Mobile health clinic marawi siege response beng campiao rn

Mobile Health Clinic:
Protecting Populations Affected by
the Marawi Conflict Against
Health Threats
Accomplishment Report
July to November 2017
Mindanao Organization for Social and Economic Progress, Inc (MOSEP)

Protecting Populations Affected by the Marawi Conflict Against Health Threats | Mobile Health Clinic
Mindanao Organization for Social and Economic Progress, Inc.

Bringing Mobile Health Services to
Communities Displaced by the
Marawi Conflict

CONTENT
ACRONYMS & ABBREVIATION _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ iv
EXECUTIVE SUMMARY _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1
BACKGROUND _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4
OBJECTIVES and ACTIVITIES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 5
TARGET AREAS AND BENEFICIARIES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 7
IMPLEMENTATION STRATEGY _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 8
ACCOMPLISHMENTS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 12
LOGISTIC AND SUPPLY MANAGEMENT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 18
PROGRAMME MONITORING AND REPORTING _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 19
PROGRAMME OBSTACLES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 20
PROGRAMME SUCCESS _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 22
CONCLUSION _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 23
RECOMMENDATION _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 24
ANNEXES _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 25
Mobile Health Clinic Flowchart _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 26
Guidelines for Mobile Health Clinic _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 27
Monthly Schedules _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 28
SNAPSHOT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 33
iii

ACRONYMS & ABBREVIATION
ARMM Autonomous Region for Muslim Mindanao
BHS Barangay Health Station
CFSI Community & Family Service International
CERF Central Emergency Response Fund
CHO City Health Office
CSO Civil Society Organization
DOH Department of Health
DTTB Doctors To The Barrio
DSWD Department of Social Welfare and Development
EC Evacuation Center
HOM Health Organization for Mindanao
HRH Human Resource for Health
IEHK Interagency Emergency Health Kit
IPHO Integrated Provincial Health Office
ITR Individual Treatment Record
LGU Local Government of Unit
LDN Lanao Del Norte
LDS Lanao Del Sur
NDP Nurses Deployment Program
NGO Non-Government Organization
MAM Moderate Acute Malnutrition
MHO Municipal Health Officer
MHPSS Mental Health and Psychosocial Support Services
MOSEP Mindanao Organization for Social and Economic Progress
MMI Mangungaya Mindanao Incorporated
MPDC Municipal Planning and Development Office
MYROi Muslim Youth Religious Organization, Inc.
MUAC Mid-Upper Arm Circumference
ODK Online Data Kit
OCHA Office of Coordination Humanitarian Affairs
PSS Psychosocial Support and Services
PHN Public Health Nurse
PLW Pregnant and Lactating Women
PWD People with Disability
RHU Rural Health Unit
SAM Severe Acute malnutrition
SRQ Self Reporting Questionnaire
SPEED Surveillance in Post Extreme Emergency and Disaster
TMI The Moropreuner Inc.
UNFPA United Nation Population Fund
WHO World Health Organization
iv

Mobile Health Clinic: Marawi Crisis 1
EXECUTIVE SUMMARY
This report described the accomplishments of Mobile Health Clinic intervention and experiences of health care
providers, implementing organization and the funding agency in bringing mobile health services to communities
displaced by Marawi crisis in the four target areas of UN CERF programme from July 2017 to November 2017. The
primary aim of the project is to contribute to the prevention and control of spread of the diseases by
providing primary health care services to home-based IDPs and the host communities in the municipalities
of Pantar, Balo-i and Pantao Ragat in Lanao Del Norte, and Saguiaran in Lanao Del Sur.
The report focuses on the support provided to DOH 10, DOH ARMM, IPHO and CHO of Marawi City in
reaching displaced population of Marawi crisis staying in evacuation sites, and at home-based in the four
(4) target municipalities and its 132,641 population where health situation also in at stake. Supporting
regular health programs of Barangay Health Centers disrupted right through the crisis.
MOSEP as non-governmental organization operated alongside with the other humanitarian organizations
organized the deployment of Mobile Health Team in partnership with WHO under the project titled "
"Protecting populations affected by the Marawi conflict against health threats" in support from UN CERF
programme. Mobile Health Clinic aimed to but not limited to deliver the following activities:
1. Inter-agency Coordination and Communication
2. Deployment of Human Resources for Health
3. Visits to Barangays
4. Conduct of Integrated Mobile Health Services
5. Support to Disease Surveillance
6. Facilitation of Referrals
7. Procurement of medicines and supplies
This report underlined the realization of the Mobile Health Clinic intervention from July 2017 to November
2017. As mandated, The Mobile Health Team conducted an integrated Mobile Health Clinic services in the
92 Barangays of the four (4) municipalities were displaced population of the Marawi conflict located and
deliver essential health programs on transportable way, visiting Barangays twice a month for at least six (6)
times

Forty four (44) HRH deployed with one (1) Health Coordinator technically supporting the Mobile Clinic
operation. There were five (5) Mobile Health Teams, each team composed of one (1) Medical Doctor, four
(4) Nurses, four (4) Midwives and one (1) MHPSS provider. Together with the designated RHU Nurses and
Midwives the teams visited Barangays every day on scheduled appointment with the Barangay Officials..
Each team has their own vehicles served as well as an ambulance transporting patients for referrals to
RHU and nearby health facilities. Most of the team were IDPs and local residents, assignment of areas
based on familiarity of the Barangays, some were previously employed as NDP Nurses.
A total of 40,485 beneficiaries served in 88 Barangays from the 424 total number of visits in the 92 target
Barangays, 24,815 of these were IDPs and 15,670 were host community, 25,634 were female and 14,857
were males.
There were 21,512 total number of medical consultation from August 14, 2017 to November 22, 2017.
Acute Respiratory Infection (ARI), Skin Diseases (SDS), Fever (FEV), High Blood Pressure (HBP), and
Acute Gastroenteritis (AGE) were among the top five (5) causes of consultation.
5,001 under five children screened on Malnutrition using MUAC tapes, ninety nine (99) found Moderate
Acute Malnutrition(MAM), and nine (9) found Severe Acute Malnutrition (SAM) and 158 pregnant and 398
lactating mothers. Severely and moderately found malnutrition referred to HOM for further assessment and
management. Details of referral cases were provided to RHU. A collaborative partnership with HOM were
made and a weekly submission of screened children using data base provided and developed by HOM and
Nutrition Cluster.
About 3,640 individuals screened on Mental Health using Self Reporting Questionnaire (SRQ20) tool, 64
found positive and referred to RHU and MYROi for further management.
A total of 1,672 Pregnant and Lactating Women (PLW) served, 930 are lactating and 742 are pregnant. 400
were given pre-natal care and post-natal care for 925 lactating mothers, 1154 provided with Iron
supplements, 556 screened on nutrition using MUAC tapes and undergone mental morbidity questionnaire
using SRQ-20
There were 8227 children provided with psychosocial support on creative arts, playing and singing. 919
adults given psycho education, cultural and religious healing practices and 12,000 PSS kits were given.
411 cases of referrals made, 239 were medical cases, 64 on Mental Health, and 108 Acute Malnutrition.
22 People with special needs identified and four (4) provided with wheelchair.

Two (2) surveillance nurses augmented to RHU of Saguiaran responsible for keeping health data and
sending every day reports to SPEED and ODK and serving the emergency hospital. Updating and sharing
of 3Ws and 4Ws for cluster members and attendance on its scheduled meetings.
Procurement of medicines and supplies needed during the project undergone bidding and procured with
DOH Accredited supplier. Lists of medicines for procurement based on regular use of RHU.
An intensified health education on hygiene promotion, breastfeeding, advisories on key health messages
during emergencies were done before the start of Mobile Clinic, awareness raising on impending diseases
were topics on next clinics visits to prevent further the spread of the disease.
On top of this, Mobile Health Clinic supplement the carrying over on regular programs of the four RHUs for
Immunization, deworming, and health education. Reporting of imminent diseases and immediate
investigation of cases in the ECs and home-based IDPs as well as the host communities to prevent
outbreak of diseases. .
Finally, this report highlight the primary aimed of the Mobile Health Clinic in support to RHUs mounted
health response and exhaust regular programs in reducing and preventing morbidities, control of
communicable diseases and other ailments at the height of crisis, convincingly, from the beginning to the end,
there was no reported outbreak of diseases within the span of the project.

BACKGROUND
On May 23 2017, conflict erupted between the Armed Forces of the Philippines and local non-state armed
actors, including members of Maute Group led by Isnilon Hapilon, an Abu Sayyaf leader who has claimed
allegiance to ISIS in Marawi City in the province of Lanao del Sur, Autonomous Region in Muslim Mindanao
(ARMM). The incident resulted in the immediate evacuation of nearby entire population of Marawi City, in
which had 201,000 residents in 2015. Most of them fled to relatives and friends' homes in nearby
municipalities, and many arriving in Iligan City, Lanao Del Norte province.
A total of 65,250 families (315,856 people) are displaced in the conflict and 3,463 families (15,994 persons)
are currently staying in evacuation centers while the 61,787 families (299,862 persons) are staying with their
relatives.
About 353,000 displaced people have limited or no access to essential health care services mostly the
home-based IDPs who accordingly less-served compared to IDPs in Evacuation Centers.
Conflict will inevitably cause loss of lives, physical injuries, mental distress, worsening of existing cases of
malnutrition particularly among children 6-59 months old and outbreaks of communicable diseases. Common
preventable diseases such as diarrhea, threaten life. chronic illnesses that can normally be treated lead to
suffering.
The most vital health-related measures in the event of further conflict will be ensuring adequate, safe drinking
water and access to sanitation; making sure that adequate stocks of essential drugs, and medical supplies
for common conditions are in place; preventing the spread of communicable diseases such as cholera,
measles and typhoid fever; and providing access to basic health care for persons with chronic conditions that
needs continuing treatment and strengthening disease surveillance.
Furthermore, many of the host barangays have no existing barangay health stations and if there is but no
assigned health personnel. Thus, resulting in the increased number of underserved communities both the
host community and the IDPs in evacuation centers and homed-based in terms of access to health care
services. and also, many of the areas are in far-flung barangays.

OBJECTIVES
MOSEP in partnership with WHO under the UN-CERF programme implemented the project titled
"Protecting populations affected by the Marawi conflict against health threats" in the four (4) identified
CERF areas from August 2017 to November 2017 with aim to contribute to the prevention and control of
spread of diseases by providing primary health care services to home-based IDPs and host communities,
have the following objectives to wit:
1) to facilitate coordination and engage community leaders and health authorities.
2) to determine the appropriate quantity and quality of human resources needed and procure the
necessary types and quantities of additional medicines and supplies to be able to effectively provide
the necessary medical and psychosocial services to target populations.
3) to undertake the conduct of mobile medical services, diseases surveillance and psychosocial
support to four target municipalities.
4) to ensure appropriate recording and reporting of health data.
ACTIVITIES:
The following activities contribute in ensuring the effectiveness and efficient delivery of the Mobile Health
Clinic project:
1. Inter-agency Coordination and Communication
Close coordination and updating of activities with Cluster, WHO, DOH, RHU, local government units
and other humanitarian agencies and organizations working in the CERF areas.
2. Deployment of Human Resource for Health
Recruitment of Mobile Health Team composed of licensed medical doctors, nurses, midwives and
humanitarian volunteers. Identification and selection in coordination with the MHO and a local
residents of the target areas.

3. Barangay Visits
Visit target areas and arrange schedules with the Barangay officials, clustering of nearby Barangays. In
coordination with MHOs and partner NGOs, MOSEP devised a strategic and equitable route for its
visits to ensure maximum ease of access and that all target home-based IDPs and communities have
access and provided with basic health service
4. Nutrition Screening of children ages 6-59 months and PLW using MUAC
Passive case findings of acute malnutrition and facilitating referrals to HOM and RHU for further
assessment and management. Submission of screened children and PLWs to HOM for follow up and
data banking.
5. Mental Health Assessment and referrals
Use of SRQ-20 as tool for identifying mentally challenge individuals and facilitate the referrals.
6. Psychosocial support services (PSS) for Children and Adult.
Conduct of level 2 and level 3, play session, creative arts to children and cultural and religious
activities for adults and using the material developed by the MHPSS cluster " M'Baling Tanu ( Lets Go
Home)
7. Augmentation of health staff in the RHU
Hiring of staff in support to disease surveillance, managing health data, regularly sending ODK and
SPEED reports to operation centers of DOH.
8. Utilization of existing IEC materials to help in the promotion of health-seeking behavior of the
communities. The usage of HEMS Key Messages during emergencies served as reference.
9. WHO and MHOs to provide technical support/ advice and do site visits for project monitoring.
Monitoring plan designed to ensure that all programs implemented are align with its over-all goal of
providing comprehensive emergency services and well-being of the displaced families. WHO and
MOSEP management team conduct regular monitoring and evaluation activities in the project sites and
the review and planning meeting of the Mobile Team with MHOs and WHO carried out on a monthly
basis and an adhoc meetings once needed.
10. Procurement of additional medicines and supplies.
Additional maintenance medications for anti-hypertension and Diabetic drugs to augment IEHK.
11. Documentation and Reporting of all activities from the beginning to end of project.
Updates and submission of accomplishments to DOH Operation Centers and to WHO, attendance to
Health Cluster meetings, and the regular submission of 3Ws to OCHA and 4Ws to MHPSS cluster.

TARGET AREAS & Population
Municipality
(CERF Areas)
Total Number of
Barangay
Total Population
(2015 Census)
No. of IDPs
(July 22, 2017 DSWD DROMIC)
ECs Home-based
Saguiaran, Lanao Del
Sur
30 24,619 3,775 21,005
Pantar, Lanao Del
Norte
21 21,773 1,015 9,352
Pantao Ragat, Lanao
Del Norte
20 27,866 790 5,591
Balo-i, Lanao Del
Norte
21 58,383 7,167 37,980
Target Areas - Health Status
Access to Health
Previously, before the Marawi siege, most of the barangays in municipalities of Balo-i, Pantar, Pantao
Ragat and Saguiaran were faced with poverty and limited access to health services. The non- functionality
of the Barangay Health Centers, health staffs covering three to four Barangays, coupled with poor health
seeking behaviors.
Balo-i has 7 BHS and 1 RHU covering 58,383 total population with 1 MHO, 20 NDPs, 6 regular Midwives,
and no regular Nurses (PHN).
In Pantar, only the RHU is functional serving 21,773, 1 BHS declared but non-functional, they have one(1)
regular PHN, 1 DTTB, 8 NDPs, 3 regular Midwives and 5 RHMPP covering the 21 Barangays.. During the
Exit Meeting and Presentation of Accomplishment to LGU (November 21, 2017) the MPDC announced that
there will be 7 BHS to be constructed by early January 2018 and additional health staffs to be deployed.
Pantao Ragat has only one health facility, the RHU serving 21,866 population catered by 9 NDPs, 4
Midwives, there were no regular PHN nor DTTB.
Saguiaran has a total of 24,619 population with 7 BHS declared functional, five were visited once in a week
by the assigned Midwife, one (1) is for turn-over to LGU/RHU, and one is occupied by a relatives of the
former Barangay Chairman. Saguiaran RHU has a permanent MHO, with 7 NDPs, 5 regular Midwives, and
2 MECA.

IMPLEMENTATION STRATEGY
To ensure access of IDPs and host communities to essential health care services, prevent and control of
the spread of communicable diseases and other ailments, this project, Mobile Health Clinic will transport
health services to communities needed it most.
MOSEP espoused the following strategies and activities to meet the aim of the project:
PRE-PROJECT IMPLEMENTATION PHASE
HRH Recruitment, Orientation And Planning
Medical Health Team hired according to qualification and needed skills to meet the desired output and
effectiveness of Mobile Health Clinic operation. General Orientation of Mobile Health Team on the
strategies and approaches of implementation and coordination mechanism as well as the policies and
guidelines applied during the implementation, job description and formation of team structures, planning
and scheduling of Mobile clinic and community facilitation conducted before they deployed to their
respective areas of assignment. A refresher course on SPEED, ODK, SRQ20, and use of MUAC tapes for
Nutritional assessment were provided to the Mobile Teams. Familiarization on the usage of IEHK, Mobile
Health Clinic forms like ITR, Family Health Card, Medicine Dispensing forms, etc. were also part of the
general orientation.
Hiring of Medical Teams
Medical Team Number
Medical Doctors 4
Nurses 19
Midwives 13
Disease Surveillance Nurses 2
Mental Health & Psychosocial Support Provider 5
Health Coordinator 1
Enlistment and selection of qualified HRH (Human Resources for Health) concluded in coordination with
the Municipal Health Officers of four target municipalities, WHO team and MOSEP. Local residents and
previously NDP Nurses and MECA Midwives hired and deployed in their respective places of residence,
Medical Doctors and most of the Nurses and Midwives were IDPs some of them residing in the Evacuation
Centers and others living with their relatives.

PROJECT PRESENTATION TO LGU
Together with the Health implementing partners, lead by DOH 10, CHO Marawi, WHO, UNFPA, CFSI, MMI
and RHUs, a project presentation to LGUs conducted and paved the way for a smooth entry and assurance
of support from local leaders. Consultation and planning of schedules designed for the Mobile Clinics with
the Barangay Chairmen, MHOs, and key community stakeholders were done and considered as critical
step to gain support in terms of community preparation, setting up of Mobile Clinic sites, crowd control and
security.
MOBILE MEDICAL TEAM STRUCTURE
There were five (5) medical teams, Saguiaran Team 1, Saguiaran Team 2, Pantar Team, Pantao Ragat
Team, and Balo-i Team. Each team composed of Medical Doctor, Nurses, Midwives, and MHPSS provider.
Based on academic qualification and competencies, Nurses and Midwives who have undergone training on
IMCI can render primary health care services and can prescribed and dispensed medicines. Each team
has a Team Leader, who managed the Mobile clinic operation and responsible for daily health data
reporting to Health Coordinator. Disease surveillance team responsible for daily capturing of health data
through Online Data Kit (ODK) for Lanao Del Norte and SPEED for Lanao Del Sur.
Mobile Medical Team for each Municipality
Municipality Composition
Saguiaran, Lanao Del Sur Team- 1
1 Medical Doctor
2 Nurses
2 Midwives
1 MHPSS
1 Disease Surveillance Nurse
Team - 2
1 Medical Doctor
2 Nurses
2 Midwives
1 MHPSS
1 Disease Surveillance Nurse
Pantar, Lanao Del Norte Pantar Team
1 Medical Doctor (MHO) 1 ODK Nurse
3 Nurses 1 MHPSS
3 Midwives
Pantao Ragat, Lanao Del Norte Pantao Ragat Team
3 Nurses 1 MHPSS
3 Midwives
Balo-i, Lanao Del Norte Balo-i Team
3 Nurses 1 MHPSS
3 Midwives

INTEGRATED MOBILE HEALTH SERVICES
A. Mobile Medical Services.
Together with the RHU, Mobile Health Team conduct medical consultation, pre-natal and post natal care
twice a month per barangays for six visits, with average consultation time of 12-15 minutes per clients to
avail for the health services, and served at least 50-60 clients per visits. RHU staff joining the team
rendering regular program on immunization, deworming, and other health services. The team has their own
medical equipment to enable medical teams to perform standard health examinations, consultation, and
treatment.
B. Mental Health Program and Psychosocial Support Services.
The activity aims to provide mental health and psychosocial support through psychiatric emergency
assessment using SRQ20 and advisory service to affected individuals and referrals to concern agencies.
Play and other approaches to ensure the integrity and well-being of affected individuals especially of the
women, children, and person with disability delivered.
C. Nutritional Assessment and Referrals
Using MUAC tape, assess the nutritional status of children ages 6-59 months and PLW and facilitate
referrals for further management.
D. Disease Surveillance
Another team of two field nurses who will responsible for collection of health data and regularly report and
sending ODK and SPEED reports to DOH Operation Center and for the immediate reporting and investigation
of cases and advised the team for any impending diseases that threatens the community.
E. Hygiene Promotion and Key Health Messages Advisory
Intensified health promotion campaign before the activities started serving as opening program by the team
leader and or by the Medical Doctor, awareness on food and waterborne diseases, PTB, chronic diseases
prevention, health advisory in emergencies, and discussion on health risks, cases alarming to the team like,
Foot & Mouth Diseases, Cholera and other water-borne diseases and common ailments.
F. Referrals to higher level of care
Cases that needs higher level of intervention refer to RHU and nearest District hospital. Mobile Health
Clinic vehicle transporting clients from barangay to nearest facilities. RHU notification for referred cases
and the team does the follow up, home visits, and on the next clinic schedule.

MOBILE VEHICLES
A passenger type van hired transporting the medical team every day contracted on a monthly basis,
serving as well as a Mobile Pharmacy/Dispensary and an ambulance transporting patients that needs to
refer in the nearest health facility. Drivers of these Mobile vehicles were also a residents of the target
municipalities. An agreement to be available anytime as needed for transporting patients during night time
were stipulated in the Vehicle Contract.
VISITS TO BARANGAYS
To be able to reach displaced people living outside evacuation centers with limited or no access to fixed-
visits clinics, and having other priorities that clashed with seeking health care, bringing mobile health
services for those who needed it most is the primary goal of Mobile Health Clinic. Provision of complete
package of medical services including visiting them for at least twice in a month for 6 times, following up,
and monitoring their health status, while inside or outside evacuation centers.
Number of Barangays Visits per Municipality
Municipality No. of Barangays Target No. of Visits
Saguiaran 30 180
Pantar, Lanao Del Norte 21 126
Pantao Ragat, Lanao Del Norte 20 120
Balo-i, Lanao Del Norte 21 126
Total Number 92 552
Monthly mobile clinic schedules placed in bulletin board of RHU, posted in Municipal Hall and given to
Barangay Chairmen during the visits to be able to prepare for the next visits and community are aware of
the next visits.
4. MOBILE HEALTH CLINIC MONTHLY PLANNING & REVIEW
Monthly meeting with the health team together with the MHOs, UNFPA/CFSI, and WHO team with aim to
identify ways to sustain what was done well and development of recommendations on ways to overcome
obstacles and challenges, to review project objectives and deliverables, and come up with the next month's
schedules of the Mobile Clinic.

ACCOMPLISHMENTS
The project " Protecting Populations Affected by the Marawi Conflict Against Health Threats" in partnership
with World Health Organization (WHO) funded by United Nation Central Emergency Response Fund (UN-
CERF) aims to ensure access of host communities and IDPs to essential health services
The overall implementation of the Mobile Health Clinic intent to support the existing programs and
interventions of the health sectors (DOH/IPHO/CHO/RHU) in providing emergency health response to
population affected by the Marawi crisis.
MOSEP worked closely with the different clusters cross linked with health sector, monthly schedule of
Mobile Health Clinic circulated to LGUs and posted in RHUs to ensure no overlapping of intervention in the
same area. Reporting mechanisms centered to DOH 10 and DOH-ARMM Operation Centers for proper
updates and monitoring
MOSEP delivered accomplishments in the four (4) CERF target areas covering 30 Barangays of Saguiaran,
Lanao Del Sur, 21 Barangays of Pantar, Lanao Del Norte, 20 Barangays of Pantao Ragat, Lanao Del
Norte, 21 Barangays of Balo-i, Lanao Del Norte, and its 132,641 host communities.
Number of Barangay Visits
There were 424 total number of visits conducted in 88 Barangays, that is 76.81% from the 552 target
number of visits, the 23.18% (128 visits) were those Barangays adjacent to RHU and those visited by the
team for no more than three to four (3-4) times because of heavy rains, inaccessible roads, and security
issues.
Saguiaran teams were able to served the 30 Barangays as planned, number of actual visits were 144 from
the 180 target number of visits, the remaining 36 visits were uncompleted for security reason, inaccessible
road because of heavy rains, safety of the health teams and the Barangay Chairmen cancellation of visits
due to food distribution in Poblacion (Municipal Hall) and celebration of Eid'l Adha (Muslim holiday)
Municipality
Target No. of
Barangays
Actual No. of
Barangay
Served
Target No. of
Visits per
Barangay
Actual No. of Visits
per Barangay
Saguiaran, LDS 30 30 180 144 (80%)
Pantar, LDN 21 18 126 108 (85.71%)
Pantao Ragat, LDN 20 20 120 93 (77.50%)
Balo-i, LDN 21 20 126 79 (62.70%)
Total Number 92 88 552 424 (76.81%

Pantar team planned to target the 21 Barangays and visits at least six (6) times. During the bi-weekly
meeting and reporting of the team to RHU, the MHO suggested not to include three (3) Barangays adjacent
to RHU and near ECs. RHU staff will covers those Barangays. The team were able to complete the six (6)
times visits to these 18 Barangays from August 14 to November 14, 2017.
Pantao Ragat Team served the entire 20 target Barangays. 10 Barangays visited for six (6) times; four (4)
Barangays visited for five (5) times due to heavy rains and has no suitable sites; two (2) Barangays visited
four (4) times missed the two(2) visits because of unavailability of Medical Doctor; one (1) visited twice a
month before project ends because of ongoing construction; and three (3) Barangays were visited once
due to family feuds and there was a verbal order from the Mayor not to include these Barangays for any
intervention.
Balo-i Team able to served 20 barangays, except for barangay Angayen that needs to cross the Agus River
to reach the area, there were also hearsay on presence of armed group and family feuds are among the
security concern by the communities and health workers. A total of 79 (62.70%) visits from the 126 planned
visits were done by the team, the 47 (37.30%) visits were because of insufficient medicines and supplies,
absence of Medical Doctor, heavy rains, and security issues. There were eight (8) Barangays visited for
four(4) times and seven (7) visited 3 times. Four (4) Barangays in Balo-i with 5,000 to 6,000 population
added the IDPs expected to have 350 patients per visits and requires additional Medical Team and
supplies. One of the main challenges faced by the teams were flocks of non-IDPs yearning for a medical
attention. Some of the Barangays are seldom visited by health personnel even before the crisis.
Number of Beneficiaries Reached per Municipality
Municipality IDPs Host Community Total
Saguiaran, LDS 7817 3685 11502
Pantar, LDN 4436 2687 7123
Pantao Ragat, LDN 4676 2784 7460
Balo-i, LDN 7886 6514 14400
Total Beneficiaries Reached 24815 15670 40485
A total of 40,485 individuals reached by the health teams from August 14, 2017 to November 22, 2017.
24,,815 were IDPs and 15,670 were host communities.
Selection of sites most of the time arranged by the Barangay Officials. In Saguiaran, sites were mostly
asbeing conducted in the usual areas and venues were Midwives conducted their regular activities with
SPEED health facility code for easy capturing of data , inside the Barangay Chairmen's compound, Islamic
schools, covered court, and Day Care Center were most of the home-based IDPs staying.

Number of Beneficiaries by Age
Number of Beneficiaries
Target versus Actual
Municipality
Target
IDPs
(July 22, 2017
DSWD DROMIC
Report)
Actual
IDPs %
Target Host
Community
(July 22, 2017
DSWD DROMIC
Report)
Actual Host
Community
%
Saguiaran, LDS 24780 7817 31.54 24619 3685 14.97
Pantar, LDN 10367 4436 42.78 21773 2687 12.34
Pantao Ragat, LDN 6381 4676 73.28 27866 2784 9.99
Balo-i, LDN 45147 7886 17.46 58383 6514 11.16
TOTAL 86675 24815 28.63 132641 15670 11.81
The total number of target beneficiaries based on July 22, 2017 DSWD DROMIC report.
From August 14 to November 22, 2017 operation of the Mobile Clinic, at least 28.63% or a total of 24,815
IDPs were provided with health services from the total target IDPs which is 86,675 and 11.81% or 15,670
from the 132,641 host community.
Flocks of non-IDPs were one of the major challenges faced by the heath team and the Barangay Officials.
On the first month of operation, the team and Barangay Officials following the guidelines set up on
prioritizing IDPs from non-IDPs and those who immediate in need of medical attentions created tensions
among IDPs and non-IDPs.
Beneficiaries Male Female Total
Children <18 10689 21698 32387
Adult (≥ 18) 2669 5429 8098
Total 13358 27127 40485

Mobile Health Services- Number of Beneficiaries Reached
Children and women counted highest among the attendees of the Mobile Clinic with common complaints of
acute respiratory infections and skin diseases.
Sites selection were done by the Barangay Chairmen, setting up of venue were most of the time arranged
by the team. A call a day before the visits be made reminding Barangay Chairmen for site selection and
pre-arrangement of the venue.
One of the difficulties encountered by the team were the lack of sufficient tables and chairs to used.
Enough space for the entire mission and the lack of privacy for prenatal care and administration of SRQ.
Nutritional screening were done in line with the triage, those found with severe malnutrition and having
medical problems given priority and referring immediately to RHU once RUTF commodities were not
available with the team. There were about 5,001 screened children and 99 were found with moderate acute
malnutrition and nine (9) were severely malnourished.
Adult accompanying children for consultation and availing other services provided with PSS kits consist of
drawing books, crayons, pencils, and small towel, and an hygiene kits for mothers.
Children were thought of hand washing technique before the psychosocial activities and health education
on hygiene promotion, importance of breastfeeding to PLWs, communicable diseases, and key health
messages during disaster were done before the start of the clinic.
People with specific needs including elderly, pregnant and lactating mothers, children with special needs,
people with disability, and very sick were given priority.
Referral of cases were also one of the priority of the team, mostly to families who don't have means of
transportation. Mobile team vehicle were used to transport the patient from barangay to RHU and given
information on the availability of services and agencies that could be of help. A total of 411 cases of
referrals made, 108 of those were cases of acute malnutrition, 239 were medical cases like PTB, DM,
Pneumonia, Pregnant and 64 were mentally challenge that requires immediate intervention.
Services Male Female Total
Medical Consultation 8784 12728 21512
Nutritional Screening 2170 2831 5001
Mental Health Assessment 546 3094 3640
PSS 3187 5040 8227
Pregnant & Lactating Women 1672 1672
PWDs 16 6 22
Referrals 148 263 411
Total beneficiaries 14851 25634 40485

Disease Surveillance
Top Leading Causes of Consultation
Health Condition Number of Consultation
Male Female Total
Acute Respiratory Infection 2967 3411 6378
Skin Diseases 990 1472 2462
Hypertension 510 867 1377
Fever 552 652 1204
Acute Gastroenteritis 193 212 405
Acute Respiratory Infection were among the top leading causes of consultation from the start of the
intervention, mostly affected were under five children accompanied by skin rashes. The lack of sufficient
supply of water for domestic purposes indicates the increasing number of ARI and SDS among IDPs in
ECs and home-based.
High Blood Pressure counts as well increasing from August 14 to November operation of Mobile Team.
Most of them having maintenance drugs and some newly discovered having high blood pressure.
Cases of fever usually accompanied by cough and colds for both children and adult indicates the
insufficient supply of safe drinking water in ECs and previously limited supply of water consumption for the
host population added the home-based used.
There were 52 cases of PTB currently on treatment. Information of the availability of TB drugs and the
continuity of treatment were advised and urgent referrals to RHU and TB DOTS Center facilitated by the
team. A follow up visits were done and cases referred endorsed by the team every day visit to RHU.
98 cases of Diabetes Mellitus provided medication good for one month and were followed up every visits.
Information on the availability and importance of continuing treatment were emphasized by the team during
every visits and start of the clinic.

MOBILE HEALTH SERVICES
Services Total No. of
Persons
Served
Intervention
Medical Consultation 21512 Medical check-up and provision of medicines and
referrals
Nutritional Screening & Referrals 5001 Acute malnutrition assessment using MUAC and
referrals
Mental Health Assessment &
Referrals
3640 Assessment using SRQ-20
Referral to trained personnel or to a psychiatrist or
health facility (RHU, OPCEN, MYROi)
Psychosocial Support & Services
for Children and Adult
8227 Services provided: Creative arts, play sessions for
Children
Psycho education, Cultural, spiritual, religious
healing practice for Adult
Participants provided with PSS kits
Pregnant & Lactating Women 1672 Pre-natal/post-natal check up, Iron Supplementation,
MH assessment, and screening for Malnutrition using
MUAC
People with Disabilities 22 Provision of orthotics
Four provided with wheelchairs
Referrals (RHU, District Hospital,
MYROi, HOM)
411 Medical referrals: 239 HPN, DM, PTB, Malnutrition,
Pneumonia, Foreign Bodies, and for Diagnostic
services (Sputum exam, blood chemistry, x-rays)
Mental Health referrals: 64
Acute Malnutrition: 108
Total Beneficiaries served
From August 14 to November
2017
40485

SUPPLY & LOGISTIC MANAGEMENT
The provision of sufficient and consistent supplies of medicines, basic diagnostic equipment, complete set
of furniture (Tables, Chairs & Tents), and appropriate vehicle (Van) are essential pre-requisite for
implementing a quality Mobile Health Clinic at community level.
Adequate supplies promote positive impressions of the Mobile Health services in areas where displaced
population seeking medical attention is not a priority somewhat important queuing for a food rations and
other commodities that immediate needs of family members addressed. Sufficient supplies and complete
package of health services bringing to a community with poor access to health services increases
attendance, build trust and confidence for the health providers.
One of the basic requirement for setting up a Mobile Clinic are site selection, safety and security of the
area, the size for putting up tables and chairs, accessibility to community and amenities like availability of
toilets, water and electricity.
Hence, the operation of Mobile Clinic line-up with the existing health programs of RHUs, different types of
RHU forms used and reproduced according to areas. RHU of Saguiaran uses different forms and types of
format. RHU of Pantar uses different types of forms from the other two RHU, Pantao Ragat and Balo-i.
Individual Treatment Record, Family Health Card, Consultation Form, Medicines Dispensing Form,
Pregnant and Lactating Women, Nutritional Assessment, and other forms were used by the health team
and were all endorsed to RHU after the projects ends for continuity of care and follow up.
Medicine and Supplies Management
Procurement of additional medicines made in consultation with the MHO on what is mostly dispensed type
of medicines. Medicines prescribed and dispensed in a complete course of treatment according to DOH
standard and guidelines of dispensing.
Each of the Mobile Health Team provided with a stock of medicines for a week consumption and an
everyday refill of those medicines dispensed for the day. Additional request of stocks for those barangays
think likely of having more clients based on the population size and previous visits. Since, the Mobile
vehicle also serving as ambulance during night, stocks of medicines were kept in the RHU.
Inventory were made every two weeks. Exchange of stocks among the team were also observed, there
were items not being used by the other team and can be used by other team.

PROGRAMME MONITORING AND REPORTING
A monitoring tool developed to quantify and gauge project's output and addressed issues, obstacles and
challenges that was being discussed during bi-weekly and monthly review and planning meetings of the
Medical Team and developed a recommendations, plan of action on ways to overcome the problems.
The Health Coordinator of the project does the weekly supervision and technically supporting the Medical
Team. Difficulties encountered everyday by the team addressed immediately and corrected together with
the MHOs.
WHO and OCHA monitored the activities through field visits to sites of the Mobile Clinic. Monthly
accomplishment report submitted to WHO and shared information thru monthly submission of 4Ws and
3Ws to OCHA and clusters.
The MOSEP management team does the evaluation and monitoring the impact in terms of managing
resources and operation.
Aside from the above, each Medical Team has a Team Leader who does the daily supervision and
responsible for the overall completion of the Mobile Clinic. Do the daily data gathering and submission to
M/E officer for data banking.
Each of the team has focal staff responsible for daily reporting of health data to Surveillance Nurses. The
Surveillance Nurses are then responsible for daily sending health data using SPEED and ODK to DOH 10
and DOH-ARMM Operation Center.
A data base for keeping all the information from the Mobile Health Clinic activities were kept by the M/E and
then forwarded weekly to Health Coordinator who then responsible for updating WHO and the Health
sector during the scheduled cluster meetings.
Any reportable diseases encountered were investigated right away by the team and becomes the topic of
the next day's health information session, assuring that every community understands the importance of
having information on any imminent diseases that might happen in a situation resembling to them.
Case referrals to RHU, MYROi and HOM were follow up during RHU visits and meetings with the partners.
Copies of referrals and details of the cases were posted in the RHU and an instructions to look for the
MOSEP focal person (Surveillance Nurses) in Saguiaran and MHO for Pantar and the assigned ODK
Nurses in Balo-i and Pantao Ragat.

PROGRAMME OBSTACLES
Mobile Health Clinic is not an easy to set off. A lot of preparation from the human resources to logistics and
management. The over-all implementation of the Mobile Clinics in response to Marawi crisis faced a lot of
challenges both for the implementing partner (MOSEP) and funding agency and the health partners.
Marawi crisis is an exceptional among the crisis happened in Mindanao. Aside from the first man-made
disaster experienced by the Marawi community, the heart breaking is, accordingly, was destroyed by its
own people with no clear agenda and intentions. The continuing fighting in Marawi at the time of
intervention, the increasing number of IDPs and moving from one place to another, from evacuation center
to home-based and vice versa wherever has the opportunities to meet up the daily basic needs of the
family, IDPs with a multiple names and family members and the host communities declaring as IDPs were
some of the constraint faced by the affected population, health staffs and the implementing partner.
Security of the health team counts as serious obstacles faced by the Mobile Clinic operation. The presence
of armed group believed to be family members of the Maute group in the target Barangays both staying in
evacuation centers and home-based declared as IDPs and known to the host communities situate the
health teams at risks of encounter with the military men conducting manhunt operation.
Problems on road accessibilities due to weather condition, frequent raining, muddy road and road blockage
because of fallen trees, counts most of the time reason for cancellation of Mobile Clinic schedules in far
flung Barangays. Health team has to walk miles to reached the home-based IDPs carrying boxes of
medicines and equipment. The Mobile van-type vehicle loaded with 10 to 14 health teams and RHU staffs
adding weight of boxes of medicines and equipment ended enormous bite the bullet faced by the health
team.
Shortage of medicines and supplies are one of the struggle of the Mobile Health Team during the early
phase of Mobile Clinic operation. Availability of appropriate medicines like syrups and drops for children
below five. Cancellation of schedules of the visits to Barangays mainly because of insufficient medicines
mostly to far flung Barangays with more IDPs adding the host communities seldom seen or visited by RHU
staff. At the beginning it was anticipated based on experiences from the previous intervention in other areas
the used of IEHK basic units were enough to cater the 92 Barangays where home-based IDPs staying were
enough to supply for a 10,000 population. Basically, the emergency kits contents drugs in tablet forms,
realizing these particular displaced population, children and some adults preferred to take branded syrups
and suspension instead of tablets pre-packaged in a zipped drug bag.

Unavailability of Barangay Chairmen or officials. Absence of Barangay Officials and their request of
cancellation of visits also an hindrance encountered by the health team, difficulties in gathering the IDPs in
one place, identifying those needed medical consultation most, prioritizing IDPs that of host communities,
controlling the crowd and support in terms of security were issues that count most in need of presence of
Barangay Officials. DSWD only authorized Barangay Chairmen to received rations of food and non-food
items for the IDPs, if in an instance these two schedules come across, Mobile Clinic becomes the second
priority. IDPs tend to queuing in front of a food ration rather than stand up waiting for turn in a Medical
checkup.
Lack of adequate resources, equipment and furniture appropriate for setting up a Mobile Clinic, like tent,
tables and chairs, BP Apparatus, stethoscope, Weight for Height Board, MUAC tapes, weighing scale,
room for privacy, and conduct of pre-natal and post-natal care revealed as obstacles by the team during bi-
weekly and monthly meeting and planning of the Mobile Health Team.
Problem on lack of coordination and collaboration among other CSO’s, NGO’s, Private organization and
other humanitarian organization. CERF implementing partners none at all convene for sharing information
aside from the monthly submission of 4Ws to OCHA, there was no meeting being held. One more
obstacles being raised were the lack of mapping of services, other health implementing agencies,
institution, and private individuals and groups conducted Medical Mission as to where they want without
coordinating to DOH. The team twice cancelled the visits because of the presence of military having
Medical Missions in Pantao Ragat.
Team struggle in data collection. Every day the team leader must to submit the daily health conditions for
data banking and reporting to SPEED and ODK. Lack of gadgets like laptop and computer and android
phones for encoding data, late submission of data causes sudden increased number of cases for the day
and buildup huge data to encode. The lack and low internet access for sending SPEED and ODK reports,
most of the times, team has to travel to Iligan City sending SPEED and ODK reports and on the later part of
intervention RHU staff in Balo-i and Pantar do the reporting. Worth mentioning was the massive information
being asked by the Health Coordinator; the different forms and tools used for data gathering were all
important to mention as one of the obstacles faced by the Health team.
Difficulties in obtaining, storing and dispensing of medicines. The Mobile vehicle served as pharmacy and
keeping stocks of medicines and supplies for every day operation. MOSEP stored medicines in the sub-
office in Iligan. Every day each team requesting medicines and supplies and collect it before departing as
early as 6:00 o'clock in the morning. Saguiaran Team 1 has to collect and deliver the medicines and
supplies for Saguiaran Team 2 and Pantao Ragat. Balo-i team collect and delivered stocks for Pantar
Team waiting at RHU.

PROGRAM SUCCESS
Bringing health services right at the doorstep of every Marawi crisis affected population at the height of
crisis with having other priorities conflicted with seeking medical attention were the best way to monitor
their health condition.
The success flashed to over-all, there was no disease outbreak. This was the most important and worth
mentioning phrase inspired the health teams and RHU partners and LGUs.
The over-all implementation of the Mobile Health Clinic identified three factors as fundamental to the
success of the program. First, the Integrated Mobile Services, second, the staff selection, and third,
collaboration and coordination counts as the most significant factors for the success of the Mobile Health
Clinic operation.
Mobile Health Teams were residents of the area and have full knowledge and understanding of the
histories, cultures and speaking same language.
Staff effectiveness and reputation of the service providers plays as primary factors contributed to the
success of the Mobile Clinic operation. Being funded by CERF and bringing the name of WHO build trust
and confidence for health team, RHU staff, LGUs and community. Treatment guidelines, protocols and
tools used based on DOH and WHO standard added credibility to the operation of Mobile Clinic.
The convergence of activities with the regular program of RHUs, familiar faces of health teams and RHU
staffs tallied as reason for the success of the implementation.
Health services brought to the community in support to the mounted services and exhausted staffs were
same way back to their places of origin. The tracking of TB patients, provision of maintenance medicines
for HPN and DM awareness of the availability and continuity of their treatment valued success.
Screening of under five children and PLWs for malnutrition, the administration of SRQ-20 to addressed
mental health problems, the conduct of psychosocial activities to children and adult, identification and
provision of orthotics to PWDs, and the availability of Mobile vehicle transporting patients to RHUs and
nearby health facilities were mentioned and appreciated by the Kagawad for Health.
Regular reporting of health teams to RHUs, providing updates, following up referred patients, sharing
resources in particular for medicines shortage and have access to RHU equipment strengthened
collaboration and coordination among the health teams and RHU staffs.
The full support provided by LGUs for security and safety of the health teams impart the smooth
implementation of the Mobile Health Clinic.

CONCLUSION
Mobile Health Clinic is a great way to bring health services to communities needed it most, those find it
difficult to access health services due to geographical location, and seeking medical attention are not a
priority during displacement. Finding ways and means for every day food for the family turn out to be the
most priority of every displaced individuals. Living being displaced in an environment far away from home,
simple cough and skin rashes doesn't count as priority other than food and non-food items.
The low health seeking awareness, health facilities were swamped, scarce health staffs, insufficient supply
of basic medicines and supplies and the aged medical equipment with the added load of displaced
population worsen the health condition of the IDPs staying in both ECs and home-based in Saguiaran,
Pantar, Pantao Ragat, and Balo-i. The previously underserved host communities of these municipalities
additionally fear of increasing health risk. Bringing health services right at the doorstep of every displaced
population physically and mentally in at stake during the crisis contributed, at least in a shorter time
preventing and controlling the spread of communicable diseases and other common ailments coupled with
early reporting and investigation of cases, somehow incidences and outbreak of diseases can be evaded.

RECOMMENDATIONS
Early November of 2017, a month after declaration of liberation of Marawi City, IDPs from the Barangays
minimally damaged outside the main battle area were allowed to return. Slowly lifelines in the City of
Marawi back to life. Health assessment of the return sites conducted to determine the availability of health
resources and services in barangays where IDPs have been allowed to return.
IDPs from the main battle areas were remained in the ECs and home-based in the four (4) host
municipalities. The condition of IDPs in evacuation centers remain stable as the different line agencies and
NGOs supporting them. On the other hand, home-based IDPs with the host community continue to
experience inadequate assistance and limited access to health services.
The After Action Review conducted at Apple Tree Resort last December 14, 2017, participated by the
Implementing Partners of WHO and other key stakeholders the IPHO of Lanao Del Sur, CHO of Marawi
City and Iligan City, and IPHO Lanao Del Norte resulted to the necessity of the continuation of the
response.
During the exit meetings and presentation of accomplishments and turn-over of ITR and equipment and
medicines to RHU and LGU, the four LGU suggested to continue the services until all IDPs return back to
Marawi. As the host communities continue to feel the burden of the cost needed in supporting the home-
based IDPs with the previously inadequate resources. It was mentioned as well the increasing tensions
among IDPs, between IDPs and host communities and LGU workers due to inequitable assistance
provided to home-based IDPs while host communities receiving assistance. Advocacy on data cleansing
and issuance of proper identification card for IDPs remaining in ECs and home-based were recommended.
A conduct of base line survey on MHPSS, standardization of tools and guidelines and protocols used.
Strengthening coordination among MHPSS providers and referral system and services.

Mobile Health Clinic Flowchart
Flow Chart
Mobile Health Clinic
REGISTRATION/RECORDING
· Patients Record/Individual Treatment Records (ITR)
TRIAGE
· Vital signs
· NUTRITION Screening (MUAC)
· SRQ
NUTRITION
· MAM/SAM with medical
problems
· Pregnant/Lactating women
WAITING AREA (Adult)
· Conduct of Psycho
Education/Islamic Perspective
MEDICAL /RH CONSULTATION
· Physical examination
· Pre-Natal/Post-natal
WAITING AREA ( children)
· conduct of Psychosocial activities
RECORDING
· Facilitate referrals and Follow up on clients
WAITING AREA:
· Hygiene Promotion
PHARMACY
· dispensing of drugs
WAITING AREA:
· Hygiene Promotion
MHPSS
· SRQ count of 6 checks for
referrals
· PSS for Adult
EXIT
TRANSPORTATION

Guidelines for Mobile Health Clinic
Project:
Protecting Populations Affected by the Marawi Conflict against Health threats.
Implementing Partner:
Mindanao Organization for Social and Economic Progress, Inc. (MOSEP)
Rural Health Unit
Funding Agency: World Health Organization (WHO)
I. Objective
- to contribute to the prevention and spread of diseases by providing primary health care
services to home-based IDPs and host communities.
II. Implementing Partner
a. Primary – MOSEP
b. Support – RHU, BHW/BNS and
c. LGUs Barangay Officials
1. early listing/triaging of patients and schedule their date of consultation
2. social preparation
3. availability of the venue
4. crowd control and safety
III. Areas of Coverage – all of the 92 barangays of the four target municipalities
IV. Frequency of visits to the barangay – every other week or the most at least twice a month for six
times
V. Target Population
a. Pre-listed/screened patient by the Rural Health Midwife and BHW/BNS needing urgent
medical attention by the medical doctor
b. Vulnerable groups – pregnant women, under five, elderly, people with special needs
VI. Services to be provided
1. Medical Consultation
2. Pre-natal/Post-natal
3. Nutrition Screening (MUAC)
4. Mental Health (SRQ-20)
5. Psychosocial Support Services
6. Hygiene Promotion & Key Health Messages and Advisories
VII. Venue
a. Barangay Health Station or at the facility where RHM renders her/his regular services.

VIII.Limitations
a. Services are available on the agreed schedule only.
b. Total number of patients to be served per visit is limited to 50-60 persons.
c. Prioritize IDPs and person with specific needs, and very sick
d. Prioritize client within the target barangay, however may cater residents of other
barangays who are ill and that needs medical attention.
e. Provide primary medical services only…. No surgical, dental and other major services.
f. May prescribe medicines not within the existing supplies as necessary
Copy for:
RHU
LGU
Barangay Kagawad for Health
Barangay Chairmen and Officials.

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