health service manual 1st edition 2014

7/25/2019 Health Service Manual 1st Edition 2014

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Copyright@2014

All rights reserved.

No part of this manual should be reproduced or transmitted in any form or by any means,electronic or mechanical, including photocopy, recording or by any information storageretrieval system without the permission in writing from Health Service Office, BJMP.

Health Service Manual 20141 st Edition

Writer:Irene S Lim, MD, DPBP

Editors:SSUPT ARTHUR C LORENZO, MDIrene S Lim, MD, DPBP

Design & Layout:

SJO2 Annabelle A Tabernilla, RN


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TECHNICAL WORKING GROUP

Irene S Lim, MD, DPBPChairperson

CINSP ILNA RITA B MADERAZO, MD, TLPEVice Chairperson

Members

CINSP LORNA P TERENCIO, MD

SINSP NORA G CANDELARIA, DMD

SINSP JAIME A CLAVERIA JR, MD

SINSP JOY T MANZO, MD, FPPA

SINSP JOHN PAUL DG BORLONGAN, MD

Claro T Mundin, MD

Secretariat

SJO2 Annabelle A Tabernilla, RN

JO1 Janelle Erika S Rodriguez, RN

Ms Erna C Compuesto


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TABLE OF CONTENTSMessage 1-2

Introduction 3

Chief Health Service/Officer In-Charge 4-6

Mission & Vision 7

The Logo 8

Organizational Structure 9

Staffing Pattern 10

Staff Duties and Responsibilities 11

Staff Qualifications 12-13

Services and Proceduresa. Medical Servicesb. Psychiatric Services 13c. Dental Services 14d. Nursing Services 14e. Psychological Services 14f. Recruitment Process 15g. Flow Chart of Recruitment Process 16h. Promotion Process 17i. Personnel Annual Examination 17 j. Medical Reimbursement 17

Programsa. TB in jails/Prison Program 17b. Mental Health and Psychosocial Support (MHPSS) 17c. Personnel Weight Management (Belly Gud for Health Program) 18d. Health Information System (HIS) 18e. Drug and Alcohol Rehabilitation Program 18

Frontline Servicesa. Neuro-Psychiatric Examination 19b. Initial Interview 20c. Psychiatric Interview 21d. Medical and Dental Evaluation (Applicants) 22-23e. Medical and Dental Evaluation (Promotion/Schooling) 24-25

Policies/Guidelines 26Annexes 27-96Health Service Personnel 97-100


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BJMP-HEALTH SERVICE OFFICE MANUAL

Page 1

MESS GE

The Office of Health Service is an essential part of our Bureau in providing professional service, individualized approach, and holisticmanagement to our inmates and personnel to achieve and promotewellness to the entire institution.

HSO is vital in the following programs: monitoring and providing good nutrition; providing appropriate diagnostics, treatment and

medication as necessary; observing and maintaining cleanliness andsanitation; promoting physical activities to maintain ideal physical well-being, to includeconducting activities for promotion of a sound mind in attainment of behavioral and emotionaequilibrium; more importantly HSO is tasked to identify, contain and manage any healthcondition affecting the inmates and personnel.

Th e term health may also correspond with observance of humane safekeeping. Despite th problem with congestion of most of our jails, early detection of a health condition and abrupmanagement of it is one of the crucial ways to control a certain health problem thus limiting

the morbidity and achieving a near zero mortality. All health personnel in their respectivassignments should professionally work hand in hand to achieve this goal.

This manual is issued to provide essential knowledge and appropriate skills to our health personnel to enable them to perform their functions more efficiently. I congratulate all thoswho brainstorm in organizing this manual. Together may we address the challenges we ma face in health service, maintain the good practice we have now concerning health, and improvon some programs for the benefit of those whom we serve.

J/DIR DIONY D MAMARIL, CES E)Chief, BJMP


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Page 2

MESS GE

Health is considered as one of the basic needs of everyindividual. Proper nutrition, good sanitation and decreasedincidence of diseases as well as injuries all reflect to a goodhealth management.

The Health Service Office is a vital umbrella unit of theBureau in providing humane safekeeping and developmentof inmates, and welfare of personnel.

The Bureaus Health Personnel are determined and confident to sustain theseideals; hence this Health Service Manual was created.

The Health Service Manual will guid e the Bureaus health personnel to live upwith their commitment to give professional, efficient and holistic health serviceto the inmates as well as to the Bureaus personnel.

To all who shared their time, ideas and skills for the completion of this manual,my gratitude and appreciation for all your contributions.


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I. INTRODUCTION

The Health Service is a technical support service of the Bureau of JailManagement and Penology and has been in existence since thecreation of the bureau way back in 1991. The Health professionals playa major role in shaping the mission and vision of the BJMP. Its maintask is to provide quality physical and mental health care delivery ofthe BJMP to its clientele as well of its personnel. The number of BJMPworkforce and the inmate population is steadily increasing each year.This contributes to the challenges encountered by the bureau in its aimof maintaining the health of its personnel as well as of the inmates. Itscreens incoming personnel and ensures the quality of new recruitsthrough a series of evaluation. A good and thorough recruitmentprocess defines a professionalized jail services.

The growing number of inmate population, on the other hand, hascaused the jails to be congested. This overcrowding in our jails hasgreatly affected the living condition and wellbeing of the inmates.Without the services of our medical professionals and suppliesprovided, morbidity and mortality rates among inmates will surely beon the rise. Mental health professional likewise provide services to bothinmates and personnel to lessen the prevalence of mental illnessrelated to the living condition of inmates and working environment ofthe personnel. The Health Service views an individual as a whole beingthus providing services that address his physical, mental, and

psychological needs. This manual will serve as a guide and referencein the implementation of the different programs of the office in theattainment of its goals.


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II. CHIEF HEALTH SERVICE/OFFICER-IN-CHARGE

From 1991 to Present

J/SUPT VENANCIO T GATCHALIAN, MDChief, Health Service1991 to 1994

J/SUPT CESAR O DE GUZMAN, MD

Chief, Health Service1994 to 05 February 2003

J/SSUPT RENATO P GACUTAN, DMDChief Health Service06 February 2003 to 28 February 200302 January 2012 to 11 March 2013


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CHIEF HEALTH SERVICE/OFFICER-IN-CHARGEFrom 1991 to Present

J/SSUPT IRENE S LIM, MD, DPBPChief, Health Service01 March 2003 to 30 July 2006

J/SSUPT NIDA G GACUTAN, MD

Chief, Health Service02 January 2007 to 16 January 2011

J/CINSP ILNA RITA B MADERAZO, MD, TLPEOfficer-In-Charge, Health Service17 January 2011 to 01 January 2012


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CHIEF HEALTH SERVICE/OFFICER-IN-CHARGEFrom 1991 to Present

J/SUPT MA VICTORIA E VALERIA, MDOfficer-In-Charge01 August 2006 to 01 January 2007

Chief, Health Service12 March 2013 to 12 December 2013

J/SSUPT ARTHUR C LORENZO, MD, DSCChief, Health Service13 December 2013 to Present


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III. MISSION & VISION

MISSION

To provide quality health care among its clientele in various jails under the jurisdiction of the Bureau of Jail Management and Penology, and ensure thewellbeing of its personnel and qualified dependents.

VISION

The Health Service Office envisions an office that ensures accessibility healthservices and prompt delivery of care and provides comprehensive and holisticapproach in addressing the health needs of its clientele and personnel.

OBJECTIVES

1. To examine, diagnose, and treat Medical, Dental and Neuro- Psychiatricclient/s of BJMP.

2. To provide Medical, Dental and Neuro-Psychiatric evaluations among BJMPapplicants.

3. To provide opportunities for professional growth and development amonghealth personnel.

4. To conduct researches regarding health concerns of clientele and employeesfor formulation of health policies of the bureau.

5. To assist the Chief, BJMP in the total management of the bureau regardinghealth concerns of clientele and employees.

6. To assist in the total health care delivery of the government for nationaldevelopment.


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IV. HEALTH SERVICE OFFICE LOGO

The Caduceus signrepresents the medicalprofession.

The gold font symbolizesvalue and worth of healthservice client.

The starsrepresent the 3main islandsLuzon, Visayasand Mindanao

1991 is the year thhealth service waestablished.

The black background signifiesour clients who are in gloom andin despair.

The Clover leaf represents the four (4)sections of the health service namely;medical, neuro-psychiatric, nursing anddental section. The color green isassociated with health and healing.


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V. HEALTH SERVICE ORGANIZATIONAL STRUCTURE

ADMIN OFFICER

CHIEF, HEALTH SERVICE

DEPUTY CHIEF, HEALTH SERVICE

MEDICAL

SECTION NURSING

SECTION NP

SECTION ADMINISTRATIVE

SECTION DENTAL

SECTION

RESEARCH &

TRAINING

SECTION

MEDICALOFFICER

CHIEF,

MEDICAL

EMRT

TEAM

AMBULANCE

DRIVER

CHIEF,

NURSE

STAFFNURSES

CHIEF, NP

PSYCHOLOGISTS

PSYCHOMETRICIAN

PSYCHOSOCIAL

ALCOHOL & DRUGREHAB/MONITORING

TEAM

CHIEF, ADMIN

RECORDS

OFFICER

SUPPLY OFFICER

LIASON OFFICER

CHIEF,

DENTAL

DENTAL OFFICER

DENTAL

ASSISTANT

CHIEF,

RESEARCH

RESEARCHER

STATISTICIAN

PLANS &PROGRAM

OFFICER


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VI. STAFFING PATTERN

LEVEL POSITION/DESIGNATION RANK/ITEM SG No.Office Chief, Health Service SSUPT (MD) 26 1

Deputy Chief SUPT 25 1

MEDICAL SECTIONSection Medical CINSP (MD) 24 1Medical Officer Medical Officer IV 24 1

EMRT TEAMSINSP (MD)INSP (RN)JO1

232210

114

NURSING SECTION Section Chief CINSP (RN) 24 1

Staff NursesSJO4SJO2JO1

Nurse 1 (NUP)

191710

11

113

1

NEURO-PSYCHIATRIC

SECTION

Section Chief CINSP 24 1

Psychologists SINSPPsychologists (NUP)

2215

13

Psychometrician Psychologist (NUP) 15 2Drug and AlcoholRehab/Monitoring Team

SJO4 (RN)JO1 (RSW)Psychologists (NUP)

191015

111

Psychosocial Team SINSP (Psychiatrist)SJO2 (RN)

Psychologists (NUP)

2317

15

11

3

ADMINISTRATIVESECTION

Section Chief SINSP 23 1Admin Officer SJO2 17 1Records Officer JO1 10 1Liason Officer JO1 10 1Supply Officer NUP 15 1Plans and Program Officer SJO4 19 1

DENTAL SECTIONSection ChiefDental OfficerDental Assistant

SINSPSJO1JO1

231610

111

RESEARCH &TRAINING SECTION

Section Chief SINSP 23 1

ResearchersSJO4 19 1SJO2 17 1JO1 10 1

Statistician JO2 12 1


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VII. STAFF DUTIES AND RESPONSIBILTIES

Chief, Health Service Assists the Chief, BJMP in the formulation of doable programs, projects and activities

that would promote physical and mental wellbeing of inmates in preparation for theirreintegration into the mainstream of society.

Implements programs that would address the physical, mental and psychologicalneeds of BJMP personnel and inmates under the bureaus custody.

Formulates and implements policies and guidelines relating to the different healthprograms of the bureau.

Supervises the implementation of the health programs of the bureau, monitors itseffectiveness and makes changes when necessary.

Performs other functions as directed by the Chief, BJMP.

Deputy Chief Assists the Chief, Health Service in the implementation of the different health

programs for BJMP personnel and inmates. Assists the Chief, Health Service in the supervision and monitoring of the implemented

health programs. Represents and assumes the role of the Chief, Health Service in the latters absence. Performs other functions as directed by the Chief, Health Service.

Medical Officer/Physician

Performs medical evaluation and management to its clientele and personnel asnecessary.

Refer its clientele and personnel to medical institutions for further evaluation andmanagement as the need arise.

Provides medical assessment of an inmate and submit report to concerned offices. Performs other functions as directed by the Chief, Health Service.

Psychiatrist

Perform all functions of a Medical Officer Perform psychiatric evaluation and treatment to BJMP personnel. Perform psychiatric evaluation to applicants for jail positions and BJMP personnel for

promotion. Perform psychiatric evaluation and management to its clientele and prepare psychiatric

report once directed by the court and concerned office/s. Conduct psychological rehabilitation of offenders


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Perform other functions as directed by the Chief, Health Service.

Dentist Formulate plans and programs for the enhancement and improvement of dental health

care for inmates, personnel and qualified dependents. Identify, diagnose and treatment of dental condition of inmates, personnel and qualified

dependents. Conduct dental missions to various city, district and municipal jails nationwide. Perform dental clearance and referrals during recruitment process. Perform other functions as directed by the Chief, Health Service.

Nurse Assist the Medical Officer during medical examinations and management. Administer medicines and other treatment procedures upon doctors order.

Prepare and submit monthly accomplishment report to higher office. Collate mortality and morbidity report submitted by the Regional Offices. Facilitate in the medical re imbursement / claims of BJMP personnel.

Conduct initial health assessment to newly committed inmates and record relevantinformation.

Conduct health assessment and intervention to inmates. Conduct regular health promotion/education to its clientele. Establish and maintain proper linkages with Local Executives, Local Health units and

Civic Health Organizations for health related assistance. Performs other functions as directed by the Chief, Health Service.

Psychologist Assist the psychiatrist in the neuro-psychiatric evaluation of subjects. Administer psychological test among applicants, inmates and personnel. Conduct psychological evaluation to inmates with psychiatric symptoms. Provide psychological rehabilitation among selected subjects. Conduct counselling and psychotherapy to inmates and personnel. Performs other functions as directed by the Chief, Health Service.

VIII. STAFF QUALIFICATIONSa. Medical Doctors

Must be a graduate of Doctor of Medicine and has passed the PhysiciansLicensure Examination

Must have the rank of at least SINSP or its equivalent NUP rank


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Doctors can be General Practitioners or Specialists For Psychiatrist, he/she must have completed a four (4) year residency training in

Psychiatry in accredited training institution Must be of good moral character

b. Dentist Must be a licensed dentist in the Philippines Must be of good moral character

c. Nurse Must be a registered nurse in the Philippines Must have undergone relevant trainings in the field of nursing. Must be of good moral character

d. Psychologist Must be a graduate of Bachelors degree in psychology Must be a licensed psychologist/or have undergone the required training in

psychological testing and evaluation in an accredited training institution Must be of good moral character

IX. SERVICES AND PROCEDURESa. Medical Services

1) For Personnel All BJMP personnel who need medical attention may report at the Health

Service Office to be examined and treated by the Medical Officer. Those whoneed further treatment or who need the attention of a specialist will be referredto a government physician or their physician of choice. Hospital expenses willbe personally borne by the personnel or may avail of the HospitalReimbursement Program of the bureau pending the assessment of the Adjudication Board.

2) For Inmates Inmates who need medical attention will be initially seen by the Jail Nurse for

assessment and will be referred to the Medical Officer for further evaluationand treatment. If a Medical Officer is not available, the inmate who needsurgent medical attention will be referred to the nearest government hospital.

For non-emergency cases that requires further evaluation and management ina hospital setting, court order must be secured.


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b. Psychiatric Services1) For Personnel

All BJMP personnel who need counselling or psychiatric attention will bereferred to the BJMP Psychiatrist forevaluation and treatment. Those who warrant confinement will be referred to agovernment psychiatric hospital or the personnels hospital of choice. Hospitalexpenses will be borne by the personnel or may be subjected toreimbursement pending assessment by the Adjudication Board.

2) For Inmates Inmates manifesting signs and symptoms of psychiatric illness will be initially

seen by the Jail Psychologist. Those who warrant immediate psychiatricattention will be referred to the Jail Psychiatrist for evaluation and treatment.

Those who need to be admitted in a Psychiatric Hospital will be referred to agovernment psychiatric hospital or the inmates hospital of choice for furthertreatment. For inmates hospital of choice, expenses will be borne personallyby the inmate.

The Psychiatrist will likewise prepare a Psychiatric evaluation on a specificinmate if mandated by the court.

c. Dental Services1) For Personnel

All personnel who need dental treatment may report to the HSO-NHQ or theJail Dentist to avail of consultation and dental treatment. Those who needtreatment that is not available in the HSO will be referred to a governmentDentist or the personnels dentist of choice.

2) For inmates Inmates who need dental treatment will be referred to the Dental Officer for

evaluation and treatment. Those who need oral treatment that is not availablein the jail will have to secure court order based on the recommendation of theDental Officer.

d.

Nursing Services1) For Personnel Personnel who seek medical attention will be assessed by the Nurse and will

be provided with appropriate initial intervention. Those who need furtherevaluation and treatment will be referred to the Medical Officer.


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2) For Inmates Inmates who need medical attention will be assisted and initially assessed by

the Nurse. The Nurse will provide the inmate with appropriate medications asper doctor s order and will monitor the inmates condition.

e. Psychological Service1) For Personnel

All personnel who need counselling may report to the HSO to avail ofcounselling services by trained Psychologists. Those who need furtherevaluation and treatment will be referred to the Psychiatrist.

2) For Inmates Inmates who manifest signs and symptoms of psychological imbalance will be

referred to the Psychologist for counselling and assessment. Those who needfurther evaluation and treatment will be referred to the Psychiatrist.

f. Recruitment Process Applicants for Jail Officer 1 position who passed the preliminary requirement

(Eligibility, Entry Level Examination, weight, height) will be endorsed by theDirectorate for Personnel and Records Management (DPRM)/Regional PRMfor medical and psychiatric screening.

Applicants will undergo psychological testing to be conducted by the BJMP NHQ and Regional Psychologists. The test will consist of Intelligence andPersonality Test. Once the psychological test results are in, the applicant willbe scheduled for neuro-psychiatric interview.

The BJMP Psychiatrist will conduct the neuro-psychiatric interview todetermine the mental condition of the applicant at the time of examination.

Those who passed the neuro-psychiatric screening will proceed with themedical examination to be conducted by the BJMP Medical Officer.

Applicants will be subjected to various laboratory tests that are found relevantto nature of the job applied for.

After collating all the results of the examination, those who passed the medical

screening and found to be physically and mentally fit will be endorsed foremployment.


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g. Flow Chart of Recruitment Process

Endorsement for NP Evaluationfrom DPRM/RPRM

Psychological Examination

Neuro-Psychiatric Interview

Endorsement of NP Evaluation Result toDPRM/RPRM

Endorsement of DPRM/RPRM for Medical and DentalEvaluation

Medical and Dental Evaluation

Endorsement of Medical and Dental

Evaluation to DPRM /RPRM


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h. Promotion Process Personnel for promotion to next higher rank must first undergo the PROMEX

examination, after which he/she will be endorsed by the Directorate for Personneland Records Management (DPRM) for NP Evaluation.

Personnel who are candidates for promotion will undergo psychological testing tobe conducted by the BJMP NHQ and/or Regional Psychologists. The test willconsist of Intelligence and Personality Test. Once the psychological test resultsare in, the applicant will be scheduled for neuro-psychiatric interview.

The BJMP Psychiatrist will conduct the neuro-psychiatric interview to determinethe mental condition of the applicant at the time of examination.

Those who passed the neuro-psychiatric screening will proceed with the medicalexamination. Applicants will be subjected to various laboratory tests.

After collating all the results of the examination, those who passed the medicalscreening and found to be physically and mentally fit will be properly endorsed.

i. Personnel Annual Physical Examination Annual Physical Examination is a mandatory requirement to evaluate the physicalwellbeing of every personnel. Series of diagnostic and laboratory tests are submitted formedical evaluation.

j. Medical ReimbursementBJMP personnel confined in private or government hospital as service-related casualty orhave sustained injury while performing legitimate jails functions can avail MedicalReimbursement under DILG Circular No. 2008-19 dated 07 October 2008.

X. PROGRAMSa. TB in Jails/Prisons Program

The objective of TB in Jails/Prisons Program is to provide a standard guidelines forimplementing Directly Observed Treatment Short-Course (DOTS) Strategy, within jailspursuant to Executive Order 187 s 2003 otherwise known as Comprehensive and UnifiedPolicy (CUP) for TB Control in the Philippines.

b. Mental Health and Psychosocial Support (MHPSS)

BJMP Personnel from various regions are being trained to respond to critical incidentsinvolving personnel and inmates nationwide who witnessed, experienced and survivors ofthe traumatic incident i.e. jail riots, hostage taking incident, homicide/suicide incident andnatural disasters such as earthquakes, massive flooding, typhoon which caused massdisplacement, by conducting the Mental Health and Psychosocial Support (MHPSS)


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formerly introduced as Critical Incidence Stress Debriefing (CISD) to prevent unwarrantedsequelae of the traumatic incident to the mental health of the victims or survivors.

MHPSS is an intervention conducted by a group of trained and skilled BJMP personnel byprocessing the survivors experience of the trauma. The process allows the participantsurvivor to relate the fact, express their thoughts, feelings or reactions and made themrecognize symptoms brought by the incident. After the group processing, assessmentresults to 1) identification of individuals already manifesting signs and symptoms ofpsychological/behavioral/cognitive disturbances; 2) refers index cases to psychiatrists forfurther evaluation and management; 3) identify and reports individuals that may later onmanifest or develop signs and symptoms of mental illness; 4) teaching coping skills andenhancing adaptive capacities and innate resources for the victim/individual resume theirusual function.

To date, the BJMP nationwide are almost represented by MHPSS trained personnel. Theyare mobilized once the situation calls for after proper coordination at the NationalHeadquarters who is responsible for MHPSS team output review and recommendation.

c. Personnel Weight Management (Belly Gud for Health Program)The bureau adopts and implements the Belly Gud for Health Program of the Departmentof Health in its effort to promote and protect its personnel towards prevention and controlof Non-Communicable Diseases. Among the objectives of this is to promote the reductionof waist circumference among personnel toward risk reduction for non-communicablediseases, undertake a continuous information and awareness to the personnel abouthealthy lifestyle and encourage them to stay fit and productive. This is likewise gearedtowards promoting a healthful environment like engaging in regular physical activity andnutritious and healthier dietary management.

d. Health Information System (HIS)Health Information System is responsible for the reporting and recording of the diseasesaffecting the community, as well as the number of deaths in a given period of time. Byanalysing statistical data, it is possible to know the most common prevalent illnesses andpossibly the main causes of deaths within the detainees. Through this data, jail nurses canproperly shape a health system strategy and target interventions properly carried out.

e. Drug And Alcohol Rehabilitation ProgramThe HSO-NP Section is the technical arm of the BJMP Drug and Alcohol RehabilitationCommittee. The section evaluates the personnel who availed and was grantedrehabilitation procedures by the committee. After initial psychological and psychiatricevaluation, the personnel will be recommended for inpatient or outpatient rehabilitationwhichever is applicable to the jail officer. The outpatient process involves monitoring ofpersonnel for recurrent drug use for period of six months duly conducted by the Chief


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Health Officer of their respective region. Personnel requiring further psychologicalintervention and psychiatric management will be referred to the nearest mental healthfacility for management. Coordination with the attending psychologist and/or psychiatristwill be facilitated by the regional psychologist.

Inpatient rehabilitation will be upon the recommendation of the Psychiatrist-in-charge ofRehabilitation Program and be duly approved by the BJMP Drug and AlcoholRehabilitation Committee of the National Headquarters. Jail officer will undergo 6-8 monthsof inpatient rehabilitation and will re-assessed thereafter. He will be endorsed to hisregional office to undergo out-patient rehabilitation to cover a period of two years ofrehabilitation.

Report of compliance of outpatient and inpatient rehabilitation will be forwarded to theOffice of the Chief, NP of the National Headquarters for review and reporting to the BJMP

Committee.

XI. FRONTLINE SERVICES

A. NEURO-PSYCHIATRIC EXAMINATION

Schedule of Availability of Service:Upon endorsement of DPRM8:00 AM 5:00 PM

Who May Avail of the Service: Applicants/clients initially evaluated by DPRM Has not taken the same examination during the span of the preceding six (6)

months period

What are the Requirements:

Applicants/client should bring the following:

One (1)piece 2x2 picture Ball pen, lead pencil (no.2), eraser

Duration: one (1) day


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How to Avail of the Service:

Step Applicant/Client ServiceProvider

Duration of Activity(Under NormalCircumstances)

Person InCharge

Fees Forms

1 Register at the guardand get visitors pass

Give client thevisitors pass 5 minutes Guard on

Dutyn/a Visitors

Logbook2 Proceed to Health

Service Unit to signin the AttendanceSheet

Verify if theapplicant wasendorsed byDPRM

5 minutes Examiner n/a AttendanceSheet

3 Proceed to theExamination Room

Give applicantsthe rules andregulations ofthe examination

10 minutes Examiner n/a n/a

4 Examination Proper Give applicantsthe instructionsof the tests

Depending on thetest to be given Examiner n/a Test Materials

5 Go back to theExamination Room

Give applicantsthe instructionsof the tests

Depending on thetest to be given Examiner n/a Test Materials

6 End of theexamination

Schedule theapplicant forInitial Interview

3 minutes Examiner n/a Test Materials

End of Transaction

B. INITIAL INTERVIEW

Schedule of Availability of Service:Monday Friday8:00 AM 12:00 PM

Who May Avail of the Service: Applicants/personnel who took Neuro-Psychological examination

What are the Requirements:

Applicants/personnel should wear proper interview attireDuration: 15 20 minutes


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Step Applicant/Client Service ProviderDuration ofActivity

(Under NormalCircumstances)

Person In

Charge

Fees Forms

1 Register at theguard and getvisitors pass


Dutyn/a Visitors


Service Unit tosign in the Attendance Sheet

Get theapplicants/personnelprotocol

1 minute Interviewer n/a AttendanceSheet

3 Wait in the lobbyto be called

Read the protocol ofthe applicant 5 minutes Interviewer n/a n/a

4 Interview Proper Evaluate theapplicant/personnel 15 20 minutes Interviewer n/a n/a5 End of Interview Advise to wait for the

schedule ofPsychiatric Interview

1 minute Interviewer n/a n/a

End of Transaction

C. PSYCHIATRIC INTERVIEW

Schedule of Availability of Service:8:00 AM 5:00 PM

Who May Avail of the Service : Applicants/clients who undergone NP Examination

What are the Requirements : Applicants/personnel should wear proper interview attire

Duration: 15-20 minutes


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Step Applicant/Client Service ProviderDuration ofActivity


Person In

Charge

Fees Forms


Give client thevisitors pass 5 minutes Guard on Duty n/a Visitors


Service Unit tosign in the Attendance Sheet

Get theapplicants/personnelprotocol

1 minute Interviewer n/a AttendanceSheet


Read the protocol ofthe applicant 10 minutes Interviewer n/a n/a

4 Interview Proper Evaluate theapplicant/personnel 15 20 minutes Interviewer n/a n/a5 End of Interview Advise to wait for the

result from the DPRM 2-4 days Interviewer n/a n/aEnd of Transaction

D. Medical and Dental Evaluation (APPLICANT)

Schedule of Availability of Service:Upon endorsement of DPRM/Regional Recruitment and SelectionsBoard

8:00 AM 5:00 PM

Who May Avail of the Service : Applicants/clients initially evaluated by DPRM/Regional Recruitment and Selections

Board

What are the Requirements : Endorsement to conduct medical and dental evaluation from the DPRM/Regional

Recruitment and Selections Board Complete Laboratory Examination Results from the Government or Accredited

Diagnostic Centers

Duration: two (2) days


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Step Applicant/Client Service ProviderDuration of

Activity(Under Normal

Circumstances)

PersonIn

Charge

Fees Forms



Dutyn/a

VisitorsLog Book

2 Proceed to HealthService Unit to fillout the Report ofPhysical and Dentalforms

Verify if theapplicant wasendorsed byDPRM/RRSB

10 minutesStaffNurse

n/aReport ofPhysicaland Dentalforms

3 Submit to the Staff

Nurse the fullyaccomplished forms

Review the

accomplishedformsConduct VitalSigns to applicantand Refer to dentalofficer for dentalcheck-up

15 minutes StaffNurse

n/a

Report of

Physicaland Dentalforms

4 Proceed to DentalSection

Dental Check-upand instructionfrom the DentalOfficer

5 minutes DentalOfficer

n/a Dentalforms

5 Proceed to MedicalOfficer for MedicalEvaluation

Medical Evaluationof applicant andgiving oflaboratory request

15 minutes MedicalOfficer

n/aLaboratoryrequestforms


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Activity(Under Normal

Circumstances)

PersonIn

Charge

Fees Forms

6 Proceed to any

Government oraccrediteddiagnostic centerand dental clinic

Secure the

accomplishedmedical and dentalforms of theapplicant and waitfor the submissionof their laboratoryresult.

1 day StaffNurse

Depending

on thediagnosticlaboratorycenters

Laboratory

Results

7 Return to HealthService Unit for theevaluation oflaboratory and

dental results

Check for thecompleteness oflaboratory results

If there isabnormality in theirlaboratory resultrefer to specialistdoctor for furtherevaluation

If there is noabnormal findingsin their laboratoryresult the MD will

endorse theapplicant toDHRRM

15 minutes

MedicalOfficerandDental

Officer

n/aLaboratoryResults

End of Transaction

E. Medical and Dental Evaluation (Promotion/Schooling)

Schedule of Availability of Service:

Monday Friday8:00 AM 12:00 PM

Who May Avail of the Service: Personnel for promotion and schooling

What are the Requirements: Special order from the DPRM

Duration: 15 20 minutes


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Activity


Person

InCharge

Fees Forms


Give client the visitorspass 5 minutes Guard

on Dutyn/a Visitors Log

Book

2 Proceed to HealthService Unit to fill-out the medicaland dental record

form

Get the personnelprotocol and ask to fillout the medical dentalform.


n/a Medical andDentalForms


Check for thecompleteness oflaboratory results


n/aLaboratoryResults

4 Consultationproper

Get the vital signs ofthe personnel and givethe accomplishedmedical and dentalform to dental officer fordental check-up


n/a

Medical,dental formsandLaboratoryResults

5 Proceed to the

Medical Officer forfinal medicalevaluation

Evaluate the patient

and check for anyabnormality in theirlaboratory results

If there is abnormality intheir laboratory resultrefer to specialist doctorfor further evaluation

If there is no abnormalfindings in their

laboratory result theMedical Officer willendorse the personnelfor promotion andschooling to DHRD

15 minuteMedicalOfficer

n/a Medical,dental formsandLaboratoryResults

End of Transaction


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XII.

POLICIES /GUIDELINES

1. Standard Operating Procedure 2014-03 (Comprehensive Policy on the Deploymentand Reassignment of Health Personnel)

2. Amended Guidelines on Medical, Neuro-Psychological/Psychiatric and DentalEvaluation

3. Guidelines on the Management of Human Immunodeficiency Virus (HIV) among

Inmates in all BJMP Jails Nationwide.

4. Guidelines on the Utilization of Mobile Digital X-ray Machine

5. Implementation of Belly Gud for Health-Keeping fit, Moving Forward the BJMP Way.

6. Implementation of BJMP-MC No. 2011-01 (BJMP Personnel FitnessProgram)

7. Implementation of BJMP-MC No. 2009-003 ( Operational Guidelines for theManagement of TB in Jails.)

8. Hospitalization Treatment/Hospitalization of Inmates

9. Implementation of Hepatitis B Screening and Vaccination to all BJMP Applicants.

10. Implementation of DILG Circular No. 2008- 19 (Reimbursement of HospitalizationExpenses of BJMP Personnel.)


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XIII. ANNEXES

22 July 2014

BJMP-HSO

STANDARD OPERATING PROCEDURE

Number 2014- 03

COMPREHENSIVE POLICY ON THE DEPLOYMENT AND REASSIGNMENT OF

HEALTH PERSONNEL

I. Reference : Health Service Program Thrust

II. INTRODUCTION/RATIONALE

The BJMP has presently 681 Health Personnel distributed nationwide. This

Health Personnel consist of Doctors, Dentists, Nurses and Psychologists who

ensure the quality delivery of health care services to inmates as well as

personnel. The services of Health Personnel are vital to the success of the

mandate of the BJMP in line with the welfare and development of inmates.

Despite the shortage of manpower, the Health Service has by far successfully

carried out its mission. It is for this reason that continuity of treatment is

necessary. This can only be carried out if the Health Personnel stay in their

work station for at least 5 years for them to properly implement, monitor and

evaluate the success of their health programs. Lacking continuity in the


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treatment process may eventually lead to failure of the program which may

stem from lack of monitoring, misdiagnosis, incomplete medication or simply

failure to detect and treat. Due to the shortage of manpower, Health

Personnel oftentimes tasked to assume custodial, escort and other clerical

responsibilities, compromising their main mandate. Health Personnel are also

rotated or deployed without proper coordination with the Health Service

Office, thus creating vacuum in the position. Some are even whimsically

transferred to other jails or removed from their present positions and are

given other designations without regard to the responsibilities that will be left

behind. The services of the Health Personnel are of prime importance as they

deal with the lives of inmates and personnel hence, their constant presence in

their areas of responsibilities is necessary for them to promote the continuous

care that their clientele deserve.

III. CONCEPT

To create a policy which sets up a systemic and efficient selection,

deployment and reassignment of all BJMP Doctors, Dentists, Nurses andPsychologists nationwide.

IV. OBJECTIVES

This policy aims to:

a. Set the standards and procedures in the selection, deployment and

reassignment of all BJMP Doctors, Dentists, Nurses and Psychologists

nationwide.

b. Ensure the proper tenure of assignment of all BJMP Health Personnel.


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V. QUALIFICATIONS OF BJMP HEALTH PERSONNEL

a. Medical Doctors

Must be licensed Medical Doctor

Must qualify in the recruitment process with an entry rank of Senior

Inspector

Doctors can be General Practitioners or Specialists

Must be of good moral character

b. Dentists

Must be a licensed Dentist


c. Nurses

Must be a Registered Nurse

Must have undergone relevant trainings in the field of nursing.


d. Psychologists

Must be a graduate of Bachelors degree in psychology

Must be a licensed psychologist/or have undergone the required

training in psychological testing and evaluation in an accredited

training institution


VI. DEPLOYMENT

a. The deployment of BJMP Health Personnel in jails shall be

recommended by the Regional Chief, Health Service. The Chief,

Health Service, BJMP will review and evaluate recommendations

prior to endorsement to the Chief, BJMP for approval .

b. The Office of the Health Service will determine the qualification and

capability of the Health Personnel to be deployed to ensure the

quality of service to be rendered.


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c. No Health Personnel will be deployed or assigned to a specific jail

without endorsement from the Chief, Health Service and the

approval of the Chief, BJMP.

d. Every region shall have at least one (1) Medical Doctor, one (1)

Dentist and one (1) Psychologist depending on the health

demands.

e. All jails must have at least one (1) full time nurse per 8 hour shift.

f. Designated Health Personnel shall concentrate on their given task

and not be allowed to do other functions other than their job

description.

VII. REASSIGNMENT

a. No Health Personnel will be reassigned to other responsibilities or

jails without notifying the Chief, Health Service, BJMP prior to

approval of the Chief, BJMP.

b. Recommendations from the regions regarding the reassignment of

Health Personnel will be evaluated by the Chief, Health Service,

BJMP and make final endorsement based on the merits of all

recommendations, for approval of Chief, BJMP.c. Health Personnel must have served at least 5 years in his/her

present assignment except in the following conditions:

1. If the Health Personnel has committed an infraction that

his/her stay in his/her present assignment would pose a

threat to his/her own safety and those of others; and

2. If the supervisor of the Health Personnel strongly

believes that he/she has become ineffective in theconduct of his/her duties and responsibilities.


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VIII. SEPARABILITY CLAUSE

In the event that any provision or part of the policy be declared unauthorized

or rendered invalid by a competent authority, those provisions not affected by

such declaration shall remain valid effective.

IX. REPEALING CLAUSE

All other existing issuances which are inconsistent with this policy are hereby

rendered rescinded or modified accordingly.

X. EFFECTIVITY

This policy shall take effect immediately.


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MEMORANDUM

FOR/TO : Director of DirectoratesChief of Offices

JNTI DirectorRegional Directors

SUBJECT : Amended Guidelines on Medical Neuro- Psychological/Psychiatric andDental Evaluation

DATE : 22 July 2014

1. This guideline prescribes the criteria for the Medical, Neuro-Psychological/Psychiatricand Dental Evaluations of JO1 applicants and BJMP personnel both uniformed and civilian employees.

A. Medical Aspect1. JO1 applicants

a. Must undergo a thorough medical examination performed by a BJMPMedical Officer and must be free from the following medical conditions:

No cardiovascular diseases like hypertension, post cerebro-vascularaccident (CVA) cases, cardiac dysrythymias, ischemic heartdiseases, aneurysms, and other cardiac disorders.

No pulmonary diseases like active pulmonary tuberculosis (PTB),severe Bronchial Asthma requiring steroid treatment, Emphysemaand other diseases that compromise respiratory functions.

No active major systemic diseases like Hepatitis A, B, C, D, E;Diabetes Mellitus, Systemic Lupus Erythematosus (SLE), and

other chronic and dreaded diseases that will require continuous or

intermittent evaluations and treatment. No major genito-urinary disorders like obstructive renal stones,

other renal disorders, and sexually transmitted infections (STI).

Other medical diseases further identified by the BJMP MedicalOfficer that may compromise the physical and mental capacity of

the applicant as required in their specified training and job .

No unusual body piercing/s and tattooes


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Mass or tumors that need further assessment by medicalspecialist.

No gross eye deformity, major visual defect and color blindness No hearing loss or impairment. No other deformities that may affect speech, mastication and

deglutition.

No active major neurological deficits/disorders and musculardystrophies that impair normal mental and physical functions.

No gross skeletal deformity as to limit joint movements and thosewith long bone pins and/or screws.

Ambiguous genitalia, abdominal hernia.

b. Laboratory/Diagnostic Requirements:These shall be performed by a reputable BJMP accredited

Diagnostic/Laboratory Center or any Government Health Centers/Hospitals;Official results of laboratories, together with ECG tracings and X-ray

plates, done within one month, shall be submitted.

Chest X-ray Electrocardiogram (ECG) Urinalysis Fecalysis Complete Blood Count (CBC) Blood Typing Blood Urea Nitrogen (BUN) Creatinine SGOT

SGPT Lipid Profile Fasting Blood Sugar (FBS) BUA Drug Test for : Cannabinoids & Metamphetamine VDRL Pregnancy Test (for female only) HBs Ag Screening/Anti-HBs Titer

2. BJMP PersonnelDuring Annual Medical Examination, Schooling/Training and Promotion, BJMPpersonnel are required to submit the following laboratory/diagnostic tests:

35 years old and below

Chest X-ray Electrocardiogram (ECG) Urinalysis Fecalysis Complete Blood Count (CBC) Blood Urea Nitrogen (BUN)


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Creatinine SGOT SGPT Drug Test for : Cannabinoids & Metamphetamine VDRL

For overweight and obese personnel, following additional laboratorytests must be added: Fasting Blood Sugar (FBS) and Lipid Profile.

36 years old and above

Chest X-ray Electrocardiogram (ECG) Urinalysis Fecalysis Complete Blood Count (CBC) Blood Urea Nitrogen (BUN) Creatinine SGOT SGPT Lipid Profile Fasting Blood Sugar (FBS) BUA Drug Test for : Cannabinoids & Metamphetamine VDRL

Mandatory Pregnancy Test for all female of reproductive age.Laboratory tests with normal findings shall be valid for a period of six(6) months for promotion. ECG and drug test must be updated or withinone month prior to mandatory training.

B. Neuro-Psychological/Psychiatric Aspect

1. All applicants shall take the prescribed examinations only, free ofcharge, at the Office of the health Service, BJMP

The assessment process is composed of the following:

a. Battery of tests composed of objective and projective type of psychologicalexamination duly administered by BJMP in-house psychometrician or clinicalpsychologists.

b. Psychological interview which further assesses the socio-demographic profileof the examinee, personality dynamics, responses and reactions to situations,issues and conflicts, coping skills and life experiences that contribute to

his/her current psychological functioning.c. Psychiatric evaluation to further evaluate underlying psychopathology or

predisposition to mental illness that may be precipitated or aggravated byrigorous or rigid military training.

d. Applicant/s may be subjected to further psychological examination upon thediscretion of examining authority, i.e. BJMP Psychiatrist.

The recommendation of the N-P unit shall be treated with utmost confidentialityand will be properly endorsed to the authorized unit, i.e. DPRM.


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Applicants who wish to discuss areas of deficiency will be accommodated oncetheir letter request for discussion of their N-P evaluation is approved by theOffice of the Chief, BJMP.Result will be discussed privately by the psychologist or psychiatrist with therequesting party but they may not be allowed to secure a copy of the test result

and final recommendation.

The result shall be considered clinically valid for a duration of six (6-months)from the date of psychological examination. Therefore, applicants shall be allowedSTRICTLY to take these examinations ONCE and there shall be no retake orrepeat N-P Examinations, within the six (6-months) period.

2. Personnel candidate for promotion shall take the prescribed examinationsonly, free of charge, at the Office of the Health Service, BJMP.

The assessment process is composed of the following:

a. Battery of tests composed of objective and projective type of psychologicalexamination duly administered by BJMP in-house psychometrician or clinicalpsychologists/ regional psychologists.

b. Psychological interview, which updates the personnels socio-demographicprofile of the examinee, determines his/her personality dynamics, responsesand reactions to situations, issues and conflicts, coping skills and lifeexperiences that contribute to his/her current psychological functioning.

c. Psychiatric evaluation to further evaluate undergoing psychopathology orpredisposition to mental illness that may be precipitated or aggravated byrecent stressful life events.

d. Personnel may be subjected to further psychological examination upon thediscretion of examining authority, i.e. BJMP Psychiatrist.

e. If and when a clinical disorder was considered, the personnel may berecommended to undergo treatment to his/her psychiatrist of choice.

The recommendation of the N-P unit shall be treated with utmost confidentialityand will be properly endorsed to the authorized unit, i.e. DPRM.

Personnel who wish to discuss areas of deficiency will be accommodated oncetheir letter request for discussion of their N-P evaluation is approved by theOffice of the Chief, BJMP.

Result will be discussed privately by the psychologist or psychiatrist with therequesting party but they may not be allowed to secure a copy of the test resultand final recommendation.

The result shall be considered clinically valid for a duration of six (6-months)from the date of psychological examination. Therefore, personnel shall be allowedSTRICTLY to take these examinations ONCE and there shall be no retake orrepeat N-P Examinations within the six (6-months) period.


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C. Dental AspectThe BJMP Dental Officers shall perform the dental examinations and shall makereferrals for further treatment/management if necessary.

General Requirements for Dental Examination for JO1 applicants and BJMPPersonnel:

Missing teeth should be replaced by fixed bridge or removable partialdenture (RPD) either plastic or porcelain with or without casted clasparm or one piece metal in all quadrants.

Single tooth replacement should be done by standard fixed bridgeprocedure or with denture.

Loose and/or defect appliance should be repaired or replaced to becomefunctional or serviceable.

For full mouth and partial dentures, it should be properly constructed andfunctional.

There should be a proper occlusion for upper and lower dentures. Jacket crown should be properly placed for aesthetic reasons and

functions.

Absence of unfilled cavity and carious teeth. Teeth should be properlyrestored.

Defective restorations of the teeth should be corrected. Teeth should be free from calcular deposits, white plaques and other

tissue problems.

Absence of periodontal diseases that might affect mastication and speech.Client must undergo proper treatment.

Impaction of malpositioned upper and lower third molar.

Other dental procedures/treatment that the BJMP Dentists may reasonablyrequire.

2. The result of final evaluations will be forwarded to the National Promotion and Selection Board(NPSB)/Regional Promotion and Selection Board (RPSB) for final disposition.

3. For information and widest dissemination.


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24 July 2014

BJMPHSO

MEMORANDUM CIRCULAR

Number 2014- 006

GUIDELINES ON THE UTILIZATION OF MOBILE DIGITAL X-RAY MACHINE

I. REFERENCES:

a. Approved Proposal submi ed to ICRC re - Request for a Mobile Digital X -ray Machine dated 13March 2013.

b. Extended MOU between BJMP and ICRC signed by OIC, BJMP and ICRC Head Delega on dated 30April 2014.

II. RATIONALE

Annual mortality sta s cs of BJMP Health Service for the past six years showed thatPulmonary Tuberculosis (PTB) is the 2 nd leading cause of death among inmates.

DOTS implementa on in jails and prisons has been done in coordina on with many localgovernment units using varied strategies and approaches. In 2009, collabora on amongpartners, mainly the Bureau of Jail Management and Penology (BJMP), Bureau of Correc ons(BuCor) and the Infec ous Disease O ce (IDO) of the Department of Health (DOH), with

assistance from the Interna onal Commi ee of the Red Cross (ICRC) developed a standardapproach to TB in deten on implementa on. In the same year, DOH Administra ve Order2009 -0003, en tled Technical Guidelines for Implemen ng DOTS Strategies in Jails andPrisons, was issued which was the basis for the Opera onal Guidelines for both BJMP and

BuCor.


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A er pilot tes ng in 5 jails, expansion by phases now covers regions NCR, I, III, IV -A, VI,VII, and XI. Per protocol, DOTS monitoring was conducted in the implemen ng jails everyquarter. Following were the ndings/observa ons noted by the LGUs, BJMP Monitoring Team

and DOH -CHD, to wit;

1. That some jails, par cularly, Quezon City Jail wherein the incidence rate of TB ishigher, had no Smear ( -) nega ve cases for the 1 st quarter because of theunavailability of X -ray machine;

2. That access to Radiology Services for the inmates were delayed due to nancialconstraint on the part of the inmate and the absence of budget for said servicesfrom the bureau; and

3. That delay is compounded due to the prolonged process in securing inmatesCourt Order for the conduct of said services available only outside of the jailcon nes.

III. OBJECTIVE

To strengthen the case nding strategy in jails so as to address the barrier of the TBsuspect who have smear nega ve DSSM.

IV. MANPOWER CAPABILITY

The BJMP shall provide a team with the following personnel designated, to wit: o One (1) Radiologist o One (1) Radiologic Technician o One (1) Assistant RadTecho One (1) Driver

V. GUIDELINES:

1. The Chest X -ray machine shall be placed at the Na onal Headquarters under thesupervision of the Chief, Health Service.

2. Jails in NCR and nearby regions can avail of the service a er submi ng a le errequest to the NHQ Health Service indica ng the preferred date for the conduct ofsaid service.


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3. The BJMP Na onal Nurse TB Coordinator shall be in -charge for the scheduling of themobile x -ray machine subject to the approval of the BJMP Na onal TB MedicalCoordinator.

4. The machine will be mobilized with at least twenty (20) inmates for x -ray. 5. The machine can also be accessed by personnel requiring x -ray.6. Results of x -rays shall be provided by the in -house Radiologist. 7. The Directorate for Logis cs shall provide the opera ng expenses such as gas

allowance and other maintenance supplies of the vehicle.

8. The reques ng jail shall be responsible for providing security personnel to theinmates while the ac vity is being undertaken in their AOR.

VI. EFFECTIVITY

This Circular takes e ect immediately.


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03 March 2014

BJMPHSO

MEMORANDUM CIRCULAR

Number 2014- 001

GUIDELINES ON ADOPTING AND IMPLEMENTING THE BELLY GUD FOR HEALTH

Keeping Fit, Moving Forward, the BJMP Way

II. REFERENCES:

a. Policy/Guidelines of the Department of Health re: Belly Gud Program;

b. Civil Service Commission Memorandum Circular No. 06, S. 1995; and

c. Civil Service Commission Memorandum Circular No. 38, S. 1992

II. RATIONALE:

According to Department of Health, Overnutrition i.e. overweight and obesity has

been recognized as a public health problem particularly in developed countries where

there is abundance of food supply and physical activity continues to diminish due to

automation and mechanization.

In the Philippines, among adults 20 years old and above, a trend was noted

towards an increase in overweight at 0.67 percentage point annually for the past 15


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years from 1993 to 2008. Apple-shaped obesity was six times more common in women

than men, affecting 7 in 10 women and 1 in 10 men. (NNHeS 2008, FNRI-DOST)

Based on the Annual Medical Evaluation results in BJMP-National Headquarters

showed that out of two hundred one (201) personnel taken with BMI (Body Mass

Index), 26 or 12.93% are obese and 95 or 45% are overweight, comprising more than

half of the several population.

Overnutrition indeed poses a serious health especially in the light of its strong

association with the development of non-communicable diseases such as

cardiovascular diseases, cancer, diabetes mellitus, hypertension, renal diseases,

degenerative arthritis, gout and gall bladder diseases.

Based on the death data of BJMP personnel in 2013, these non-communicable

diseases (NCDs) are among the leading cause of mortality. With the various medical

consequences associated with overnutrition, this weight problem contributes to

decreased labor productivity and economic growth retardation.

Wherefore, the Jail Bureau adopts and implements the Belly Gud for Health

Program of the Department of Health in its effort and intervention to promote and

protect its personnel towards prevention and control of NCDs.

III. OBJECTIVES:

This circular aims to:

1. Promote the reduction of waist circumference among personnel toward risk

reduction for non-communicable diseases.

2. Undertake a continuous information and awareness to the personnel about

healthy lifestyle and encourage them to stay fit and productive.3. Promote a healthful environment like engaging in regular physical activity and

nutritious and healthier dietary management.


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IV. GUIDELINES/MECHANICS:

1. Baseline Non-Communicable Disease NCD) Risk Assessment. The Health

Service will conduct medical assessment/evaluation which will include Waist

Circumference Measurement, BMI, Biochemical examination (glucose, cholesterol).

Waist Circumference is a significant indicator of risk for non-communicable diseases

(NCDs) particularly heart disease and stroke. The bigger the waist circumference is, the

higher the risk for non-communicable diseases. The normal and desirable waist

circumference:

Men < 90 cms 35 inches)

Women < 85 cms 31 inches)

2. Selection of Target Participants. Based on the NCD risk assessment and

evaluation, personnel categorized as Obese/Overweight this also includes patient

diagnosed with Hypertension and Diabetes Mellitus; and having a waist circumference

greater from the desirable waist circumference will automatically become the target

participants.

3. Method of Measuring Waist Circumference. Waist circumference should be

at the midpoint between the lower margin of the least palpable rib. For measurement,the subject should stand with feet close together, arms at the side and body weight

evenly distributed. The subject should be relaxed, and the measurement should be

taken at the end of the normal expiration. Each measurement should be repeated twice;

if the measurements are within 1cm of one another, the average should be calculated.

4. Intervention Activities. The interventions to be undertaken by the target

participants are the following, to wit;

a. Orientation will be done to the participants about the background,

mechanics and the expected output of the program. This will be done by one of the

representatives of the Committee. All the participants will work on their own

interventions in accordance to their preference, schedule and convenience. However,


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they are encouraged to participate in various intervention activities implemented by the

Bureau.

b. Session on Nutrition will be provided at least once a month to the

participants to give an overview on dietary management and encourage them to eat

healthy diet. Use of slimming tea/drugs or other artificial/commercial formulations are

strictly prohibited. The Committee shall conduct lecture on healthy recipes and other

nutrition topics.

c. Session on Physical Activity will be done regularly by the participants

with considerations to those with medical restrictions. The activity will be supervised and

administered by a representative of the Committee. They are also tasked to conductlectures on physical activities/exercises such as dance for health, yoga, tae-chi and

therapeutic massage will be included. One of the activities to be undertaken is the

FITNESS Camp which consists of indoor and outdoor fitness activities, with the

consultation /approval of the head of the participants as follows, to wit;

o HATAW exercise to be done every Tuesday and Thursday (1600H

onwards)

o Physical work out using GYM facilities whether within office/jail

premises or other commercial facilities will be allowed

o ALA STRESS consists of activities such as short prayer and 15

minute dance exercise such as Zumba, Aero-kaebo. This will

relieve stress and promote wellness in the workplace.

o Other activities initiated by the Committee .

d. Monthly NCD Risk Assessment and Screening. This undertaking

should be strictly adhered to by the Committee in order to monitor/assess the

effectiveness and improvement of the participants in the program. Waist monitoring will

be monitored every month and should be documented. It is highly recommended that

only two (2) person should do the measurement for all participants. This is to avoid bias


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and discrepancies in getting the waist circumference. Participants who have not

reduced their waist circumference in a quarter should be re-assessed and their physical

activity monitored .

e. Health Promotion/Education can also be undertaken by the

Committee. This can help promote health awareness and further encourage the

participants to actively participate in the program. The Committee shall coordinate with

DOH and other allied health organizations for support services. Suggested topics are

the following:

o Diabetes Mellitus and Its complications

o

Stroke and Heart Attacko Stress management

o Cancer

o Other topics with regards to health and well-being like

smoking, drinking and the likes.

f. Duration of the program will be six (6) months and continuously be

implemented.

V. ADMINISTRATION:

a. The following offices will implement the program.

Health Service Office

WC measurement In-Charge

DPRM/ RPRM Division

DHRD/PHRD

In-Charge for Physical Activity

VI. AWARDS AND SANCTIONS :

a. By the end of six (6) months, the biggest loser will be given a


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Certificate/Plaque of Recognition/Commendation by the concerned offices/jails.

Likewise, it is also encourage giving incentives in the form of

cash or valuables to the biggest loser.

b. During culmination of the program, if any participants failed to

reduced its waist circumference by at least 8 to 10 centimetres, the Committee

shall re-assess/re-evaluate the subject personnel. Any violation of this Circular

shall be considered as ground for disciplinary action and the personnel

concerned shall be prosecuted for VIOLATION OF REASONABLE OFFICE

RULES AND REGULATIONS. Pursuant to Section 1 Dc of Rule IV of the BJMP

Administrative Disciplinary Machinery violation of this circular is considered a

light Offense with the following penalties:

1 st Offense Reprimand

2nd Offense Suspension of one (1) day to

thirty (30) days

3 rd Offense Dismissal

VII. EFFECTIVITY

This Circular shall take effect immediately.


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MEDIC L FORMS


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HEALTH SERVICE OFFICE PERSONNEL

J/SSUPT ARTHUR C LORENZO, MD, DSCChief, Health Service

J/SINSP NORA G CANDELARIA, DMDDeputy Chief, Health ServiceDental Officer

J/SINSP JOY T MANZO, MD, FPPAChief, NP Section


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J/SINSP JOHN PAUL DG BORLONGAN, MDChief, Medical Section

J/SINSP MANUEL R RAFANANChief, Admin Section

CLARO T MUNDIN, MD Medical Officer IV/Surgeon


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Irene S, Lim, MD, DPBPPsychiatrist

SJO4 Regina P Morfon, RNChief, Nursing Section

SJO2 Annabelle A Tabernilla,RN Admin Officer/Staff Nurse


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JO1 Janelle Erika S Rodriguez, RNRecords Officer/Staff Nurse

JO1 Czar John R Rabara, RN Ambulance Driver/Staff Nurse

Mr Carlo F Malicdem, RNSupply Officer/Staff Nurse


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Mr Voltaire C DulfoPsychologist

Ms Erna C CompuestoPsychologist

Ms Mayflor N MacapugasPsychologist


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