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July 01, 2010

REGIONAL ORDER

NO. 2010-____

SUBJECT : POLICIES/GUIDELINES FOR THE EFFECTIVE AND EFFICIENT IMPLEMENTATION

OF THE TUBERCULOSIS PREVENTION AND CONTROL PROGRAM IN THE

WORKPLACE, DILG XI, CY 2010-2011

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Rationale and Purpose:

Tuberculosis remains a major public health problem in the country. Despite availability of drugs,

TB continues to kill 75 Filipinos daily. TB incidence is highest among the productive age group(20-59

y.o.), if no measure to reduce the spread of TB were done, it would only be a matter of time before it

impacts productivity of the employees in the bureaucracy.

Under the Comprehensive and Unified Policy for Tuberculosis Control (CUP-EO. 187), TB control

must be standardized in public sectors directly through its implementing guidelines and in compliance

with GSIS, ECC and Phil. Health Care and CSC Policies on employees welfare.

As part of the social responsibility of the office to maintain healthy and TB-free workplace in

Region XI, the DILG Regional Office/Provincial/Municipal/Highly Urbanized City/Component Cities sub-

offices are enjoined to support the reduction of the TB incidents in Region XI. By initiating efforts within

respective workplace and to prevent and control of TB. The purpose of this workplace policy is to

strengthen the diagnosis, treatment, and prevention of tuberculosis in the workplace through DOTS

strategy.

General Policy Statement:

DILG XI recognizes the need to maintain a healthy and productive workforce. Realizing that TB

can affect the workforce, the office shall devise systems and procedures in TB management and control

in the workplace consistent with the provisions of the CUP, National TB Control Program(NTP), adopting

DOTS as the strategy of choice. This agency shall initiate efforts to decrease the risk of spreading TB

through effective TB control measures; increase awareness and understanding through sustained TB

education program for, employees, and their household members.


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Pursuant to Executive Order No. 187, Instituting a Comprehensive and Unified Policy for

Tuberculosis Control in the Philippines (CUP), the following guidelines for the implementation of the

policy and program on the prevention and control of tuberculosis in the workplace are hereby adopted

and promulgated:

1. Coverage:These guidelines shall apply to the Regional and sub-offices/workplaces in the Department of

the Interior and Local Government (DILG), Region XI, CY 2010-2011.

2. Implementing Structure:The TB-DOTS in the workplace program shall be lodged in the Administrative Division under the

Personnel Section. The DILG RO-XI TB Alert Committee was organized/reorganized to handle

all TB related concerns for the benefit of the employees and their dependents. Per Regional

Order No. 2010-22 and 2010-41 dated February 12, 2010 and May 11, 2010 respectively, the

composition of the committee are as follows:

Chairperson : Director Quirino M. LibunaoVice-Chairperson : LGDD Chief, Gaudioso O. Catubig, Jr.

Members : LGSD Asst. Cristina D. Amoy

LGOO V Ursula A. Pague

LGOO V Edna G. Yap

LGOO IV Bienvenida C. Roble

LGOO IV Ma. Nilda B. Piedraverde

Admin. Asst II Evangeline G. Bernales

Admin. Aide III Joy A. Bontuyan

3. Guidelines3.1 Prevention/Control Strategies

3.1.1TB awareness program shall be undertaken through TB orientation/briefing/for a.

3.1.2 Such awareness program shall be deal with the nature, frequency and transmission,treatment with Directly Observed Treatment Short Course (DOTS), control and

management of TB in the workplace.

3.1.3 It shall be conducted twice a year during Monday Convocation:

World TB Day Celebration (every March 24) Lung Month celebration (August)

3.1.4 It shall be spearheaded by the Administrative Division/DILG RO.XI TB Alert Committeeand Management Support Team (MST) in close coordination with the Center for Health

Development-DOH, Davao Region.

3.1.5 To ensure that contamination from TB airborne particles is controlled, workplaces mustprovide adequate and appropriate ventilation and there shall be adequate sanitary

facilities for employees.


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3.2Case Finding3.2.1 All personnel of the DILG XI shall undergo an Annual Physical Examination (APE): chest

x-ray and direct sputum to be chargeable against 5% GAD budget allocation of the

agency.

3.2.2 The DILG XI Regional/Provincial/Municipal/City Offices shall refer a TB symptomatic

employee for sputum examination to the nearest DOTS facility/center in their locality.

The following are the twenty-seven (27) accredited DOTS Facility of Region XI:

Compostela Valley Province

1. Compostela Rural Health Unit (RHU)2. Laak RHU3. Mabini RHU4. Maco RHU5. Maragusan RHU6. Mawab RHU7. Monkayo RHU8. Montevista RHU9. Nabunturan RHU-TB DOTS Center10.New Bataan11.Pantukan DOTS ClinicDavao del Norte

1. Braulio E. Dujali RHU-TB-DOTS Center2. Davao Regional Hospital-TB DOTS3. New Corella RHU-TB DOTS Center4. Panabo City Public-Private Mix DOTS Center5. PTS, Inc.6.

Rivera Medical Center, Inc.-DOTS Center

7. Tagum Public-Private Mix DOTSDavao Oriental

1. Banaybanay RHU-TB DOTS Clinic2. Lupon RHU- TB DOTS Center3. Mati RHU-TB DOTS CenterDavao del Sur

1. Digos City Health Office-TB DOTS CenterDavao City

1. Davao Chest Center Public-Private Mix DOTS2. Davao Doctors Hospital TB-DOTS Center3. Davao Medical Center TB-DOTS Clinic4. HMRG DOTS Center5. PATHS DOTS Center


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3.2.3 Employees with Smear (+) result will undergo treatment under Directly Observed

Treatment Short-Course (DOTS) chemotherapy strategy for six(6) months. While

undergoing treatment, he/she will be assigned with a treatment partner at home, clinic

and at the nearest DOTS Center, who will b e doing the daily supervision of treatment.

3.2.4 A symptomatic PTB diagnosed household members of the employee shall be required

to undergo Chest X-RAY (CXR) and Direct Sputum Examination (DSSE). Confirmed PTB

cases will be referred to appropriate DOTS Centers for treatment.

3.3 Social Policy:3.3.1 Roles/Responsibilities of Employer/Agency

In the context of the social responsibility, the employer/agency shall encouraged to

extend the TB program to their employees families and their respective communities.

3.3.2 Non-DiscriminationEmployees who have TB shall not be discriminated. Instead, he/she shall be supported

with adequate diagnosis and treatment and shall be entitled to work for as long asthey are certified by the doctor/accredited health provider as medically fit and shall be

restored to work as soon as their illness is controlled.

3.3.3 Work Accommodation

Through agreements made between the management and the employee, work

accommodation measures to accommodate and support workers with TB is encouraged

through flexible leave arrangement, rescheduling of working times, and arrangement for

return to work.

3.3.4 Issuance of Fit to Work Order/Restoration to Work

An employee diagnosed with Pulmonary Tuberculosis (PTB) is advised to go on leavefor two (2) weeks. The employee may be allowed to return to work until such time the

follow-up sputum examination shall yield a negative result with reasonable working

arrangements as determined by the office/or the DOTS provider.

3.4 Financing Options:

3.4.1 The cost of expenses for the employees treatment regimens is DOTS free at the

Barangay Health Center/RHU/PHO. In case there is a shortage of drugs, the employee

shall choose from the financing options desired. The agency may provide financial

assistance to the employee adopting the financial option of 50-50 cost sharing.

3.4.1 Employees with Smear (-), CXR (+) will be referred to the nearest clinic/hospital fortreatment. The expenses shall be shouldered under Coops scheme


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3.5 Recording, Reporting and Setting-Up A Database3.5.1 Maintain a recording and reporting system of TB cases referred to the DOTS

facility/center using an appropriate form. This information shall be a part of the TB

registry of the DOH.

3.5.2 Semestral minutes shall be conducted to discuss issues relative to tuberculosis.3.6 Effectivity

All concerned shall comply with all the provisions of this Regional Order immediately.

QUIRINO M. LIBUNAO, CESO III

Regional Director

ADM:LBD:ROM

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