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08 DTP Annex C2 - Recommended Org Structure and Staffing for LGUs with VoiceOver and Script_14July2021.pptx
1. Devolution Transition Plan
Annex C-2.
Department of Health, Philippines
Recommended Organizational Structure and Staffing Complement for the LGUs
Department of Health
2. Department of Health, Philippines
● Guides in the Staffing of an Organization
a. Reduce functions/programs into activities/tasks to identify staffing requirements.
b. Determine skills/competencies required to perform the functions/activities/tasks.
c. Match activities/tasks with positions in the Index of Occupational Services, Position Titles and Salary Grades (IOS) for the
National Government to determine the appropriate position title. Whenever possible, preference should be given to generic
over specialist positions, for flexibility.
d. Determine the number of positions required based on workload.
e. Apart from the unit head, allow one-of-a-kind higher or senior level position and provide at least one entrance level position.
f. As much as possible, limit the provision of assistants.
g. Observe an optimal ratio between technical and administrative positions.
● Identify functions (core and non-core) that could be effectively outsourced/contracted out; provided that
accountability mechanisms are in place.
● All staffing modifications involving reclassification, conversion, and creation of positions shall be in
accordance with the IOS for National Government.
Organization Hierarchy Guideline
Source: DBM-CSC Government Rationalization Program Organization and Staffing Standards and Guidelines
4. Department of Health, Philippines
Health Service Delivery Division
● Manage the coordination of health service delivery
operations of PCPNs, hospitals and other health facilities
● Oversee the overall integration of the health systems and
implementation of public health programs, including referral
system, health promotion, epidemiology and surveillance,
and disaster risk reduction and management for health.
Health System Support Division
● Manages:
○ health financing (planning and budgeting)
○ health information system
○ procurement and supply chain for health products and
services
○ local health regulation
○ health human resource development
○ performance monitoring, among others. (AO 2020-0021)
Administrative Unit
● Render administrative and logistics assistance to the other
units within the PHO.
● Coordinates with other offices within the Provincial
Government and its component local government units;
● Manages internal logistics and property management;
● Manages facility, equipment and motor vehicle
maintenance, among others.
Office of the Provincial Health Officer
Source: DOH AO 2020-0021, AO 2019-0060, DC 2020-0176
Office of the Provincial Governor
Office of the Provincial Health
Officer
Administrative Unit
Health Service Delivery
Division (HSDD)
Health Promotion Unit
Epidemiology and
Surveillance Unit
Disaster Risk Reduction
And Management Unit
Public Health Program
Management Unit
Management Committee
Provincial
Hospital
District Hospital 1
District Hospital 2
District Hospital N
Planning Unit
Health Information
Systems Unit
Supply Chain
Management Unit
HRH Management and
Development Unit
Quality and Performance
Monitoring Unit
Health Systems Support
Division (HSSD)
Provincial Health Board
Management Support Unit
Provincial DOH Office
Office of the
Municipal/City Mayor
Office of the
Municipal/City Health
Officer I
Office of the
Municipal/City Mayor
Office of the
Municipal/City Health
Officer I
For the details on the component LGUs, please refer to the proposed structure for the Municipal and Component City Health Offices
5. Department of Health, Philippines
Office of the Provincial Health Officer
(Minimum Staffing Recommendation)
Office of the PHO
(1) Head of Office (SG 26)
HS Delivery Division
(1) Division Chief (SG 25)
(1) Asst. Division Chief (SG 22)
HS Support Division
(1) Division Chief (SG 24)
(1) Asst. Division Chief (SG 22)
Administrative Unit
(1) Unit Head (SG18)
Hospital Operations
Office of the PHO SG
1 PHO II 26
1 Administrative Assistant III (sec.) 9
1 Admin Aide IV (Driver/Mechanic) 4
Per Division (HSDD, HSSD) SG
1
PHO I (Asst. PHO) for HSDD
Chief HPO for HSSD
25/
24
1 Supervising HPO 22
1 Unit head 18
2-4 Technical (per unit) 11-20
1-2
Administrative Assistant III/ Data encoder
(for each unit)
9
Unit #1
(1) Unit Head
(SG18)
Technical #1 Technical #2 Technical #3
1 Admin Asst/
Data encoder
Administrative Officer IV
(SG15)
Administrative Assistant III
(SG9)
Administrative Officer II
(SG11)
Administrative Unit SG
1 Administrative Officer V 18
1 Administrative Officer IV 15
1 Administrative Officer II 11
1 Administrative Assistant III 9
6. Department of Health, Philippines
Office of the PHO
HS Delivery Division
PHO I (SG 25)
SvHPO (SG22)
● implement health promotion-related programs,
projects and activities
● facilitate coordination among partners, such as
but not limited to local government and hospital
Health Promotion and Education officers
(HEPOs) and Barangay Health Workers as
barangay level health promotion officers.
Health Promotion
Unit
Disaster Risk Reduction and Management
Unit
● timely, effective and efficient preparedness and response
to public health emergencies and disasters.
● establish and maintain an emergency operation center with
an early warning system, communication mechanism and
technology, and equipment;
● organize and mobilize health emergency response teams
that are equipped with adequate and appropriate tools and
supplies.
Public Health Program Mgt
Unit
● overall implementation of public health
programs, local health policies, plans
and standards, including the
coordination of the delivery of public
health services.
1
HEPO III (SG 18)
1
ADAS III (SG 9)
1
HEPO II (SG 14)
1
HEPO II SG 14
(Provincial) Epidemiology and Surveillance
Unit
● conduct epidemic/ outbreak and epidemiologic
investigations, case investigations, patient interviews, review
of medical records, contact tracing, collection, storage and
transport of samples and specimen, risk assessments,
laboratory investigation, population surveys and
environmental investigation.
● data management, analysis and mandatory reporting of
notifiable diseases and health events of public health
concern.
1
ADAS III (SG 9)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
HPO I (SG 11)
1
HPO II (SG 15)
1
HPO II (SG 15)
1
ADAS III (SG 9)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
HPO I ( SG 11)
1
HPO II (SG 15)
1
Data Encoder (SG 8)
1
HPO II (SG 15)
(Surveillance)
1
SHPO (SG 18)
1
HPO II (SG 15)
(Statistician)
PHO-HSDD
1
ADAS III (SG 9)
7. Department of Health, Philippines
Office of the PHO
Planning
Unit
● formulation of the provincial health goals, objectives and
overall plans, including the local investment plan for health
(LIPH), and other investment and budget plans for health.
● manage the health planning process of the Provincial Health
Office.
Health Information Systems
Unit
● information and communication technology
development, management and interoperability of
information systems and infrastructure, and
health information resources.
Supply Chain Management
Unit
● demand planning and forecasting
● inventory management
● formulation of transportation and warehousing strategies
● monitoring of proper storage and disposal of medicines,
health commodities and other health products
HRH Management and Development
Unit
● develop strategies on HRH generation, recruitment, retraining and
retention, including HRH sharing and performance assessment
mechanisms within the province.
● Formulate HRH plan
● Conduct learning development needs assessments and
interventions, and career development and management system.
HS Support Division
CHPO (SG 24)
SvHPO (SG22)
1
ISA II (SG 16)
1
ISA III (SG 19)
1
ADAS III (SG 9)
1
ISA I (SG 12)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
ADAS III (SG 9)
1
HPO I (SG 11)
1
HRMO II (SG 15)
1
HRMO III (SG 18)
1
ADAS III (SG 9)
1
HRMO I (SG 11)
Quality and Performance
Monitoring Unit
● Ensure that provided health services and operations of the
health systems meet the minimum quality standards set by
the DOH, PhilHealth and other stakeholders, and satisfy the
needs and expectations of the clients.
● Ensure that performance standards are consistent across
health facilities and services within the province.
1
Planning Officer II (SG 15)
1
Planning Officer III (SG 18)
1
Planning Officer I (SG 11)
1
HPO II (SG 15)
1
HPO I (SG 11)
1
ADAS III (SG 9)
PHO-HSSD
8. Department of Health, Philippines
Office of the
City Health Officer
in Highly Urbanized Cities (HUC) or Independent Component Cities (ICC)
9. Department of Health, Philippines
City Health Office in HUCs/ICCs
HS Delivery Division
● Manage the health service delivery operations of PCPNs, hospitals and
other health facilities
● Oversee the overall integration of the health systems and implementation
of public health programs (referral system, health promotion, epidemiology
and surveillance, and disaster risk reduction and management for health)
HS Support Division
● Manages health financing (planning and budgeting, health information
system, procurement and supply chain for health products and services,
local health regulation, health human resource development, and
performance monitoring, among others
Administrative Unit
● Render administrative and logistics assistance to the other units within
the CHO
● Coordination with other offices within the City Government
● Manages internal logistics and property management; and facility,
equipment and motor vehicle maintenance, among others
Urban Health Center
● Serve as the first contact of primary care services in the city delivering
health promotion, disease prevention, health maintenance, counselling,
patient education, diagnosis and management & treatment of acute and
chronic illnesses and referrals.
● Ensure a follow-through course of treatment of a person as whole and
shall provide both population and individual-based health services
● Provide leadership in patient navigation and coordination in a network and
follows the standards set by the DOH
10. Department of Health, Philippines
City Health Office in HUCs/ICCs
(Minimum Staffing Recommendation)
Office of the CHO
(1) Head of Office (SG 26)
HS Delivery Division
(1) Division Chief (SG 25)
(1) Asst. Division Chief (SG 22)
HS Support Division
(1) Division Chief (SG 24)
(1) Asst. Division Chief (SG 22)
Administrative Unit
(1) Unit Head (SG18)
Hospital Operations
Office of the CHO SG
1 CHO III 26
1 Administrative Assistant III (sec.) 9
1 Admin Aide IV (Driver/Mechanic) 4
Per Division (HSDD, HSSD) SG
1
CHO II (Asst. CHO) for HSDD
Chief HPO for HSSD
25
24
1 Supervising HPO 22
1 Unit head 18
2-3 Technical (per unit) 11-20
1-2
Administrative Assistant III/ Data encoder (for
each unit)
9
Unit #1
(1) Unit Head
(SG18)
Technical #1 Technical #2 Technical #3
1 Admin Asst/
Data encoder
Administrative Officer IV
(SG15)
Administrative Assistant III
(SG9)
Administrative Officer II
(SG11)
Administrative Unit SG
1 Administrative Officer V 18
1 Administrative Officer IV 15
1 Administrative Officer II 11
1 Administrative Assistant III 9
Urban Health Center
CHO I SG 24
Per Urban Health Center (based on PCF Standards) SG
1 CHO I 24
1 HSDU Head/ 23
1 HSSU Head 22
# Technical Staff
# Administrative support
11. Department of Health, Philippines
Office of the CHO
HS Delivery Division
CHO II (SG 25)
SvHPO (SG22)
● implement health promotion-related programs,
projects and activities
● facilitate coordination among partners, such as
but not limited to local government and hospital
Health Promotion and Education officers
(HEPOs) and Barangay Health Workers as
barangay level health promotion officers.
Health Promotion
Unit
Disaster Risk Reduction and Management
Unit
● timely, effective and efficient preparedness and response
to public health emergencies and disasters.
● establish and maintain an emergency operation center with
an early warning system, communication mechanism and
technology, and equipment;
● organize and mobilize health emergency response teams
that are equipped with adequate and appropriate tools and
supplies.
Public Health Program Mgt
Unit
● overall implementation of public health
programs, local health policies, plans
and standards, including the
coordination of the delivery of public
health services.
1
HEPO III (SG 18)
1
ADAS III (SG 9)
1
HEPO II (SG 14)
1
HEPO II SG 14
(City) Epidemiology and Surveillance Unit
● conduct epidemic/ outbreak and epidemiologic
investigations, case investigations, patient interviews, review
of medical records, contact tracing, collection, storage and
transport of samples and specimen, risk assessments,
laboratory investigation, population surveys and
environmental investigation.
● data management, analysis and mandatory reporting of
notifiable diseases and health events of public health
concern.
1
ADAS III (SG 9)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
HPO I (SG 11)
1
HPO II (SG 15)
1
HPO II (SG 15)
1
ADAS III (SG 9)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
HPO I ( SG 11)
1
HPO II (SG 15)
1
Data Encoder (SG 8)
1
HPO II (SG 15)
(Surveillance)
1
SHPO (SG 18)
1
HPO II (SG 15)
(Statistician)
CHO-HSDD
1
ADAS III (SG 9)
12. Department of Health, Philippines
Office of the CHO
Planning
Unit
● formulation of the provincial health goals, objectives and
overall plans, including the local investment plan for health
(LIPH), and other investment and budget plans for health.
● manage the health planning process of the Provincial Health
Office.
Health Information Systems
Unit
● information and communication technology
development, management and interoperability of
information systems and infrastructure, and
health information resources.
Supply Chain Management
Unit
● demand planning and forecasting
● inventory management
● formulation of transportation and warehousing strategies
● monitoring of proper storage and disposal of medicines,
health commodities and other health products
HRH Management and Development
Unit
● develop strategies on HRH generation, recruitment, retraining and
retention, including HRH sharing and performance assessment
mechanisms within the province.
● Formulate HRH plan
● Conduct learning development needs assessments and
interventions, and career development and management system.
HS Support Division
CHPO (SG 24)
SvHPO (SG22)
1
ISA II (SG 16)
1
ISA III (SG 19)
1
ADAS III (SG 9)
1
ISA I (SG 12)
1
HPO II (SG 15)
1
SHPO (SG 18)
1
ADAS III (SG 9)
1
HPO I (SG 11)
1
HRMO II (SG 15)
1
HRMO III (SG 18)
1
ADAS III (SG 9)
1
HRMO I (SG 11)
Quality and Performance
Monitoring Unit
● Ensure that provided health services and operations of the
health systems meet the minimum quality standards set by
the DOH, PhilHealth and other stakeholders, and satisfy the
needs and expectations of the clients.
● Ensure that performance standards are consistent across
health facilities and services within the province.
1
Planning Officer II (SG 15)
1
Planning Officer III (SG 18)
1
Planning Officer I (SG 11)
1
HPO II (SG 15)
1
HPO I (SG 11)
1
ADAS III (SG 9)
CHO-HSSD
13. Department of Health, Philippines
HS Delivery Unit HS Support unit
UHCenter
CHO I SG 24
BHS
ISA II SG 16
Administrative Asst III SG 9
1
Midwife II SG 11
1
BHW or
BHAide
SG 4
per 20HH
1
Nurse I SG 15
1
BNS
per
Barangay
(not in IOS)
1
Administrative
Asst III
SG 9
1
Administrative
Aide III
(Utility Worker)
SG 3
1
AAide IV
(driver)
(SG4)
AO III SG 14
Administrative Aide III
(Utility Worker) SG 3
MO III SG 21 (per 20k pop)
Nurse II SG 17 (per 10k pop)
Midwife III SG 13
(per 5k pop)
Sanitation Inspector IV SG 13
(per 20k pop)
MO IV SG 23
as unit head
SvHPO SG 22
as unit head
Office of the CHO
CHO-Urban Health Center
1 HPO II SG15
(surveillance)
Administrative Asst III SG 9
14. Department of Health, Philippines
Office of the
Municipal/City Health Officer
in a Municipality/Component City
15. Department of Health, Philippines
MHO/RHU or CHO/Urban Health Center in a
Municipality/Component City
MHO/RHU or CHO/UHC
● First contact of Primary Care service in municipality or city
● Provide services on:
○ Health promotion
○ Disease prevention
○ Health maintenance
○ Counselling
○ Patient education
○ Diagnosis and management
○ Treatment of acute and chronic illnesses
○ Referrals
● Ensure follow-through course of treatment of a person as a whole
● Provide population-and individual-based health services
● Provide leadership in patient navigation and coordination in a network
● Follows standards set by DOH
HS Delivery Unit
● Provide population-and individual-based health services of the RHU/UHC
● Navigate an coordinate referrals to other service providers within the
HCPN
HS Support Unit
● Render administrative services such as:
○ Management of logistics, equipment, and facilities
○ Management of health data and records
● Coordinate with and submit reports to PHO or respective HCPN
BHS
● Provide primary care services at the barangay level
● Focus on preventive and promotive population-based health services
● Assist in patient navigation as a satellite health facility of RHU/UHU
● Follow standards set by DOH
16. Department of Health, Philippines
MHO/RHU or CHO/Urban Health Center in a Municipality/Component City
(Minimum Staffing Recommendation)
Office of the CHO SG
1 MO V or CHO II 25
1 Administrative Assistant III (sec.) 9
1 Admin Aide IV (Driver/Mechanic) 4
BHS (based on PCF Standards) SG
1 Nurse I 15
1 Midwife II 11
1 ADAS III 9
# Barangay Health Aide 4
1 AAide IV 4
1 AAide III 3
Per RHU/Urban Health Center (based on PCF Standards) SG
1
RHP for RHU or
CHO I for Urban Health Centers
25
24
1 HSDU Head 23
4 Technical Staff 13-21
1 HSSU Head 22
2 Technical Staff 14-16
1 Administrative Asst. III 9
1 Administrative Aide III 3
17. Office of the MHO/CHO
MO V SG 25 for municipalities
CHO II SG 25 for cities
1 ADAS III (SG9)
1 AAide IV (SG4)
HS Delivery Unit HS Support unit
HOSPITALS
RHU/UHCenter
RHP SG 24 for RHU
CHO I SG 24 for Urban Health Centers
RHU/UHCenter
BHS
ISA II SG 16
Administrative Asst III SG 9
1
Midwife II SG 11
1
BHW or
BHAide
SG 4
per 20HH
1
Nurse I SG 15
1
BNS
per
Barangay
(not in IOS)
1
Administrative
Asst III
SG 9
1
Administrative
Aide III
(Utility Worker)
SG 3
1
AAide IV
(driver)
SG 4
AO III SG 14
Administrative Aide III
(Utility Worker) SG 3
MO III SG 21 (per 20k pop)
Nurse II SG 17 (per 10k pop)
MO IV SG 23
as unit head
SvHPO SG 22
as unit head
Scenario 1: The Municipal/City Health Office is one and the same
with the Rural Health Unit/ Urban Health Center and has no hospital
owned and managed by the component LGU
Scenario 2: There are several Rural Health units/Urban Health
Centers under the Municipal/City Health Officer and has a hospital
owned and managed by the component LGU
MHO/RHU or CHO/UHC in a
Municipality/Component City
Midwife III SG 13
(per 5k pop)
Sanitation Inspector IV SG 13
(per 20k pop)
1 HPO II SG15
(surveillance)
Administrative Asst III SG 9
Good day! The following slides will present to you the Recommended Organizational Structure and Staffing Complement for the LGUs in light of the Devolution Transition Plan.
This incorporates the proposals from technical offices of the Department of Health, as well as directions and agreements from the meeting between the
Bureau of Local Health Systems and Development
Health Facility Development Bureau
Health Policy Development and Planning Bureau
Health Human Resource Development Bureau
Personnel Administration Division of the Administrative Service.
The Staffing review was guided by the DBM-CSC Government Rationalization Program Organization and Staffing Standards and Guidelines as shown in your screen.
Specifically, the staffing requirements was developed by:
Identifying the functions expected of the organization, and
Identifying positions titles that are more generic than specific, and based on the latest INDEX of OCCUPATIONAL SERVICES, OCCUPATIONAL GROUPS, CLASSES and SALARY GRADES (105) CY 2018 Edition (IOS released by the DBM in 2018).
There is also a hierarchy of positions, reflecting one head of office/unit, one senior level position, and at least one entry level position.
We note that the existing structure/HR complement in the different levels of the Local Government Units does not follow a prescribed organizational structure and staffing.
Hence, the organizational structure that you will see is a proposed ideal/minimum staffing complement which should be enough to perform the expected functions of the organization.
The LCEs may add more, depending on the needs of their LGU and local health system, as provided for in the Local Government Code of 1991.
The organizational structures in the succeeding slides are aligned with the provisions stated in:
AO 2020-0021 -- Guidelines on Integration of LHS into P/CWHS
AO 2019-0060 -- Guidelines on the Implementation of the National Health Facility Registry
DC 2020-0176 -- PCF Standards manual
In this slide, you will see the recommended organizational structure for the Office of the Provincial Health Officer.
This presentation will focus on the staffing complement for the:
Office of the PHO as the technical secretariat of the Provincial Health Board.
Health Service Delivery Division which will manage the health service delivery operations of PCPNs, hospitals, and other health facilities, and oversee the implementation of public health programs including health promotion, epidemiologic surveillance and disaster risk reduction and management for health.
Health System Support Division which will manage the health financing (planning and budgeting), health information system, procurement and supply chain for health products and services, local health regulation, health human resource development, and performance monitoring, among others, in close coordination with the concerned offices of the provincial/ city government.
Administrative unit will render administrative and logistics assistance to the other units within the PHO.
This slide will show you the recommended minimum staffing complement for the office of the provincial health officer.
The office of the PHO will be headed by a PHO II as the head of office. He/She is mainly responsible for the technical integration and supervision of the P/CHWS.
The Divisions will be headed by a Division Chief.
For the HSDD, this will be headed by the Asst. PHO (AO 2020-0021 Sec. VII.B.2.b.i.1)
For HSSD, this will be headed by a CHPO.
The Division Chief will be assisted by an Assistant Division Chief.
All units under each division will have:
1 unit head
2-3 technical staffs, depending on the extent and complexity of the expected functions of that unit; and
1 administrative assistant or encoder to support the unit.
This will be the structure that you will see on the next slides which is composed of the units under a division.
On the other hand, the administrative unit under the PHO which will be headed by an Administrative Officer V, IV, II and Administrative Assistant III to support the entire unit.
This structure will be mirrored in the City and Municipal Health Offices, as you will see in the succeeding slides.
Under the PHO is the Health System Delivery Division which is composed of four (4) units for Health Promotion, Epidemiology and Surveillance, Disaster Risk Reduction and Management, and Public Health Program Management. The functions of these units are reflected in the gray boxes on your screen.
As mentioned earlier, each unit have a unit head, technical staff, and an administrative support.
For example, looking at Health Promotion Unit, this will be headed by a HEPO III, 2 HEPO 2s and 1 Administrative Assistant III.
These were streamlined structure from the original proposal of the technical offices.
To highlight, the Provincial Epidemiology and Surveillance Unit was originally composed of 13 staffing complement, however in this structure we proposing to have only 5 as the minimum staffing complement. This is in alignment with RA 11332 IRR Rule VII. Sec.2 that at there should be least 1 DSO for a PESU.
The Disaster Risk Management Unit which was originally proposed to have 11 was streamlined to have 5 staff. While Public Health Program Management Unit which was originally proposed with a 23 staffing complement was also streamlined to 6.
The next slide will show you the other division of the PHO.
GCA notes:
LBC NO. 61 (LGU IOS s. 1996) -- no Health Program Officer item
Local health regulation → Public health program -- sanidad?
The Health System Support Division, headed by a Chief Health Program Officer and assisted by a Supervising Health Program Officer, will have five (5) units:
We propose to merge the Planning Unit with the Quality and Performance Monitoring Unit which will have 6 staff to manage the health planning process, and to ensure that performance standards are consistent across health facilities.
The Health Information Systems Unit will have 4 staff which will be managing the information and communication technology development, management and interoperability of information systems and infrastructure, and health information resources for the PHO.
The Supply Chain Management Unit will also have four 4 staff to handle demand planning and forecasting, inventory, supply transport and warehousing, and monitoring of storage and disposal.
While the HRH Management and Development Unit will have 4 to manage HRH management and HRH development.
Next to be presented is the recommended organizational structure and staffing for the Office of the City Health Officer in Highly Urbanized Cities (HUC) or Independent Component Cities (ICC).
This organizational structure for the City Health Office mirrors the set-up of the Provincial Health Offices.
However, it will show you that the CHO will also be managing urban health centers. The Urban Health Centers will be the first contact of primary care services in the city.
The next slide will show you the:
Office of the CHO as the technical secretariat of the City Health Board.
Health Service Delivery Division which will manage the health service delivery operations of PCPNs, hospitals, and other health facilities, and oversee the implementation of public health programs including health promotion, epidemiologic surveillance and disaster risk reduction and management for health.
Health System Support Division which will manage the health financing (planning and budgeting), health information system, procurement and supply chain for health products and services, local health regulation, health human resource development, and performance monitoring, among others, in close coordination with the concerned offices of the city government.
Administrative unit will render administrative and logistics assistance to the other units within the CHO.
In this slide, it will show you that we have standardized the hierarchy of the staffing complement.
The office of the CHO will be headed by a CHO III as the head of office. He/She is mainly responsible for the technical integration and supervision of the P/CHWS.
The Divisions will be headed by a Division Chief.
For the HSDD, this will be headed by the Asst. CHO (AO 2020-0021 Sec. VII.B.2.b.i.1)
For HSSD, this will be headed by a CHPO.
The Division Chief will be assisted by an Assistant Division Chief.
All units under each division will have:
1 unit head
2-3 technical staffs, depending on the extent and complexity of the expected functions of that unit; and
1 administrative assistant or encoder to support the unit.
UHCenters follow standards in the Primary Care Facility manual. I will discuss this in detail in the next slides.
Finally, the administrative unit under the CHO which will be headed by an Administrative Officer V, IV, II and Administrative Assistant III to support the entire unit.
Just like what we have done in the PHO, the next slide will show you the detailed staffing complement of the divisions.
Under the CHO is the Health System Delivery Division which is composed of four (4) units for Health Promotion, Epidemiology and Surveillance, Disaster Risk Reduction and Management, and Public Health Program Management. The functions of these units are reflected in the gray boxes on your screen.
As mentioned earlier, each unit have a unit head, technical staff, and an administrative support.
Again, what you will see is a streamlined structure from the original proposal of the technical offices.
The next slide will show you the Health System Support Division.
Similarly, we are recommending the merging of these two (2) small units which are the Planning unit and Quality and Performance Monitoring Unit. The same thing with the PHO it will have these 3 more units under the health systems support division.
However, the next slide will show you an additional unit under the City Health Office which is the Urban Health Center on a primary care facility in the city.
Based on the Primary Care Facility Standards as disseminated through DC 2020-0176, this slide shows you that under the Urban Health Center there will be a Health Service Delivery Unit as well as the Health Systems Support Unit and also one (1) or several Barangay Health Stations.
The staffing complement under the Health Service Delivery Unit are as follows:
Headed by a Medical Officer IV
Medical Officer III will be computed based on the 20K population
Nurse II which also be based on a 10k population
As well as the Midwife and Sanitation Inspector based on the population ratio
Lastly, an HPO II to manage disease surveillance will be under this unit, as provided in RA 11332 and its IRR.
The composition of this unit will be a dynamic one depending on the population ratio which the UHC serves.
On the other hand, the Health Systems Support Unit will be:
headed by a Supervising Health Program Officer
And will also be supported by a Information System Analyst to handle the health information systems of the center
As well as the Administrative Officer III to manage the systems support services such as supply chain and HR management
The Barangay Health Stations will be manned by a Nurse and a Midwife and will be supported by a Barangay Health Worker or a Barangay Health Aide, Barangay Nutrition Scholar, Administrative Assistant , a Utility worker and a driver.
At this point, I would like to highlight that this structure proposes for Barangay Health Aide positions (as listed under the Index of Occupational Services issued by DBM) in Primary Care Facilities for hiring of qualified health volunteers (i.e. Barangay Health Worker and Barangay Nutrition Scholar)
Next to be presented is the recommended organizational structure and staffing for the Office of the City Health Officer in Highly Urbanized Cities (HUC) or Independent Component Cities (ICC).
This slide will show you an almost similar structure for the Municipal Health Office or a City Health Office in a Municipality or Component City.
For this organization, there can be 2 scenarios:
1st scenario: The Municipal/City Health Office is one and the same with the Rural Health Unit/Urban Health Center and has no hospital owned and managed by the component LGU
2nd Scenario: There are several Rural Health Units/ Urban Health Centers under the Municipal/ City Health Officer and has a hospital owned and managed by the component LGU
In this slide you will see the staffing complements listed in the right table under the Municipal/City Health Office.
Again, based on the Primary Care Facility Standards, the RHU or Urban Health Center have a Health Service Delivery Unit as well as the Health Systems Support Unit and also one (1) or several Barangay Health Stations.
The minimum staffing complement under these units nd Barangay Health Station is similar to the one discussed earlier, and the composition of this unit will be a dynamic one depending on the population ratio which the UHC serves.
The difference, however, is for Scenario 1, when the MHO is one and the same with the RHU. The MO V or the CHO II can also function as the head of the RHU and the health service delivery unit altogether.
For Scenario 2, if there are several RHUs or Health Centers in the municipalities, the LGU should have an RHP to manage the RHU or UHC, and should have an MO IV as a unit head of the Health Service Delivery Unit.
Once the presented organizational structures and staffing are approved by our principals, HHRDB and PAD will update the corresponding QS, Competencies and job descriptions.
