ROJDonors - Mu Relief - HelpThru xCOVID19 Excellent Innovative Practices – Northern Samar Submitted by Dr. ALVI KUUSELA B. TEJANO, MD, MPM (MHO) July 2020

1. MAPANASCOVID
LOCALPREPAREDNESSANDRESPONSE STRATEGY
BY:ALVI KUUSELA B. TEJANO, MD, MPM

2. MUNICIPALITY OF MAPANAS

3. DEMOGRAPHICS
Population 15,611
No. of
Barangays
13
No of HH 2,940
Income Class 5th municipal income class
HEALTH
FACILITY
RHU 1
BHS 6
HEALTH
WORKERS
DOCTOR 1
PHN 1
RHM 4
RMT 1
DOH HRH 10
SI 1

4. COVID SITUATION

6. JULY 16, 2020

8. SLOWINGDOWNCOVID-19
IN EVERY HOUSE, IN EVERYBARANGAY
LGU MAPANAS ADAPTED THE PSPHP RECOMMENDATIONS

9. INCIDENTCOMMANDSYSTEM
Incident Commander
Operations Unit Admin/Finance Unit
Management of the
Dead
Health Cluster
Public Information
Officer
Liaison Officer
PlanningUnit Logistics Unit
Food and Social
Security Cluster
Peace and Order
Cluster
BHERT
CIU
BHS

10. STAKEHOLDERS

11. Mapanas Local COVID-19 Task Forces (LCTF)
● oversees implementation of response to monitor,
reporting, and prevent the spread of COVID-19 in
the community
Barangay Health Emergency Response Team (BHERT)
● monitors and coordinates all efforts related to
COVID-19 with the local healthauthorities
Rural Health Units
● provides guidance to the efforts of the BHERTs
● coordinates all efforts related to COVID-19 with the
local health authorities at the province and/or CHD
level (e.g. PESU,RESU)
STAKEHOLDERS

12. Sanitation Inspector
● oversees proper waste management of the
municipality health facilities and
designated LIGTAs COVID
Community Isolation Unit Manager
● oversees the operations ofthe LIGTAs COVID
Patients and their families
● FRONTLINERS; partners of the LGU in taking care
of the sick and preventing/mitigating community
transmission
Community members
● partners of the local government in
preventing/mitigating community transmission;
support health workers in doing their tasks
STAKEHOLDERS

13. Scenario Alert Level Actions
LGUhas no known local case of COVID-19
ALPHA Preparedness
LGUhas first confirmed case of COVID-19 BRAVO
Alert Sub level1
Mitigation
LGUhas documented community transmission CHARLIE
Alert Sub level2
Response
MAPANASCOVID
LOCALPREPAREDNESSANDRESPONSESTRATEGY

14. Mapanas COVID Local Preparedness and Response Strategy
Scenario Alert Level Action : Preparedness
Mapanas has
no
ALPHA
Local Chief Executive to activate the Local COVID-19
Task Force using the Incident CommandSystem.
1. prepare the Incident Action Plan (IAP)
2. organize the Incident Management Team (IMT) by
appointing key personnel and delegation of task
(ensure inclusion of community leaders)
3. establish and test surveillance and notification system
4. establish referral system to the nearest hospitaland
testing facility
5. ensure the presence of adequate health humanresource
6. conduct rapid needs assessment
7. secure necessary healthcare equipment and supplies
8. conduct trainings and orientation for health care
workers AND
other members of the response clusters
9. identify vulnerable and high risk areas and population
groups
known local
case of
COVID-19

15. Scenario Alert Level Action : Preparedness (continued)
Mapanas has
no
ALPHA
10. prepare community quarantine and community
isolation facilities
11. mobilize offices and sectors to prepare social safety
nets in the event of enhanced communityquarantine
12. disseminate timely and accurate information about
the disease and the status of the pandemic
13. monitor ingress and egress of people into and out of
the community especially from areas where there is
confirmed local transmission for possible vectors and
carriers of the infection
14. secure communication and information lines with
Regional Government Offices including DOH, DILG,
PNP,etc.
15. initiate regular meetings with IMT forregular
updates, coordination and decision-making
known local
case of
COVID-19
Mapanas COVID Local Preparedness and Response Strategy

16. Scenario Alert Level Action: Mitigation
Mapanashas
first confirmed
case of
COVID-19
BRAVO
Alert
Sub level
1
Activate the Emergency Operations Center (EOC) and implement
the Incident Action Plan which shall include:
1. social re-engineering measures to include:
a. physical distancing
b. prohibition of mass gatherings(e.g. wake, religious
gathering, fiesta, sports and other socialevents)
2. continue household profiling to identify vulnerable
population groups (e.g. elderly, lifelong conditions,
immunocompromised) and women about to give birth
3. establish platforms for information dissemination and
health education
a. COVID-19 Hotlines
b. regular public announcements thru PAsystems
c. others (e.g. social media apps,chatbots)
4. activate BHERTs to do contact tracing and monitoring of
all susceptible* individuals
Mapanas COVID Local Preparedness and Response Strategy

17. Scenario Alert Level Action: Mitigation (continued)
MAPANAS has
first confirmed
case of
COVID-19
BRAVO
Alert
Sub level
1
5. ensure provision of basic physiological needs
(i.e. food and non-food items) to households in
quarantine in order to ensure compliance; this
can be arranged through extrafamilial resources
or the LGU support
6. ensure that social/economic safety nets (e.g.
TUPAD program of DOLE;AICS program of
DSWD) are inplace ready to assist
disadvantaged populations in the event of a
community quarantine.
7. identify ways to awaken the Filipino spirit of
Bayanihan
to promote socialsolidarity
8. continue regular meetings with IMT for
updates, coordination and decision
making
14
Mapanas COVID Local Preparedness and Response Strategy

18. Scenario Alert Level Action: Response
Mapanashas
documented
community
transmission
CHARLIE
Alert
Sub level2
Issue a directive for implementation of Enhanced Community
Quarantine (ECQ)
1. activate BHERTs for active case finding and reporting of
susceptible and suspected COVID-19 patients to MESU,
CESU,PESU,RESUfor case monitoring and tracking
2. establish context-sensitive community quarantine
measures (based on evidence)
a. curfew hours
b. quarantine pass
c. provision of transportation services for frontliners in
essential services
d. “caring for the carers” - practical support systems
for the families of frontline workers
e. innovative ways of delivery of basic services (e.g.
telemedicine, mobile palengke)
3. operationalize LIGTAs COVID
4. Activate referral system for admission and testing of
suspected/probable cases
15
Mapanas COVID Local Preparedness and Response Strategy

19. Scenario Alert Level Action: Response (continued)
Mapanas has CHARLIE
5. closely coordinate with funeral parlors and religious groups for
culture sensitive management of the dead based on the
patient/family’s religious beliefs and practices (e.g. monitor
and penalize abusive commercial practices that prey on the
family’s fragile emotional state). See DOH DM 2020-0067
6. establish community support groups for patients and their
families.
7. prepare and submit daily Situation Reports (SitReps) to higher
level EOC
8. conduct daily command conferences to monitor progressof
the incident
9. update and amend IAP as needed
10. continue regular meetings with IMT for updates,coordination
and decision making
documented
community
Alert
Sub level2
transmission
16
Mapanas COVID Local Preparedness and Response Strategy

20. SAFEANDRAPIDINTRODUCTIONOF COMMUNITYISOLATIONUNITS(MAPANASLIGTASCOVID)
17

21. MAPANAS RHU PLAN
By: Alvi Kuusela B.
Tejano,MD, MPM

22. CREATION OF BHERTS AND TASK FORCE
ORDINANCE ON WEARING OF FACE MASK
24 HOURS CURFEW ON MINORS, SENIORS
PROHIBITION OF ALCOHOL
REALLIGNMENT OF LGU BUDGET
E.O ON IATF
E.O ON CTT, DTT, PMMT
MAPANAS COVID GOVERNANCE

23. MAPANAS COVID FINANCING
DISASTER
FUND
BAYANIHAN
GRANT 20%EDF KALAHI PHILHEALTH

24. SUSTAINABILITY
PHILHEALTH REIMBURSEMENTS FOR
EVERY SUSPECT ADMITTED AT THE
ISOLATION FACILITY
FUND CAN BE USED TO PURCHASE
PPE, MEDICINE, SUPPLIES AND OTHER
OPERATIONAL EXPENSES

25. MEDICINE, SUPPLIES AND TECHNOLOGY
10 OXYGEN TANKS
MEDICINE
OXYGEN CONCENTRATOR
PPE (MASK, GOOGLES,
ISOLATION SUITS/
GOWNS)
AED
THERMOMETER

27. DIAGNOSTICS
250 RAPID ANTIBODY TESTS
100 PCR TESTING KITS

28. MAPANAS LIGTAS COVID CENTER
TEMPORARY FACILITY
MCES 6O BED CAPACITY
24/7
PSCHOSOCIAL ACTIVITIES
PHILHEALTH ACCREDITED
DOH ACCREDITED
STRICT ADHERANCE TO INFECTION &
PREVENTION CONTROL ( IPC)

30. HOLDING AREA

31. HEALTH
WORKERS
• 1DOCTOR
• 1NURSE
• 4 RHM
• 1 RMT
• 4 DOH
NURSE
IATF
• CTT
• DTT
• PMMT
• LRT
PNP, BFP
• 30 PNP
• 8 BFP
BHERTS
• 13BRGYS
HAZARD PAY, SRA
HUMAN RESOURCES FOR ISOLATION FACILITY

32. INFECTION PREVENTION CONTROL
AT RHU MAPANAS
HANDWASHING FACILITY AT
ENTRANCE, TRIAGE AREA
FOOT BATH AT ENTRANCE AND
EXITS
PLASTIC BARRIERS AT
CONSULTATION AREA
STRICT COMPLIANE TO WASTE
MANAGEMENT STANDARDS
WASHING OF REUSABLE PPE
AFTER USE

33. HEALTH SERVICES AT BRGY AMIDST COVID19
BAKUNA
KONSULTA
PRENATAL POSTNATAL,
PANGANAK
LABORATORY TESTS
SANITATION PROGRAM
COVID LECTURES
(HANDWASHING, MASK,)

34. TRAININGS AND
ORIENTATIONS
AMONG BHW &
RHU STAFF

35. REFFERAL SYSTEM
MOA WITH EVRMC AS REFERRAL
HOSP
PROCURED L2-AMBULANCE

36. THANK YOU