://tinyurl.com/FPTrainers

2. Animal Bite Treatment PhilHealth CHDs and

Centers / Animal Bite Centers accreditation Research Institute for Tropical
Medicine (RITM)

3. Primary HIV Care Facility PhilHealth CHDs

accreditation

4. HIV Treatment Hub PhilHealth CHDs

accreditation

5. TB DOTS Center PhilHealth CHDs

accreditation

6. Malaria Microscopy Training PhilHeaith List of Trainers:

(Basic and Refresher) accreditation https://bit.lv/MalariaMicroscopyTraine
rs and RITM
7, PhilPEN PhilHealth CHDs, Philippine College of
accreditation Endocrinology Diabetes and
Metabolism
8. Training on Line Probe Assay philHealth RITM-National Tuberculosis
accreditation Reference Laboratory (NTRL)

9. Training on Solid TB Culture PhilHealth NTRL

using Modified Kudoh accreditation
10. Training on Solid Drug PhilHealth NTRL
Susceptibility Testing for accreditation
Mycobacterium Tuberculosis
11. Training on MGIT Liquid TB philHealth NTRL
Culture and Drug susceptibility accreditation
testing (first-line and
second-line)
12. Training on the Revised PhilHealth CHDs
National Tuberculosis Program accreditation
(NTP) Manual of Procedures,
6th Edition

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13. HIVCounseling and Testing PhilHealth CHD
Training accreditation

16. Primary HIV Care Training/ PhilHealth CHDs, DOH-Designated HIV

HIV Clinical Management accreditation Treatment Facilities
Training

14. Training of Trainers on Xpert PhilHealth NTRL

MTB/Rif Ultra accreditation

15. Training on Xpert MTB/RIF PhilHealth NTRL

Assay/Ultra accreditation

17. Training on MGIT Liquid TB PhilHealth NTRL

Culture and Drug accreditation
susceptibility testing (DST)

18. Training on Light Emitting PhilHealth NTRL

Diode Fluorescence accreditation
Microscopy

19. Training on Line Probe Assay PhilHealth NTRL

accreditation

20. Training on Solid TB Culture PhilHealth NTRL

using Modified Kudoh accreditation

21. Training on Solid Drug PhilHealth NTRL

Susceptibility Testing for accreditation
Mycobacterium Tuberculosis

22. Care for Small Baby Trainer’s PhilHealth Kangaroo Mother Care Foundation,
and Implementer Course accreditation Inc., CHDs

Note:
Training module will be endorsed. to
DOH Academy for uploading in the
e-learning platform.

23. rHIVda Confirmatory Testing DOH-LTO and National Reference Laboratory- STD
Training PhilHealth /AIDS Cooperative Central Laboratory
accreditation (NRL-SACCL)

24. Direct Sputum Smear DOH-LTO and NTRL

Microscopy Training for PhilHealth
RMTs accreditation

25. Certificate of Inclusion for DOH-LTO and CHDs

Blood Service Network (BSN) PhilHealth
accreditation

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26. Basic Emergency Obstetric DOH-LTO and Please refer to Annex A.1 for the List
and Newborn Care PhilHealth of Training Providers
(BEmONC) Training for accreditation
physicians, midwives, nurses

27. Newbor Screening DOH-LTO and Newborn Screening Reference Center

PhilHealth (NSRC)
accreditation

28. Newborn Hearing Screening DOH-LTO and Newborn Hearing Screening Reference
PhilHealth Center (NHSRC)
accreditation

29. Palliative and Hospice Care DOH-LTO and Trained CHDs and Jose B. Lingad
Basic Training Course for PhilHealth Memorial Regional Hospital
Primary Care Providers accreditation

30. Mother and Baby Friendly DOH-LTO and CHDs

Health Facility PhilHealth
accreditation

31. Mother and Baby Friendly DOH-LTO and CHDs

Health Facility Initiative PhilHealth
Assessor’s Course accreditation

32. Philippine Integrated DOH-LTO and World Vision, UNICEF, CHDs

Management of Acute PhilHealth
Malnutrition (PIMAM) accreditation

33. Training Course on the DOH-Certificate Trained CHDs, DOH-recognized

Provisional Accreditation of of Accreditation training provider
Physicians on the Screening (COA)
and Assessment of Drug
Dependence (Module 1)

34. Training Course on the DOH-COA Trained CHD, DOH-recognized

Provisional Accreditation of training provider
Physicians on the
Management and
Rehabilitation of Drug
Dependence (Module 2)

35. Standard Basic Training DOH-COA Trained CHD, DOH-recognized

Course on the Assessment and training provider
Management of Drug
Dependence for Physicians

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36. Orientation Seminar on Drug DOH-COA Trained CHD, DOH-recognized
Rehabilitation -related training provider
Policies, laws, procedures and
Programs related to Drug
Dependency Prevention,
Assessment and Management
for Psychiatrist and Addiction
Medicine Specialists

37. Basic Training Course on DOH-COA Trained CHDs, DOH-recognized

Rehabilitation Management of training provider
Drug Dependents for
Rehabilitation Practitioners

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ANNEX A.1: List Of BEmONC Training Centers Recognized By The DOH

A. Luzon
1. Baguio General Hospital and Medical Center, Baguio City;
Tlocos Training and Regional Medical Center, San Fernando La Union;
Mariano Marcos Memorial Hospital and Medical Center, Laoag City, Ilocos Norte;
Region 1 Medical Center, Dagupan City, Pangasinan;
SPNAMPYWDN

Cagayan Valley Medical Center, Tuguegarao City, Cagayan;

Veterans Regional Hospital, Bayombong, Nueva Vizcaya;
Jose B. Lingad Memorial Regional Hospital, San Fernando City, Pampanga;
Paulino J. Garcia Memorial Research and Medical Center, Cabanatuan City, Nueva
Ecija;
Batangas Medical Center, Batangas City;
10. Bicol Regional Training & Teaching Hospital in collaboration with Bicol
University,
11. Legazpi City, Albay;
12. Bicol Medical Center in collaboration with Naga College Foundation, Naga City,
Camarines Sur; and
13. Ospital ng Palawan, Puerto Princesa City, Palawan;

B. Visayas
1, Western Visayas Medical Center, Iloilo City, Iloilo;
2. Corazon Locsin Montelibano Memorial Medical Center, Bacolod City, Negros
Occidental;
Saint Anthony Mother and Child Hospital, Cebu City, Cebu;
AMY
Vicente Sotto Memorial Medical Center, Cebu City, Cebu;
Governor Celestino Gallares Memorial Hospital, Tagbilaran City, Bohol; and
Eastern Visayas Regional Medical Center, Tacloban, Leyte

C. Mindanao
Zamboanga City Medical Center, Zamboanga City, Zamboanga del Norte;
wnrr
Northern Mindanao Medical Center, Cagayan de Oro City, Misamis Oriental;
Mayor Hilarion A. Ramiro Sr. Regional Training Teaching Hospital, Ozamiz City,
Misamis Occidental;
Southern Philippines Medical Center, Davao City, Davao del Sur;
saws
Davao Regional Hospital, Tagum City, Davao del Norte;
Cotabato Regional and Medical Center, Cotabato City, Maguindanao; and
Caraga Regional Hospital, Surigao City, Surigao del Norte;

D. Metro Manila
Dr. Jose Fabella Memorial Hospital, Sta. Cruz, Manila;
Tondo Medical Center, Manila;
AYPWn>
Quirino Memorial Medical Center, Quezon City;
East Avenue Medical Center, Quezon City;
Rizal Medical Center, Pasig City; and
Amang Rodriguez Memorial Medical Center, Marikina City

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ANNEX B. List of Training of Trainers Conducted by Implementing Partners

Training program Implementing Partners

1. External Competency World Health Organization (WHO)
Assessment for Malaria
Microscopist

2. Essential Maternal and Dr. Jose Fabella Memorial Hospital,

Newborn Care - Lactation UP-Philippine General Hospital
Management

3. Philippine Integrated World Vision, United Nations International Children's

Management of Acute Emergency Fund (UNICEF), CHDs
Malnutrition

4. HIV Counseling and Testing CHD-organized in collaboration with partners for

funding support tapping DOH-NASPCP Pool of
Trainers accessible thru this link:
https:/Ainyurl.com/HIVCounselingandTesting TOT

5. Training of Mentors for Co-facilitators/organizers:

Implementation of iDOTS 1,Lung Center of the Philippines - Project
Phase 2 Management Office
2. USAID’s TB Innovations and Health Systems
Strengthening (TBIHSS) Project managed by
FHI360
3. Advancing Client-centered Care and Expanding
Sustainable Services for TB (ACCESS TB) Project
4. Philippine Business for Social Progress (PBSP)

6. Training of Trainers for the WHO

Creation of Internal Review
Board (IRB)

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ANNEX C. List of Training Programs Provided by External Partners

Training program Partner implementing institutions

1. Mid-manager Training for NIP_ WHO, UNICEF
Management

2. EPI Basic Skill Training WHO, UNICEF

3. Supply and cold chain of WHO, UNICEF

Vaccines training

4. Training on Effective Vaccine WHO, UNICEF

Management

5. Training of trainers (TOT) for WHO, UNICEF

NIP Management

6. Palliative and Hospice Care Jose B. Lingad Memorial and Regional Hospital
Basic Training Course for & Hospice Philippines
Primary Care Providers

7. Intermediate Training on Jose B. Lingad Memorial and Regional Hospital

Palliative and Hospice Care & Hospice Philippines

8. Patient Navigation Philippine Cancer Society and DOH Retained

Hospital

9. Mental Health Gap and Action National Center for Mental Health (NCMH),
Programme
- Face to face and
Online Training
Mariveles Mental Wellness and General Hospital
(MMWGH)

10. Mental Health and National Center for Mental Health (NCMH),
Psychosocial Support Training Mariveles Mental Wellness and General Hospital
- Face to face and Online (MMWGH), Department of Education (DepEd),
Training Department of Social Welfare and Development
(DSWD)

1L. Geriatric Training for Health WHO

Care Provider at the Primary
Level

12. Training for the Provision of Dr. Ferdeliza Garcia, Ms. Penafrancia Ching (OT), ,

Disability Inclusive Health and Mr. Royson Mercado (PT),

at
Rehabilitation Services the
Primary Health Care Facilities

13. HIV Counseling and Testing

(ACT) Training
:
Link to list of HCT Trainers
https://tinyurl.com/HIVCounselingandTesting

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 7

14. Training on Quality Assurance Development Partners TB Innovations (TBIHSS)

for Direct Sputum Smear and NTRL
Microscopy

15. Training for Health Workers Development Partners

Providing TB Services Lung Centerofthe Philippines

16. Orientation/ Reorientation of WHO, RTI ENVISION

Transmission Assessment
Survey (TAS)

17. Training on the Clinical University of the Philippines -National Institute of

Practice Guidelines for the Health (UP-NIH)
Diagnosis, Treatment and
Prevention of Schistosoma
Japonicum infections in the
Philippines

18. Screening, Brief Intervention, USAID RenewHealth

Referral to Treatment (SBIRT)
Training

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ANNEX D: Current DPCB Structure and Focal Persons

Office Focal Person Email address

Office of the Director IV - Standards and Sectoral Strategy [email protected]

Center for Disease Control Secretariat [email protected]

Office of the Director III - Standards and Strategy [email protected]

Office of the Director III - Stewardship and Synergy [email protected]

Office of the Director III - Implementation, Coordination and [email protected]

Support

Finance and Supply Chain Dr. Kim Patrick Tejano [email protected]

Monitoring Division Division Chief

Specialty Care Division Dr. Jan Aura Laurelle V. Llevado [email protected]

Division Chief

Child, Adolescent and Maternal Health Division

A. Safe Motherhood, Dr. Ann Ysabel G, Andres (S1)
Family Planning , Dr. Mara Jean Almazora-Millar (S3)
Responsible
Parenthood and
Reproductive
Health , and
Newborn Health
Team

[email protected]
B. Child and Oral Dr. Janis Asuncion C.
Health, Nutrition, Bunoan-Macazo (81)
Immunization, and Ms. Luz B. Tagunicar (S3)
Community
Services Team

C. Adolescent, Older Ms. Dule C. Elfa (S1)

Children, and Dr. Diego C. Danila Jr. (S3)
Gender &
Development Team

Adult Health Division

A. EREID and other Ms. Carmel Angela P. Buado (S1)

Outbreak-Prone Dr. Almira Gatchalian (S3)
Infectious Disease
Team

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'
B. Disease for Dr. Raffy A. Deray
Elimination and
Animal Bite Team

C. TB, HIV/STIs, and Ms. PaulineCamille Baladjay (S1)

Vector-Borne Diseases Ms. Mary Joy Morin (S3)
Team

Elderly Health and Special Population Division

A. Chronic Dr. Julie Mart Rubite ($1)
Non-Communicable Ms. Rosemarie P. Holandes (S3)
Diseases and Risk
Factors

B. Elderly and Eye Dr. Gabriele Dominique P. Domingo

[email protected]
Health Team (S1)
Ms. Pacita B. Alano (S3)

C. Vulnerable and Ms. Maria Cristina L. Raymundo (S1)

Special Population Ms. Gina T. Muega (S3)
Team

Note:
S1 - Standards and Strategy focal for program oversight and monitoring, updating of strategies and
plans, and development of integrated policies, interventions, and inputs across all programs.

S3 - Stewardship and Synergy focal for agenda-setting and participation in inter-agency boards and
committees, global commitment coordination and tracking, sectoral capacity-building strategies, and
internal organizational development activities.

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