MUNICIPAL HEALTH OFFICE

of
LOPEZ JAENA

HEALTH EMERGENCY
PREPAREDNESS RESPONSE
and RECOVERY PLAN
2015

ROXAS ST., EASTERN POBLACION

LOPEZ JAENA, MISAMIS OCCIDENTAL

 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

TABLE OF CONTENTS
I.
Municipal Heath Office of LOPEZ JAENA
Vision, Mission, Goals ------------------------------------------------------------------- 3
Location and Political Subdivisions of Lopez Jaena ---------------------------------------------------- 4
Municipal Map of Lopez Jaena ------------------------------------------------------------------------------ 5
Land Area per Barangay ---------------------------------------------------------------------------------------- 6
Municipal Land Use ---------------------------------------------------------------------------------------------- 7
Land Use Map ----------------------------------------------------------------------------------------------------- 8
Population --------------------------------------------------------------------------------------------------------- 9
Population Projection ------------------------------------------------------------------------------------------ 10
Population per Barangay --------------------------------------------------------------------------------------- 11
Location Map of the Municipal Health Office ------------------------------------------------------------- 12
Demographic Profile -------------------------------------------------------------------------------------------- 13
Health Indicators ------------------------------------------------------------------------------------------------- 14
Health Facilities -------------------------------------------------------------------------------------------------- 15
Health Facilities with specialized areas --------------------------------------------------------------------- 16
Legal Basis --------------------------------------------------------------------------------------------------------- 17

II.
PLAN DEFINITION --------------------------------------------------------------------------------------------- --- 19
Planning Committee -------------------------------------------------------------------------------------------- 20
Planning Organizational Structure -------------------------------------------------------------------------- 21
Roles and Responsibilities of the Planning Committee ------------------------------------------------ 22

III.
HEALTH CLUSTER PREPAREDNESS RESPONSE and RECOVERY PLAN ------------------------------ 27
Flowchart --------------------------------------------------------------------------------------------------------- 29
NUTRITION CLUSTER PREPAREDNESS RESPONSE and RECOVERY PLAN -------------------------- 31
Flowchart --------------------------------------------------------------------------------------------------------- 33
WASH CLUSTER PREPAREDNESS and RESPONSE and RECOVERY PLAN --------------------------- 35
Flowchart --------------------------------------------------------------------------------------------------------- 41

IV.
APPENDEX ---------------------------------------------------------------------------------------------------- 42

V.
HEALTH MATRIX

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MUNICIPAL HEALTH OFFICE OF LOPEZ JAENA

The Municipal Health Office of Lopez Jaena is located at Roxas St., Eastern Poblacion,
Lopez Jaena, Misamis Occidental. It covers 28 barangays namely, Alegria, Bagong Silang,
Biasong, Bonifacio, Burgos, Dalacon, Dampalan, Don Andres Soriano, Eastern Poblacion, Estante,
Hasaan, Katipa, Luzaran, Mabas, Macalibre Alto, Macalibre Bajo, Mahayahay, Manguehan,
Mansabay Alto, Mansabay Bajo, Molatuhan Alto, Molatuhan Bajo, Peniel, Puntod, Rizal, Sibugon,
Sibula, Western Poblacion. It has also 6 Barangay Health stations and 28 Barangay Health
Centers.

VISION

Prime movers for a healthy and productive citizenry in the Municipality of Lopez Jaena by
the year 2020.

MISSION

To ensure the availability of the highest quality of health care and to ensure that all aspects
of health care are provided in an integrated manner by way of strategic health planning and
implementation that is health problem responsive and cost effective through community
participation.

GOALS

1. To have a healthy and disease free community.

2. Accessible and always available Rural Health Unit and Barangay Health Centers in the area
with complete facilities and equipments. Adequate supply of medicines, and adequate
number of Health personnel equipped with knowledge and skills to deliver the highest
quality of health care to the people of Lopez Jaena.
3. To update the knowledge and skills of the organized and functional paramedical health
workers ( BHW’s, BNS, TBA and etc.) to assist and act as active partners of the Health
Personnel.
4. To strengthen partnership between health providers and health beneficiaries for the
promotion of Health with the support and cooperation of LGU, GOs, private sectors and
NGO’s.

CORE VALUES

We are God-fearing, compassionate, honest, friendly, and skilled service providers

who believed for a sustainable health development.

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LOCATION, LAND AREA, AND POLITICAL SUBDIVISIONS

Lopez Jaena is a fourth class municipality in the northern section of Misamis Occidental in Northern
Mindanao. It is adjacent to and only 14 kilometers from the center of Oroquieta City, the provincial capital.
The province is a part of Administrative Region X, which has its center in Cagayan De Oro City, Misamis
Oriental Province.

It is located in between coordinates N-08023’ to 08035’ , E-123037 to 123047’.The northwest of

Lopez-Jaena is bounded by the Municipality of Plaridel; on the west and southwest by the municipality of
Calamba; on the northeast portion is Iligan Bay; and the east to southeast by Oroquieta City; and
Municipality of Don Victoriano Marcos on the southern part. Based on 2010 census, Lopez Jaena has a
population of 23,767 people and an area of 94.70 km2. It is accessible by air, via the cities of Dipolog and
Ozamiz airport and by land, through well maintain and all-weather coastal and mountain national road.

Lopez Jaena is proud to be endowed with rich and diverse natural resources. The 10,107.8880
hectares based on the Comprehensive, Integrated and Sustainable Development Program (CISDP) of Lopez
Jaena, is sub-divided into three bioregions – lowland, upland and coastal. Its complete ecosystem attracts
people from different parts of the country to locate, earn a living or conduct research and other academic
exercise. In the year 2007, the municipality has a total population of 22,120 (2007 NSO Census) spread in the
28 barangays;

Figure 1: Location Map of Lopez Jaena, Misamis Occidental

MISAMIS OCCIDENTAL

Source: Google Earth/ GIS

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Figure 2. MUNICIPAL MAP OF LOPEZ JAENA

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Source: MPDC-LOPEZ JAENA

Table No. 1 Land Area per barangay, Lopez Jaena, Misamis Occidental
Barangay Land Area (HAS) Share to Total
1. Alegria 974.148 9.64
2. BagongSilang 417.54.17 4.13
3. Biasong 190.399 1.88
4. Bonifacio 319.9641 3.17
5. Burgos 476.91 4.72
6. Dalacon 442.8391 4.38
7. Dampalan 537.6 5.32
8. Don Andres Soriano 332.8045 3.29
9. Eastern Poblacion 78.6963 0.78
10. Estante 367.8796 3.64
11. Hasaan 359.4878 3.56
12. Katipa 225.0508 2.23
13. Luzaran 481.5124 4.76
14. Mabas 158.12 1.56
15. Macalibre Alto 444.1009 4.39
16. MacalibreBajo 398.1542 3.94
17. Mahayahay 322.9765 3.20
18. Manguehan 876.126 8.67
19. Mansabay Alto 194.1253 1.92
20. MansabayBajo 237.8227 2.35
21. Molatuhan Alto 246.0607 2.43
22. MolatuhanBajo 236.1667 2.34
23. Peniel 406.3142 4.02
24. Puntod 348.2427 3.45
25. Rizal 389.9379 3.86
26. Sibugon 407.9471 4.04
27. Sibula 463.9758 4.59
28. WesternPoblacion 190.53 1.88
10,107.8880 100%

Table 2. Municipal Land Use:

Classification Area % to TLA

Agricultural 8,872.2839 87.77584299

Commercial 0.1577 0.001560168

Residential 39.3249 0.3890516

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Institutional 43.0782 0.426183986

Government Land 1,153.0433 11.40736126

Total Land
10,107.8880 100%
Area (TLA)

Source: Municipal Planning and Development Offic

Figure 3.

Existing Land Use of Lopez-Jaena

Area (in Ha.)

8,872.28 Agricultural

Commercial

Residential

Institutional

Forest/Timberland
1,153.04
0.1577

43.0782 39.3249

Figure 4. Land Use Map

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POPULATION
Lopez-Jaena experienced a steady population growth rate at an average of 0.5 percent a year,
among the lowest in Misamis Occidental (see Table 12.0). In 1980, the town’s population was 18,949.
Twenty Seven years later, Lopez-Jaena has a total population of 22,120 or an increase of 3,171 individuals
was noted. This significant increase may be attributed to the improvement of peace and order situation in
the area, which encouraged the people to return to Lopez Jaena.
Table 3.

Population, Growth Rates of Lopez Jaena (1980-2000)

Growth Rate
Year Population
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Source: NSO

Table 4.

Population Size and Growth Rates Projection; Lopez Jaena (2010-2020)

City/ Municipality Actual Population Growth Population Projection
Rate
2000 2007 2010 2015 2020

Lopez-Jaena 20,948 22,120 0.76 22,624 23,464 24,304

Source: NSOformula [(Rat

Seventy-eight (78) percent of Lopez-Jaena is classified as rural and the remaining 22 percent are
urban. Consequently, majority of its population (62 percent) were living in rural areas in 2000. At the turn of
the century and seven years, Lopez-Jaena had a population of 22,120 individuals. Twenty years later, the
municipality will have a population of 24,304, thirty nine (39) percent of which are living in urban areas.
The urban population in Lopez Jaena grows at an average rate of 0.53 percent (1980-2007).

Table 5.

Population Projection

Categories 2007 2010 2020

Urban 8,668 8,867 9,541

Rural 13,452 13,758 14,763

Total 22,120 22,624 24,304

Source: NSO, RCA

The town also maintains a par density of 1.31 persons per hectare in the past 20 years. Density in
urban areas is 2.2 persons per hectare while rural density is 1.07 persons per hectare.

Table 6.

Density: Lopez Jaena (1980-2007)

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Density
Year Land Area Population
(Persons/Hectares)

1995 10,107.8880 20,444 2.02

2000 10,107.8880 20,948 2.07

2007 10,107.8880 22,120 2.19

2010 10, 107.8880 23,767 2.35

Source: NSO

Table 7. POPULATION DENSITY OF LOPEZ JAENA

APG
Est
City/ R Density Area APGR Factor PGR Factor Add Pop
Pop 2000 Pop 2010 Est Pop 2018 Density
Municipality 2000- 2010 (sq.Km) 2000-10 2000-18 2010-18
2018
10

Lopez 20,948 23,767 1.3 251 94.70 1.0127 1.1063 26,293 278 2,526
Jaena

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TABLE 8.
POPULATION PER BARANGAY

NAME OF BARANGAY Total No.:

1. ALEGRIA 783
2. BAGONG SILANG 364
3. BONIFACIO 340
4. BIASONG 1,020
5. BURGOS 535
6. DALACON 352
7. DAMPALAN 616
8. ESTANTE 405
9.. HASA-AN 638
10. KATIPA 1,450
11. LUZARAN 690
12. MACALIBRE ALTO 609
13. MACALIBRE BAJO 302
14. MAHAYAHAY 392
15. MANGUEHAN 545
16. MANSABAY BAJO 2,006
17. MOLATUHAN ALTO 883
18. MOLATUHAN BAJO 861
19. PENIEL 205
20. EASTERN POBLACION 2,148
21. PUNTOD 2,235
22. RIZAL 1,153
23. SIBUGON 1,489
SIBULA 1,243 Source:
24.
NSO
25. DON ANDRES SORIANO 400
FIGURE
26. MABAS 171
5.
27. MANSABAY ALTO 890
28. WESTERN POBLACION 1,793
TOTAL: 24, 518
LOCATION MAP of the MUNICIPAL HEALTH OFFICE of LOPEZ JAENA

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Table 9. DEMOGRAPHIC PROFILE

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INDICATOR NUMBER
MALE FEMALE TOTAL
Barangays 28
Barangay Health Stations 6
Municipal Health Officer 1 1
Dentists 1 1 2
Midwives 5 5
Medical Technologist 1 1
Public Health Nurse 1 1
Sanitary Inspectors 1 1 2
Active Barangay Health Workers 1 177 178
Barangay Nutrition Scholars 28 28
Source: FHSIS ANNUAL REPORT Year 2014

Table 9. ENVIRONMENTAL PROFILE

Indicators No. %
Households (HH) 4, 874
HH w/ access to improved or safe water supply 4, 754 97.5
- Level I 465 9.5
- Level II 1, 909 39.2
- Level III 2, 500 51.3
HH w/ sanitary toilet facilities 4, 650 95.4
HH w/ satisfactory disposal of solid waste 4, 325 88.7
HH w/ complete basic sanitation facilities 4, 123 84.6
Food establishment 186
Food establishment w/ sanitary permit 174 93.5
Food handlers 190
Food handlers w/ health certificates 23 12.2
Salt Samples Tested 4, 874
Salt Samples tested found (+) for Iodine 4, 120 84.5
DENOMINATOR : Ω-No. of HH ◊-No. of Food establishments •No.of Food Handlers ∞ Salt Samples Tested

Source: FHSIS ANNUAL REPORT Year 2014

HEALTH INDICATORS

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Table 10.
MORTALITY PROFILE
Indicators MALE FEMALE TOTAL RATE
Deaths 66 48 114 0.46
Infant deaths 1 0.004
Maternal deaths 0 0 0
Deaths due to Neonatal
Tetanus 0 0 0
Perinatal Deaths 0 0 0
Deaths among child under
5 1 1 2 0.01

Source: FHSIS ANNUAL REPORT Year 2014

TOP LEADING CAUSES OF MORTALITY

1. Renal Failure
2. Chronic Obstructive Pulmonary Disease
3. Heart Failure/ Disease
4. Diabetes Mellitus
5. Peptic Ulcer Disease
6. Liver Disease
7. Hypertension
8. Pneumonia
Multiple gunshot wounds
Malignant neoplasm of the colon
9. Fracture of bony thorax
Malignant neoplasm of the lungs

TOP LEADING CAUSES OF MORBIDITY

1. Upper Respiratory Tract Infection
2. Urinary Tract Infection
3. Pneumonia
4. Bronchitis
5. Influenza
6. Hypertension
7. Acute Bronchitis
8. Wounds
9. Asthmatic Bronchitis
10. Impetigo
HEALTH FACILITIES
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No. of Licensed Hospitals

CITY GOVERNMENT PRIVATE TOTAL

Ozamis City 1 6 7
Oroquieta City 1 4 5

No. of Licensed Government Hospitals per category

CITY LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 TOTAL

Ozamis City 1 1
Oroquieta City 1 1
No. of Licensed Private Hospitals per Category

CITY LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 TOTAL

Ozamis City 2 2 2 6
Oroquieta City 3 1 4

No. Of Authorized Beds Capacity in Government Hospitals per Category

CITY LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 TOTAL

Ozamis City 150 150
Oroquieta City 159 159

No. Of Authorized Beds Capacity in Private Hospitals per Category

CITY LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 TOTAL

Ozamis City 40+40 50+50 200+200 580
Oroquieta City 75 30 0 0 105
155 130 400 685
HEALTH FACILITIES WITH SPECIAL AREAS

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Diagnostic X-ray
CT Mammo Dental Dialysis
CITY Level I Level II Level III
Govt Priv. Govt Priv Govt Priv Govt Priv Govt Priv Govt Priv Govt Priv
Oroquieta
0 0 0 1 1 0 1 1 0 0 1 0 1 0
Ozamis
0 0 0 2 1 0 1 1 1 0 1 1 1 1

CLINICAL LABORATORY
Primary Secondary Tertiary HIV Blood Bank Blood station
CITY Pharmacy
Govt Priv. Govt Priv Govt Priv Govt Priv Govt Priv Govt Priv Govt Priv
Oroquieta
1 1 0 3 0 1 1 0 0 0 1 0 1 0
Ozamis
0 3 0 2 0 2 1 0 0 0 1 1 1 1

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LEGAL BASIS

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

II. PLAN DEFINITION:

The Municipal Health Emergency Preparedness Response and Recovery Plan (MHEPRRP)
define the (4) four components of holistic disaster management are as follows: emergency
preparedness, mitigation, and prevention, response and recovery or reconstruction that will directly
guide the LGU to ensure faster decision making in preventing and minimizing the loss of lives
during emergencies and disasters. This contains a series of strategies / interventions and activities
based on the hazards and vulnerable areas identified based on hazard risk analysis in the locality.

Context of MHEPRRP:

This plan embodies a set of strategies and activities to enhance LGU their capacity to
respond effectively and efficiently in any event of emergency or disaster. It includes also mitigating
and preventive measures by assessing risks, anticipation of any problems / needs, reduce hazards
and vulnerable areas as identified and then strengthen resilience (community, staff, infrastructures
and health care facilities).
The response plan consist of policies, guidelines and procedures for effective management
in response to emergencies / disasters that will ultimately decrease the level of mortality and
morbidity cases, promote physical and mental health and prevent injury and disability of both
victims and responders.
The recovery and reconstruction plan institute measures for recovery and rehabilitation to
reduce risks.
The MHEPRRP is an integrated and comprehensive emergency management system which
entails the inventory of internal and external resources including inventory lists and directions,
logistic, human resources, financial capacity and existing services. These are all found in the
annexes of the plan.

SCOPE OF THE PLAN:

This plan must be implemented by the LGU but not limited to the members of the local
health sector concerned with emergency and disaster management but up to the barangay level
and integrated in the Municipal Disaster Coordinating Council Plan.

GOALS AND OBJECTIVES:

GOAL: To reduce morbidity, mortality and disabilities during emergency or disaster.

GENERAL OBJECTIVES:
To build the LGU’s capacity to respond effectively and efficiently to and institute measures
for recovery and rehabilitation from the emergency or disaster.

SPECIFIC OBJECTIVES:
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 To formulate the municipal health emergency preparedness, response and recovery

plan;
 To establish an integrated and comprehensive health emergency management
system;
 To formulate guidelines, procedures, protocols related to emergency/disaster
management system;
 To develop human resource competencies for emergency response;
 To ensure availability of logistics, funds and other resources in case of emergency or
disaster;
 Issuance of executive order for the creation of MHEMS Task Force for functioning of
the program.

PLANNING COMMITTEE:
COMPOSITION:
CHAIRPERSON: Hon. Michael P. Gutierrez (Municipal Mayor)
VICE CHAIRPERSON: Hon. Abundio Gerbese (SB Chair on Health and
Sanitation)

MEMBERS:

ADMINISTRATIVE OFFICER: Mrs. Filma T. Maghinay

MEDICAL/ HEMS COORDINATOR: Arden O. Mangubat, MD(Municipal Health Officer)
FINANCE: Hon. Ric S. Yunting (SB Chair on Finance and
Appropriation)
SURVEILLANCE: Mr. RaffyAlbios (NDP Nurse)
PLANNING: Engr. Homer Lariba (MPDC)
NUTRITION: Dr. Arden O. Mangubat (MNAO)
HEALTH PROMOTION: Mrs. Geronima M. Sumalpong (RHM)
TRANSPORT: Mr. Alfons Jacob S. Taclob (RHU Driver)
LOGISTICS: Mrs. Alicia M. Penales (Supply Officer)
PSYCHOSOCIAL: Mrs. Edna C. Lomongo (Mental Health Coordinator)
WaSH : Mrs. Rosita C.Tagalog ( RSI )
SECURITY: P/Inspector Dennis J. Dano
FIRE BRIGADE: Fire S / Inspector Virgilio Bulawit
PDHO/PHT/ DOH REP.: Mrs. Jesusa Matalinis (DMO)
TECHNICAL DIVISION: Engr. Gharlie Paredes (LDRRMO)
DSWD/MSWDO: Mrs. Laarnie L. Caroro
DepED District Supervisor: Mrs. Luzviminda Tactacon
CHED: Prof. Jude John S. Maña
NGO: Mr. Edward C. Lingcodo
BHERT: Hon. Celso M. Bergado

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ROLES AND RESPONSIBILITIES OF PLANNING COMMITTEE

 Develops, review and updates the HEMS HEPRRP.

 Gather required information and gains commitment of key people and
organization.
 Initiates testing of the plan for its functionality and adaptability to current
situations.
 Develop annual Operational Plan and other plans relevant to Health
Emergencies or Disasters.
 Monitor and evaluate the implementation of the plan.

Chairperson: Municipal Mayor

1. Chairman of the Municipal Health Emergency Disaster Management Response Team

and Crisis Mgt Committee
2. Act on request for medical assistance from the public in coordination with the HEMS.
3. Shall ensure that the concerned committees implement policies and guidelines set by
the HEMS.
4. Inform the Secretary of Health and Office of the Governor on any emergency/status of
emergency requiring immediate higher-level intervention.

Vice Chair: SB on Health and Sanitation

 Acts as the Action Officer of the Municipal Health Emergency Management Response
Team.
 Liaison to RDCC on Health Emergency Response
 Organize all health response activities to avoid duplication of services.
 Ensures that necessary equipment, supplies and medicines are properly stocked and
available for emergencies in coordination with Supply officer
 Establishes network with other agencies, regions, and non-government organizations.
 Coordinates with the Operation Center for reporting and response activities.

Members:

Administrative Officer:Municipal Administrator

 Oversee the preparation of all documents to facilitate delivery of medical and health services to
victims before and after the disaster or emergency.
 Coordinate with COA thru the Finance Officer.
 Facilitate the mobilization of personnel, needed transportation and resources and other disaster
logistic to the disaster area.

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Technical Division: MDRRMO

 Strengthen linkages with LGUs in the institutionalization of health emergency preparedness and
response.
 Serve as the liaison between the CHD and the various LGUs within the region.

Medical: MHO, MHEMS Coordinator

 Serves as the mobile medical team of the Municipal Health Emergency Management Response
team.
 In coordination with Local Health Group, establish the Local Health Command Post, which will
serve as link to the Municipal Health Command Post & other cooperating agencies.
 Treat and refer emergency cases.
 Assist in the immunization of evacuees particularly on measles immunization and Vitamin A
supplementation.
 Help identify the need of setting a field hospital.
 Facilitates and assist in supplemental feeding to the identified under nourish children.

Finance: Budget Officer/SB on Finance and Appropriation

 Help facilitate the immediate release of financial resources needed to respond to emergency.
 Make funds available subject to accounting rules and regulations.

Surveillance: NURSE

 Conduct rapid assessment on health aspects and make necessary recommendation

 Facilitate Set-up Disease Surveillance in evacuation centers
 Responsible for making reports about the health conditions in the camp.
 Monitor all disease with the potential of developing into an epidemic and recommends
necessary preventive & control measures.
 Conduct epidemiologic investigation and nutritional survey in coordination with the Nutrition
coordinators in the region & province.

Planning: MPDO

 Develop a long-range plan integrated HEPRR Plan for the region in consultation with the other
members of the CHD and Hospital Emergency Team.
 Develop a HEPRR short-range plan, medium-term plan and annual operational plan based on
the long-range plan in consultation with Health Emergency Management Staff
 Review and or up-date annually the HEPRR plan.

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Nutrition: NDP Nurse-Dietitian

 Undertake preventive/control measures at the evacuation centers such us Vitamin A and other
type of supplementations.
 Conduct rapid assessment of the nutritional status of children and possible supplemental
feeding program.
 Coordinate with other programs, particularly food/meal distribution program.
 Conduct feeding surveillance with technical assistance from RESU.
 Conduct nutrition education

Health Promotion: Midwife 11

 Provide and maintain effective communication system

 Monitor and document all communications sent and received, consolidate reports, assess &
evaluate the reports before forwarding them to higher office.
 Responsible in the dissemination of reports
 Issues appropriate warning to the public on the occurrence of epidemics or other health
hazards.
 Responsible for Press releases of the Regional Secretary.

Transport: Head of Transport Section

 Evaluate pre-needs of vehicles for maintaining good condition.

 Transport officials and staff on official travel and during Emergencies and
Disasters.
 Prepare report of gasoline expenses (RIS, trip tickets and summary report).
 Maintain and ensure the serviceability of the vehicles.
 Perform other related functions as may be assigned.

Logistics: Supply Officer

 Provide effective logistic management:

 Procurement and delivery of the right supplies, quantities, order condition, place, time
 Conduct general assessment of logistic Capability
 Cataloguing of Logistic Tools
-commodities likely to be needed
-sources of supply
-storage
-handling/sources of transport

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Psychosocial: Mental Health Program Coordinator

 Conduct Mental Health Psychosocial Support

 Conducts Focus Group Discussion (FGD), feedback session as well as consultative meetings
with key stakeholders
 Refers identified high risk cases to local Psychiatrist for follow-up treatment.
 Monitoring and evaluation of the impact of the conducted psychosocial activities
 Conducts assessment of psychosocial activities.
 Provide psychosocial care to identified high-risk individuals.

WASH: WASH Point Person

 Assess the environmental conditions of the disaster area and the safety of rescuers, sanitary
preservation and disposal of the dead.
 Apply environmental engineering measures, as the case may require.
 Assess buildings and premises as to life and safety requirements.
 Monitoring the Collection and disposal of sewage, drainage and ecological solid waste
management, vermin abatement program to be implemented, sanitary food storage and
enforcement of other environmental health engineering control in evacuation centers.

PHT / DOHRep: PHT Leaders /DOHRep

 Responsible for organizing their respective units in coordination with the local Disaster Risk
Reduction and Management Councils.(LDRRMC)
 Initiate the risk/vulnerability assessment of communities.
 Assist the LGU in the preparation of their HEPRR plan.
 Extend technical assistance in the identification and designation of evacuation centers of
vulnerable communities.
 Assist/supervise in the organization of evacuees.

LGU: Local Government Heads/Executives

 Responsible for the operation and support of Health Services

 Conduct sanitary vulnerability assessment and environmental hazard identification and
hazard mapping of communities.
 Evaluate fitness of evacuation centers for human habitations.
 Identify water demand requirement of evacuees and the purification process to be applied,
the provision of appropriate water supply.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

The Philippine National Red Cross, the DSWD, DepEd, NGOs

 Within their respective capabilities are responsible for providing support to the Health Service
Units.

 Immediate and direct response is the primary responsibility of the Local Government Units.
However, in cases where disasters have reached proportions, which is beyond the capacity of
the LGUs, the National Government TAKES CONTROL (under section 105 of the LGC of 1991,
R.A. 7160). In cases of epidemics, pestilence, and other widespread public health dangers, the
Secretary of Health may, upon the direction of the President and in consultations with the Local
Government Unit concerned, temporarily assume direct supervision and control over health
operations in any local government unit for the duration of the emergency, but in no case
exceeding a cumulative period of six (6) months.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

HEALTH CLUSTER EMERGENCY PREPAREDNESS RESPONSE AND RECOVERY PLAN

I. OVERALL OBJECTIVE

To constantly provide support to the LGU in the promotion of health and protection of
the affected population during the occurrence of disaster, thereby, minimizing disability,
morbidity and mortality.

II. SPECIFIC OBJECTIVES

1.) To conduct proper assessment on the realistic health needs of the affected individuals in
the Municipality during the occurrence of disaster
2.) To make certain the immediate provision of safe, favorable, unified, relevant, and equally
distributed health services
3.) To ensure the protection of the physical, emotional, psychosocial well-being of the
affected individuals
4.) To ensure the availability of competent, skilled, and appropriate human resources
necessary to respond in any kinds of emerging health incidents and concerns
5.) To ensure the availability and accessibility of safe drugs, medicines, and supplies for
immediate utilization among the affected individuals

III. EMERGENCY RESPONSE

1.) The Health cluster will bring together upon the command of the Local Disaster Risk
Reduction Office in the Municipality basing upon the following mechanism of response
may it be, Mayor’s declaration, LGU or Barangay’s request for assistance
2.) The Health cluster will be deployed to the affected areas and will conduct rapid health
assessment within 24 hours (from the onset of disaster)
 Cluster members will conduct thorough health assessment among the affected
individuals, thereafter, will submit their organizational assessment tools and it
shall be formulated before the next cluster meeting
 After 24 hours, cluster members will consolidate their relevant data such as sick
persons that needs immediate care, injured, dead, missing, or disabled persons
 If during the assessment, if a certain affected individual needs immediate health
attention then that certain person should receive immediate care
 And if during the assessment, the Health cluster lacks human resources, it would
be necessary to coordinate to the LDRRMO and would ask for assistance to
Provincial Health Office, if possible to the DOH-CHD RHEMS
so that they could also give back up in the delivery of health care services among
the affected population. Thus, within 48 hours, an action plan is initiated.

3.) With the coordination of the LDRRM Office, deployment of the Emergency Response
team/ First Aid team from the Municipal Health Office together with the assistance from
the PHO, DOH-CHD RHEMS, and composite team (including engineers, surveillance,
trauma, and psychosocial team) will be mobilized to conduct emergency, first aid and
medical services. To include, mass casualty management (search and rescue) and

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

management of dead and missing persons (search and recovery). Provision of the
psychosocial services and sympathetic care and treatment of injured or affected
individuals with their specific health needs. The management of dead and missing
persons will be reported and disseminated to all concerned cluster members basing
proper policy and guidelines.
a.) Health workers/responders are reminded with the standard operating health
procedures so that they can do their duties, responsibilities, and functions. They
are also being provided with personal safety kits for the protection and safety.
b.) If there are medical missions and other volunteer assistance (both provincial,
national, and foreign) they should coordinate with the LDRRMO and will be
referred to the Municipal Health Office
4.) Disease surveillance team is being set for purposes of disease and disability prevention.
5.) Necessary and safe medicines/drugs, health, trauma and hygiene kits will be provided to
affected individuals
6.) Monitoring of the situation from the onset of disaster will be done following the PHEMAP
three-time periods where time 0 is the occurrence of the event; thus,
a.) Within 24 hours from time 0 – monitoring is done at 2 hours, 12 hours,
and 24 hours
b.) Within the first week from time 0 – monitoring done on a daily basis, and
c.) Within three months from time 0 – as needed or weekly done every two (2) weeks
thereafter
7.) There would also be proper monitoring of the utilized funds and resources, services,
responders, logistics given.
8.) After which, a thorough post-incident evaluation will be conducted after a week or two
after deactivation of response; to consider, the management of the dead and the missing
persons, the last victim seeking medical attention, and termination of the search and
rescue operations.

Diagram 1 illustrates the flow of coordination among health members of the health cluster in
the conduction of health assessment, emergency response, reporting, resource mobilization and
communication. The information/report is first relayed by the MDRRMO to the Municipal Health
Office which is the cluster lead. The MHO-HEMS then calls for the cluster members to
disseminate/discuss the said information and talk about the necessary actions to be done. The
MHO-HEMS will also coordinate/relay the said information/data formulated to the municipal and
barangay levels who have direct access or first-hand information on the disaster site. Coordination,
discussion, and exchange of information and ideas will be carried out by the cluster members and
local counterparts with the MHO. The Municipal RAT and ER Team may be deployed by the MHO
at the disaster site with proper coordination with the LGU and MDRRMO. Consistent monitoring of
the situation and condition of the affected individuals will be done. Initial reports will be consolidated
from the bottom line, the LGU and the local counterparts of cluster members will submit it to the
MHO and to the rest of the Municipal Clusters respectively. Then, finally, once the report has been
finalized, the MHO as the cluster lead, will submit it to the MDRRMO.
If there are other health-related donations, volunteers, or assistance from the National,
Provincial, and Foreign Agencies, they should coordinate to the MDRRMO, and then the MDRRMO
will relay to the Health Cluster of the Municipality.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Diagram 1.

MUNICIPAL DISASTER RISK

REDUCTION and MANAGEMENT
OFFICE

NATIONAL, PROVINCIAL, and

FOREIGN ASSISTANCE/
DONATIONS

RAPID ASSESSMENT TEAM

OTHER MUNICIPAL HEALTH OFFICE
and EMERGENCY RESPONSE
MUNICIPAL HEALTH CLUSTER
==→ TEAM
CLUSTERS

Local Cluster Member

LGU’s
Counterparts
(Municipal, Barangay)
(Municipal, Barangay)

DISASTER SITE

IV. EARLY RECOVERY ACTIVITIES

Even though, the response is being deactivated health care services doesn’t just end
there. There should be a:

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

a.) Continuous monitoring of health conditions among the affected individuals.

Follow up check-up of patient’s condition if they have responded to medications
given and so with the interventions done.
b.) If the Municipal Health Center or Barangay Health Centers are damaged
immediate improvement/reconstruction should be done the soonest possible time
so that health care services will be delivered properly

V. OPERATIONAL CONSTRAINTS

1.) The most common operational constraint during the occurrence of disaster is the
damages of road infrastructures that would hinder the delivery of essential care
services, medicines and supplies to the affected individuals..
2.) Conflict of the roles /functions of Health and some other clusters may arise, so with
the LGU and other Disaster Coordinating Councils in the Provincial, Municipal and
Barangay levels. Some of the NGO’s, national, provincial or even foreign volunteers
will render services without proper coordination with the LDRRMO and this would
create chaos.

VI. RESPONSIBILITIES and AUTHORITIES

There must be a smooth flow of coordination among members of the Health cluster
and each one should be responsible for their respective duties and responsibilities. The
Health cluster should be responsible for the conduction of thorough assessment of
affected individuals that needs medical attention, emergency response, reporting of
cases, rendering health care services, distribution of safe medicines and other medical
supplies and some other specialized logistics.

Health cluster will be responsible in coordinating all activities at all levels of

disease/disability prevention and control, monitoring, and surveillance.

VII. ADDITIONAL PERSONNEL REQUIREMENTS

During the occurrence of disaster and emergencies, additional health care providers
might be needed, such as pediatricians, surgeons, medical technologists and internists
for better rendition of health care services among affected individuals.

VIII. ADDITIONAL MATERIALS and FINANCIAL REQUIREMENTS

There might be also a need for additional funds, medicines, medical supplies, and
other specialized logistics such as health, trauma, and hygiene kits, back-up generators,
flashlights, emergency lamps and other transport vehicles.

NUTRITION CLUSTER PREPAREDNESS RESPONSE AND RECOVERY PLAN

I. OVERALL OBJECTIVE

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

To ensure the proper nutritional status of the affected population during the
occurrence of disaster.

II. SPECIFIC OBJECTIVES

1.) To conduct rapid assessment of the general nutrition situation of the affected
population.
2.) To conduct training, seminars, and other capability-building activities related to
nutrition education
3.) To ensure that the food provided/distributed are nutritionally adequate, fortified, and
safe among the affected population
4.) To provide micronutrient supplementation
5.) To ensure timely delivery of foods among affected individuals
6.) To establish an effective and efficient coordination and reporting among all cluster
members and facilitate rehabilitation efforts

III. EMERGENCY RESPONSE

1.) The nutrition cluster will conduct immediate assessment/rapid screening on the
general nutrition situation of the affected population and activate plan for actual
intervention
2.) Results of the assessment will be consolidated and specific nutritional needs will be
identified, planning will then be followed
3.) Works in coordination with the food cluster regarding the:
a. Standards and protocols in meeting the nutritional/requirements among the
affected population
b. Provision of fortified and therapeutic food with micronutrients
c. Mechanism of distribution of food, supplements, vitamins, milk, etc.
4.) Will meet the Logistics cluster regarding the safekeeping and distribution of all
donated items especially on the compliance to AO on donated milk products
5.) May it be possible that there is an alternative space of treatment among the severely
malnourished children, lactating, and pregnant women, thus, promoting prioritization
of this vulnerable groups
6.) Regular monitoring of supplementary feeding, blanket feeding, and general nutrition
status will be done
7.) Cases of malnutrition among the affected population will also be monitored using
weight and height as an indicator
8.) Mobilization, augmentation and allocation of resources for nutrition management will
also be monitored and will be coordinated among cluster members as well as with the
other concerned clusters.

IV. EARLY RECOVERY ACTIVITIES

Regular reporting is done to constantly monitor and assess the nutritional status/situation
and so with the progress of intervention.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

V. OPERATIONAL CONSTRAINTS

1.) Unavailability of bottom line workers in nutrition

2.) Damages of health facilities may hinder the delivery of nutritional needs among the
affected population

VI. RESPONSIBILITIES AND AUTHORITIES

1.) The Municipal Health Office as the cluster lead, will conduct rapid assessment of the
general nutrition situation among the affected population, will initiate and coordinate
information sharing, and activate actual plan for actual intervention.
2.) The Nutrition cluster will provide technical advice to the Food cluster on standards and
protocols in meeting the nutritional requirements of the vulnerable groups
3.) Will augment micronutrient supplementation, giving of vitamins, food supplements.
Assists in the distribution of food in supplemental or blanket feeding.
4.) Prioritizes the assistance of the vulnerable groups like the pregnant women,
malnourished children, and lactating mothers.
5.) Monitoring cases of malnutrition using weight and height as an indicator.
6.) Municipal Nutrition Council will be responsible in the collection of information on the
general situation of the affected population.
7.) Nutrition workers such as BNS/BHW’s will be designated in the entire Municipality.

VII. ADDITIONAL PERSONNEL REQUIREMENTS

Additional volunteers in the distribution of food or would assist in supplemental feeding or

blanket feeding.

VIII. ADDITIONAL MATERIAL and FINANCIAL REQUIREMENTS

1.) Construction of separate areas for lactating mothers, pregnant women, children below
5, and, malnourished children.
2.) Additional funds, vitamins, and food supplements might be needed.

Diagram 2.

MUNICIPAL DISASTER RISK

REDUCTION and MANAGEMENT
OFFICE
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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

NATIONAL, PROVINCIAL, and

FOREIGN ASSISTANCE/
DONATIONS

RAPID ASSESSMENT on the

OTHER MUNICIPAL HEALTH OFFICE
GENERAL NUTRITION
MUNICIPAL NUTRITION CLUSTER
==→ EVALUATION
CLUSTERS

Local Cluster Member

LGU’s
Counterparts
(Municipal, Barangay)
(Municipal, Barangay)

DISASTER SITE

Diagram 2 illustrates the flow of coordination among members of the Nutrition cluster in the
conduction of the general nutrition evaluation, reporting, resource mobilization and communication.
The information/report is first relayed by the MDRRMO to the Municipal Health Office which is the
cluster lead. The Nutrition cluster then calls for the cluster members to disseminate/discuss the said
information and talk about the necessary actions to be done. The Nutrition cluster will also
coordinate/relay the said information/data formulated to the municipal and barangay levels who
have direct access or first-hand information on the disaster site. Coordination, discussion, and
exchange of information and ideas will be carried out by the cluster members and local counterparts
with the MHO. The rest of the Nutrition cluster will be deployed to the disaster site in giving
vitamins, fortified foods, etc. and would assist in feedings this is done with proper coordination with
the LGU and MDRRMO. Consistent monitoring and evaluation of the nutrition situation and

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

condition of the affected individuals will be done. Initial reports will be consolidated from the bottom
line, the LGU and the local counterparts of cluster members will submit it to the MHO and to the rest
of the Municipal Clusters respectively. Then, finally, once the report has been finalized, the MHO as
the cluster lead, will submit it to the MDRRMO.
If there are other health-related donations, volunteers, or assistance from the National,
Provincial, and Foreign Agencies, they should coordinate to the MDRRMO, and then the MDRRMO
will relay to the Nutrition and Food Cluster of the Municipality.

WATER, SANITATION AND HYGIENE (WASH) CLUSTER PREPAREDNESS AND

RESPONSE PLAN

I. OVERALL OBJECTIVE
To complement the local government effort in reducing excess1 morbidity and
mortality cases due to WASH-related diseases (integrating dignity and safety).

II. SPECIFIC OBJECTIVES

1
Excess morbidity or mortality as a result of the specific disaster
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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

1. To ensure access to safe and adequate supply of water, and hygiene education
of t he affected population;
2. To ensure proper and adequate sanitation, in terms of excreta disposal and solid
waste management and drainage, among the affected population, especially
those living in relocation sites;
3. To ensure the protection of affected population from vector-borne diseases;
4. To ensure that the affected population (especially those affected by flood and
outbreak of diseases) are properly informed on WASH-related behavior
practices, especially in the context of the emergency;
5. To adopt primarily the Philippine standards as guidelines in the development of
WASH cluster emergency assistance with SPHERE Standard as base.
6. To establish a specific guidance in terms of work processes and approaches
(e.g. efficient and effective ways of working with affected population, utilizing
existing structures such as BWSAs to implement response actions); and
7. To identify strategies and approaches that will ensure the maximum participation
and involvement of marginalized groups/sectors, and will place them in top
priority.

III. EMERGENCY RESPONSE

1. The WASH Cluster will convene upon the provision of the official declaration of
trigger for response by the MDRRMC. Local Disaster Management Office will be
set up to facilitate the emergency response plans.
2. Rapid assessment teams, both at the Municipal and Barangay levels, will be
activated to identify the affected areas, target sites and potential beneficiaries,
particularly those at risk of disease outbreak. Initial rapid assessment of needs
will be conducted within 5 days while comprehensive needs assessment must be
carried out within 15 days. An HR person from UNICEF will lead the assessment.
3. Continued access to safe potable and adequate supply and collection of water to
affected population must be ensured through the provision of adequate water
sanitation supplies and equipment that includes:
> water testing kits,

> water purification tablets,

> household water chlorine treatment,

> flocculation,

> chlorination2 tankering3,

> water guard and containers like tanks,

> bladders or jerry cans.

2
A 3.5 ml of Hyposol treats 20 liters of water (1 jerry can) while one 120 ml bottle of chlorine treats 685.71 liters of water.
3
Assumption is 1 tanker doing 1 load per day, though it was noted that tankers may be able to do two or more loads per
day. Cost of tankering per day is US$1,900 with only 15m3 truck available @ US$50/day.
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HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

> Test for chlorine residual will also be undertaken to every point source of drinking
water. The SPEHRE Standards will be used as minimum reference in the provision
and collection of water supply as follows:

3.1.1. 15 liters per person per day.

3.1.2. 10 liters per person per day for communal water storage tank.
3.1.3. 1 tap stand for 250 persons
3.1.4. 500 meters as the maximum distance to any water point.
3.4.4 a: Water Quality Indicators should be complied based on the 2007
Philippine National Standards for Drinking Water

3.2. Spare part kits will also be provided for the immediate repair of water installations
(such as hand pumps and shallow wells) on institutional and community level.
3.3. Water facilities in the area may also be checked for potential utilization. The
possibility of sharing arrangements with other water districts may also be considered.
3.4. Orientation on the use of purification tablets and sodium chloride solution will be
conducted among the affected population according to the HWTS guidelines set by
DOH and WHO.
3.5. Vector control activities such as provision of mosquito nets, IRS and
environmental management will be carried out particularly in overcrowded camps,
as well as in malaria and dengue-endemic areas, to prevent the spread of water-
borne disease.
3.6. Coordination with Health Cluster should be a must especially in Disease
Surveillance as well as in the Management of the Dead and Missing.
3.7. As much as possible, displaced people will stay with host families. This may entail
the need to provide NFIs and extra water points.
3.8. Location of the bathing and washing area will depend on the distance from the water
source and contour of the land. Soak away will be provided for the waste water
collection.
3.9. Adequate and appropriate excreta disposal must be ensured. In the event that no
latrines are available in the evacuation/relocation sites, temporary but appropriate
and adequate latrines using plastic sheets may be constructed or alternative
latrines such as gully suckers, chamber pots and portalets may be provided. The
ratio to be followed in the provision of latrines is as follows:
>1 latrine per 75 people for first 2 weeks;
>1 latrine for 50 persons for first 6 weeks;
>1 latrine for 20 people within 10 weeks.
Appropriateness, safety and usability of latrines must also be ensured, with low
levels of open defecation. As such, child friendly and PWD latrines will be provided. Cultural
sensitivities must be considered too.
For large displacement, 1 latrine for 75 people reduced to 1 latrine for 50 persons depending
on actual observation and queuing time of users.
For TRS, 1 latrine for 20 persons or 4 to 5 families.
Proper maintenance of each toilet facility shall be the responsibility of the users.
3.10. Key hygienic practices must be promoted in affected areas through the utilization of
existing community structures such as BHWs and BAWASAs.
Key risk behaviors will be assessed within 5 days while WASH campaign materials
in affected sites will be designed within three (3) weeks.

o Key hygiene materials will also be assessed and distributed within two (2) weeks.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

3.11. Information management system will be put in placed through updating contact lists
within 3 days,
> Establishment and updating of the “who-what-where” components within 2
weeks,
> Compilation of initial rapid assessment data within one week,
> Initial gap analysis within 1 week and the use of e-group for coordination
3.12. The service of volunteers might be engaged especially in providing training on
hygiene promotion to the affected population.
3.13. Regular monitoring and evaluation will also be carried out. Real time review will be
undertaken. On the other hand, monitoring indicators and monitoring systems will be
established among cluster members.
3.14. Provision of hygiene kits:
> water kits,
> cleaning kits shall be standard and
> to report distribution made in an area.

IV. EARLY RECOVERY ACTIVITIES

1. To ensure improvement in household capacity, a basic package of WASH

items/facilities will be provided to the affected population. Training on the proper
use and maintenance of the said items/facilities will also be conducted.
2. Intensive advocacy campaign on:
> Hygiene promotion (such as hand washing after toilet use) will be
conducted. This may be carried out through the provision of

> IEC materials, health promotion and education.

3. Provision of support in order to prepare village level action plans for restoration
will be carried out.
4. Provision of safe water and sanitation facilities in institutions will be
undertaken. These include equipment and supplies for construction and repair of
water systems and latrines (such as pipes, pumps, construction tools and
materials).
5. Planning for long-term solid waste disposal will be carried out.
Desludging of septage from EC and TRS should be considered and provided.

V. OPERATIONAL CONSTRAINTS

1. Overcrowded health facilities and damages in health equipment may lead to

shortage of resources and therefore hinder the efficient delivery of response to
affected areas.
2. Issues such as operation and maintenance, need for dislodging equipment,
technical design for unstable soil/high water table, space for construction, light
and security areas and water for flushing may pose challenges in latrine
construction, particularly in severely affected/damaged areas.
3. Inaccessibility of certain affected areas (such as those situated in islands) and
damages to road infrastructure may hamper the delivery of the much needed
WASH supply and facilities.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

4. There are different and conflicting perceptions among WASH cluster members,
as well as among various clusters themselves, about their roles, responsibilities
and mandates. There are also conflicting perceptions between the clusters and
the Philippine Disaster Management System. Both may create confusion and
may lead to overlapping of works or negligence of responsibilities and therefore
delay in the delivery of response.
5. Problems in the line of communication and line management responsibilities from
the national to the local level, and between Regional and Provincial levels within
DOH may lead to miscoordination and delay in response activities.

VI. RESPONSIBILITIES AND AUTHORITIES

a. Monitoring of the water and sanitation situation will be carried out by WASH and
Health cluster and are following up on chlorination of water supplies.
b. Local Disaster Management Office will be responsible in facilitating emergency
response; and LGUs will carry out the implementation of response plans.
c. Water Districts will assess the damage in water supply and sanitation (such as
hand pumps, pit latrines, few septic tanks) and will look out for possible back-up
or sharing arrangements with other districts.
d. DOH will carry out the provision of guidelines on the use of hyposol.
e. In terms of human resources, listed below are the agencies/organizations and their
corresponding responsibilities:
i. DOH to provide 17 sanitary engineers and health officers (Regional and
Provincial);
ii. DILG to provide field personnel down to municipal level;
iii. DPWH to provide manpower (more or less 30 persons) that will operate
earth-moving equipment (Regional and Provincial);
iv. OXFAM to provide WASH technical advice and staff for assessments;
v. UNICEF Manila to provide manpower needed for assessment mission and
planning;
>UNICEF Regional to provide WASH Resource and Emergency Response
Person as well as General Emergency Specialist Resource Person;

vi. PCWS to provide construction management assets (3 engineers and 20

foremen); and
vii. WHO may be tapped to bring in technical support, if necessary.
f. DOH and DILG will be in-charge of providing existing policies, guidelines, protocols
(research or special studies) and directives regarding the conduct of initial response;
g. DOH will be responsible in developing IEC materials;
h. DILG and PCWS will collect and provide data and information related to WASH;
i. OXFAM and UNICEF Global will carry out the provision of assessment tools (Oxfam
- genderised WASH; UNICEF Multi-sectoral Rapid Assessment tool)- ;
j. UNICEF Global will provide existing capacity mapping tool, supply equipment
manual and hygiene promotion tool;
k. PCWS will provide design of alternatives in WASH equipment and solutions for
emergencies such as RWH and low-cost latrines;
l. Provision of technical assistance, trainings and seminars, as well as modules and
syllabus will be the responsibility of DOH (training, training module, syllabus), DILG
(training modules and resource teams), OXFAM (SPHERE/UNGPID training), PLAN
International (training and advocacy), UNICEF Regional (training on WASH cluster
coordination and PCWS (technical training).
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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

m. Funding support may be sourced from the following institutions: OXFAM – WASH
funding support for programme and coordination, as well as coordination/secretariat;
UNICEF Manila – funding for LGU/NGO implementation; and WHO – direct or in-kind
support to DOH for emergency response.

VII. ADDITIONAL PERSONNEL REQUIREMENTS

a. Support in terms of human resources may be needed by the DOH-HEMS as the

cluster lead for WASH, considering that it is also leading two other major clusters.
b. Provision of capability-building seminars among LGUs may be needed, as well as
the mobilization of inactive PDCCs.

VIII. ADDITIONAL MATERIAL AND FINANCIAL REQUIREMENTS

a. As Municipal Health Office leads three major clusters, its resources may be sliced
thinly among the said clusters and might therefore need additional support in terms
of equipment and financial requirements.
b. Back-up/spare water facilities (such as water tanking) might be needed, especially in
areas with bigger damages.
c. Additional funds might be needed and may be raised from international donors
through flash appeals. However, other possible sources of funds which may be
tapped include:
> the Provincial Calamity Fund,
> the President’s Calamity Fund4,
> the Quick Response Fund of DPWH and DOH,
> CERF,
> the OXFAM Catastrophe Fund and
> the DIPECHO grants.

Diagram 3 presents the coordination arrangements among the cluster members and
partners and their responsibilities during emergency situations in the municipality.

At the onset of the disaster, sanitary inspectors (at the municipality level) will
conduct an initial assessment on the extent of damage and identify the affected
population. At the same time, WASH Cluster at the Municipality level will carry out rapid
and needs assessment which will then submitted to its counterpart in the Provincial level.
Sanitary inspectors will then submit/discuss the report they have gathered to the PHO which
is part of the PDCC. PDCC, in turn will coordinate with the WASH cluster (Provincial level) to
discuss and compare the said report done by the sanitary engineers with the report
gathered by the said cluster. After which, the PHO will submit the report to the CHD
4
The President’s Calamity Fund would require a declaration of state of calamity for it to be released.
-

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HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

which will then be submitted to DOH. While the WASH cluster at the Provincial level will
submit the report to its counterpart at the Regional level which will then be submitted to its
counterpart at the National level. DOH, in return will consolidate and discuss the reports
and will be submitted to the CHD and the WASH cluster at the Regional level with the rest of
the cluster members before finally submitting it to the NDCC. In terms of response delivery,
coordination will be initiated by the WASH cluster at the National level which will pass
through its counterpart levels in the Regional, Provincial and down to the Municipality
levels who has direct access to the disaster site.

Diagram 3.

MUNICIPAL DISASTER RISK

REDUCTION and MANAGEMENT
OFFICE

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

>Conducts initial assessment

MUNICIPAL HEALTH OFFICE on the extent of damage.
OTHER WASH CLUSTER
> carries out the needs
MUNICIPAL c/o SANITARY INSPECTOR
==→ assessment
CLUSTERS

Submits reports to the

PHO
Local Cluster Member
Counterparts
(Municipal, Barangay)
Center for HEALTH and DEV’T

DISASTER SITE
Department of HEALTH

NDCC

APPENDEXES.

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HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Diagram 1.
LOCAL DISASTER RISK REDUCTION
and MANAGEMENT OFFICE

NATIONAL, PROVINCIAL, and

FOREIGN ASSISTANCE/
DONATIONS

RAPID ASSESSMENT TEAM

OTHER MUNICIPAL HEALTH OFFICE
and EMERGENCY RESPONSE
MUNICIPAL HEALTH CLUSTER
==→ TEAM
CLUSTERS

Local Cluster Member

LGU’s
Counterparts
(Municipal, Barangay)
(Municipal, Barangay)

DISASTER SITE

IX. EARLY RECOVERY ACTIVITIES

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Even though, the response is being deactivated health care services doesn’t just end
there. There should be a:
c.) Continuous monitoring of health conditions among the affected individuals.
Follow up check-up of patient’s condition if they have responded to medications
given and so with the interventions done.
d.) If the Municipal Health Center or Barangay Health Centers are damaged
immediate improvement/reconstruction should be done the soonest possible time
so that health care services will be delivered properly

X. OPERATIONAL CONSTRAINTS

3.) The most common operational constraint during the occurrence of disaster is the
damages of road infrastructures that would hinder the delivery of essential care
services, medicines and supplies to the affected individuals..
4.) Conflict of the roles /functions of Health and some other clusters may arise, so with
the LGU and other Disaster Coordinating Councils in the Provincial, Municipal and
Barangay levels. Some of the NGO’s, national, provincial or even foreign volunteers
will render services without proper coordination with the LDRRMO and this would
create chaos.

XI. RESPONSIBILITIES and AUTHORITIES

There must be a smooth flow of coordination among members of the Health cluster and
each one should be responsible for their respective duties and responsibilities. The
Health cluster should be responsible for the conduction of thorough assessment of
affected individuals that needs medical attention, emergency response, reporting of
cases, rendering health care services, distribution of safe medicines and other medical
supplies and some other specialized logistics.

Health cluster will be responsible in coordinating all activities at all levels of

disease/disability prevention and control, monitoring, and surveillance.

XII. ADDITIONAL PERSONNEL REQUIREMENTS

During the occurrence of disaster and emergencies, additional health care providers
might be needed, such as pediatricians, surgeons, medical technologists and internists
for better rendition of health care services among affected individuals.

XIII. ADDITIONAL MATERIALS and FINANCIAL REQUIREMENTS

There might be also a need for additional funds, medicines, medical supplies, and
other specialized logistics such as health, trauma, and hygiene kits, back-up generators,
flashlights, emergency lamps and other transport vehicles.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

NUTRITION CLUSTER PREPAREDNESS RESPONSE AND RECOVERY PLAN

IX. OVERALL OBJECTIVE

To ensure the proper nutritional status of the affected population during the occurrence
of disaster.

X. SPECIFIC OBJECTIVES

7.) To conduct rapid assessment of the general nutrition situation of the affected
population.
8.) To conduct training, seminars, and other capability-building activities related to
nutrition education
9.) To ensure that the food provided/distributed are nutritionally adequate, fortified,
and safe among the affected population
10.) To provide micronutrient supplementation
11.) To ensure timely delivery of foods among affected individuals
12.) To establish an effective and efficient coordination and reporting among all
cluster members and facilitate rehabilitation efforts

XI. EMERGENCY RESPONSE

9.) The nutrition cluster will conduct immediate assessment/rapid screening on the
general nutrition situation of the affected population and activate plan for actual
intervention
10.) Results of the assessment will be consolidated and specific nutritional needs will be
identified, planning will then be followed
11.) Works in coordination with the food cluster regarding the:
d. Standards and protocols in meeting the nutritional/requirements among the
affected population
e. Provision of fortified and therapeutic food with micronutrients
f. Mechanism of distribution of food, supplements, vitamins, milk, etc.
12.) Will meet the Logistics cluster regarding the safekeeping and distribution of all
donated items especially on the compliance to AO on donated milk products
13.) May it be possible that there is an alternative space of treatment among the
severely malnourished children, lactating, and pregnant women, thus, promoting
prioritization of this vulnerable groups
14.) Regular monitoring of supplementary feeding, blanket feeding, and general nutrition
status will be done
15.) Cases of malnutrition among the affected population will also be monitored using
weight and height as an indicator

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

16.) Mobilization, augmentation and allocation of resources for nutrition management

will also be monitored and will be coordinated among cluster members as well as
with the other concerned clusters.

XII. EARLY RECOVERY ACTIVITIES

Regular reporting is done to constantly monitor and assess the nutritional

status/situation and so with the progress of intervention.

XIII. OPERATIONAL CONSTRAINTS

3.) Unavailability of bottom line workers in nutrition

4.) Damages of health facilities may hinder the delivery of nutritional needs among the
affected population

XIV. RESPONSIBILITIES AND AUTHORITIES

8.) The Municipal Health Office as the cluster lead, will conduct rapid assessment of the
general nutrition situation among the affected population, will initiate and coordinate
information sharing, and activate actual plan for actual intervention.
9.) The Nutrition cluster will provide technical advice to the Food cluster on standards
and protocols in meeting the nutritional requirements of the vulnerable groups
10.) Will augment micronutrient supplementation, giving of vitamins, food supplements.
Assists in the distribution of food in supplemental or blanket feeding.
11.) Prioritizes the assistance of the vulnerable groups like the pregnant women,
malnourished children, and lactating mothers.
12.) Monitoring cases of malnutrition using weight and height as an indicator.
13.) Municipal Nutrition Council will be responsible in the collection of information on
the general situation of the affected population.
14.) Nutrition workers such as BNS/BHW’s will be designated in the entire Municipality.

XV. ADDITIONAL PERSONNEL REQUIREMENTS

Additional volunteers in the distribution of food or would assist in supplemental feeding or

blanket feeding.

XVI. ADDITIONAL MATERIAL and FINANCIAL REQUIREMENTS

I. Construction of separate areas for lactating mothers, pregnant women, children

below 5, and, malnourished children.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

II. Additional funds, vitamins, and food supplements might be needed.

LORELEI L. PENALES, BSN-RN

Purok-3, Quirino St., Eastern Poblacion,
Lopez Jaena, Misamis Occidental, 7208
Mobile no.: 09153209426
Email Address: lore_jie628@yahoo.com
________________________________________________________________

PERSONAL DATA

DATE OF BIRTH : November 28, 1983

AGE : 31 years old
PLACE OF BIRTH : Tagbilaran City, Bohol
GENDER : Female
CIVIL STATUS : Married
CITIZENSHIP : Filipino
RELIGION : Roman Catholic
HEIGHT : 5’2”
WEIGHT : 47 kgs.
FATHER’S NAME : Lucio A. Loquellano
OCCUPATION : Nursing Attendant II (GCGMH-Tagbilaran City,Bohol)
MOTHER’S NAME : Luciana C. Loquellano
OCCUPATION : Housekeeper

EDUCATIONAL BACKGROUND
COLLEGE : Bachelor of Science in Nursing

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

HOLY NAME UNIVERSITY

Janssen Heights, Dampas District,
Tagbilaran City, Bohol
YEAR GRADUATED : 2005

SECONDARY : HOLY SPIRIT SCHOOL

CPG Avenue, Corner J. Borja St.
Tagbilaran City, Bohol
YEAR GRADUATED : 2000

ELEMENTARY : HOLY SPIRIT SCHOOL

CPG Avenue, Corner J. Borja St.
Tagbilaran City, Bohol
YEAR GRADUATED : 1994

SPECIAL SKILLS:
 Possessing good communication and writing skills
 Cooking
 Dancing
 Computer literate
 Organizing things and events

CAREER OBJECTIVE:
1.) To be always equipped with the knowledge in the promotion of Disaster
Risk Reduction and Management in our Municipality
2.) A Registered Nurse with professional experience in clinical and in Public
Health seeking a challenging position at the Local Disaster Risk Reduction
and Management Office where my profession can be fully utilized;
3.) To be always involved in responding to any emergency and disaster-involving
incidents

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

CAREER PROFILE:

 Flexible and eager to learn new skills and knowledge ; be very much willing
to undertake trainings and seminars to enhance professional skills and
expertise;
 Being able to work out with the tasks and duties assigned basing from
guidelines, rules and regulations of the institution being worked for;
 Remain God-fearing, calm and professional throughout different incidents
that will be encountered
 Develop rapport and respect with colleagues and to the rest of the people
in the community

INTERNSHIPS, TRAININGS, SEMINARS and AFFILIATIONS

 Gov. Celestino Gallares Memorial Hospital
Tagbilaran City, Bohol (2003-2005)
 Vicente Sotto Memorial Hospital (February 2004)
Psychiatric Nursing Exposure
Cebu City, Cebu
 Philippine Nurses Association (PNA)
 Basic Intravenous Therapy Training Seminar
July 21-23, 2006
Las Pinas City Medical Center
Las Pinas City
 TAS and ICT Seminar on Filariasis
July 1-2, 2015
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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Naomi’s Botanical Garden

Ozamis City
 Health Emergency Preparedness, Response and Recovery Planning Workshop
August 19, 2015
23rd Raph Avenue, Eastern Poblacion, Lopez Jaena, Misamis Occidental
 Contingency Plan Formulation Workshop on Disaster
RDRRMC- Region 10
Raph 23rd Avenue, Eastern Poblacion, Lopez Jaena, Misamis Occidental
August 25-27, 2015

WORK EXPERIENCES

 Las Piñas City Medical Center

Casual Staff Nurse
June 2006-December 2006

 Tagbilaran Medical Mission Group Hospital

Casual Staff Nurse
January 2009-December 2009

 Rural Health Unit of Lopez Jaena

Rural Health Nurse
January 2014 and at present

CHARACTER REFERENCES

 Hon. Jay M. Bergado

Vice-Mayor
Municipality of Lopez Jaena, Misamis Occ.
Cellphone No.: 09209544717

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

 Hon. Abundio P. Gerbese

SB Kagawad on Health
Municipality of Lopez Jaena
Cellphone No.: 09177229169

 Hon. Corazon L. Cale

SB Member
Municipality of Lopez Jaena, Misamis Occ.
Cellphone No.: 09984012688

 Arden O. Mangubat, MD, FPSMS

Municipal Health Officer
Rural Health Unit of Lopez Jaena, Mis. Occ.

I hereby certify that the above information is true and correct.

Respectfully yours,

LORELEI L. PENALES, RN
Applicant

September 16, 2015

NIMFA B. TORRIZO, M.D, M.P.H

Director IV

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Department of Health- Region 10

J.V Seriña St., Carmen,
Cagayan de Oro City

THRU: FE B. PALER, DMD, DDPH

DMO V, PDOHO
Misamis Occidental

Dear Madam,
Good day!
I am writing this application letter because of the information that I have
received that there is a vacant position of a Nurse under the Nurse Deployment
Project of the DOH-Region 10 of the Municipality of Lopez Jaena. And I would humbly
wish to apply for the said position.
I am a graduate of Bachelor of Science in Nursing last April 2005 and have
passed the Nursing Licensure Examination given by the Board of Nursing last June 5-
6, 2005. I strongly believe that my education, my previous and recent work
experiences will make me a very competitive candidate for the said position. And it
will be a great honor for me to be given such opportunity to fill in the job. I will be
very much willing to undertake trainings, seminars, and learn new knowledge and
skills that would best contribute in the promotion of Health in our Municipality.
Attached herewith is my resume and some other credentials for your
reference.
I am very much excited by this opportunity and if this application interests you,
please reach me through my cell phone number 09153209426. I am very much
willing to come for an interview at your most convenient time.
I am hoping for your kind consideration. More power and be forever blessed!

Respectfully yours,

LORELEI L. PENALES, RN
Applicant

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Municipal Health Office

______________________________________________________________________
September 15, 2015

NIMFA B. TORRIZO, M.D, M.P.H

Director IV
Department of Health- Region 10
J.V Seriña St., Carmen,
Cagayan de Oro City

THRU: FE B. PALER, DMD, DDPH

DMO V, PDOHO
Misamis Occidental

Dear Madam:
Good day!
I am writing this letter because of the information that I have received that there is a vacant available position
of a Nurse under the Nurse Deployment Project of the Department of Health, Region 10 at Lopez Jaena, Misamis
Occidental. On this note, I would like to recommend Mrs. Lorelei L. Penales for the said position. She has passed the
qualifying examination for the Nurse Deployment Project last 2014.
She was employed as a Rural Health Nurse (Job Order) of the Rural Health Unit of Lopez Jaena last January 6,
2014 and at present. She is skilled, efficient, responsible, diligent, enthusiastic and a kindhearted individual. She’s
always involved in the promotion of Health and participated in the implementation of the different programs of the
Department of Health. She constantly provides safe sympathetic nursing care and has done direct client care tasks such
as filling up of Individual Treatment Records including thorough assessment of patients during consultations, assisting
Rural Health Midwives in prenatal check-ups and deliveries, doing postpartum and newborn care. She participated in
the Expanded Program on Immunization. She also conducts health teachings among patients/clients so with their
families of some diseases and its precautionary measures. She’s always eager to go a step further than expected and is
very much willing to work on areas she feels she could improve upon.
To put it briefly and with her relentless motivation and her knowledge in rendering nursing care, she will be a
positive addition to the Nurse Deployment Project of the Department of Health- Region 10.
In case of any query please don’t hesitate to contact me through my cell phone number 09129554303.
I wish her best of luck in her future endeavors.
Thank you very much and be forever blessed!

Respectfully yours,

ARDEN O. MANGUBAT, MD.

Municipal Health Officer
Lopez Jaena- Misamis Occ.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

Municipal Health Office

_____________________________________________________________________

September 18, 2015

HON. MICHAEL P. GUTIERREZ

Municipal Mayor
Lopez Jaena, Misamis Occidental

Dear Mayor:

Good day!
I am writing this letter because of the information that I have received that there is a vacant position as a Local Disaster
Risk Reduction and Management (LDRRM) assistant at the Local Disaster Risk Reduction Office of the Local Government Unit of
Lopez Jaena. I would like to recommend MRS. LORELEI L. PENALES, a Registered Nurse , for the said position.
She was employed as a Rural Health Nurse (Job Order) of the Rural Health Unit of Lopez Jaena last January 6, 2014 and at
present. She is skilled, efficient, responsible, diligent, enthusiastic and a kindhearted individual. I personally proved her skills in
rendering different health services in our health center.
With her relentless motivation and her knowledge in responding to different emergency-involving incidents, she will be a
positive addition to the Local Disaster Risk Reduction and Management Office in our Municipality.
I am hoping for your positive response and kind consideration on this recommendation.

Respectfully yours,

ARDEN O. MANGUBAT, MD.

Municipal Health Officer
Lopez Jaena- Misamis Occ.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

September 20, 2015

HON. MICHAEL P. GUTIERREZ

Municipal Mayor
Lopez Jaena, Misamis Occidental

Dear Mayor,
Good day!
I am writing this application letter because of the information that I have
received that there is an available position at the Local Disaster Risk
Reduction and Management Office of the Local Government Unit of Lopez
Jaena. And I would humbly wish to apply as a Local Disaster Risk Reduction
and Management (LDRRM) Assistant.
I am a graduate of Bachelor of Science in Nursing last April 2005 and
have passed the Nursing Licensure Examination given by the Board of
Nursing last June 5-6, 2005. I strongly believe that my education, my previous
and recent work experiences will make me a very competitive candidate for
the said position. And it will be a great honor for me to be given such
opportunity to fill in the job. I will be very much willing to undertake trainings,
seminars, and learn new knowledge and skills that would best contribute in
the promotion of Disaster Risk Reduction in our Municipality.
Attached herewith is my resume and some other credentials for your
reference.

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 HEALTH EMERGENCY PREPAREDNESS RESPONSE and RECOVERY PLAN

I am very much excited by this opportunity and if this application

interests you, please reach me through my cell phone number 09153209426. I
am very much willing to come for an interview at your most convenient time.
I am hoping for your kind consideration. More power and be forever
blessed!

Respectfully yours,

LORELEI L. PENALES, RN
Applicant

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