Republic of the Philippines

Province of Northern Samar

Local Government Unit
San Antonio, Northern Samar

MUNICIPAL HEALTH OFFICE

DISASTER RISK REDUCTION MANAGEMENT PLAN

FOR HEALTH (DRRM-H)

2018-2020

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2|Page SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 POLICY STATEMENT

It is the policy of the State that it is the responsibility of all government

departments, bureaus, agencies and instrumentality’s to have documented plans
of their emergency functions and activities.

(Section 1, Article D, Presidential Decree No. 1566, Strengthening the

Philippine Disaster Control Capability and Establishing the National
Program on Community Disaster Preparedness, President Ferdinand Marcos,
June 11, 1978).

That there is hereby created a Health Emergency Preparedness and

Response Program within the Department of Health. This program are
designed tobe comprehensive, integrated and responsive emergency, disaster
related service andresearch-oriented program with the goal of promoting health
emergency preparednessamong the general public emergencies, disaster and
calamities.(Through Administrative Order No. 6-B dated February 12, 1999 by
Secretary of Health Alberto Romualdez, Jr.)

Republic Act No. 10121 also known as the Philippine Disaster Risk
Reduction and Management Act of 2010. “An act strengthening the Philippine
Disaster Risk Reduction and Management System, providing for the national
disaster risk reduction and management framework and institutionalizing the
national disaster risk reduction and management plan, appropriating funds
therefor and for other purposes.”

Section 4. Scope - This Act provides for the development of policies and plans and
the implementation of actions and measures pertaining to all aspects of disaster
risk reduction and management, including good governance, risk assessment and
early warning, knowledge building and awareness raising, reducing underlying
risk factors, and preparedness for effective response and early recovery.

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 TABLE OF CONTENTS
Title …………………………………………………………………………………………………….. 1
Message …………………………………………………………………………………………………. 2

Policy Statement ………………………………………………………………………………… 3

Table of Contents ………………………………………………………………………………….. 4

Executive Summary ………………………………………………………………………………… 6

DRRM- H Component ………………………………………………………………………………. 7

I. Background………………………………………………………………………………………... 8
Figure 1: Map of Northern Samar ………………………………………………… 11
Map of San Antonio ……………………………………………… 11

II. DRRM-H Plan Description, Content, Scope ……………………………………… 22

III. LGU DRMM-H Goals and Objectives ………………………………………………… 23

IV. DRMM-H Planning Committee …………………………………………………… 24

Figure 2: Organization Structure of DRRM-H Planning
Committee …………………………………………………………………………………….. 24

V . Roles and Responsibilities

LGU Planning Committee ………………………………………………… 25

VI. Health Emergency Preparedness Plan ………………………………………… 29

Table 18 : Hazard Assessment ……………………………………………… 29

Figure 3 : Scale Coastal Geohazard survey …………………………………… 31
Figure 4 : Earthquake Hazard Map ……………………………………………… 32

Figure 5 : Liquifaction Hazard Map………………………………………………… 33

Figure 6 : Landslide and Flood Hazard Map ………………………………… 34

Figure 7: Ground Shaking Hazard Map ……………………………………… 35
Figure 8 : Storm Surge Hazard Map …………………………………………….. 36
Figure 9 : Tsunami Hazard Map …………………………………………………….. 37

Table 19 : Vulnerability & Risk Assessment……………………………………… 38

Table 20: Risk and Vulnerability Registry ……………………………………… 40
Table 21 : Health Conditions & Services
Required following a Typhoon …………………………… 42

Table 22: Services Grouped into Health Emergency

Response Cluster Categories …………………………… 43

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 Table 23: Health Preparedness Plan ……………………………………… 46
1. Leadership and Governance ……………………………………… 46
2. Health Workforce ……………………………………… 49
3. Medicine and Technology ……………………………………... 51
4. Information and Research ………………………………………
505
5. Health Service Delivery ……………………………………… 53
6. Health Financing ……………………………………… 55
7. Community Resilience ……………………………………… 59

Table 24: Capacity Development Plan ……………………………………… 61

1. Leadership and Governance ……………………………………… 61
2. Health Workforce ……………………………………… 64
3. Medicine and Technology ……………………………………... 67
4. Information and Research ……………………………………… 69
5. Health Service Delivery ……………………………………… 73
6. Health Financing ……………………………………… 71
7. Community Resilience ……………………………………… 76

VII. Health Emergency Response Plan ……………………………………….. 79

VIII. Health Emergency Recovery and Reconstruction Plan…………………………… 84

IX. Monitoring, Evaluation and Updating ………………………………………………………. 74

X. Annexes ………………………………………………………. 96

Annex A: Rapid Health Assessment Form (MCI) (Form 3-B)

Annex B: Health Situation Update Form (Form 4-A)
Annex C: Rapid Health Assessment (Form 3-A)
Annex D: Health Situation Update Form for Mass Casualty Incident (Form 4-B)
Annex E: Rapid Health Assessment for Outbreak (Form 3-C)
Annex F: Health Situation Update Form for Outbreak (Form 4-C)
Annex G: List of Casualties (Form 5)
Annex H: Materials Utilization Report (Form 2)
Annex I: HEMS Coordinator’s Final Report (Form 6)
Annex J: Summary of Daily OPCEN Activities Form
Annex K: Functionality/Damages to RHU/BHS Form
Annex L: Evacuation Center Mass Immunization Form
Annex M: Evacuation Center Health Assessment Form
Annex N: DRRM-H Acronyms
Annex O: Creation of the Emergency Management Services
Annex P: Creation of Municipal Health Emergency Response Team
Annex Q: Local Health Board Minutes of Meeting
Annex R: Local Health Board Resolution
Annex S: DRRM-H Plan Resolution

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 EXECUTIVE SUMMARY

INTRODUCTION

The Local Government Unit of San Antonio’ Disaster Risk Reduction and
Management Plan for Health defines the direction of San Antonio in preparing for
effective and efficient response and recovery in the event of emergency or disaster. This
embodies a set of strategies and activities based on an analysis of the hazards, risks, and
vulnerabilities of LGU San Antonio.
This plan is designed to be comprehensive, integrated & responsive to any health
emergency & disaster that may affect the municipality. It comprises three major phases
(preparedness, response, recovery and reconstruction) which encompasses the whole
spectrum of health emergency and disaster management. It defines the overall direction
of the Municipal Health Office of San Antonio in response to all health emergencies &
disasters.
This will complement & will be integrated to the emergency and disaster plan of
the health sector and the overall disaster plan of the Local Disaster Risk Reduction and
Management Council.

PLAN OBJECTIVES

Goal: To reduce injuries and mortalities related to health emergencies and disasters
through enhancing LGU’s capacity for effective and efficient response to and recovery
from emergency or disaster.

General Objective: To capacitate and strengthen the Health Emergency Management

System of the Local Government Unit of San Antonio.

Specific Objectives:

To strengthen the LGUs Disaster Risk Reduction and Management Plan for
Health.
To develop systems for emergency management.
To formulate, review or update existing guidelines, procedures and protocols of
developed emergency/disaster management systems.
To upgrade the municipal services for better emergency management.
Strengthening capability of responders through conduct of trainings, seminars,
orientations & drills related to disaster and health emergency management.
To ensure availability of logistics, funds, and other resources during disaster.
Prepositioning in preparation for any events and incidents.
To provide of technical and logistical support to affected population.
Strengthen networking and linkages with other agencies within and outside the
municipality.
To establish efficient & effective communication system.
To strengthen capability of Operation Center (OpCen).

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DISASTER RISK REDUCTION AND MANAGEMENT PLAN FOR HEALTH (DRRM-H)
COMPONENT

A. Health Preparedness Plan (Proposed Capacity Development Activities)

1. Capability training of MDRRMC members Php 200,000.00

2. Conduct training on disaster preparedness, response,
SAR, (First Aid- BLS) to barangay levels Php 500,000.00
3. Conduct simulation exercises in different hazards
including ICS. Php 100,000.00
4. Formation, training, accreditation of rescue volunteers Php 100,000.00
5. Insurance for Rescue volunteers (Philhealth, etc.) Php 200,000.00
6. Stockpiling of foods, non-food and medical supplies Php 250,000.00
7. Development and conduct of regular review of
Contingency plans, information and database
Generation Php 5,000.00
8. Purchase of rescue, safety equipment, gears, tents etc. Php 300,000.00
9. Purchase of communication equipment Php 200,000.00
10. Purchase of rescue vehicle/ heavy equipment
Rescue boat Php 2,000,000.00
11. Dissemination of weather advisories and real time
monitoring Php 10,000.00
12. Weather monitoring Php 10,000.00
13. Training on WASH emergencies Php 30,000.00
14. Purchase of equipment for temporary birthing facility
(tent, medical equipment and supplies) Php 100,000.00
15. Purchase of new wheelchairs, spine boards and
Stretchers Php 100,000.00
16. Procure of mental health medicines (Chlorpromazine,
Risperidone, anti-anxiety medications Php 50,000.00
17. Conduct a regular emergency drills Php 30,000.00

B. Health Emergency Response Plan

a. Management Structure for the Response
b. Roles and Responsibilities during Response of the;
 Local Chief Executive/Mayor
 Municipal Health Officer
 HEMS Coordinator
 Nutrition Cluster
 Surveillance Cluster
 MHPSS Cluster
 WASH Cluster
 Medical Services Cluster
 Data Management and Records/Documentation Cluster
 Management of the Dead and Missing

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  Safety and Security Officer
 Public Information Officer
 Liaison Officer
 Logistics
 Planning Officer
 Administration and Finance

c. Core Response Activities (SOP are outlined in Annex B)

C. Health Emergency Reconstruction and Recovery Plan (SOP are outlined in

Annex C)
a. Damage Assessment/Needs Analysis
b. Psychosocial interventions for direct, indirect, and hidden victims
c. Repair of damaged facilities and lifelines
d. Post Incident Evaluation
e. Documentation of lessons learned
f. Review and Update DRRM-H
g. Inventory, return and replenishment of utilized health resources
h. Awarding and recognition rites for the major players or responders
i. Continuing surveillance

D. Monitoring, Evaluation and Updating of DRRM-H

PLANNING COMMITTEE:

Municipal Health Officer /

Municipal HEMS Manager .................................. DIANA MARIE D. AMPUAN, MD
Assistant HEMS Manager .................................. JEMALLEN E. SORIANO, RN
Municipal Disaster Risk Reduction and
Management Officer .................................. Egnr. MARJORIE M. CASTILLO
Municipal Planning and
Development Officer ................................. GILBERT C. MARTINEZ
Municipal Local Government
Operations Officer ................................. MILVILUZ PALLER
Municipal Budget Officer ................................. CHONA G. NOYNAY
Municipal Supply Officer ................................. MELBA MONDIGO

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I. BACKGROUND

1. PROFILE OF LGU

San Antonio is a municipality in the province of Northern Samar, Philippines. Its

territory is contiguous with Dalupiri Island, just off the western coast of Samar
Island at the south end of the San Bernardino Strait. The island's white beaches are
considered an "undisturbed paradise" and future "premier tourist destination" in the
Eastern Visayas region.

Table 1. Summary Profile of the Municipality of San Antonio

Country Philippines
Eastern Visayas (Region Government
Region
VIII)
Province Northern Samar Mayor Rudy S. Baguioso
District District of Northern Samar Area
Founded 1904 Total 27.00 km2 (10.42 sq mi)
22nd out of 24 in
Barangays 10 Area rank
Northern Samar
Population (2015)
Total 9,058 ZIP code 6407
23rd out of 24 in Northern IDD:
Rank 55
Samar area code

Density 340/km2 (870/sq mi) Income class 5th Class

Spoken Cebuano, Waray-

Time zone PHT (UTC+8)
languages Waray, Tagalog, English

A. History and Socio-Political Profile

The municipality was established in 1904. It is composed of ten

barangays, with a projected population of 9,291 (2014). The town center or
Poblacion is composed of three barangays: Ward I, Ward II and Ward III. In the
early 19th century, the settlers from mainland Samar found the island an ideal
ground for fishing and bird hunting. During the second half of the 19th century,
people from Bohol and Cebu came and introduced a method of catching fish
using the net, commonly known as “laya.” With its introduction, the name
“Manoglaya” was born, which literally means mano nga paraglaya or
fishermen using laya. As new settlers came and built new communities in the
island, they called the island as “Sugod-sugod,” a Cebuano derivative meaning
“just to start or begin.” Later, the name was changed to ”Matabia,” referring to
the knife shape of the island. Currently, the municipality is named after its
patron saint, Anthony of Padua.

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 San Antonio is a 5th class municipality with an internal revenue
allotment of P32,000,000 in 2014. Because of its pristine white sand beach,
Republic Act 9458 declared Santonio, together with the island towns of Biri,
Capul and San Vicente, as eco-tourism zones in May 2007. With its coral reefs,
the island is ideal for scuba diving, snorkeling, sailing, and marine life
observation. Barangay Pilar, located at the southernmost tip of the island is
home to the municipality’s fish sanctuary. As of 2015, eight beach resorts
function in the island, catering to both tourists and locals. Fishing an copra
farming are the main sources of income on the island. Rice is also produced
but not to a level that will suffice the needs of the residents. Hence, rice,
among other products is imported from the mainland.
The island has 11 schools: 8 public elementary, 1 public high school,
and 2 private schools. The students then go to the mainland to continue with
their college education, usually in Manila, Cebu and nearby colleges in
Northern Samar, Western Samar and Leyte. The municipality has a diesel-
powered generator that provides for the 18-hour electricity for the entire
island, from twelve o’clock at noon to six o’clock in the morning the next day.
Motorcycles or “honda” and pedicabs are the main modes of transportation
within the island. From the mainland, one can reach the municipality by riding
a motorboat from Victoria or Allen port.

2. GEOGRAPHICAL DESCRIPTION
San Antonio is an island municipality in the province of Northern Samar.
Its territory is contiguous with Dalupiri island, off the western coast of Samar
Island. It has a total land area of 27 square kilometers. The island lies in the east
central periphery of the Philippine archipelago. It is bounded by San Bernardino
Strait in the north and east, Samar Sea in the south, and Capul Island in the west.
It is approximately 5 nautical miles from the Pacific ocean and sits near the
entrance along Paso de Acapulco, otherwise known as San Bernardino strait. It
has 28 kilometers long of white sand around the island. The island is composed
largely of low and extremely rugged hills and small lowland areas. The highest
point of the island is in its central southern portion with a maximum elevation of
35 meters above sea level. The island is endowed with relatively rich and fertile
soil that allows most crops to be cultivated, but presently it is utilized mostly for
coconut plantations.

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Figure 1. Map of San Antonio, Northern Samar

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  Topography

The Municipality of San Antonio occupies a total land area of 2,828.70

hectares. The Island municipality is located as Dalupiri Island in the Philippine
Map with rural settlements distributed all over the municipality.

San Antonio has three (3) mixed topographic reliefs. The northeast
portion is level to very gently sloping and the eastern portion is top
hills/mountains while the western portion is gently sloping to undulating. (See
Topographic Map and Slope Map).

Table 2. Topography of San Antonio, Northern Samar

BARANGAY LAND AREA (HAS.) % TO TOTAL
URBAN
Ward – I 377.50 13.34
Ward – II 299.50 10.59
Ward – III 465.90 16.47
RURAL
Burabod 175.40 6.20
Pilar 261.80 9.25
Manraya 206.80 7.30
Rizal 189.30 6.69
San Nicolas 191.30 6.76
Dalupirit 437.40 15.46
Vinisitahan 224.40 7.93
TOTAL 2,828.70 100.00%

 Geology

Based on the Geomorphological Map from the Bureau of Soils and

Water Management (BSWM) Region VIII, San Antonio has four types of
bedrock foundation. Limestone has the biggest land area of 1,595.10
hectares or 56.39%, Sandstone Shale with a total land area of 974.20
hectares or 34.44%, Alluvium with 147.10 hectares or 5.20%, while the
Fluvio-marine has land area of only 112.30 hectares or 3.97%.

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 Table 3. Geological Profile of San Antonio

BEDROCK FOUNDATION LAND AREA (HAS.) PERCENTAGE

Limestone 1,595.10 56.39
Sandstone 974.20 34.44
Alluvium 147.10 5.20
Fluviu-marine 112.30 3.97

Total 2,828.70 100.00

Table 4. Land Capability of San Antonio

LAND LAND
PERCENTAGE
CAPABILITY CAPABILITY DESCRIPTION
(LAND AREA)
CLASS (Has.)
Y 1,250.50 44.20% Very hilly and mountainous, barren
and rugged; should be reserved for
recreation.
D 1,183.10 41.82% Fairly good land, must be cultivated
with extra caution; requires careful
management and complex
conservation practices for safe
cultivation. More suitable for pasture
or forest.
B 217.00 7.67% Good land, nearly level, can be
cultivated safely but due to low
fertility, shallowness, doughtiness’,
slight alkalinity or salinity needs
special soil management practices to
maintain productivity.
X 178.40 6.31% Level land; wet most of the time and
cannot be economically drained; suited
for fishpond or recreation.
TOTAL 2,828.70 100.00%

 Climate

As with the rest of the portion of Northern Samar, San Antonio falls within
intermediate type two climates, without dry season but with a very pronounced
maximum rain period in winter. Maximum rainfall generally occurs from
December to January, although there is no single dry month.

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  Wind

Southwest Monsoon is experienced during the month of May to

October while Northeast Monsoon is experienced in the month of
November to February. Fair weather is experienced during the month of
April and May. There are also weather variations as whom they called as
“Dumagsa” and “Subasko”.

3. DEMOGRAPHIC PROFILE

Table 5. Historical Growth of Population of San Antonio from 1903- 2016

YEAR POPULATION +% p.a
1903 2,059 -
1918 3,994 +4.52%
1939 6,421 +2.29%
1948 6,781 +0.61%
1960 5,898 -1.16%
1970 6,291 +0.65%
1975 7,250 +2.89%
1980 7,008 -0.68%
1990 7,164 +0.22%
1995 7,984 +2.05%
2000 7,915 -0.19%
2007 8,151 +0.41%
2010 8,877 +3.15%
2015 9,058 +0.39%
2016 9,492 -
Source: Philippine Statistics Authority

- Educational Attainment

Functional literacy in the municipality is relatively high. Each barangay has a

daycare center and an elementary school. There is also one private elementary
school. The entire municipality has one public high school and two private high
schools. After graduating from high school, residents leave the island to study in the
mainland.

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 4. HEALTH STATISTICS

San Antonio has one health office run by the municipal government, and
one district hospital run by the provincial government. The municipality has (1)
municipal health officer, (1) public health nurse, (3) regular midwives, (1) job-
order midwife, (1) nutrition action officer, (1) sanitary inspector, (1)
microscopist, (7) DOH-hired nurses, (5) administrative aides, and (55)
accredited barangay volunteer health workers. The municipal health office
implements both national and local health programs in all the barangays. Each
barangay has its own barangay health station, where the expanded program on
immunization, family planning, non-communicable disease, and maternal care
programs are implemented at the barangay level.
The municipal health office is 3-in-1+ PhilHealth- accredited, and its
birthing facility has just recently operated during the 2nd quarter of 2015.
Patients from the municipality are referred either to Allen District Hospital or
Northern Samar Provincial Hospital. An ambulance is readily-available for
patient transport at San Isidro port.
From 2012 to 2016, the top 5 causes of morbidity and mortality always
comprise of respiratory infections (including acute upper respiratory infection,
pneumonia, asthma, bronchitis and pulmonary tuberculosis) and cardiovascular
illnesses. Malnutrition is the least of the health problems as the San Antonio
ranked 2nd among the municipalities in Northern Samar with the least
prevalence of malnourished children in 2014.
Since the municipality’s enrolment in the Health Leaders for the Poor
program of the Zuellig Family Foundation in 2014, the local health board has
been actively convening and devising and lobbying health policies to the
municipal legislative body.

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Table 6. MNCHN Indicators (2016)

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

Indicators Ma
Jan Feb Mar Apr Jun Jul Aug Sept Oct Nov Dec
y

FIC(Fully Immunized Child) 66 38 44 48

FBD(Facility-Based
28 47 31 32
Deliveries)

Deliveries by SHP
28 47 31 32
(Skilled Health Professional)

4ANC(Ante Natal Care) 32 37 20 33

2PPV(Post-Partum Visit) 28 49 34 31

BF(Breast Feeding) 28 49 34 31

CPR (Contraceptives
38.1% 39.4% 40.3% 37.3%
Prevalence Rate)

MMR 38 56 37 46

IMR(Infant Mortality Rate) 1 0 0 0

UFMR
0 0 1 0
(Under Five Mortality Rate)

STILLBIRTH 0 0 0 0

Note: Projected Population / 2.7% = Target per indicator (except CPR)

CPR = Current User / Women of Reproductive Age x 100
(Where: Women of Reproductive Age = Projected Population / 12.325%)

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Table 7 MNCHN Indicators (2017)

1st Quarter 2nd Quarter 3rd Quarter 4th Quarter

Indicators Ma
Jan Feb Mar Apr Jun Jul Aug Sept Oct Nov Dec
y

FIC(Fully Immunized Child) 45 31 43 36

FBD(Facility-Based
34 39 31 31
Deliveries)

Deliveries by SHP
36 42 32 31
(Skilled Health Professional)

4ANC(Ante Natal Care) 33 37 32 34

2PPV(Post-Partum Visit) 38 42 35 31

BF(Breast Feeding) 38 42 35 31

CPR (Contraceptives
39% 38.6% 36% 38%
Prevalence Rate)

MMR 32 27 45 38

IMR(Infant Mortality Rate) 1 1 0 0

UFMR
0 1 0 0
(Under Five Mortality Rate)

STILLBIRTH 0 0 0 0

Note: Projected Population / 2.7% = Target per indicator (except CPR)

CPR = Current User / Women of Reproductive Age x 100
(Where: Women of Reproductive Age = Projected Population / 12.325%)

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Table 8. Top 10 Leading Causes of Mortality (2016)

FEMALE
DISEASE MALE TOTAL

Cardiovascular Accident 6 16 22
Myocardial Infarction 9 3 12
Diabetes Mellitus 2 3 5
Pneumonia 1 2 3
Hypoglycemia 1 2 3
Anemia 0 3 3
Liver Cirrhosis 2 0 2
Respiratory Failure 2 0 2
Hypertensive Cardiovascular
0 2 2
Disease
Pulmonary Tuberculosis 1 1 2

Table 9. Top 10 Leading Causes of Morbidity (2016)

DISEASE MALE FEMALE TOTAL

Upper Respiratory Tract Infection 325 404 729

Hypertension 64 160 224
Pneumonia 50 54 104
Skin Disease 25 32 57
All Kinds of Wound 26 29 55
Pulmonary Tuberculosis 18 25 43
Musculoskeletal Disease 13 13 26
Bronchial Asthma 11 11 22
Hypersensitivity Reaction 9 11 20
Peripheral Neuropathy 6 6 12

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Table 10. Top 10 Leading Causes of Mortality (2017)

FEMALE
DISEASE MALE TOTAL

Cardiopulmonary Arrest 13
Undetermined 12
Respiratory Failure 9
Cardiovascular Accident 8
Cardiovascular Disease 5
Renal Failure 3
Chronic Hypertension 2
Multi-organ Failure 2
Sudden Cardiac Death 2
Hepato-encephalopathy 2

Table 11. 3Top 10 Leading Causes of Morbidity (2017)

DISEASE MALE FEMALE TOTAL

Upper Respiratory Tract Infection 200

Hypertension 68
Essentially Normal 57
Pneumonia 32
IMCI – No Pneumonia 21
Pulmonary Tuberculosis 16
Diabetes Mellitus 12
Punctured Wound 10
UTI and Musculoskeletal Disorder 9
Hypersensitivity Reaction and
7
Dermatitis

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Table 12. Household with Sanitary Toilet (2016)

HH W/
NAME OF TOTAL NO. OF HH NO.
SANITARY
BARANGAY HOUSEHOLD INSPECTED INSANITARY
TOILET
Burabod 275 275 101 174
Pilar 166 166 34 132
Manraya 222 222 77 145
Rizal 100 100 22 78
San Nicolas 134 134 45 89
Dalupirit 425 425 210 215
Vinisitahan 155 155 40 115
Ward I 185 185 59 126
Ward II 188 188 57 131
Ward III 362 362 58 304
TOTAL 2,212 2,212 703 1509
(Source: taken from EHS Status Report Form)

Table 13. Household with Access to Safe Water (2016)

TOTAL NO. LEVEL 1

NAME OF TOTAL
OF (Public & LEVEL 2 LEVEL 3
BARANGAY POPULATION
HOUSEHOLD Private)
Burabod 1,018 275 8 - -
Pilar 727 166 8 - -
Manraya 784 222 8 - -
Rizal 406 100 - 1 -
San Nicolas 637 134 0 - -
Dalupirit 1776 425 2 - -
Vinisitahan 685 155 7 - -
Ward I 826 185 6 - -
Ward II 782 188 4 - -
Ward III 1,427 362 7 - -
TOTAL 9,068 2,212 50 1 -
(Source: taken from EHS Status Report Form)

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Table 14. Household with Sanitary Toilet (2017)

HH W/
NAME OF TOTAL NO. OF HH NO.
SANITARY
BARANGAY HOUSEHOLD INSPECTED INSANITARY
TOILET
Burabod 248 248 58 190
Pilar 167 167 1 166
Manraya 196 196 65 131
Rizal 98 98 20 78
San Nicolas 128 128 20 108
Dalupirit 369 369 153 216
Vinisitahan 162 162 17 145
Ward I 194 194 64 130
Ward II 178 178 45 133
Ward III 315 315 64 251
TOTAL 2,055 2,055 507 1,548
(Source: RSI)

Table 15. Household with Access to Safe Water (2017)

TOTAL NO. LEVEL 1

NAME OF TOTAL
OF (Public & LEVEL 2 LEVEL 3
BARANGAY POPULATION
HOUSEHOLD Private)
Burabod 978 248 8 - -
Pilar 708 167 8 - -
Manraya 737 196 8 - -
Rizal 418 98 - 1 -
San Nicolas 538 128 0 - -
Dalupirit 1902 369 2 - -
Vinisitahan 665 162 7 - -
Ward I 858 194 6 - -
Ward II 869 178 4 - -
Ward III 1048 315 7 - -
TOTAL 8,721 2,055 50 1 -
(Source: RSI)

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 5. HEALTH FACILITIES

Table 16. Barangay Health Stations and Corresponding Barangays Covered

BARANGAY HEALTH STATION BARANGAY COVERED
Ward I
Ward II
BHS – MAIN
Ward III
Burabod
Pilar
Manraya
BHS – MANRAYA
Rizal
San Nicolas
Dalupirit
BHS – DALUPIRIT
Vinisitahan

6. HUMAN RESOURCES FOR HEALTH

Table 17. Municipal Health Office 2017 Health Human Resource Statistics
STATUS
If LGU hired, if
NO. permanent,
TYPE OF NO. OF YEARS
OF contractual, REMARKS
HRH VACANT/UNFILLED
HRH volunteer, etc.
If DOH hired, type of
deployment program
PHYSICIAN 1 DOH Hired
UHCI 1 DOH Hired
1 PERMANENT
NURSE
9 DOH HIRED NDP, TB-AIDERS
3 PERMANENT
MIDWIFE
2 DOH HIRED RHMPP
PHA 1 DOH HIRED
2 LGU HIRED 1
SANITARY
3 PERMANENT PROVINCIAL
INSPECTOR
HIRED

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 7. BRIEF OVERVIEW OF PREVIOUS DISASTERS

During the occurrence of typhoon Nona (International name Melor) last

December 14, 2015,Public Storm Warning Signal (PSWS) Number 3 was raised over
the province of Northern Samar. The typhoon made ‘Nortehanons’ suffered a severe
devastation. Many households in Municipality of San Antonio were affected and
about 40% of the houses were severely damaged. Majority of the barangay were
able to mobilize their rescue teams which were assigned before the occurrence of
the disaster. Most of the barangay officials were able to help out in the distribution
of the relief goods and also some rescue operations, they were also the ones that
guided the people in evacuation centers.
After the disaster, the municipality was focused on rehabilitation. The local
government has provided the barangays with constant water supply and medical
mission, relocated the victims and had them organized for them to be able to slowly
recover on their own, and had started drafting new ordinances and policies for the
environmental protection and rehabilitation, conducted seminars and trainings for
their officials which will then be echoed to their constituents in the barangays.

II. PLAN DESCRIPTION, CONTENT, SCOPE

The Local Government Unit of San Antonio’s Disaster Risk Reduction

Management Plan defines the direction of San Antonio in preparing for effective
and efficient response and recovery in the event of emergency or disaster. This
embodies a set of strategies and activities based on an analysis of the hazards, risks,
and vulnerabilities of LGU San Antonio.
This plan is designed to be comprehensive, integrated & responsive to any
health emergency & disaster that may affect the municipality. It comprises three
major phases (preparedness, response, and recovery) which encompasses the
whole spectrum of health emergency and disaster management. It defines the
overall direction of the Municipal Health Office of San Antonio in response to all
health emergencies & disasters.
This will complement & should be integrated to the emergency and disaster
plan of the health sector and the overall disaster plan of the Local Disaster Risk
Reduction and Management Council.

III. LGU GOALS AND OBJECTIVES

Goal: To reduce injuries and mortalities related to health emergencies and

disasters through enhancing LGU’s capacity for effective and efficient response to
and recovery from emergency or disaster.

General Objective: To capacitate and strengthen the Health Emergency

Management System of the Local Government Unit of San Antonio.

23 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 Specific Objectives:

To strengthen the LGU Health Emergency, Preparedness, Response and Recovery

Plan.
To develop systems for emergency management.
To formulate, review or update existing guidelines, procedures and protocols of
developed emergency/disaster management systems.
To upgrade the municipal services for better emergency management.
Strengthening capability of responders through conduct of trainings, seminars,
orientations & drills related to disaster and health emergency management.
To ensure availability of logistics, funds, and other resources during disaster.
Prepositioning in preparation for any events and incidents.
To provide of technical and logistical support to affected population. Strengthen
networking and linkages with other agencies within and outside the
municipality.
To establish efficient & effective communication system.
To strengthen capability of Operation Center (OpCen).

IV. PLANNING COMMITTEE

A. Composition of the LGU Planning Committee:

 Municipal Health Officer
 Municipal HEMS Coordinator / Assistant HEMS Coordinator
 Municipal Disaster Risk Reduction and Management Officer
 Municipal Planning and Development Officer
 Municipal Local Government Operations Officer
 Municipal Budget Officer
 Municipal Social Welfare and Development Officer
 Sangguniang Bayan Committee Chair on Health

DIANA MARIE D. AMPUAN, MD/ JEMALLEN E. SORIANO, RN

MUNICIPAL HEMS MANAGER / ASST. HEMS MANAGER
09271536503 09155515897

Engr. Gilbert C. Milvilus Paller Chona G. Greata M. Hon. Lydia

Marjorie M. Martinez Municipal Noynay Castillo Norona
Castillo Municipal Local Municipal MSWDO SB Committee
Municipal Planning & Government Budget Officer on Health
DRRM Officer Development Operation Chairman
Coordinator Officer 09298604520

Figure 2. Organizational structure of the DRRM-H Planning Committee

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 B. Functions of a LGU Planning Committee:

 Develop, review and update the Municipal DRRM-H plan after every drill or
actual disaster.
 Ensure continued functionality and adaptability of plan to present situation
through drills and simulation activities.
 Gathers relevant information required in planning and gain commitment of
key people and organizations.
 Develops annual Operational Plan and other plans relevant to Health
Emergencies or Disasters.
 Ensures the dissemination of the plan to other key stakeholders & its
integration to the overall health sector emergency & disaster plan.

V. ROLES AND RESPONSIBILITIES OF THE LGU PLANNING COMMITTEE

A. HEMS Coordinator / Assistant HEMS Coordinator

Pre-disaster:
1. Design, program and coordinate disaster risk reduction and
management activities consistent with the National Council’s standards
and guidelines;
2. Facilitate and support risk assessment and contingency planning
activities at the local level;
3. Consolidate local disaster risk reduction information which includes
natural hazards, vulnerabilities, and climate change risks, and maintain
a local risk map;
4. Organize and conduct training, orientation, and knowledge
management activities on disaster risk reduction and management at
the local level;
5. Operate multi-hazard early warning system, linked to disaster risk
reduction to provide accurate and timely advice to national or local
emergency response organizations and to the general public, through
diverse mass media, particularly radio, landline communications, and
the technologies for communication within rural communities;
6. Formulate and implement a comprehensive and integrated LDRRMP in
accordance with the national, regional and provincial framework, and
policies on disaster risk reduction in close coordination with the local
development council’s (LDCs)
7. Prepare and submit to the Local Sanggunian through the LDRRMC and
the LDC and annual LDRRMO Plan and budget, the proposed
programming of the LDRRMF, other regular funding source/s and
budgetary support of the LDRRMO/BDRRMC;
8. Conduct continuous disaster monitoring and mobilize
instrumentalities and entities of the LGUs, CSOs, private groups and
organize volunteers, to utilize their facilities and resources for the
protection and preservation of life and properties during emergencies
in accordance with existing policies and procedures;
9. Identify, assess, and manage the hazard, vulnerabilities and risks that
may occur in their locality;
25 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 10. Disseminate information and raise public awareness about those
hazards, vulnerabilities and risks their nature, effects, early warning
signs and counter-measures;
11. Identify and implement cost-effective risk reduction
measures/strategies;
12. Maintain a database of human resource, equipment, directories and
location of critical infrastructures and their capacities such as hospitals
and evacuation centers;
13. Develop, strengthen and operationalize mechanism for partnership or
networking with the private sector, CSOs and volunteer groups;
14. Take all necessary steps on a continuing basis to maintain, provide, or
arrange the provision of, or to otherwise make available, suitably-
trained and competent personnel for effective civil defense and
disaster risk reduction and management in its area.
15. Organize, train, equip and supervise the local emergency response
teams and the ACDVs ensuring that humanitarian aid workers are
equipped with basic skills to assist mothers to breastfeed;
16. Respond to and manage the adverse effects of emergencies and carry
out recovery activities in the affected area, ensuring that there is an
efficient mechanism for immediate delivery of food, shelter and
medical supplies for women and children, endeavor to create a special
place where internally-displaced mothers can find help with
breastfeeding, food and care for their babies and give support to each
other;
17. Within its area, promote public awareness of and compliance with this
Act and legislative provisions relevant to the purpose of this Act;
18. Serve as secretariat and executive arm of the LDRRMC;
19. Coordinate other disaster risk reduction and management activities;
20. Establish linkage/network with other LGUs for disaster risk reduction
and emergency response purposes;
21. Recommend through the LDRRMC the enactment of local ordinances
consistent with requirements of this Act;
22. Implement policies, approved plans and programs of the LDRRMC
consistent with the policies and guidelines laid down in this Act;
23. Establish a Municipal/Barangay Disaster Risk Reduction and
Management Operation Center;
24. Prepare and submit, through the LDRMMC and the LDC, the report on
the utilization of the LDRRMF and other dedicated disaster risk
reduction and management resources to the local Commission on Audit
(COA), copy furnished the regional director of the OCD and the Local
Government Operations Officer of the DILG; and
25. Act on other matters that maybe authorized by the LDRRMC.

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 During disaster:

1. Report directly to the Mayor in times of emergencies and disasters.

2. Be available and accessible in times of emergencies. As such, he/she
should be equipped with the necessary means of communication.
3. Organize and dispatch Cluster teams to respond. A team should
conduct rapid assessment and monitoring.
4. Coordinate with government agencies and NGOs responding to
emergencies in the LGU.
5. Follow the HEARS reporting and coordinate with the Provincial
Operations Center for all emergencies and disasters.
6. Document all emergency-related activities. This includes conducting a
Post Incident Evaluation of each event, which will be submitted to the
LGU Mayor, and copy furnished to the HEMS Provincial and Regional
coordinators and other relevant national government agencies.
7. Oversee the distribution and utilization of donated items in the
affected areas, and submit a utilization report to MDRRMC and DOH
afterwards.

In addition to those roles and responsibilities prescribed in the Local

Disaster Risk Reduction and Management Plan (LDRRMP), the specific
responsibilities of the Municipal HEMS coordinator are as follows:

 Leads in the preparation of the Health Emergency Preparedness Plan of

the Municipality, duly approved by the Mayor.
 Conducts dissemination of the plan to all staff, as well as and regular
testing, evaluation and updating of plan.
 Organizes emergency response team.
 Conducts regular safety seminar or disaster drills whether it is a table top
or actual drill within the municipality. Evaluate the conduct of drill and
makes necessary recommendations to the management.
 Responsible for the training of the HEMS members and the communities
relative to health emergency management. Coordinate with agencies for
training program offered to ensure continued competence in emergency
response.
 Network with members of the Health Sector responding to emergencies
and disasters within Municipal Health Office’s catchment area (RHU and
BHS) and the communities, as well as other agencies responding to
emergencies and disasters.

B. Municipal Health Officer

 Has the final authority for the implementation of the planning group.
 Approves the plan provisions and all subsequent revisions.
 Assures that adequate resources are available to support emergency
management activities.

27 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

  Monitors the effectiveness of response activities during emergencies and
take actions to ensure that all appropriate procedures are followed.
 Assures continued compliance with the provisions of Municipal Health
Office’s policy on emergency precautions and response.

C. Budget Officer

 Responsible for the monitoring of LGU’s financial assets.

 Approve incident financial status report relative to personnel, supplies
and miscellaneous expenses.
 Updates the Local Chief Executive and other unit leaders pertinent to
financial status.

D. Supply Officer

 Responsible for the control, anticipation and provision of logistical needs

during emergencies and disaster.
 Coordinate with pharmacies regarding stock level, available supply and
equipment.
 Coordinate frequently with the finance officer regarding monetary
assistance.

E. Municipal DRRM Officers Municipal Planning & Development Officer,

Municipal Local Government Operations Officer, Municipal Social
Welfare and Development Officer

 Assist in the formulation of health related policies, guidelines and

procedures pertaining to community wide emergencies and disasters.
 Provide medical and manpower assistance especially in mass casualty
situations.
 Assist in the conduct of trainings and seminars not being offered by the
institution.
 Provide assistance on the evaluation during the conduct of drills.

F. Sangguniang Bayan Chair, Committee on Health

 Facilitate for the approval of the adoption of the DRRM-H plan at the
legislative level
 Expedite the appropriation of the legislative body of the budget to
facilitate the accomplishment of strategies signified in the DRRM-H Plan

28 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

VI. HEALTH EMERGENCY PREPAREDNESS PLAN

1. Hazard Assessment

An assessment of the hazards pertinent to the municipality, and the

barangays possibly affected by their occurrence is created in Table 18. Figure 3
creates a more vivid depiction of the location of the hazards.

Table 18. HAZARD ASSESSMENT

TYPE OF EXAMPLES OF CHECK IF BARANGAYS THAT
HAZARD HAZARD APPLICABLE MAY BE AFFECTED
TYPHOON  ALL BARANGAYS
COASTAL EROSION  ALL BARANGAYS
LANDSLIDE  WARD I & WARD II
NATURAL
WARD I, II, III &
FLOOD 
VINISITAHAN
STORM SURGE  ALL BARANGAYS
WATER-BORNE
 ALL BARANGAYS
DISEASES
FOOD-BORNE
 ALL BARANGAYS
DISEASES
VACCINE
PREVENTABLE  ALL BARANGAY
BIOLOGICAL
DISEASES
MOSQUITO-BORNE
 ALL BARANGAYS
DISEASES
EMERGING DISEASES  ALL BARANGAYS
NOT
RED TIDE
APPLICABLE
FIRE  ALL BARANGAYS
TRANSPORT
ACCIDENTS (sea, land,  ALL BARANGAYS
air)
NOT
TECHNOLOGICAL CHEMICAL SPILL
APPLICABLE
NOT
GAS EXPLOSION
APPLICABLE
MERCURY NOT
FUNCTIONING APPLICABLE
NOT
STAMPEDE
APPLICABLE
SOCIETAL
NOT
ARMED CONFLICT
APPLICABLE

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 o HAZARD INFORMATION

NATURAL
HAZARDS
PHENOMENON
STORM
FLOOD WIND LANDSLIDE
SURGE
TYPHOON

CLIMATE CHANGE

COASTAL EROSION

GRASS FIRE

NATURAL
HAZARDS
PHENOMENON

LANDSLIDE TSUNAMI LIQUEFACTION

EARTHQUAKE

30 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

Figure 3. 1:10,000 Scale Coastal Geohazard Survey and Assessment of San Antonio,
Northern Samar” (specifically on Coastal erosion, Storm surge, Coastal flood, and
Landslide)

31 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

Figure 4. EARTHQUAKE- INDUCED LANDSLIDE HAZARD MAP

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 Figure 5. LIQUEFACTION HAZARD MAP

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Figure 6. LANDSLIDE AND FLOOD HAZARD MAP

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Figure 7. GROUND SHAKING HAZARD MAP

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Figure 8. STORM SURGE HAZARD MAP

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Figure 9. TSUNAMI HAZARD MAP

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 2. Vulnerability and Risk Assessment

The vulnerability and risk assessment identifies the factors that increase the risks
arising from specific hazards. The presence of vulnerable people, properties, services,
environment, and livelihood decreases the ability of the LGU to cope with the hazards. This
process tries to anticipate the harm dealt to the LGU and determines the health needs
before, during, and after an emergency or disaster.

We undertook a disaster scenario approach to identify vulnerabilities and assess the

risk to these populations. As noted above, this involves identifying vulnerable areas and
examining the health needs resulting from the disaster. For this purpose, we will follow
these two steps:

1. Develop a disaster scenario to identify vulnerable populations and the

impact of the disaster on the LGU.

2. List the health conditions that might arise from such an emergency and
the health services to address these conditions. To facilitate the
development of preparedness and response plans, group these services
into the relevant health response cluster categories.

In Step 1, we use the example of a typhoon – a frequent and often catastrophic event
– to identify vulnerable communities and the expected impact of the event on these
populations. While other hazards may produce a different analysis, there will be many
similarities between vulnerable populations during a typhoon, and those for other similar
events (such as tsunamis or floods) 1.

Table 19 outlines the typhoon disaster scenario. It first notes the geophysical
characteristics of the emergency, which are important to understand the severity of the
event and predict the impact. The existing vulnerability profile notes vulnerable
populations across the LGU (infants and young children, pregnant women, persons with
disabilities, elderly) and those vulnerable to the disaster due to geography or industry. The
final column in the table is a pragmatic risk assessment based on geophysical
characteristics and vulnerability profile, to predict the impact of the emergency on
populations and infrastructure. Table 20 creates a more explicit picture of the number of
persons and households probably affected by specific hazards.

1
In future other disaster scenarios that are likely to produce very different vulnerability profiles and impact of
disaster can be developed.
38 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
Table 19. VULNERABILITY AND RISK ASSESSMENT (Typhoon)

(Geophysical) Existing Vulnerability RESPONSE PLANS AND

IMPACT OF THE DISASTER
CHARACTERISTICS (Profile) PROTOCOL

1. STORM SURGE  Households living in  Displacement of families Pre-Emptive Evacuation

coastal areas. Rapid Health Assessment
2. FLOODING  Disease outbreak RDANA
Field: Search and Rescue
 Households made of light
First Aid and Treatment
3. LANDSLIDE materials.  Loss of life
Provision of Potable Water
and Sanitary Facilities
4. STRONG WINDS  Households near low land.  Damage to property and Mental Health and
livelihood. (Health Facilities) Psychosocial Support
 Households in landslide Health Education in
prone areas.  Scarcity of potable water and Evacuation Centers
sanitary facilities. Food Supplementation (MNP,
 Vulnerable groups: RUTF, etc.)
 Food Scarcity Supplemental Feeding
Rapid Nutrition Assessment
a) PWD’s
 Psychological Trauma Relief Operation
b) Pregnant
c) Senior Citizens
d) Infants and young  Power Outage
children

39 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 Table 20. Risk and Vulnerability Register

EARTHQUAKE/GROUN

COASTAL EROSION
STORM SURGE
RAIN-INDUCED

EARTHQUAKE-

GRASS FIRE
TYPHOON
LANDSLIDE

LANDSLIDE
D SHAKING

TSUNAMI

INDUCED
FLOOD
POPULATION
HOUSEHOLD

BARANGAY

Pe
Perso Perso Perso Perso Perso Perso
HH Person HH HH Person HH HH HH HH rso HH HH
n n n n n n
n

1.WARD I 160 745 22 109 - - 126 622 40 218 160 745 160 745 - - 40 218 15 75

2.WARD II 152 759 34 160 3 16 44 208 12 46 152 759 152 759 - - 12 46 13 65

3.WARD III 300 1,520 20 104 24 120 200 1,000 77 380 300 1,520 300 1,520 - - 77 380 40 104

4.BU 4.BURABOD 217 936 - - - - 93 465 88 440 217 936 217 936 - - 88 440 - -

5.PILAR 151 683 - - - - 69 392 43 215 151 683 151 683 - - 43 215 - -

40 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

6.MANRAYA 173 813 - - - - 70 221 27 135 173 813 173 813 - - 27 135 - -

7. RIZAL 101 376 - - - - 55 159 35 105 101 376 101 376 - - 35 105 - -

8.SAN NICOLAS 100 517 - - - - 48 187 48 187 100 517 100 517 - - 48 187 - -

9.DALUPIRIT 364 1,864 - - - - 240 1,400 100 500 364 1,864 364 1,864 - - 100 500 - -

10.VINISITAHAN 142 664 11 55 - - 66 330 47 235 142 664 142 664 - - 47 235 - -

TOTAL 1,860 8,877 87 428 27 136 1,011 4,984 517 2,461 1,860 8,877 1,860 8,877 - - 517 2,461 48 244

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In Step 2, we identify the urgent health conditions following an emergency. To facilitate
the development of preparedness and response plans, we first classify the urgent
conditions by chronological order (first 24 hours, after 2-3 days, after 1 week, after 1
month). Next, the services that are required to address these conditions are identified
(See Table 21). Finally, since the disaster health response is organized along four main
‘clusters’ (Medical services, WASH, Nutrition, and Mental Health and Psychosocial
services), the required services are categorized accordingly (See Table 22).

Table 21. Health Conditions and Services Required Following a Typhoon

OTHER
TIMELIN
URGENT CONDITIONS ROUTINE SERVICES REQUIRED
E
CONDITIONS
First 24  Injuries  Pregnancy  Emergency
hrs.  Fractures communication
 Child Protection  RHA
Issues  Emergency
 Displacement of transportation
family  Psychological First
 Lack of food/water Aid (PFA)
 Deaths  Temporary shelter
 Tetanus (2-3 days  Nutritional
length vary) assessment using
 Stroke MUAC
 Hypothermia  Trauma/surgical
 Security problems care
 Missing person  Evacuation services
 Health workers as  Management of the
victims dead and missing
 No form of  Promotion of
communication breastfeeding
 Lack of information  Supplemental
 Open wounds feeding
 Food (children)
 Emergency
communication
 Security services
 Provision of water
 Dry linens
 Medical services
After 2-3  Lack of food and safe  Logistic  Fogging
days drinking water problems  Chronic disease
 Lack of meds for (fuel, care (meds)
chronic diseases transportati  Toilet facility
 Sporadic disease on,  Restoration of
outbreak (diarrhea, electricity, power supply
UTI, Flu, Tetanus) lack of  Water treatment
medicines, solutions/tablet
HF)

42 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

After 1  Sporadic Disease  Psychosocial
week outbreak (dengue, processing
measles,  Mental health
leptospirosis) services
 Mental health  Mental health and
problems personal well-being
 Mental health  Treatment and
problems (24 hours preventive isolation
– 1 year)
 Wound infections
After 1  Malnutrition  Community
month management of
acute malnutrition

Table 22. Services Grouped into Health Emergency Response Cluster Categories

EMERGENCY GROUPING OF SERVICES REQUIRED

RESPONSE CLUSTER
CATEGORY
MEDICAL SERVICES  Rapid health assessment (24 hrs)
 Maternal &  Minimum Initial Service Package (MISP) (continual)
Child Health o Birthing services- delivery, new born care,
o Provision of FP services,
o Pre/postnatal services- iron tab, TT, etc.
o Reproductive Health medical missions
 Measles/ Vitamin A / polio mass immunization

 Trauma/ surgical care (First 24 hrs)

 Injuries  Medical Services (First 24 hrs)

 Treatment and preventive isolation of individuals with communicable

 Communicable diseases. (2-3 days onwards)
diseases
 Provision of chronic disease care(maintenance meds) (2-3 days onwards)
 Life
Threatening
Chronic
Conditions

WASH  Sanitation survey (2-3 days and periodically)

 Water analysis and treatment (2-3 days)
 Provision of JERRY Cans, water treatment solutions/ tablets (2-3 days
and onwards)
 Provision of toilet facility(2-3 days and onwards)
 Fogging the evacuation center(If appropriate 2-3 days and periodically)
NUTRITION  Provision of relief goods(water & food) (First 24 hrs onwards)
 Feeding of affected population especially the children (First 24 hrs)
 Nutritional assessment using MUAC (1 week)
 Supplemental feeding for malnourished(1 week and onwards)
 Promotion of breast feeding practices, Vit. A supplementation (2-3 days
onwards)

43 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 MENTAL HEALTH  Psychological first aid (PFA) (First 24 hrs)
AND PSYCHOSOCIAL  Psychosocial processing for responders/ health workers (First 24 hrs)
SERVICES  Mental health & psychosocial support (MHPSS) (1 week and ongoing)
 MH & personal well-being (1 week and ongoing)
OTHER  Dry linens for hypothermia,
 Claims processing in insurance/ other benefits,
 Cash for work program,
 Temporary shelters /evacuation services
 Search and rescue
 Management of dead and missing
 Security services/crowd control
 Infra/logistics( rehabilitations of health facilities, restoration of power
supply, emergency communication, transportation services)
 Assessment and coordination of health volunteers

During a disaster, the health system must have the capacity to respond to
different challenges. The underlying strength of health facilities, staffing, and referral
systems will influence how an RHU can cope with an emergency and how quickly it can
resume service delivery. There may be significant impact on the health system in terms
of infrastructure damage, workforce (responders are also victims and may not be able
to report to work), communication channels, and accessibility. After an emergency, the
capacity of the system must ‘surge’ to meet the increasing demand for services (noted in
Table 21. and 22. above).

As described before, we use the disaster scenario to understand the local

situation, identify potential problems with service delivery, and develop strategies for
the system to rapidly expand services to meet the increased demand. In other words,
the disaster scenario is used to develop a preparedness plan to improve the LGU ‘surge
capacity’ following a disaster.

To facilitate integration with other health plans and ensure all aspects of the
health system are considered, we use the WHO Health Systems Building Blocks 2 as a
framework to identify possible constraints to providing health services following a
disaster. In addition, the building block ‘Community Resilience’ is necessary, as
barangays are often the first responders and need to develop capacity to help
themselves, particularly in the first 24 hours post-disaster.

Table 23. (Health Preparedness Plan) below presents the evidence behind the
proposed preparedness strategies organized along the building blocks. The first column
represents the existing capacity, or the strength and resources currently available. The
second column examines the impact of the disaster on the existing capacity. The third
column identifies the gaps and problems in delivering the required services during the
surge. The final column recommends strategies to address these identified gaps.

2
The interface of the Health System Building blocks and the 10Ps is outlined in the Annex.

44 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 The strategies outlined in Table 23. are used to develop a Capacity Development
Plan (Table 24.) as required for their effective implementation. It answers the following
questions:

 What is the timeframe?

 What resources are required?
 What funding source can be tapped for the strategy?
 Who is responsible for leading the implementation of the strategy?

45 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

Table 23. HEALTH PREPAREDNESS PLAN

BUILDING BLOCK #1: LEADERSHIP & GOVERNANCE

CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1. Functional Municipal - Members become - Lack of - Capacity building of
Disaster Risk Reduction victims and cannot harmonization council members on
Management Council function properly of functions of DRRM H
(MDRRMC) / Barangay council - Establishment of
Disaster Risk Reduction members; permanent MDRRM
Management Committee Unsafe Office
(BDRRMC) temporary - Legislative approval
Operation and adoption of the
Center (OPCEN) DRRM-H Plan
- No approved
and endorsed
DRRMH Plan

CROSS-CUTTING
2. Functional Expanded - Members become - Lack of - Crafting of policies
Local Health Board victims and cannot Trainings and related in HEM
(LHB)/ Barangay Health function properly policies on - Capacity building of all
Board (BHB) (10 Health LHB Members
barangays) Emergency
Management

3. Existing Incident - ICS not implemented - No policy - Institutionalization of

Command System (ICS) appropriately adapting ICS ICS at all levels
Organizational Structure - Some MDRRMC - Capacity building for
members and ICS members
health
personnel not
46 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 oriented with
ICS
MEDICAL 1. Municipal Health - Manual of Operation - Existing policies - Institutionalization of
SERVICES Office (MHO) has (MOP) is not not devised for DRRM – H
*Maternal & Child existing Manual of implemented properly disasters
Health Operation (MOP)
*Communicable
Disease 2. Existing Maternal & - Maternal & Neonatal - Existing - Amendment of MNCHN
Neonatal Child Health Child Health and ordinance about ordinance
*Injury
and Nutrition Nutrition (MNCHN) MNCHN is not
(MNCHN) Ordinance Ordinance is not applied applicable during
appropriately disaster

*Life Threatening 3. Existing Referral - Referral Memorandum - Limited access to - Strengthening of

/ Chronic Memorandum of of Agreement not taken referral services referral network
Conditions Agreement (MOA) into effect
between San Antonio
District Hospital and 1
motorboat operator
(Crystal Sand)
1) Existing 10-year - Solid Waste - Solid Waste - Amendment of SWMP
Solid Waste Management Plan is Management to suit disaster
WASH Management Plan not implemented Plan is not situations
appropriately devised for
disasters
1) Active Municipal - Members cannot - Lack of - Capacity building on
Nutrition Council function effectively knowledge on Nutrition in
(MNC); Existing functions; lack Emergencies.
NUTRITION
Executive Order (EO) of
for the creation of comprehensive
the Municipal policy
47 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Nutrition Council;
2) Special Order for the
creation of the
Municipal Nutrition
Action Officer
(MNAO)

3) Existing MOA with

store owners (within - MOA with store owner - Store (with its - Expansion of MOA to
Poblacion- Norjun is not implemented goods) with other stores within and
Store) in times of appropriately exclusive outside the island
Disasters agreement with
LGU might also
be damaged;
1) MHO has existing - Manual of Operation - Policies not - Creation of municipal
MENTAL Manual of Operation (MOP) is not devised for policy on Mental
HEALTH on Mental Health implemented disasters Health, with DRRM-H
(MHO) appropriately integration

48 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 BUILDING BLOCK #2: HEALTH WORKFORCE
CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1. 8 Job Order  Personnel are - Inadequate - Strengthening
employees victims of manpower Network within the
2 admin aide disaster. - Lack of Local level, nearby
1 pharmacy aide  Stressed and integration of Municipalities and
1 encoder burnt out Plan and different NGO’s and
4 utility personnel coordination of other sectors existing
CROSS-CUTTING activities. in the island.
- Update personnel
directory for
communication
purposes in times of
crises.

MEDICAL 1. Adequate manpower - All personnel are - No Integration of - Formulation of Human

SERVICES to population ratio; victims of disaster. Plan and Resource Contingency plan
*Maternal & 1 MHO : 9,492 - Stressed and Coordination of for all hazards.
Child Health population burnt-out activities.
*Communicable 1PHN : 9,492 personnel. - No response team - Organization of health
Disease population organized response teams
1 Midwife : 3,184 - Inadequate - Organization and Capacity
*Injury
population personnel to Building of all BHWs
2. Personnel equipped provide service
with trainings during disaster.
*Life Threatening 1Permanent Midwife - No emergency - Establishment of regular
/ Chronic Trained on Cold Chain drills conducted emergency drills
Conditions Management - No incentive or - Provision of incentive,
3. 1 MHO, 1 PHN and 2 additional reward or Compensatory
Midwives Trained on compensation Leave Credit
BEmONC given for disaster
49 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 4. 1 RHM and 1 NDP duty
FBCBT Trained
5. All Health Personnel
Trained on BLS
6. 1 PHN Trained on
NCD Management
2 RSI and 1 PSI - Personnel also a - Inadequate - Creation of WASH Team
1 RSI and 1 PSI Trained on victim of disaster manpower during in the municipal level
WASH
WASH - Stressed and burnt disaster
out personnel.
1 MNAO-designate - Personnel also a - No other trained - Creation of MNAO item
MNAO Oriented with victim of disaster personnel
NUTRITION
Nutrition in Emergencies - Stressed and burnt
out personnel.
1 MHO Trained on MHPSS - Personnel also a - No other trained - Capacitate the other LGU
and MHGAP victim of disaster personnel personnel on MHPSS
MENTAL HEALTH - Stressed and burnt (MSWDO, PHN, RHMs).
out personnel.

50 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 BUILDING BLOCK #3: MEDICINES & TECHNOLOGIES
CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1) Newly- renovated - Destruction of the facility - Poorly-constructed - Creation of contingency
Birthing facility facilities plan for a temporary
birthing facility

CROSS-CUTTING 2) Available medicines for - Scarcity of medicines to be - No separate - MOA with

all clusters dispensed allocation for influx pharmacies and
of patients during distributors within
and post-disaster and outside the
island

MEDICAL
SERVICES
*Maternal & Child 1) Available Supplies and - Scarcity of supplies and - Destruction/ - Strengthening network
Health Equipment for MNCHN equipment depletion of within San Antonio and
*Communicable existing supplies Allen Interlocal Health
Disease Zone for access to
*Injury medicines and
equipment

2) Available solar - Malfunction of Solar - Destruction of - Prepositioning of buffer

refrigerator for vaccines Refrigerator, compromising solar panels, medicines, supplies,
(1pc) the potency of vaccines fluctuation of equipment and vaccines
*Life Threatening solar energy
/ Chronic flow
Conditions 3) Available vaccines - Damaged vaccines; - No buffer
inadequacy during allocation of
epidemics vaccines

4) (4pcs) Wheelchairs - Provision of additional

51 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 - Insufficiency of - No wheelchair wheelchairs and other
wheelchairs and available for injured patient transport
destruction of wheelchairs patients supplies

1) Available Aquatabs, - Stock-out of Aquatabs, - Unavailability of - Prepositioning/

Aquasol and Jerry cans Aquasol and Jerry cans potable water provisioning of Buffer
stocks for Aquatabs,
Aquasol and Jerry cans
WASH
2) All evacuation centers - Compromised sanitation - Lack of sanitary - Provision of sufficient
with sanitary facilities in evacuation centers toilets for all sanitary toilets.
evacuees
1) Available Mid-Upper - Lost MUAC tapes - Improper storage - Secure storage of MUAC
Arm Circumference after use during tapes
(MUAC) tapes (7pcs) assessment
NUTRITION
2) Available Micronutrient - Scarcity of MNP - No MNP provided - Provision of Buffer
supplies for malnourished stocks for MNP
children
1) Available Risperidone - Stock out of medicines - No maintenance - Provision of Buffer
and Chlorpromazine medication for stock for psychotropic
MENTAL HEALTH mental health drugs
patients

52 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 BUILDING BLOCK #4: INFORMATION & RESEARCH
CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1. Presence of Updated - Destroyed maps and - No back-up maps - Preposition backup
Hazard Map warning systems and warning systems for hazard
2. Presence of Early systems maps, IEC materials
CROSS-CUTTING
Warning System
3. Existing IEC materials - Destroyed hard copies of - No back-up data
for all clusters IEC materials of IEC materials
MEDICAL 1. Updated FHSIS - No access to tools due to - No LGU backup - Preposition of backup
SERVICES 2. iClinicsys used as EMR power outage power, electronic electronic system for
*Maternal & Child 3. Updated Barangay - Delayed recording on system and hard Medical Services
Health Health Data database copy of databases
*Communicable 4. Standardized Tools used - Destruction of hard copies and reporting
Disease during Disaster (RHA, of data and reporting tools
SPEED) tools
*Injury
*Life Threatening
/ Chronic
Conditions
Updated EVS Data - Delayed recording of - No LGU backup - Preposition backup
database; destruction of electronic for WaSH systems
hard copies of data and system and hard
WASH
reporting tools copy databases
- Inadequate
manpower
Updated eOPT - Delayed recording of - No LGU backup - Preposition backup
database; destruction of electronic systems for
NUTRITION hard copies of data and system and hard Nutrition cluster
reporting tools copy databases
- Inadequate

53 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 manpower
Updated Data Base of Mental - Delayed recording of - No LGU backup -Preposition backup
Health Patients database; destruction of electronic systems for MHPSS
hard copies of data and system and hard
MENTAL HEALTH
reporting tools copy databases
- Inadequate
manpower

54 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 BUILDING BLOCK #5: HEALTH FINANCING
CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1) 100% of Permanent  Insurance coverage  Not all primary  Allocation of
Health Workers are access is limited to responders (job- insurance for
PhilHealth insured organic health workers order barangay responders
employees) have
LGU-paid
insurance

CROSS-CUTTING 2) 8% LGU Internal  Lack of funds for  Insufficient - Allocation IRA for
Revenue Allotment utilization during funds Health to 15%
(IRA) allocated for disaster appropriated for
health (P3,733,209.90) DRRM-H

3) Existing PhilHealth  Lack of funds for  Insufficient  Institutionalization of

Trust Fund amounting utilization during policy on trust PhilHealth Trust
of P600,000.00 disaster fund utilization 1Fund Utilization
MEDICAL
SERVICES
1) 4% (P150,000.00) - Fund shortage for - Insufficiency of - Allocation of funds
*Maternal & Child allocated for MNCHN medical services funds for for health from
Health program services for DRRM funds
medical services
1) 1% (P50,000.00)
*Communicable
Allocated fund for
Disease
communicable diseases
1) 1% (P50,000.00)
*Injury Allocated fund for
trauma and injury

55 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 1) 2% (P80,000.00)
*Life Threatening
allocated fund for Non-
/ Chronic
Communicable Diseases
Conditions
(NCD) Program
1) 1% (P50,000.00) - Fund shortage for WaSH - Insufficiency of - Institutionalization of
allocated fund for funds for policy in the
Environmental Sanitation Environmental utilization of DRRM
WASH Sanitation Fund for
Services prepositioning of
supplies, equipment
for WASH
1) P20,000.00 allocated - Lack of funds for - Insufficiency of - Institutionalization of
fund for Nutritional nutrition services funds for policy in the
Program Nutritional utilization of DRRM
Services Fund for
NUTRITION
prepositioning of
supplies, equipment,
supplements for
nutrition
1) 1% (P50,000.00) - Fund shortage for - Insufficiency of - Institutionalization of
allocated fund for Mental mental health services funds for Mental policy in the
Health Program Health Services utilization of DRRM
Fund for
MENTAL HEALTH
prepositioning of
medicines and
equipment for
mental health

56 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 BUILDING BLOCK #6: SERVICE DELIVERY
CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
- Existing referral - Unserviceable - Damaged - Provision of a typhoon
system using 1 Land referral vehicles vehicle and resilient sea
ambulance ( ambulance; fuel ambulance.
located in San shortage
CROSS-CUTTING Isidro)
- 2 Barangay Rescue
Vehicles located in
Brgy. Manraya and
Brgy. Dalupirit
MEDICAL - Existing BEMONC, - Disruption of - No contingency - Crafting of contingency
SERVICES TB DOTs and BEMONC, TB DOTS plan for plan for services of
*Maternal & LABORATORY and medical BEMONC, TB BEmONC, TB DOTS and
Child Health services services DOTS and medical services
*Communicable - MNCHN LABORATORY - Organization and
Disease - Consultation services capacitation of Health
- Family Planning - No organized Response Team
*Injury
- EPI Health
- Laboratory Exam Response
*Life Threatening
Team
/ Chronic
Conditions

- Existing Level 1 - Disruption of - Inadequate - Network with health

water system water system that number of volunteers and private
- Ongoing will provide sanitary health workers.
WASH construction of WASH services. facilities to - Strengthening of WaSH
Salin-Tubig - Increased user- accommodate Programs
- Availability of sanitary facility influx of
sanitary facilities in ratio residents in

57 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 evacuation centers. - Disrupted evacuation
- Vector Control implementation centers
- Solid Waste on dengue - Program
Management prevention managers/
program. pointpersons
- Disruption of become victims
services on waste of disaster
management.
- Existing nutrition - Disruption of - Some - Provision of RUTF,
services e. g. nutrition services. personnel not micronutrient
Operation Timbang aware with supplements and other
(OPT), IYCF etc. other nutrition vitamin and mineral
- Provision of Nutrition services, ie supplements for disaster
Services services of - Institutionalization of
nutrition Municipal Nutrition in
NUTRITION during Emergencies Program
emergency and
disaster.
- Inadequate
vitamin and
mineral
supplements for
disaster
- Presence of MHGAP - Disruption of mental - Incomplete - Institutionalization of
services health services services for Mental Health
mental health, Program.
MENTAL such as MHPSS
HEALTH - Inadequacy of - Strengthening
trained networking with
Personnel mental health teams in
other municipalities

58 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 and provinces

BUILDING BLOCK #7: COMMUNITY RESILIENCE

CATEGORY Existing Capacity Impact of Disaster GAPS STRATEGIES
1. Presence of BDRRMC - Disoriented Council - Non- - Re-orientation and
in all 10 Barangays synchronization capacity building of
of functions of BDRRMC Members
BDRRMC

2. 55 Accredited Brgy. - BHWs are also - Non-functional - Networking with

Health Workers as victims of typhoon Brgy. Health other volunteer
member of Brgy. Response groups
Response Team Team/
CROSS-CUTTING
Surveillance - Capacitate barangay
Team health volunteers

3. Barangay officials - Barangay officials and - Unsynchronized - Institutionalization

and community volunteers become functions of Brgy-Based
volunteers oriented victims of disaster - No drills Health Emergency
on RA 10121 and conducted Management;
essentials of disaster
preparedness
MEDICAL 1. 100% Profiling of - Displacement of - Insufficient - Disaster preparedness
SERVICES Vulnerable groups vulnerable groups dissemination of advocacy for
*Maternal & Child through SDN - Increased morbidity information vulnerable groups
Health and mortality cases in

59 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

*Communicable all categories
Disease
*Injury - Unavailability of
transport vehicles for - Organization of
*Life Threatening 2. Availability of 2 vulnerable groups - Impassable roads barangay clearing
/ Chronic barangay rescue hampering operation task force
Conditions vehicles utilization of
rescue vehicles
Barangay officials oriented - Officials cannot function - Officials not - Capacity building on
WASH in WaSH appropriately capacitated on WaSH WaSH at the
barangay level
Barangay Nutrition Scholars - Some BNS become - No training on - Capacitate BNS and
oriented on NiE victims and cannot SAM and MAM at Parent Leaders on
NUTRITION
function effectively the barangay level assessment &
management on MAM
Barangays with database on - Increase mental - Lack of - Capacitate Barangay
MHGAP health cases personnel Health Workers and
(Depression, anxiety, trained on leaders on Mental
MENTAL
PTSD) counseling and health and
HEALTH other Psychosocial Support
psychosocial
management

60 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

Table 24: CAPACITY DEVELOPMENT PLAN

1. BUILDING BLOCK: LEADERSHIP & GOVERNANCE

Time frame Resources Required Person-

Funding
Strategy Activities Amount in-
2018 2019 2020 (Materials) Source
(Php) Charge
Cross-Cutting
1. Capacity building of  Orientation of Council Q1 Laptop, Php MDRRM MDRRM
council members members on the approved projector, 2,000 TWG
on DRRM-H Plan DRRM-H Plan, including writing
individual functions and materials,
responsibilities IEC
materials,
venue, food
2. Establishment of  Completion of construction of Q3 Construction (as
permanent MDRRM MDRRM Office materials, stipulated
MDRRM
Office office in POW) MEO
supplies and
equipment
3. Legislative  Local Health Board meeting on Q1 Visual aids, Php LHB,
approval and the review of the DRRM-H Plan snacks 2,000 MDRRMC
adoption of the  Creation of SB resolution on DRRM-H
the approval of the DRRM-H Plan hard MDRRM SB
DRRM-H Plan
Plan and its adoption and copy
integration to the existing
MDRRM Plan
4. Crafting of policies  Conduct meeting with Q1 Laptop, Php MDRRM MHO,
related to HEM MDRRMC regarding HEM projector, 2,000 DOH
policy; venue, food
 Creation of policy adopting ICS Q1 Policy -
and RA 10121 at SB level template -
 Creation of policy at SB level SB on
Health
5. Capacity building of  Conduct training/ orientation Q2 Laptop, Php MDRRM MHO,
61 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 all LHB members on Health Emergency projector, 4,000 DOH
Management for Local and writing
Barangay Health Board materials,
venue, food
6. Institutionalization  Conduct meeting with Q1 Laptop, Php MDRRM MHO,
of ICS at all levels MDRRMC and municipal health projector, 2,000 DOH
office personnel regarding ICS venue, food

7. Capacity building of  Conduct training/ orientation Q2 Laptop, Php MDRRM MHO,

all ICS on ICS for MDRRMC and MHO projector, 4,000 DOH
personnel writing
materials,
venue, food
Medical Services
1. Institutionalization  Creation of Policy Adopting the Q1 Policy - -
of DRRM – H approved DRRM-H Plan template SB,
MLGOO

2. Amendment of  Creation of Resolution Q1 Copy of - -

MNCHN ordinance Amending existing MNCHN existing
SB,
ordinance (supplementing MNCHN
MLGOO
clauses for disaster ordinance
preparedness and response)
3. Strengthening of  Conduct meeting with Q1 Venue, Php MDRRM MDRRMC
Referral Network motorboat operators meals, 2,000
laptop,
 Crafting and signing of MOA Q1 projector - SB,
with engaged motorboat Template of - MLGOO
operators MOA

 Conduct separate meetings with Q3 Venue, Php 10, MDRRM, MDRRMC,

Allen ILHZ, PHO and other meals, visual 000 ILHZ ILHZ,
interlocal health zones outside aids DOH, PHO
the province for expansion of
referral network MDRRMC,
ILHZ,

62 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

  Crafting of policy on Q4 Template of Php 5, MDRRM, DOH, PHO
strengthening of referral policy 000 ILHZ
network
WASH
1. Amendment of  Review of existing SWMP Q1 Venue, Php MDRRM MDRRMC,
SWMP to suit snacks 2,000 MENRO-
disaster situations Copy of Designate
 Amendment of SWMP to Q2 existing - SB on
integrate approved DRRM-H SWMP - Health,
Plan MLGOO
Nutrition
1. Capacity building  Training of MDRRMC on Q1 Snacks and Php 10, MDRRM DOH, PHO
on Nutrition in Nutrition in Emergencies meals of 15 000
Emergencies. participants
for 2 days
Venue: RHU
2. Expansion of MOA  Conduct meeting with grocery Q1 Venue, Php MDRRM MDRRMC
to other stores stores meals, 2,000
within and outside laptop,
the island projector - SB,
 Crafting and signing of MOA Q1 Template of - MLGOO
with engaged stores MOA
MHPSS
1. Creation of policy  Creation of local policy Q1 Copy of - - SB,
on Mental Health, Adopting the national Mental existing MLGOO
with DRRM-H Health policies, supplementing Mental
integration clauses for disaster Health
preparedness and response policies

63 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

2. BUILDING BLOCK: HEALTH WORK FORCE

Time frame Resources Required

Funding Person-in-
Strategy Activities Amount Source
2018 2019 2020 (Materials) Charge
(Php)
Cross-Cutting
1. Strengthening  Dialogue/ meeting with ILHZ, and Q3 Venue, Php MDRRM MDRRMC,
Network nearby local institutions meals, 4,000 Allen ILHZ,
within the laptop, PHO, DOH
 Crafting of MOA strengthening projector - MDRRMC,
Local level,
referral network for health Template of - Allen ILHZ,
nearby workforce MOA PHO, DOH
Municipalities
and different
NGO’s and
other sectors
existing in the
island.

2. Update  Update existing directory of Quarterly Logbook, Php 200 MDRRM HEMS
personnel personnel involved in disaster writing Coordinator
directory for preparedness and response (RHU, materials
communicatio SADH, BFP, PNP)
n purposes in
times of crises.
Medical Services
1. Formulation of  Meeting of RHU and SADH Q1 Venue, Php MDRRM MDRRMC,
Human personnel on existing disaster meals, 4,000 MHO, SADH
Resource protocols laptop - MDRRMC,
 Formulate Contingency Plan Q2 Template of - MHO, SADH,
Contingency
Health Emergency Response Contingency
plan for all plan
hazards.
2. Establishment  MDRRM Council meeting with Q2 Venue, Php MDRRM MDRRMC,
of regular other stakeholders on the snacks, 5,000 LHB,
64 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 emergency establishment of regular laptop National
drills emergency drills, creation of agencies
policy, budget allocation
 Creation of local policy on the Q3 Template of - SB
establishment of regular policy
emergency drills in the
municipality
 Scheduled regular drills Q-ly Q-ly Q-ly Php MDRRM MDRRMC,
10,000 LHB,
National
agencies,
Provincial
Government
3. Provision of  Dialogue with key personnel (LCE, Q2 Meals, Php MDRRM MDRRMC,
incentive, Finance Committee, HR) on venue, 3,000 LCE,
reward or provision of incentives, rewards writing Finance
and leave credit grant for frontline materials Committee,
Compensatory
personnel HR
Leave Credit  Creation of Resolution on Q2 Template of - - SB on
provision of incentives, reward, resolution Health,
and compensatory leave credits MLGOO
WASH
1. Creation of  Organization of WaSH Team Q1 Meals and Php MDRRM MDRRMC,
WASH Team in  Conduct regular meetings Every snacks 2,000 RSI, ABC,
Municipal quarter PHO
 Training on WaSH during Q3 Meals & Php 30, MDRRM, MDRRMC,
Level
emergencies snacks, 000 Trust DOH, PHO
Venue, Fund
writing
materials,
visual aids
Nutrition

65 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 1. Creation of  Dialogue with LCE, Finance Q2 Meals, Php MDRRM MDRMMC,
permanent Committee, SB on creation of snacks 2,000 Finance
MNAO item permanent item for MNAO Committee,
 Creation of item for MNAO SB

MHPSS
1. Capacitate the  Training on MHPSS TEV Php MDRRM DOH
other LGU 6,000
personnel on - DOH
MHPSS -
(MSWDO,
PHN, RHMs).

66 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

3. BUILDING BLOCK: MEDICINES AND TECHNOLOGY

Time frame Resources Required

Funding Person-in-
Strategy Activities Amount
2018 2019 2020 (Materials) Source Charge
(Php)
Cross-Cutting
1. Creation of  Conduct meeting with Q1 Meals, Php MDRRM LHB,
contingency Local Health Board and venue 4,000 MDRRMC
plan for a MDRRMC MDRRM SB
temporary  Crafting of Contingency Q2 Template Php MDRRM
birthing facility manual 5,000
 Identification of location of Q2 Map, floor Php MDRRM, MDRRMC,
temporary birthing facility plans 5,000 Trust Fund SB, Finance
 Budget allocation for AIP Department
purchase of equipment for Php
temporary birthing facility 100,000
(tent, medical equipment
and supplies)
2. MOA with  Identification of Q2 Venue, Php MDRRM MDRRMC,
pharmacies and pharmacies and meals, 4,000
distributors distributors in San Antonio visual aids
within and and nearby municipalities
outside the  Creation of MOA with
island pharmacies and Q3 Template of - - MDRRMC
distributors MOA
Medical Services
1. Strengthening  Conduct dialogue with Q1 Venue, Php MDRRM MDRRMC,
network within Allen ILHZ members meals, 4,000 Allen ILHZ
San Antonio and laptop,
Allen Interlocal projector
Health Zone for  Creation of MOA with Allen Q2 Template of - - MDRRMC,
Access to Interlocal Health Zone MOA Allen ILHZ
medicines and
equipment

67 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 2. Prepositioning  Inventory of medicines, Q1 Logbook Php 100 LGU Funds RHU Staff
of buffer vaccines and equipment
medicines,  Purchase of medicines, Q1 PR, Budget Php MDRRM MHO,
supplies, supplies and equipment 100,000 MDRRMC
equipment and  Requisition of vaccines Q1 Vaccine - MHO
vaccines Inventory -

3. Provision of  Inventory of functional and Q1 Logbook Php 100 MDRRM MHO

additional non-functional rescue
wheelchairs and equipment
other patient  Purchase of new Q1 PR, Budget Php MDRRM MDRRMC,
transport wheelchairs, spine boards, 100,000 MHO
supplies and stretchers
WASH
1. Prepositioning/  Inventory of aquatabs, Q1 Logbook Php 100 MDRRM MHO
provisioning of aquasol, jerry cans
Buffer stocks for  Purchase of supplies Q1 PR, Budget Php MDRRM MDRRMC,
Aquatabs, 10,000 MHO
Aquasol and
Jerry cans
2. Provision of  Account evacuation centers Q1 Logbook Php 100 MDRRM MHO
sufficient with and without sanitary
sanitary toilets. facilities
 Preparation of building Q3 PR, Budget Php EDF MEO
plan, design and POW 50,000
 Procure construction Q3
supplies and materials
 Construction of sanitary Q3
facilities
Nutrition
1. Secure storage  Inventory of MUAC tapes Q1 Logbook Php 100 MDRRM MHO
of MUAC tapes  Procure new MUAC tapes Q1 PR, Budget Php MDRRM MDRRMC,
5,000 MHO
2. Provision of  Inventory of available MNP Q1 Logbook Php 100 MDRRM MHO
Buffer stocks for  Procure of MNP
MNP Q1 PR, Budget Php MDRRM MDRRMC,
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 10,000 MHO
MHPSS
1. Provision of  Inventory of available Q1 Logbook Php 100 MDRRM MHO
Buffer stock for mental health medicines
psychotropic  Procure of mental health Q1 PR, Budget Php MDRRM, MDRRMC,
drugs medicines 50,000 Trust Fund MHO
(Chlorpromazine,
Risperidone, anti-anxiety
medications)

4. BUILDING BLOCK: INFORMATION AND RESEARCH

Time frame Resources Required

Funding Person-in-
Strategy Activities Amount
2018 2019 2020 (Materials) Source Charge
(Php)
Cross-Cutting
1. Preposition  Designation of a Health Q1 Office - - LCE,
backup Information Management Officer to Order
systems for handle back-up electronic system
hazard maps, establishment (RHU Personnel)
IEC materials  Inventory of existing electronic Q1
systems (laptops, desktop
computer)
 Purchase of back-up technological Q3
devices (Laptop, USB, external hard
drive)
 Creation of online backup system
Medical Services
1. Preposition of  Creation of RHU e-databases Q1 Laptop - - RHU Staff
backup through iClinicsys (IT)
electronic  Creation of electronic copies of IEC Q1
materials
system for
medical

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 services

WASH
1. Preposition  Creation of EVS e-database and Q1 Laptop - - RHU
backup for electronic copies of IEC Staff
WaSH materials (IT)
system
Nutrition
1. Preposition  Update nutrition e-databases Q1 Laptop - - RHU
backup through eOPT Staff
systems for  Create electronic copies of IEC Q1 (IT)
materials
Nutrition
cluster
MHPSS
 Preposition  Creation of Mental Health e- Q1 Laptop - - RHU
backup databases Staff
systems for  Create electronic copies of IEC Q1 (IT)
MHPSS materials

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5. BUILDING BLOCK: HEALTH FINANCING

Time frame Resources Required

Funding Person-in-
Strategy Activities Amount
2018 2019 2020 (Materials) Source Charge
(Php)
Cross-Cutting
1. Allocation of  Enrollment and profiling of Q1 Laptop, Php MDRRM
insurance for Brgy. Responders to PhilHealth Snacks, 5,000
barangay meals,
travelling
responders
allowance,
venue, MDRRMC
pens, Bond
papers
 Enrollment of primary
responders to accident Insurance Mayor’s
insurance policy Office
2. Allocation IRA for  Lobby to SB for the proposed Q1 - MDRRMC,
budget for health -
Health to 15% SB
3. Institutionalization  Dialogue with Local Health Q2 Snacks, Php 2, MDRRM MDRRMC,
of PhilHealth Trust Board for creation of Policy venue, 000 LHB
Fund Utilization institutionalizing the visual aids
Utilization of PhilHealth Trust Q2
Fund
 Creation of Policy Template of - - SB on
Institutionalizing the Policy Health,
Utilization of PhilHealth Trust MLGOO
Fund
Medical Services
1. Allocation of funds  Inclusion of DRRM-H in the Q3 AIP, PPMP P100,000 MDRRM MDRRMC,
for health from budget allocation from MDRRM MHO, SB
DRRM funds Funds

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WASH
1. Institutionalization  Integrate DRRM-H to MDRRM Q3 DRRM plan Php
of policy in the Plan to allocate budget for DRRM-H 10,000
utilization of DRRM WaSH in Disasters Plan
Fund for AIP, PPMP MDRRM
MDRRM
prepositioning of officer
supplies,
equipment for
WASH
Nutrition
1. Institutionalization  Integrate DRRM-H to MDRRM Q3 DRRM plan Php
of policy in the Plan to allocate budget for DRRM-H 50,000
utilization of DRRM Nutrition in Disasters Plan
Fund for AIP, PPMP
prepositioning of MDRRM
MDRRM
supplies, officer
equipment,
supplements for
nutrition

MHPSS
1. Institutionalization  Integrate DRRM-H to MDRRM Q3 DRRM plan Php MDRRM MDRRM
of policy in the Plan to allocate budget for DRRM-H 40,000 officer
utilization of DRRM MHPSS Plan
Fund for AIP, PPMP
prepositioning of
medicines and
equipment for
mental health

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6. BUILDING BLOCK: HEALTH SERVICE DELIVERY

Time frame Resources Required Person-

Funding
Strategy Activities Amount Source in-
2018 2019 2020 (Materials) Charge
(Php)
Cross-Cutting
1. Provision of a  Budget allocation for Q3 AIP, PPMP - - MDRRMC,
typhoon resilient construction of a sea ambulance MBO
sea ambulance  Procurement of construction
materials, equipment, and labor Q2 Program of Php Trust MEO
fees Works 500,000 Fund

Medical Services
1. Crafting of  Conduct meeting with Local Q1 Meals, venue Php MDRRM LHB,
contingency plan Health Board and MDRRMC; 4,000 MDRRMC
for services of Review existing referral system
BEmONC, TB DOTS during emergencies and
and medical disasters
services  Crafting of Contingency Q2 Template Php MDRRM LHB,
manual 5,000 MDRRMC

2. Organization and  Creation of response teams Q1 Office Order - MDRRM MDRRMC

capacitation of  Orientation of team leaders and Q1 Venue, Php MDRRM DOH,
Health Response members on their functions meals 2,000 MDRRMC
Teams during ICS activation OCD,DOH,
 Regular emergency drill for Qly Qly Qly Venue, IEC Php MDRRM MDRRMC
staff materials, 20,000
meals
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WASH
1. Network with  Allocation of budget for Q1 AIP MDRRM, MDRRMC,
health volunteers traveling expenses, and BDRRM BDRRMC
and private health honorarium Barangay WaSH
teams
workers.
 Mobilization of Barangay Q2 Venue, Php MDRRM MDRRMC,
WaSH Teams meals, visual 10,000 BDRRMC,
aids MLGOO

2. Strengthening of  Health education/ mobilization Construction (based MDRRM MEO

WASH Programs of resident and barangay Materials on
council for regular clean-up IEC POW) MHO,
materials P 5,000 MDRRMC
 Distribution of water kits and
water disinfectants

 Monitoring of drinking water

sources
Nutrition
1. Provision of RUTF,  Regular updating and RUTF, MNP Php MDRRM MSWDO,
micronutrient monitoring of SAM and MAM 50,000 MNAO
supplements and clients
 Provision of micronutrient
other vitamin and
supplements to target clients
mineral  Provision of Ready to Use
supplements for Therapeutic Food (RUTF) to
disaster Severe Acute Malnutrition
(SAM) children
2. Institutionalization  Installation of Breastfeeding Visual aids, Php MDRRM, MDRRMC,
of Municipal areas in evacuation centers furniture 20,000 Trust MHO,
Nutrition in  IYCF counselling to mothers Fund MNAO,
Emergencies and caregivers in evacuation MSWDO
Program centers
MHPSS

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 1. Institutionalization  MHPSS for the victims As Coloring and Php MDRRM MDRRMC,
of Mental Health needed drawing 10,000 MHO,
Program. materials, PHO,
toys SADH
 Management of regular mental Logbook of
health patients mental
health
patients
 Referral of violent patients Two-way
referral
2. Strengthening  Conduct meeting with interlocal MOA Php MDRRM MDRRMC,
networking with health zone and PHO on template 10,000 ILHZ,
mental health creation of MOA with other PHO,
teams in other mental health teams DOH
municipalities and  Crafting of MOA for
provinces strengthening networking with
mental health teams during
emergencies and disasters

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7. BUILDING BLOCK: COMMUNITY RESILIENCE

Time frame Resources Required

Funding Person-in-
Strategy Activities Amount
2018 2019 2020 (Materials) Source Charge
(Php)
Cross-Cutting
1. Re-orientation and  Training on Basic HEM Q2 Laptop, Php MDRRM MDRRMC,
capacity building of & BLS and Basic First projector, 20,000 MLGOO, MHO,
BDRRMC Members Aid Snacks, DOH, PHO
pens, Bond
papers, TEV

2. Networking with  Identification of Q1 Laptop, Php 5,000 MDRRM MDRRMC,

other volunteer volunteered group visual aids, MLGOO, MHO
groups  Coordinating with the snacks
group

 Craft a memorandum of MOA

agreement with template
identified groups
3. Capacitate  Training on Q3 Meals & Php 100, MDRRM, MDRRMC,
barangay rescue - BLS snacks, 000 Trust Fund ABC
volunteers - Standard First Aid Venue, MDRRMC,
- Mass Casualty writing BHW Fed,
Management materials, DOH, PHO,
- Basic Health visual aids HEMS
Emergency Coordinator
Management
4. Institutionalization  Creation of Brgy. HEM Q1 Laptop, Php MDRRM MDRRMC,
of Brgy-Based  Crafting of policy on the projector, 20,000 MLGOO, MHO,
Health Emergency creation of barangay- Snacks, DOH, PHO
Management based health emergency pens, Bond
management papers
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Medical Services
1. Disaster  Orientation of Laptop, Php MDRRM MDRRMC,
preparedness vulnerable groups to projector, 10,000 MLGOO, MHO,
advocacy for DRRM Snacks, BDRRMC
 Regular household pens, Bond
vulnerable groups
drills papers

2. Organization of  Coordination with Brgy Laptop, Php MDRRM MDRRMC,

barangay clearing Officials for clearing projector, 20,000 MLGOO, MHO,
operation task force operation Snacks, BDRRMC
pens, Bond
papers, TEV
WASH
1. Capacity building on  Organize the Barangay Laptop, Php MDRRM MDRRMC,
WaSH at the WaSH council projector, 20,000 MLGOO,
barangay level  Training of Barangay Snacks, MHO,
WaSH council pens, Bond DOH,
papers PHO
Nutrition
1. Capacitate BNS and  Orientation of parent Q3 Venue, MDRRM, Php 10,000 PHO, MHO
Parent Leaders on leaders and BNS of meals, IEC Health
assessment & CMAM initial assessment of Q4 Q4 Q4 materials Funds
CMAM Existing
 Monitoring and Data
evaluation of BNS on
CMAM
 Establish community
breastfeeding support
groups
MHPSS

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1. Capacitate Barangay  Orientation of Q3 Venue, MDRRM, Php 15,000 MDRRMC,
Health Workers and barangay volunteers meals, IEC Trust MHO, PHO
leaders on Mental on the MHPSS and materials Fund
health and mental health referral
Psychosocial
Support

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 HEALTH EMERGENCY RESPONSE PLAN
A. Management Structure for Response

B. Managing the Incident

Incident Command Organization

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 C. Roles and Responsibilities During the Response

Local Chief Executive

 Exercises overall supervision and control of all response activities in the field during
the disaster conducted by different departments or agencies.
 Acts as overall spoke person.
 Will serve as the over-all incident commander.
 Leads the implementation of the Local Disaster Risk Reduction and Management
Plan.
Municipal Health Officer

 Exercises overall supervision and control of all health activities in the field during
the disaster.
 Acts as spoke person and incident commander concerning health.
 Activates or deactivates the Health Emergency Plan and leads its implementation
and other health emergency responses conducted by the Health Emergency and
Management Staff.
 Activates or deactivates the Operation Center.

HEMS Coordinator

 Reports directly to the Local Chief Executive in times of emergencies response

activities.
 Organizes emergency response team.
 Network with members of the Health Sector responding to emergencies and disasters
within Municipal Health Office’s catchment area (RHU and BHS) and the communities,
as well as other agencies responding to emergencies and disasters.
 Will serve as incident commander concerning health in the absence of the Municipal
Health Officer.

Nutrition Cluster

 Conducts nutritional assessment survey of all affected population.

 Identifies vulnerable malnourished population for appropriate feeding program.
 Provides feedback to planning unit for appropriate response.
 Coordinates with DSWD with regards to the establishment of feeding stations and
feeding programs.

Surveillance Cluster

 Conducts appropriate epidemiological investigations of health emergencies and

other health-related assessment or activities during disasters.

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  Establishes a passive / active surveillance system in the affected area.
 Monitors the progress of health responses.
 Generates the proper epidemiologic data.
 Provides the MHO and HEMS Coordinator with necessary report.

Mental Health and Psychosocial Support Cluster

 Assesses and evaluates the make-up and development of affected victims.

 Intervenes when necessary to psychologically stressed victims or health workers
through the crisis intervention stress debriefing technique.
 Maintains periodic psychological evaluation and examination of the victims and
recommend appropriate interventions.

Water Sanitation and Hygiene Cluster

 Conducts environmental assessment of affected area / evacuation sites.

 Recommends measures to ensure availability of potable water sources and proper
waste management.
 Recommends measures for vermin control.
 Conducts IEC with regards to environmental sanitation.

Medical Services Cluster

 Provides first aid interventions to those injured.

 Conducts consultations especially to those who are housed in evacuation centers.
 Responsible for the vaccination of vulnerable population especially those in
evacuation centers (per instructions from the Provincial Health Office/DOH
Province)
 Facilitated adequate and proper referral of injured individuals to higher centers.

Data Management and Records/Documentation Cluster

 Facilitates fast and efficient communication between Local OPCEN and emergency
responders and DOHHEMS Province.
 Serves as first alarm system.
 Documents all activities conducted during the disaster using available equipment.
 Files and stores important and pertinent information especially recording personnel
on duty, volunteers, donations.
 Responsible for the integrity of documents.
 Releases records / data as needed.

Management of the Dead and Missing

 Proper management of the dead bodies.

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  Assist in the proper identification of the corpses and headcount/ documentation of
mortality.
 Assist and Coordinate PNP/NBI for identification of dead bodies.
 Assist in proper handling and disposal of dead bodies and body parts.

Safety and Security Officer

 Conducts assessment and evaluation of all structures and facilities in the Municipal
Health office/OpCen to ensure safety.
 Implements necessary measures to ensure order and security of RO XI premises
such as but not limited to inspection, proper identification / documentation of
ingress and egress.

Public Information Officer

 Facilitates official press conferences to update media and the public regularly on the
situation.
 Ensures that all news releases have the approval of the incident commander.
 Provide media briefing for the RD prior to every media interview.
 Coordinates with the Data Management and Records/Documentation Cluster to
ensure adequate and harmonized data.

Liaison Officer

 Responsible for coordination and networking with other sectors / agencies for a
well-coordinated and collaborated operation.

Operations

 Ensures that all areas are adequately staffed and supplied.

 Ensures the availability and efficient rotation of personnel / manpower for
Operation Center.
 Generates data and report regularly to Incident Officer on the status of manpower.

Logistics

 Facilitates procurement and delivery of all purchase requests in relation to the

disaster.
 Ensures the timely delivery of needed supplies, equipment and medicines to
affected area.
 Conducts regular inventory of supplies, equipment and medicines.
 Anticipate needed logistical requirements.
 Generates a report to the Municipal Health Officer/HEMS Coordinator with regards
to all its operations.

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Planning

 Provides planning support to the disaster team leader or incident commander.

 Receives and processes up-to-date and accurate information from the MHO/OPCEN
regarding the health emergency and plan-out subsequent appropriate strategies or
approaches.
 Generates proper and accurate data and information to assist the incident
commander (MHO/HEMS Coordinator) in making sound decisions.

Administration and Finance

 Provides budget and financial support to HEM activities conducted.

 Facilitates the preparation of necessary financial and budgetary requirement for
efficient and prompt purchase of requests.

C. Core Response Activities

1. Activate the Alerting Process and the LGU Health OPCEN using the DOH
Code Alert System as a guide.
a. Activate the Incident Command System through the Municipal
Disaster Risk Reduction Management Council (MDRRMC) – role of
Incident Commander/Mayor
b. Activate the Health OPCEN, including staff mobilization (through text
blast/call) – role of MHO
2. Disseminate health emergency messages.
3. Distribute Health Emergency Logistics to RHU and BHS.
4. Activate the Health Emergency Reporting System:
a. Conduct Rapid Health Needs Assessment (RHNA) within 48 hours.
b. Prepare a Health Event Assessment Report (HEARS) within 24 hours
to notify DOH and other national government agencies.
c. Prepare Health Resource Availability Mapping System (HeRAMS)
post-impact, and again after 6 months.
d. Activate SPEED based on existing guidelines and protocols.
e. Prepare cluster reports (as needed by the clusters).
5. Verify and prepare report of casualties (dead, missing, and injured) to be
submitted to the MDRRMC and DOH.
6. Restore necessary facilities to provide continuous services.
7. Deliver minimum standard package of interventions for health and nutrition
in disasters at the main health center.
8. Mobilize mobile medical clinics or outreach services to affected areas.

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 9. Provide health and nutrition services at evacuation centers, such as
vaccination for measles, vitamin A supplementation, WASH, IYCF/Nutrition,
and MCH services.
10. Conduct coordination meetings for different health clusters, and participate
in multi-sectoral meetings.
11. Coordinate with referral hospitals for management of casualties and ensure
continuing operations.
12. Implementation of Declaration and Notification Process for:
a. Continuation of or change in alert status (extension of services)
b. Termination of Command Post/Operations Center

VIII. HEALTH EMERGENCY RECOVERY AND RECONSTRUCTION PLAN

Damage assessment/needs
Psychosocial interventions
Repair of damaged facilities
Post Incident Evaluation
Documentation of Lessons
Update HEPRR Plan
Inventory utilized resources
Awarding and recognition rites for the major players
Provision of overtime compensation for responder
Continuing surveillance

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 IX. MONITORING, EVALUATING AND UPDATING

Once finalized and approved, the Disaster Risk Reduction and Management Plan
for Health (DRRM-H) needs continuous monitoring, evaluation and updating to
maintain its viability. Monitoring and evaluation of LGU response and recovery must
also be performed for improved service delivery in the future.

A. MONITORING

To facilitate a pragmatic approach for monitoring that focuses on key indicators,

this year, our monitoring will focus on core competencies for resilient health systems as
outlined in Table 15 below. These core competencies are the minimum standards that
should be applied to health system, to enable an adequate health service response
following emergencies.

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Table 25. MONITORING CORE COMPETENCIES FOR RESILIENT HEALTH SYSTEMS

Partially Achieved
(one or more
Fully Achieved Not Achieved
measurements)
(all measurements met) (no measurement met)
Provide details of measures
yet to be achieved

CORE Make an assessment on

BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Formulated, Updated and  Copy of the updated/approved

disseminated annually DRRM-H
LEADERSHIP & 1. DRRM-H prepared and  Endorsed/approved by  Copy of the updated/approved

GOVERNANCE approved Sangguniang Bayan DRRM-H
 DRRM-H integrated into other  Check copies of AOP/AIP and

local plans & MDRRM Plan MDRRM Plan
The Sangguniang bayan is yet to approve and adopt the formulated DRRM-H plan. Integration to the MDRRM Plan will follow the
Note for L&G 1.
approval.
2. Municipal DRRM  Approved Municipal  Copy of the ordinance
LEADERSHIP & ordinance adoption of Ordinance on DRRM

GOVERNANCE RA 10121 & AO 168 and
other policies on HEMS
Note for L&G 2. The LGU is still to adopt the said national policies.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Presence of Executive Order  Copy of Executive Order
on Incident Command System
LEADERSHIP & 3. ICS organizational
/ (ICS) organization (members,
GOVERNANCE structure established
positions, roles and functions,
etc.)
Note for L&G 3.
 Regular meeting conducted
LEADERSHIP & /  Minutes of the meeting
4. Functional MDRRMC quarterly
GOVERNANCE
  Ordinance creating MDRRMO  Designation or office order
Note for L&G 4. As of the moment, meetings are only held prior to a disaster.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Presence of Monitoring &  Monitoring & Evaluation tool

Evaluation tool
LEADERSHIP & 5. Established effective
GOVERNANCE Monitoring & Evaluation  Drill & PIE conducted (minutes  Drill plan/after action
/ of meeting, reports, documents report/improvement plan, PIE
submitted) documentation
Note for L&G 5. Drills are conducted. However, PIEs have not been conducted yet.
LEADERSHIP & 6. Local Chief Executive  Local Chief Executive effectively  Minutes of orientation

GOVERNANCE oriented oriented on DRRM-H meeting
Note for L&G 6.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
/ Not less than 15% of total  MDRRM Fund utilization report
/ DRRM Fund will be allocated
HEALTHCARE / to health
1. Utilization DRRM Fund
FINANCING
 Support policy for DRRM fund  Copy of policy

for health
Note for HCF 1. The MDRRM Fund has no allocation for health in 2017.
 All health workforce and  Copy of insurance policy
HEALTHCARE 2. 100% of health responders (accredited)
FINANCING workers are insured covered with accident
insurance
Note for HCF 2. Only permanent and some of the casual health personnel are insured.
HEALTHCARE 3. DRRM-H is fully  DRRM-H is financed by  Copy of budgeted MDRRM,
/
FINANCING funded MDRRMC and other sources health and other plans
Note for HCF 3.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Appropriately trained health  Inventory of training attended
manpower on HEMS related  Certificates of training
courses (all staff are BLS trained,
WASH team leader trained on
WASH in emergencies; Nutrition

HEALTH 1. Highly capable health team leader trained on Nutrition
WORKFORCE manpower in emergencies,; MHPSS team
leader trained on MHPSS in
emergencies; HEMS coordinator
has Basic HEMS training)
 Participation in drills  Drill attendance sheet/after action

report
Note for HWF 1. Health personnel are trained in the following: BLS (for upating), PSI trained in WASH, MHO trained in MHGAP and PHN is trained in Basic HEMS.
 Response teams organized per  Designation, office order, special
cluster (with team leader per order

cluster) and HEMS Coordinator
designated
HEALTH 2. Adequate number of
 Established network with other  MOAs and other documentation
WORKFORCE health manpower / of networks
LGUs, NGOs, etc.
 Designation, executive order, and
 Designated and functional
 documentation of quarterly
MDRRMO
meeting
Note for HWF 2. Office orders are still to be crafted. There is no existing networking MOA yet.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Awards and recognition  Executive Order or ordinance
HEALTH 3. Highly motivated local systems in place on awards and recognition
WORKFORCE health implementers system
Note for HWF 3. As of now, the LGU does not have an executive order or an ordinance on awards and recognition system to local health implementers.
 Directory of volunteers /
 Existence of trained
Executive Order recognizing
HEALTH 4. Organized volunteers volunteers
health volunteers
WORKFORCE for emergency response
 Partnership meeting with
 Minutes of meeting
volunteers
The municipality has not yet established health volunteers, with RHU staff serving as the main health providers during disasters.
Note for HWF 4.
Committees of the four clusters are not yet organized in the barangay level.

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 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
INFORMATION & 1. Presence of updated  Availability of Hazard Map  Hazard Map for all

RESEARCH Hazard Map applicable hazards
Note for I&R 1. The LGU has completed the hazard map.
 Accessible & appropriate EWS in  Photos, documentation of

place EWS
 Presence of signs in “high traffic”  Photos, documentation of
INFORMATION & /
2. Early Warning System area EWS
RESEARCH
 All barangays with established  Copy of barangay
/ mechanism for dissemination of ordinance on EWS
EWS information.
Note for I&R 2. Existing EWS are as follows: Flood, storm surge, and tsunami markers and alerting device; fire truck sirens; two-way radio.
 Annually updated database on:
Vulnerable population
Health manpower
Mapping of health facilities
  Copy of database
INFORMATION & 3. Adequate Information of service delivery network
RESEARCH Management Directory of responders
Basic program indicators
Vital statistics
 Back-up electronic system for  Protocol for electronic
emergencies back-up of files.
Note for I&R 3. The LGU is on the process of creating a database for such important data.

92 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Response time is within 15  Protocols for response. Drill
1. Development of / minutes after clearance from reports, PIE (if disaster
HEALTH SERVICE safety officer occurs)
health emergency team
DELIVERY
to disaster area.  Organized response team using
 the cluster approach  Designation, office order

Note for HSD 1. The Health Cluster Approach has already been established.
2. Two-way referral  Protocol of referral in
HEALTH SERVICE  Functional two-way referral
system (in times of  emergencies
DELIVERY system (in times of emergency)
emergency)  Documentation of referral
Note for HSD 2. Referral system is functional at all times.

CORE Make an assessment on

BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
1. Availability of basic  Prepositioned stocks of basic  Supply or inventory report
MEDICINES AND
medicines or supplies on  health emergency kits or
TECHNOLOGY
site medicines
Note for M&T 1. Not adequate prepositioned medicines and supplies.

93 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Profiling of vulnerable groups  Copies of profiles of
(e.g. U5, pregnant and lactating vulnerable groups
 women, people with disability
(PWD), indigenous peoples (IPs),
senior citizens (SC), GIDAs)
 Barangay officials particularly  Barangay profile and
Barangay Captains and Masterlist
Secretaries lead in mobilizing
COMMUNITY 1. Profiling of vulnerable  volunteers (including tanods,
RESILIENCE groups BHWs, students, residents) in
conducting profiling and updating
database
 Regular feedback (annually)  Documentation of barangay
conducted with the communities meetings/assembly
(at the purok level or barangay

level depending on geographic
locations) for data validity and
recommendations.
Note for CR 1. Profiling Masterlist is updated quarterly to ensure accuracy of data. Annual community assembly is conducted for every barangay.

94 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 CORE Make an assessment on
BUILDING BLOCK COMPETENCIES/MAJOR MEASUREMENT MEANS OF VERIFICATION MAJOR INDICATORS each year
INDICATORS according to the color codes
Check which apply 2018 2019 2020
 Local DRRM Plan have identified and  Copy of the MDRRM Plan
prioritized needs, especially health
needs of the vulnerable groups, and
 able to tap local and outside
2. Barangay DRRM Plans resources to realize interventions
have provisions to that would answer the vulnerable
COMMUNITY address urgent and basic groups’ essential needs.
RESILIENCE needs of vulnerable  Local DRRM Plan is consulted at the  Minutes of consultation
groups to survive and purok level through discussion, and meetings
sustain life  approved by the barangay through
its barangay assembly/public
hearing.
 Evacuation plan developed and  Documentation of

disseminated evacuation plan
Note for CR 2. LGU SAN ANTONIO has completed its MDRRM Plan. Consultation meetings will be conducted to all barangays.
 Barangay officials and BHWs re-
 Documentation on the re-
echoed on family preparedness for
COMMUNITY echo training
3. Drill of the community disaster at the purok level
RESILIENCE
 Drill conducted annually in all  Drill plan, after action
/
barangays report, improvement plan
Note for CR 3. No drill has been conducted at the barangay level for emergency preparedness.

95 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

ANNEX A
Form 1 Rev. 4/7/2007
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
Ground Floor, Bldg. 12, San Lazaro Compound
Rizal Avenue, Sta. Cruz, Manila
Telefax: (63-2)711-1001/ 740-5030/ 743-0568 Tel: (63-2)711-1002/ 743-0538
Trunk line Nos. 743-8301 loc 2200 to 2207
Email: doh_hems@yahoo.com; doh_hemsopcen@yahoo.com
Form 3-A (p.2/2) Rev. 4/7/2007

RAPID HEALTH ASSESSMENT

Event Title: ________________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS within 24 hours upon occurrence of a major health emergency or
disaster, except for mass casualty incidents and outbreaks, for which Form 3-B and Form 3-C shall be used respectively.)

A. Event Information
Type of GEOLOGIC WEATHER BIOLOGIC MAN-MADE
Event: Volcanic Typhoon Red Tide Fire Poisoning, specify ______________
Eruption Storm Surge Fish Kills Explosion Mass Action, specify____________
Earthquake Drought Locust Armed Accident, specify ______________
Tsunami Cold Spell Infestatio Conflict Other, specify_________________
Landslide Flashflood n Terrorism
Lahar
Date of Time of AM Exact Location:
Occurrence: Occurrence: PM Region: Province: Municipality/City:
B. Magnitude of Event
Number Affected Evacuation Centers
Municipality/
Province Famili Individua No. of Families in No. of Indiv. in
City No. of EC
es ls EC EC

C. Health Consequences
Total no. of ill / injured
Total (excluding those who have died) Total
Province Municipality/ City No. of Not No. of
Admitt Admitted then
Deaths ed Discharged
Admitte Missing
d

Attachments to this Report: Form 5 (List of Casualties) Others

(Specify):__________________________________________
D. Health Facilities in the Affected Areas
DOH Fully Functional Partly Functional Totally Non-
Functional Remarks:
Hospital/s:
LGU Fully Functional Partly Functional Totally Non-
Functional Remarks:
Hospital/s:

96 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

Pvt. Fully Functional Partly Functional Totally Non-
Functional Remarks:
Hospital/s:
RHU/Health Fully Functional Partly Functional Totally Non-
Functional Remarks:
Ctr:
Fully Functional Partly Functional Totally Non-
BHS: Functional Remarks:
Fully Functional Partly Functional Totally Non-
Other: ________ Functional Remarks:

E. Lifelines in the Affected Areas

Communicati Fully Functional Partly Functional Totally Non-
Functional Remarks:
on
Electric Fully Functional Partly Functional Totally Non-
Functional Remarks:
Power
Fully Functional Partly Functional Totally Non-
Water Supply Functional Remarks:
Roads/Bridge Fully Functional Partly Functional Totally Non-
Functional Remarks:
s
Transportatio
n
Fully Functional Partly Functional Totally Non-
Other: ________ Functional Remarks:

F. Health Services in the Affected Areas

Adequate
1. Immunization Inadequate Remarks:
Adequate
2. Nutrition Inadequate Remarks:
Adequate
3. Consultation Inadequate Remarks:
4. Health Adequate
Inadequate Remarks:
Education
Adequate
5. WASH Inadequate Remarks:
Adequate
6. MHPSS Inadequate Remarks:

G. Public Health Concerns(If applicable)

ENVIRONMENTAL SANITATION
Areas of Concern Status (Indicate exact location of problem, if any) Actions Taken
1. Water Supply
2. Latrines
3. Garbage Disposal
4. Drainage
5. Vermin Control

H. Status of Essential Drugs and Supplies in the Affected Areas

No. of Cases No. of Days Remarks
Stock Level Good
For:
I. Actions Taken
97 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
1.
2.
3.
4.
J. Problems Encountered
1.
2.
3.
4.

K. Recommendations
1.
2.
3.
4.
Prepared and Submitted by:
Date Prepared: Mobile
No.:
Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:

98 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

ANNEX B
Form 1 Rev. 4/7/2007
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
Ground Floor, Bldg. 12, San Lazaro Compound
Rizal Avenue, Sta. Cruz, Manila
Telefax: (63-2)711-1001/ 740-5030/ 743-0568 Tel: (63-2)711-1002/ 743-0538
Trunk line Nos. 743-8301 loc 2200 to 2207
Email: doh_hems@yahoo.com; doh_hemsopcen@yahoo.com

HEALTH SITUATION UPDATE No. __

Event Title: ________________________________________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS twice a week for the first two weeks after the occurrence of a
major health emergency or disaster and every week thereafter, until the response activities are terminated or the case is considered closed. Exceptions to
the use of this form include mass casualty incidents and outbreaks, for which Form 4-B and Form 4-C shall be used instead.)

A. Event Information
Any additional information about the event (not previously reported):

B. Magnitude of Disaster (If applicable)

No. of No. of
Populatio
Province Municipality/ City Barangay Families Persons
n
Affected Affected

C. Lifelines (If applicable)

Communicati Fully Functional Partly Functional Totally Non-
Functional Remarks:
on
Electric Fully Functional Partly Functional Totally Non-
Functional Remarks:
Power
Fully Functional Partly Functional Totally Non-
Water Supply Functional Remarks:
Roads/Bridge Fully Functional Partly Functional Totally Non-
Functional Remarks:
s
Fully Functional Partly Functional Totally Non-
Transportation Functional Remarks:

D. Health Consequences (Report cumulative number of casualties from the time the event occurred
until the date of this report)
Province Municipality/ City Total Total no. of ill / injured (excluding those who Total
have died)

99 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH

 No. of Brought to No. of
Brought to Brought to
Death hospital – Missi
Treated on hospital – hospital -
Admitted
s Site Managed
then
Still ng
OPD admitted
discharged

Attachments to this Report: Form 5 (List of Casualties) Others

(Specify):__________________________________________
Form 4-A (p.2/3) Rev. 4/7/2007

E. Temporary Shelters (If applicable)

Inside Evacuation Outside Evacuation
Site of
Center Center
Province Municipality/ City Evacuation
No. of No. of No. of No.of
Center Families Persons Families Persons

F. Morbidity Cases(Report only the NEW cases from the date of last report)
TOP FIVE LEADING CAUSES OF CONSULTATION IN EVACUATION CENTERS (If Applicable)
No. of Cases
Causes
0-15 yrs >15 yrs Total
1.
2.
3.
4.
5.
TOP FIVE LEADING CAUSES OF CONSULTATION OUTSIDE EVACUATION CENTERS
No. of Cases
Causes
0-15 yrs >15 yrs Total
1.
2.
3.
4.
5.
G. Health Facilities (If applicable)
No. Existing No. Fully No. Partially Remarks
Before the Functional Functional (Names of facilities damaged, Type of

100 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Event After the After the Event damage, etc.)
Event
Govt.
Hospital/s:
Pvt.
Hospital/s:
RHU/s:
Other: ________
H. Public Health Concerns(If applicable)
ENVIRONMENTAL SANITATION
Areas of Concern Status (Indicate exact location of problem, if any) Actions Taken
1. Water Supply
2. Latrines
3. Garbage Disposal
4. Drainage
5. Vermin Control Form 4-A (p.3/3) Rev. 4/7/2007

HEALTH SERVICES
Adequate
1. Immunization Inadequate Remarks:
Adequate
2. Nutrition Inadequate Remarks:
Adequate
3. Consultation Inadequate Remarks:
Adequate
4. Health Education Inadequate Remarks:
Adequate
5. Psychosocial Inadequate Remarks:

I. Rehabilitation

J. Actions Taken(Report only the NEW actions taken from the date of the last report)
Agency/Office Actions Taken Cost of Assistance
1. DOH-Central Actual
Office Estimate

2. CHD No. ______ Actual

Estimate

3. LGU Actual
Estimate

101 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
4. PHO Actual
Estimate

5. CHO/MHO Actual
Estimate

Actual
Estimate

Actual
Estimate

K. Problems Encountered
1.

2.

3.

4.

5.

L. Recommendations
1.

2.

3.

4.

5.

Prepared and Submitted by:

Date Prepared: Mobile
No.:
Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:

102 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
ANNEX C
Form 3-B Rev. 4/7/2007

Republic of the Philippines

Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
2ndFlr. ER Trauma Ext. Bldg., EastAvenueMedicalCenter, Quezon City
Telefax: (63-2)929-6853 / 929-6919 / 929-6827 Tel: (63-2)929-6887 / 929-6923
Email: doh_hems@yahoo.com

RAPID HEALTH ASSESSMENT (MCI)

Event Title:_____________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS within 24 hours upon occurrence of the health emergency or disaster
resulting to a mass casualty incident.

A. Event Information
Type of GEOLOGIC WEATHER BIOLOGIC MAN-MADE
Event: Volcanic Typhoon Red Tide Fire Poisoning, specify ______________
Eruption Storm Surge Fish Kills Explosion Mass Action, specify____________
Earthquake Drought Locust Armed Accident, specify ______________
Tsunami Cold Spell Infestatio Conflict Other, specify_________________
Landslide Flashflood n Terrorism
Lahar
Date of Time of AM Exact Location:
Occurrence: Occurrence: PM Region: Province: Municipality/City:
B. Health Consequences
Total no. of ill / injured (Excluding those who have died)
Total No. of Brought to Brought to hospital Brought to Total No. of
Treated on
Deaths hospital – – Admitted then hospital - Still Missing
Site
Managed OPD discharged admitted

Attachments to this Report: Form 5 (List of Casualties) Others

(Specify):__________________________________________
C. Actions Taken
1.

2.

3.

4.

D. Problems Encountered
1.
2.

103 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
3.

4.

E. Recommendations
1.

2.

3.

4.

Prepared and Submitted by:

Date Prepared: Mobile
No.:

Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:

104 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
ANNEX D
Form 4-B (p.1/2) Rev. 4/7/2007
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
2ndFlr. ER Trauma Ext. Bldg., EastAvenueMedicalCenter, Quezon City
Telefax: (63-2)929-6853 / 929-6919 / 929-6827 Tel: (63-2)929-6887 / 929-6923
Email: doh_hems@yahoo.com

HEALTH SITUATION UPDATE No. __ (MCI)

Event Title:________________________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS twice a week for the first two weeks after the occurrence of the
mass casualty incident and every week thereafter, until the response activities are terminated or the case is considered closed.)

A. Event Information
Any additional information about the event (not previously reported):

B. Health Consequences (Report cumulative number of casualties from the time the event occurred
until the date of this report)
Total no. of ill / injured (excluding those who
Total have died) Total
No. of Brought to No. of
Province Municipality/ City Brought to Brought to
hospital –
Death Treated on hospital –
Admitted
hospital - Missi
s Site Managed Still ng
then
OPD admitted
discharged

Attachments to this Report: Form 5 (List of Casualties) Others

(Specify):__________________________________________
C. Teams Dispatched(Report only NEW teams dispatched from the date of the last report)
Name of Hospital Date and Time of Site Remarks
105 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Notificati Dispatch Arrival at
on fr. Base Site

Form 4-B (p.2/2) Rev. 4/7/2007

D. Actions Taken(Report only the NEW actions taken from the date of the last report)
Agency/Office Actions Taken Cost of Assistance
1. DOH-Central Actual
Office Estimate
Actual
2. CHD No. ______
Estimate
Actual
3. LGU
Estimate
Actual
4. PHO
Estimate
Actual
5. CHO/MHO
Estimate
Actual
Estimate
Actual
Estimate
Actual
Estimate
Actual
Estimate
Actual
Estimate
E. Problems Encountered
1.

2.

3.

4.

106 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
5.

6.

F. Recommendations
1.

2.

3.

4.

5.

Prepared and Submitted by:

Date Prepared: Mobile
No.:

Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:

107 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Form 3 Rev. 4/7/2007
ANNEX E Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
Ground Floor, Bldg. 12, San Lazaro Compound
Rizal Avenue, Sta. Cruz, Manila
Telefax: (63-2)711-1001/ 740-5030/ 743-0568 Tel: (63-2)711-1002/ 743-0538
Trunk line Nos. 743-8301 loc 2200 to 2207
Email: doh_hems@yahoo.com; doh_hemsopcen@yahoo.com

RAPID HEALTH ASSESSMENT (OUTBREAK)

Event Title: __________________________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS within 24 hours upon occurrence of the outbreak.)

A. Event Information
Type of
Epidemic, specify:
Event:
Date of Time of AM Exact Location:
Occurrence: Occurrence: PM Region: Province: Municipality/City:
B. Health Consequences
Total No. of Total No. of Cases (Excluding those who have died)
Total No. Brought to hospital Brought to
Persons Treated on Brought to hospital –
of Deaths – Admitted then hospital - Still
Exposed Site Managed OPD
discharged admitted

Attachments to this Report: Form 5 (List of Casualties) Others

(Specify):__________________________________________
C. Actions Taken
1.
2.
3.
4.
D. Problems Encountered
1.
2.
3.
4.
E. Recommendations
1.
2.
3.
Prepared and Submitted by:
Date Prepared: Mobile
No.:
Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:

108 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
ANNEX F Form 4-C Rev. 4/7/2007
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
Ground Floor, Bldg. 12, San Lazaro Compound
Rizal Avenue, Sta. Cruz, Manila
Telefax: (63-2)711-1001/ 740-5030/ 743-0568 Tel: (63-2)711-1002/ 743-0538
Trunk line Nos. 743-8301 loc 2200 to 2207
Email: doh_hems@yahoo.com; doh_hemsopcen@yahoo.com

HEALTH SITUATION UPDATE No. __ (OUTBREAK)

Event Title: ________________________________________________________________
(This form shall be filled-out and submitted by the HEMS Coordinator to the DOH-HEMS twice a week for the first two weeks after the occurrence of the
outbreak and every week thereafter, until the response activities are terminated or the case is considered closed.)

A. Situation in the Area

To include:
-Event information (nature of emergency, date and time of occurrence, location, how it started)
-Description of affected municipality
-Population

B. Methodology

To include method/s of gathering the data (interview, house to house survey, environmental survey)

C. Results of Investigation

To include:
-No. of cases seen
-Age groups
-Summary of laboratory findings, if any (culture, stool exam, sputum exam, blood exam)
-Results of water analysis

D. Discussion and Conclusion

To include:
-If there is an outbreak
-Source of contaminants
-Description of the disease
Form 4-C (p.2/2) Rev. 4/7/2007

E. Health Consequences
109 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 New cases in this
As of last report Total
period
Total No. of Persons Exposed
Total No. of Deaths
Total No. of Cases (Excluding those who
have died)
BREAKDOWN OF CASES (Excluding those who have died)
Treated on Site
Brought to hospital – Managed OPD
Brought to hospital – Admitted then
discharged
Brought to hospital - Still admitted
Attachments to this Report: Form 5 (List of Casualties) Others
(Specify):__________________________________________
F. Actions Taken
Agency/Office Actions Taken Cost of Assistance
1. DOH-Central Actual
Office Estimate
Actual
2. CHD No. ______ Estimate
Actual
3. LGU Estimate
Actual
4. PHO
Estimate
Actual
5. CHO/MHO Estimate
Actual
Estimate
G. Problems Encountered
1.
2.
3.

H. Recommendations
1.
2.
3.
Prepared and Submitted by:
Date Prepared: Mobile
No.:
Signature: Landline:
Printed Name: Fax No.:
Designation/Office: Email:
110 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Form 5 Rev. 4/7/2007
ANNEX G
Republic of the Philippines
Department of Health
Center for Health Development in Eastern Visayas
HEALTH EMERGENCY MANAGEMENT STAFF
Government center, Candahug, Palo, Leyte
Telefax: (053)-323-5069 / 323-6517 Tel: (053)- 323-7841/ 323-5027/323-5028
Email: chd8_hems@yahoo.com

LIST OF CASUALTIES
Event Title: _______________________
(This form shall used by the HEMS Coordinator to report ALL (old and new) cases of deaths, illnesses, injuries and missing individuals related to the
particular health emergency or disaster. When used to supplement Form 4 (Rapid Health Assessment) or Form 5 (Health Situation Update), corresponding
notation that this list is attached shall be indicated on the said forms.

A. Deaths
Ag
Name Sex Address Cause of Death Date Died
e

B. Injured / ill – Admitted

Date Date
Ag
Name Sex Address Hospital Diagnosis Admitt Discharg
e ed ed

C. Injured / ill – Not Admitted

Date Date
Ag
Name Sex Address Hospital Diagnosis Admitt Discharg
e ed ed

D. Missing
Name Age Sex Address Remarks

111 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Form 2 Rev. 4/7/2007
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
Ground Floor, Bldg. 12, San Lazaro Compound
Rizal Avenue, Sta. Cruz, Manila
Telefax: (63-2)711-1001/ 740-5030/ 743-0568 Tel: (63-2)711-1002/ 743-0538
Trunk line Nos. 743-8301 loc 2200 to 2207
Email: doh_hems@yahoo.com; doh_hemsopcen@yahoo.com

MATERIALS UTILIZATION REPORT

(This report shall be prepared by HEMS Coordinators that have received logistics support from DOH-HEMS for re-distribution. It shall be submitted to DOH-HEMS every last
working day of the month, until the last report shows that there are no more items to be re-distributed.
Each table below shall be copied for every batch of an item received.)

ITEM 1
A. Item Information
Unit of No.
Tracki Unit Expir Date Total No.
Item Name Specifications Measur Remainin
ng No. Cost y Received Received
e g

B. Distribution List
Recipient Purpose
Qty Date
(Title of Emergency /
Facility Municipality / City Province Issued Issued
Disaster)

ITEM 2
A. Item Information
Unit of No.
Tracki Unit Expir Date Total No.
Item Name Specifications Measur Remainin
ng No. Cost y Received Received
e g

B. Distribution List
Recipient Purpose
Qty Date
(Title of Emergency /
Facility Municipality / City Province Issued Issued
Disaster)

Prepared and Submitted by:

Date Prepared: Mobile
No.:
Signature: Landline:
Printed Name: Fax No.:

112 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
 Form 6 Rev. 4/7/2007
ANNEX I
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT STAFF
2ndFlr. ER Trauma Ext. Bldg., EastAvenueMedicalCenter, Quezon City
Telefax: (63-2)929-6853 / 929-6919 / 929-6827 Tel: (63-2)929-6887 / 929-6923
Email: doh_hems@yahoo.com

HEMS COORDINATOR’S FINAL REPORT

<Title of Event/Emergency/Disaster>
(This report shall be submitted by the HEMS Coordinator within one week after termination of response activities or after an event is considered closed.)

(The final report comes in three parts: Part 1 consists of a one-page Executive Summary, Part 2 consists of the Detailed Report,
and Part 3 contains the annexes such as tables of raw data, maps, pictures, etc. The purpose of dividing the final report into these
three parts is to make it more reader friendly. Readers who only want to get an overview of the event can just read Part 1. Those
who need more detailed information can proceed to read Part 2 without being overwhelmed with raw data. Those who need the
raw data can see them in Part 3.)

Part 1 - Executive Summary

A. Description of the Emergency/Disaster

(This briefly answers the questions: What, When, Where of the emergency/disaster)
-Title of event
-Site (Region, Province, City/Municipality, Barangay, Institution if applicable)
-Date and time of occurrence, Duration of event, Duration of response
-Population affected

B. Health Impact of the Emergency/Disaster

(This contains the number of casualties resulting from the emergency/disaster. Only figures should be included and the
names should be found in the annexes)
-Number of dead
-Number of injured/ill (Provide morbidity rate if possible)
-Number of missing

C. Summary of Response and Coordination Activities

(This contains a summary of actions taken by the different levels of responding agencies)
-HEMS
-CHD
-LGU
-Others

D. Cost of Assistance Rendered

(This contains a summary of the financial value of assistance provided to the local agencies and victims from
various sources that were monitored or brought to the attention of the DOH-HEMS)
-Logistics support
-Support from other agencies, if available

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 Part 2 – Detailed Report

A. Background of the Emergency/Disaster

General information about the event
-Name of event
-Date and time of occurrence, Duration of event, Duration of response
-Site (Region, Province, City/Municipality, Barangay, Institution if applicable)
-Population affected
-Nature of emergency/disaster
Detailed description of the event
-Chronology of events, if applicable
Background literature on the event
-Causative agent
-Mechanism
-Expected effects (human, infrastructure, environment)

B. Consequences of the Emergency/Disaster (Sources of all the data, especially figures of mortality,
morbidity, cost estimates should be properly cited and acknowledged)
Health consequences
-Deaths, injuries, illnesses (This should contain references to list of names and other details
in the annexes)
-Health infrastructures damaged, description of damage (This may contain
references to detailed lists, maps or pictures in the annexes)
Other consequences
-Number of displaced families and individuals, if applicable (This should contain
references to list of names and other details in the annexes)
-Other infrastructures damaged, description of damage (power, water,
communication, transportation, major buildings)
-Cost of damage (if available)

C. Response and Coordination Activities Undertaken by HEMS

Chronology of activities undertaken (This should contain detailed information of all activities undertaken in
responding to the event, including coordination and monitoring of dispatch of teams at the local, regional,
national and international levels)
-Table: Date, Description of Activity, Responding Agency, Remarks (The first entry on the table should
contain a narration of the alert process, i.e. the series of activities leading to the OpCen staffs' initial
awareness about the existence of the emergency/disaster and the last entry should describe the events l
eading to the decision to close the case and write the final report.)
Mobilization of Teams (Refers to teams mobilized by HEMS only. Those mobilized by region and LGU
would be reflected in the chronology of activities above and actions taken by other agencies below.)
-No. of teams mobilized
-Purpose of mobilization
-Results of mobilization (Should contain reference to mission report which should be found in the annexes)
Logistics Support
-Cost of medicines and supplies
-Source of medicines and supplies
-Recipients

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D. Actions Taken by Other Agencies
Response Activities by CHD, LGU, Other Agencies (Should contain brief description of the
activities and the results of the activities. May include references to reports submitted by the agencies e.g. RESU Report,
etc. which should be included in the annexes)
Evacuation Center Activities, if applicable
Rehabilitation Phase Activities (psychosocial services, etc.)

E. Problems Encountered

F. Lessons Learned (Should include post-mortem evaluation)

G. Recommendations (Group recommendations by agencies that must take action

Part 3 – Annexes
A. Tables

B. Graphs

C. Maps

D. Pictures

E. Reports from the Field

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ANNEX J Republic of the Philippines

Province of Northern Samar

Local Government Unit of San Antonio
San Antonio, Northern Samar

SUMMARY OF DAILY OPCEN ACTIVITIES

(Event Title ”___________”)

DATE ACTIVITIES

Prepared by: Noted by:

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ANNEX K
Republic of the Philippines
Department of Health
HEALTH EMERGENCY MANAGEMENT
Event Title: “________________”

as of: ______________________

Name of Municipality Functionality/Damages

to RHU/BHS

Noted by: ________________________________

MHO

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ANNEX L
Evacuation Center Mass Immunization
Event Title: “____________”
Municipality of ___________________

as of: ______________

Name of OPV Measles Vac. Vitamin A

12- 12- 12-
Evacuation 0-11
59
Total 9-
59
Total 6-11
59
Total Remarks
Center mos given 11mos given mos given
mos mos mos

TOTAL

Noted by : ___________________________

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 ANNEX L Evacuation Center Mass Immunization
Event Title: “____________”
Municipality of ___________________

as of: ______________

Name of OPV Measles Vac. Vitamin A

12- 12- 12-
Evacuation 0-11
59
Total 9-
59
Total 6-11
59
Total Remarks
Center mos given 11mos given mos given
mos mos mos

TOTAL

Noted by : ___________________________

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ANNEX M EVACUATION CENTER HEALTH ASSESSMENT FORM
Name of Municipality/RHU: __________________________ Date _______________________
No. of Hypertension/ Immunization given to
No. of No. of evacuee/s Health Concerns
Name of No. of No. of Childre Bronchial Asthma children
Famili Pregnan experiencing Other
Evacuatio Individua n<5 & other Non-
es t cough for 2 weeks Water Hygien Needs
n Center ls years Communicable MCV OPV Vit. A Toilet
Women or more supply e Kits
old Diseases

Submitted by:_____________________________________

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ANNEX N
DRMM-H ACRONYMS

ABC : Association of Barangay Captains

ANC : Antenatal Care
BF : Breastfeeding
BHS : Barangay Health Station
BHW : Barangay Health Worker
BLS : Basic Life Support
BNS : Barangay Nutrition Scholar
CMAM : Community-Based Management of Acute Malnutrition
CPR : Contraceptive Prevalence Rate
DANA : Damage Assessment/Needs Analysis
DepEd : Department of Education
DOH : Department of Health
DRRM-H : Disaster Risk Reduction and Management Plan for Health
EWS : Emergency Warning System
FBD : Facility-Based Delivery
FIC : Fully Immunized Child
GIDA : Geographically Isolated and Disadvantaged Area
HEARS : Health Event Assessment Reporting System
HEMS : Health Emergency Management System/Staff
ICS : Incident Command System
IEC : Information Education and Communication
ILHZ : Inter-Local Health Zone
IMR : Infant Mortality Rate
IP : Indigenous People
IT : Information Technologist
IYCF : Infant and Young Child Feeding
LCE : Local Chief Executive
LDRRMC/MDRRMC : Local Disaster Risk Reduction and Management Council/

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 Municipal Disaster Risk Reduction and Management
Council
LDRRMO/MDRRMO : Local Disaster Risk Reduction and Management Officer/
Municipal Disaster Risk Reduction and Management Officer

LDRRMP/MDRRMP : Local Disaster Risk Reduction and Management Plan/

Municipal Disaster Risk Reduction and Management Plan

LGU : Local Government Unit

LHB : Local Health Board
MBO : Municipal Budget Officer
MHGAP : Mental Health Gap Action Program
MHO : Municipal Health Office/Officer
MHPSS : Mental Health and Psychosocial Support
MLGOO : Municipal Local Government Operations Officer
MMR : Maternal Mortality Rate
MNAO : Municipal Nutrition Action Officer
MNCHN : Maternal Neonatal Child Health and Nutrition
MOA : Memorandum of Agreement
MSWDO : Municipal Social Welfare and Development Officer
NDP : Nurse Deployment Program
NIE : Nutrition in Emergencies
OpCen : Operation Center
PHA : Public Health Associates
PHN : Public Health Nurse
PIE : Post-Incident Evaluation
PPV : Post-partum Visit
PWD : Person with Disability
RHM : Rural Health Midwife
RHMPP : Rural Health Midwives Placement Program
RHU : Rural Health Unit
RSI : Registered Sanitary Inspector
SB : Sangguniang Bayan
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SC : Senior Citizen
SDN : Service Delivery Network
SHP : Skilled Health Practitioner
UFMR : Under-Five Mortality Rate
UHCI : Universal Health Care Implementers
WAH : Wireless Access for Health
WASH : Water Sanitation and Hygiene
WHO : World Health Organization
WRA : Women of Reproductive Age

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ANNEX O

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ANNEX P

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128 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
ANNEX Q

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131 | P a g e SAN ANTONIO DISASTER RISK REDUCTION MANAGEMENT PLAN FOR HEALTH
ANNEX R

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ANNEX S

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