BASIC HEALTH SERVICES
The RURAL HEALTH UNIT of Rosales, Pangasinan aims to ensure maximum access to quality and efficient health services provided by compassionate health care workers. Several services are provided to clients such as consultation for medical and dental illnesses, family planning services, and normal delivery and then other facilities involving environmental sanitation, laboratory tests and issuance of various health certificates and permits.
- MEDICAL AND PEDIATRIC OUT PATIENT CONSULTATION
Health consultation is provided to all townspeople who seek medical aid for their ailments and to maintain their well-being. Medicines are provide for free including healthy lifestyle advice. Health and safety protocols are observed to prevent disease transmission and to facilitate surveillance reports.
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Office of Division |
RHU Triage area |
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Classification |
Simple/complicated |
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Type of transaction |
Government to government/government to private |
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Who may avail |
General population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.Philhealth ID |
Philhealth office- CB mall, Urdaneta City |
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2.Immunization record |
RHU midwife |
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3.Medical record |
Attending physician from a clinic /hospital |
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4.request for medicolegal examination |
PNP |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.inform triage officer of Medical condition for consultation |
>record client in surveillance form >stay in waiting area if required >preparation of patient chart |
None |
5 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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2.proceed to vital signs area |
>get Vital signs: temperature, BP, weight, height |
None |
2 minutes |
>triage officer |
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3.proceed to consultation area |
>interview and examine patient >perform medical procedure if applicable >give prescription for medicine or laboratory request form >issue medico-legal form if warranted |
none |
10 minutes |
>Dr.Elizabeth S. Alimorong or Dr.Noralyn C. Baterina |
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4.return to triage officer for further instructions |
>give healthy lifestyle teachings applicable >give medicines available and instruct dosage/ anti-tuberculosis medicine if warranted >advise on follow-up check up |
none |
2 minutes |
>triage officer or Public Health Nurses Recy Paed or Rhonna Ignacio |
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5. referral to hospital of complicated case (severe Dengue, Pre-eclampsia, convulsions, etc.) |
>coordinate transfer to hospital of choice >prepare ambulance for patient conduction |
none |
5 minutes |
>Dr.Alimorong or triage officer |
- DENTAL HEALTH SERVICES
Oral health services are provided for all Rosalinians – pregnant mothers, pre-school children, and all adults in need of dental services. There are several programs available on a year-round basis that caters to all age groups provided by two competent dentists. School visits are regularly conducted as well as the Oral Health Fair during the month of February.
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Office of Division |
RHU Triage area/dental clinic |
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Classification |
Simple/complicated |
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Type of transaction |
Government to government/government to private |
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Who may avail |
General population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.Philhealth ID |
Philhealth office- CB mall, Urdaneta City |
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2.Immunization record |
RHU midwife |
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3.Medical record |
Attending physician from a clinic /hospital |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.inform triage officer of dental condition for consultation |
>record client in surveillance form >stay in waiting area if required >preparation of patient chart |
None |
5 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
|
2.proceed to vital signs area |
>get Vital signs: temperature, BP, weight, height |
None |
2 minutes |
>triage officer |
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3.proceed to consultation area |
>interview and examine patient >give prescription for medicine or referral form >coordinate to district hospital for complicated cases |
none |
5 minutes |
>Dr.Sergio Gil Gadia or Dr.Raphael Cezar Casanova |
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4.ORAL HEALTH FAIR |
>conducted every month of February with provision of the following services: – oral check up for primary graders – quiz bee/poster making contest – dental freebies – orally fit child /Batang Bibo contest |
none |
20 minutes |
>Dr.Sergio Gil Gadia or Dr.Raphael Cezar Casanova and volunteer dentists and health care workers |
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5. pre-school/day care center visits |
>application of fluoride solution >tooth brushing drill |
none |
30 minutes |
>Dr.Sergio Gil Gadia or Dr.Raphael Cezar Casanova |
- LABORATORY PROCEDURES
Routine laboratory tests performed are complete blood count, urinalysis and sputum microscopy. Pregnant women may avail of these tests for free as part of their prenatal program. Other tests like stool exam and hepatitis tests are performed for job applicants. The gene expert test for presumptive tuberculosis cases is a new test as well as the antigen/rtpcr specimen collection for the coronavirus disease.
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Office of Division |
RHU Triage area |
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Classification |
Simple |
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Type of transaction |
Government to government/government to private |
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Who may avail |
General population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.Philhealth ID |
Philhealth office- CB mall, Urdaneta City |
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2.Laboratory request form |
RHU physician/dentist on duty or client’s attending physician |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.show request form to triage officer |
>record client in surveillance form >stay in waiting area if required >inform laboratory staff of requested test |
None |
2 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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2.proceed to municipal Treasury office |
>pay amount of test requested |
CBC:php150 Urinalysis:php50 Fecalysis:php50 Gene expert and sputum microscopy (free) |
10 minutes |
>treasury personnel |
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3.proceed to vital signs area and present receipt of payment |
>get the specimen (blood extraction, or urine/stool/ sputum sample) |
None |
2 minutes |
>Manfred Bautista or Allan Vinluan |
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4.return to waiting area |
>wait for the result if applicable |
none |
10 minutes |
> |
- IMMUNIZATION OF INFANTS AND OTHER AGE GROUPS
The National Immunization Program initially covered child immunization and anti-tetanus vaccine for pregnant women. A vaccination campaign against measles, tetanus and polio was started ten years ago as a school-based immunization program aiming to give booster doses to all grade 1 and grade 7 students and anti-cervical cancer vaccine for female grade 4 pupils. The establishment of the National Vaccination Operation’s center for the covid19 vaccination is recently added to the immunization armamentarium.
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Office of Division |
RHU vaccination area/ satellite vaccination area – SM City Rosales and Rosales Chua Pun Memorial Hospital or barangay vaccination area |
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Classification |
Simple/complicated |
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Type of transaction |
Government to government |
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Who may avail |
General population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.Philhealth ID |
Philhealth office- CB mall, Urdaneta City |
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2. Senior citizen ID |
OSCA office |
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3.Medical record |
Attending physician from a clinic /hospital |
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4.Birth or baptismal certificate |
Municipal registrars office/ church of client |
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5.Cedula |
Municipal treasury |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.INFANT IMMUNIZATION -present to triage officer the infant/child’s immunization chart or prenatal chart of pregnant woman |
>record client in surveillance form >stay in waiting area if required >preparation of patient chart |
None |
5 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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2.proceed to RHU VACCINATION AREA |
>get Vital signs: temperature and weight >midwife in charge to give appropriate vaccine to the infant/pregnant woman >give instructions on next appointment |
None |
5 minutes |
>triage officer And midwife on duty |
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3.SCHOOL BASED IMMUNIZATION -Coordinate with all public school nurses on eligible children for vaccination |
>prepare masterlist of vaccines and corresponding schedules >perform vaccination as scheduled >refer cases of occurrence of adverse events of immunization |
none |
One to two days per school |
>PHNs Recy Paed and Rhonna Ignacio, all Rural Health Midwives and Dr.Elizabeth S. Alimorong |
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4.COVID-19 vaccination program |
>coordinate with local IATF for establistment of local vaccination center >prepare masterlist of vaccines according to priority categories by coordinating with Brgy captains and BHWs >perform vaccinations as scheduled in various vaccination areas >report accomplishments to LCE/local IATF >refer cases of occurrence of adverse events of immunization |
none |
30 minutes per vaccinee or one hour for vaccinee with comorbidity |
>PHNs Recy Paed and Rhonna Ignacio, all Rural Health Midwives and Dr.Elizabeth S. Alimorong, other health care workers |
- CHILDBIRTH SERVICES (PRENATAL CHECK UP AND NORMAL SPONTANEOUS DELIVERY)
The maternal health and child health and nutrition program encompasses the services provided to pregnant women including family planning commodities. The rural health midwives provide these services to their catchment barangays in a regular manner to help all women of reproductive age achieve their desired number of children and prevent pregnancy complications.
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Office of Division |
RHU Triage delivery room/ Barangay Health Centers |
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Classification |
Simple/complicated |
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Type of transaction |
Government to government/government to private |
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Who may avail |
Pregnant women and women of reproductive age (15-49 years old) |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.Philhealth ID |
Philhealth office- CB mall, Urdaneta City |
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2.PRENATAL RECORD |
RHU midwife |
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3.Medical record |
Attending physician from a clinic /hospital |
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4.Antigen test (negative result for covid19) |
Laboratory of choice |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.inform triage officer of pre-natal consult or any labor pains |
>record client in surveillance form >note result of Antigen test >assist patient on delivery table >preparation of patient chart |
None |
3 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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2.client interview and examination |
>get Vital signs: temperature, BP, weight, height >pre-natal consult and give necessary vitamins and treat infection if indicated/ family planning advice >if in labor,fill up partograph and monitor progress of labor >normal spontaneous delivery if uncomplicated pregnancy |
None |
5 minutes prenatal consult
One hour per cervical dilatation if in labor |
>midwife on duty |
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3.hospital referral for complicated pregnancy |
>give emergency medicines for pre-eclampsia patient and hook to intravenous fluids >coordinate transfer to hospital of choice or nearest government hospital with adequate facilities |
none |
10 minutes referral and 20 minutes ambulance conduction to nearest district hospital |
>Dr.Elizabeth S. Alimorong and midwife on duty |
- ENVIRONMENTAL SANITATION SERVICES AND ISSUANCE OF SANITARY PERMITS
This office performs several functions such as inspection of business establishments, poultry and market places, issuance of health cards and sanitary permits, conduct food handlers class and implement disinfection procedures in response to the covid19 pandemic.
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Office of Division |
RHU Rural Sanitation Inspectors’ office |
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Classification |
Simple |
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Type of transaction |
Government to government/government to private |
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Who may avail |
Job applicants, business owners and General population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.laboratory results |
Diagnostic Laboratory of choice |
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– Chest X-ray, CBC, urinalysis, fecalysis, sputum microscopy result, hepatitis A test |
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2.Medical record |
Attending physician from a clinic /hospital |
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3.receipt of fees |
Municipal treasury |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1. HEALTH CARD/SANITARY PERMIT A-inform triage officer of request for health card or sanitary permit |
>give directions to RSI office >record client in surveillance form outside RSI office |
None |
5 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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B.client asks for required tests |
>give list of tests and note of payment for health card/permit |
Health card-php 100 Sanitary permit fee depends on business category |
5 minutes |
>sanitation officer on duty or RSI office staff-Cristy Flores |
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C.give laboratory test results or sanitary permit form |
>issue health card if results are complete and within normal limits >show receipt of payment >issue sanitary permit once documents are complete and paid |
None |
5 minutes |
>sanitation officer or RSI staff |
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D.receive health card or sanitary permit |
>record documents issued |
none |
3 minutes |
>RSI office staff |
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2.FOOD HANDLERS CLASS |
>schedule classes twice a year And conducted accordingly |
none |
30 minutes |
Sanitation officers- Ginny Ulpindo and Mary Anne Kristina Daguasi |
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3.INSPECTION OF BUSINESSES |
>complaints received are investigated then areas involved are inspected in accordance with PD 856 (Sanitation code of the Philippines) |
none |
One hour (case to case basis) |
Sanitation officers- Ginny Ulpindo and Mary Anne Kristina Daguasi |
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4.DISINFECTION MEASURES |
>Implementation and monitoring of health and safety measures >schedule disinfection of households and barangays affected with covid19 |
none |
Disinfection for one hour, Process flow is on case to case basis
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Sanitation officers in coordination with Barangay officials and BHERT components |
- SIGNING OF DOCUMENTS (DepEd, Birth certificate, Death certificate, PNP, students and others) and POST MORTEM PROCEDURE
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Office of Division |
RHU Triage area |
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Classification |
Simple |
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Type of transaction |
Government to government/government to private |
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Who may avail |
DepED employees, PNP employees, students and general population |
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CHECKLIST OF REQUIREMENTS |
WHERE TO SECURE |
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1.births certificate or death certificate |
Municipal registrars office or hospital |
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2.DepEd form (various medical forms) |
Dep Ed Office |
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3.PNP medical application form |
PNP |
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4.school medical form |
School of choice of student |
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5.PWD form |
MSWD/DSWD |
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6.Medical record |
Attending physician from a clinic /hospital |
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7.Request for autopsy/post mortem procedure |
PNP |
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Client Steps |
Agency Actions |
Fees to be paid |
Processing time |
Person responsible |
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1.present forms for signature |
>record client in surveillance form >stay in waiting area if required >preparation of patient chart |
None |
5 minutes |
>triage officer – Isagani Oria and/or midwife on duty |
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2.proceed to vital signs area |
>get Vital signs: temperature, BP, weight, height >give forms and patient chart to MHO |
None |
5 minutes |
>triage officer >Dr.Elizabeth S. Alimorong |
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3.receive signed documents |
>interview and examine patient then issue forms >give prescription for medicine or laboratory request form if warranted |
none |
10 minutes |
>Dr.Elizabeth S. Alimorong or Dr.Noralyn C. Baterina |
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4.family of deceased to accompany MHO during examination |
>perform post-mortem examination of cadaver >Perform Postmortem and Submit Autopsy results to PNP |
none |
20 minutes or one hour if multiple injuries are sustained |
>Dr.Elizabeth S.Alimorong |