AGENDA OF ORGANIZATION NEEDED IN EVERY UNIT.

MEETING IS NEEDED

1. RHU – PAGALUNGAN 1 st Quarter 2024 STAFF Meeting RHU Pagalungan Conference Hall, Pagalungan Maguindanao January 17, 2024

2. Agenda of the Meeting IPHO Organogram RHU Organizational Structure Roles and Responsibilities RHU/BHS MOOE Technical Updates BHW Act, BHW Reporting Other matters

3. Activities Conducted January 8, Monday Meeting with RSIs Review FHSIS indicators Instruct to monitor/validate current ZOD status – WASH summit on April or May, 2024 Remind 1 st Quarter activities January 9, Tuesday Meeting with DTTBs Review CSC Rules Issues and concerns January 10, Wednesday Meeting with PHNs/OIC PHNs Roles and Responsibilities Issues and concerns January 11, Thursday KOICA, IOM, DOH CO visit to IPHO-Mag Presented IPHO-Mag briefer including challenges and ways forward January 12, Friday Meeting with BHW Municipal President Election of new set of Provincial Federation Review BHW Act BHW Reporting Tool and Flow of Submission

4. Technical Services Administrative Office Finance Human Resource Supplies Medical Admin Nursing Ancillary Medical Nursing Ancillary Rural Heath Units Rural Heath Units Medical Admin Nursing Ancillary Medical Admin Nursing Ancillary Medical Admin Nursing Ancillary Buluan District Hospital Maguindanao Provincial Hospital DOS District Hospital Datu Blah Sinsuat District Hospital South Upi Municipal Hospital Hospital Operations Field Health Services Admin Admin Organizational Structure IPHO-MAGUINDANAO IPHO-MAGUINDANAO Barangay Health Stations Barangay Health Stations Rural Heath Units Barangay Health Stations Infra Medical Admin Nursing Ancillary Iranun District Hospital

5. Still in a n on-devolved setting With P LGU’s commitment to LHS integration S till working on the Expanded Membership of the Provincial Health Board created a TWG to assist the EPHB on matters relating to integration of LHS Establish effective coordination and collaboration with LGUs (at all levels), other government line agencies and other health partners All government health facilities under the umbrella of IPHO-Maguindanao are administratively supervised by IPHO-Maguindanao and we are under the direct supervision of MOH-BARMM Administrative matters are handled at the IPHO level and at the hospital Non-involvement of Local Government Units on IPHO/hospitals’ management and operations Currently strengthening IPHO’s structure with the creation of Health Service Delivery Division (HSDD) and Health Systems Support Division (HSSD) Conduct comparative analysis of both service delivery and health systems performances LIPH and AOPs are crafted and appraised before submission to the MOH BARMM LIPH and AOPs are endorsed to the LGUs (at all level) for possible adoption and funding

6. Rural Health Unit Organogram Rural Health Physician Public Health Nurse Public Health Dentist Rural Health Midwives Medical Technologist Nutritionist Barangay Nutrition Scholars Barangay Health Workers Barangay Sanitary Inspectors Rural Sanitary Inspector

7. Roles and Responsibilities

8. Municipal Health Officer Provides direction and supervision of the health activities of the municipality . Develops plans and strategies in the implementation of health programs and projects . Manages performance of staff . Confers with government officials on community health problems . Collaborates with other offices in the enforcement of health laws and regulations . Provides technical assistance and advisory services on health matters . Ensures the preparation of periodic reports and statistical data on health problems and activities . Provides medical services . Attends to medico-legal cases . Performs other related functions as may be assigned.

9. Participates in implementing, monitoring and evaluating various health programs for the community . Consolidates, analyzes and submits reports on clinic and community activities . Participates in the development of health plans . Performs technical supervision/assistance to midwives . Conducts disease surveillance . Provides technical assistance in the implementation of health programs and activities . Conducts health education and training . Conducts monitoring and evaluation of health programs . Performs other related functions as may be assigned. Public Health Nurse

10. Performs promotive , preventive, diagnostic, and curative dental health care services . Integrates dental health services within the overall activities of the health unit in the delivery of primary health care . Maintains records of patient examinations and treatments . Refers patients to physicians for medical care/advice or to other agencies for secondary level care . Provides technical assistance on matters pertaining to dental health programs . Ensures adequate supply of dental materials . Performs other related functions as may be assigned Dentist

11. Performs laboratory examinations . Prepares, analyzes and submits regular reports . Ensures inventory of supplies and equipment . Maintains and secures records of patients . Provides technical assistance related to laboratory procedures . Performs other related functions as may be assigned Medical Technologist

12. Renders primary health care services . Conducts health education and counseling . Collects, prepares and submits reports . Implements health programs . Ensures proper implementation of referral system . Files and maintains records of patients . Performs other related functions as may be assigned. Midwife 2

13. Implements health programs . Conducts health education and counseling .   Renders primary health care services . Assists in disease surveillance . Collects, prepares and submits reports . Assists in the development of health plans . Ensures proper implementation of referral system . Files and maintains records of patients . Performs other related functions as may be assigned Midwife 3

14. Enforces sanitary laws and regulations. Undertakes sanitary inspection and collects water samples for bacteriological analysis. Supervises the sanitary disposal of excreta, sewage, refuse and other wastes. Investigates and attends to complaints and problems involving health hazards and other environmental nuisances. Conducts sanitary surveys. Disseminates environmental health information. Consolidates and analyzes daily accomplishment reports to immediate supervisor. Provides technical assistance on environmental health. Performs other related functions as may be assigned. Sanitation Inspector

15. Coordinates with the district’s nutritionist-dietician in supervising nutrition activities . Provides technical services needed in the field . Coordinates formal refresher courses / trainings . Consolidates and analyzes nutrition program data . Prepares monthly, quarterly, and annual reports of the Provincial Nutrition Office . Prepares the framework for the planning . Coordinates with GOs, NGOs and POs in the district . Performs other related functions as may be assigned. Nutrition Officer

16. Sanitation Inspector IV Participates in planning for the environmental sanitation program for the province . Supervises and monitors sanitary inspection activities . Ensures enforcement of rules and regulations related to public sanitation . Performs inspections of public establishments to determine conformance with sanitary standards and requirements . Conducts sampling of food and beverage for bacteriological analysis . Analyzes relevant reports and makes recommendations . Participates in health education campaigns related to sanitation . Collaborates with other agencies and community organizations . Provides technical assistance in the planning and implementation of environmental health programs . Performs other duties as may be assigned

17. Participates in the formulation of provincial health plans, policies, standards and guidelines . Supervises implementation of sanitation and other environmental and occupational health programs . Provides technical assistance in the conduct of health education on environmental and occupational health . Supervises the activities and accomplishments of Rural Health Unit Sanitary Inspectors . Participates in barangay sessions and assemblies in matters pertaining to environmental sanitation . Prepares updated reports on the conditions and progress of environment and occupational health programs/projects in the province . Monitors compliance to sanitation and other environmental and occupational health policies, programs and guidelines . Assist in the enforcement of sanitation laws and regulations . Performs other related functions as may be assigned. Sanitation Inspector III

18. Issues and Concerns Interpersonal communication and working relationship with LGU/LCEs RHU staff community volunteers Attendance, tardiness Attitude Signatories on official documents Allocation of drugs, supplies at the RHU level Community visit Supervisory function MOOE utilization Previous OCA/HEA

19. Relationship with LCEs/LGUs/BLGUs Variable support received from the LGUs Local Health Board quarterly meeting? 1 st quarter meeting – present the health status of the municipality with the program accomplishments, gaps and challenges, identified support/assistance needed from the LGUs and ways forward Be more appreciative

20. Harmonious Interpersonal and Working relationship among RHU staff As RHU supervisors, ensure proper and polite behavior/decorum towards your supervisees Be a good role model Encourage openness, transparency especially concerning finances

21. Working relationship with BHWs RHMs are the immediate supervisors of the BHWs Kindly ensure that RHMs and BHWs work harmoniously

22. Absences/Tardiness “Fund raising scheme” RHU staff to pay 500 or 400 pesos when absent, 100 pesos when late

23. Signatories on official documents Municipal Health Officers/DTTBs should review and be the one to sign all the official documents from the Rural Health Units and DTRs of ALL RHU STAFF Public Health Nurses should put her initials/countersign the document as an indication that all the necessary reports are submitted IPCR signatories MHO/DTTB PHN Area Coordinators in place of OIC PHN

24. Allocation of meds and supplies Bases for allocation? Who allocates? Properly documented? Store room? Vaccines? Any disagreements?

25. Supervisory Functions Who do we supervise? How do we supervise? Where? Frequency? Any tool used? Feedback given? How?

26. Staff Meeting How frequent? Common agenda discussed Any documentation

27. Community Visits How frequent? What are the activities being done? Coordinated with local leaders?

28. RHU MOOE

29. RHU MOOE

30. Previous OCA/HEA

31. Other concerns?

32. Next Activities

33. Priority Activities Activities Timeline 1. Province-wide PIR and Workshop to Revisit PCPN February 6 – 10 2. Universal Heath Care Summit with LCEs Pending sched 3. WASH/Environmental Health Summit April, 2024 4. TB iDOTS Mentoring February 5. FHSIS Training for new MHOs & PHNs February 6. Laboratory Monitoring January-February