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Week 7 CHN 1 LGU

This document discusses local government units (LGUs) in the Philippines and their responsibilities for health services. It outlines the organizational structure and roles of staff at rural health units (RHUs), including rural health physicians, dentists, nurses, and midwives. Several laws related to nursing practice and rural health services are also mentioned. The functions of RHU personnel are described, with public health nurses serving as caregivers, advocates, educators, and coordinators. Organization charts show the relationships between LGU officials, RHU staff, and barangay councils.

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Princess Sara Lee
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62 views12 pages

Week 7 CHN 1 LGU

This document discusses local government units (LGUs) in the Philippines and their responsibilities for health services. It outlines the organizational structure and roles of staff at rural health units (RHUs), including rural health physicians, dentists, nurses, and midwives. Several laws related to nursing practice and rural health services are also mentioned. The functions of RHU personnel are described, with public health nurses serving as caregivers, advocates, educators, and coordinators. Organization charts show the relationships between LGU officials, RHU staff, and barangay councils.

Uploaded by

Princess Sara Lee
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© © All Rights Reserved
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NCM 104:

CHN 1
WHAT IS AN LGU?
It means LOCAL GOVERNMENT UNIT of a
province/municipality/city
Ex. Nueva Ecija Province/Cabanatuan LGU/
Cabanatuan City
*It is governed by R.A. 7160 known as the “Local
Gov’t. Code” which states the responsibility for the
delivery of basic services and facilities of the
national government has been transferred to the
local gov’t.
*This involves the devolution of powers, functions &
responsibilities to the local government both
provincial & municipal. (PHN by Cuevas,et,al,2007)
OTHER RELATED LAWS IN
CHN/PHN
R.A, 1082 “RURAL HEALTH ACT”
* Implemented in 1953
* Called for the employment of RHU
personnel (physicians, dentists, nurses,
midwives, sanitary inspectors)
* RHU personnel are assigned in barrios to
help alleviate their health conditions
especially on preventable diseases.
* It created first 81 RHUs.
OTHER RELATED LAWS IN
CHN/PHN
R.A. 1891 amended R.A. 1082 in 1957
This Act strengthened the health & dental
services in the rural areas and created
RHUs (Rural Health Units) of 8 categories of
staffing pattern corresponding to the
population groups of municipalities to be
based on a more equitable & scientific
distribution on the radio of personnel to
population.
OTHER RELATED LAWS IN
CHN/PHN
NURSING PRACTICE
R.A. 9173 – “PHIL. NURSING ACT OF 2002”
Sec. 28. Scope of Nursing
*A person shall be deemed to be practicing
nursing within the meaning of RA 9173 when
he/she singly or in collaboration with
another, initiates and performs nursing
services to individuals, families and
communities in any health care settings
RHU STAFF & PERSONNEL
(present organizational structure)
RHP (Rural Health Physician) or
MHO (Municipal Health Officer)- 1-2
RHD (Rural Health Dentist) - 1
PHN (Public Health Nurse) – 1-2
RMT (Rural Medical Technologist)- 1
RHM (Rural Health Midwife)- 5 or more
(1-3 RHMs in RHU & 1 RHM for every BHS(Bgy. Health
Station) – assisted by BHWs in health services
RSI (Rural Sanitary Inspector) – 1-2
Dental Aide – 1
Ambulance Driver - 1
Note: The no. of personnel hired depends upon the LGU
plantilla, population & budget
FUNCTIONS OF RHU STAFF & PERSONNEL
RHP/MHO – over-all head of the RHU
* manages medical tx of referrals
* do consultations
RHD - manages & treated dental cases
Dental Aide – assists the RHD
RHM – manages minor cases & normal OB
cases; manages BHS; do contact
tracing; assists PHN
FUNCTIONS OF RHU STAFF & PERSONNEL
RMT – performs laboratory/diagnostic tests;
do contact tracing
RSI – takes charge of environmental
concerns like water supply inspection & tx,
waste disp0sal facility, etc.
Ambulance driver – conducts patients to &
conducting point to RHU or referred
health facility and vice-versa
BHW (Bgy. Health Worker) – assists RHM;
performs simple nursing procedures & txs,
home remedies, ff. up cases at home,
assists in immunization & BHS activities
FUNCTIONS OF A PUBLIC HEALTH NURSE
(consistent with the nursing law & policies & programs
of DOH & LGUs)
Management Function
Supervisory Function
Nursing Care Function
Collaborating & Coordinating Function
Health Promotion & Education Function
Training Function
Research Function
A PHN is the 1st contact of the patient in the RHU
where she screens cases according to established
program protocols. Makes referrals to RHP/MHO if
not within her responsibilities to manage.
ROLES OF A PHN
CAREGIVER
ADVOCATE
HEALTH EDUCATOR
RESEARCHER
TEAM LEADER/MANAGER
COORDINATOR/COLLABORATOR
TRAINER/FACILITATOR
COMMUNITY ORGANIZER
ORGANIZATIONAL STRUCTURE
(Local DOH)
MAYOR

RHP/MHO

Dental
RHD PHN RMT RSI
Aide

RHM RHM RHM RHM RHM

BHW BHW BHW BHW BHW


BGY. COUNCIL ORGANIZATIONAL
STRUCTURE
BGY, CAPT.
BGY. BGY.
BNS TANODS
TREAS. SEC.

KGWD KGWD KGWD KGWD KGWD KGWD KGWD SK


CHAIR

The Bgy. Captain heads the whole barangay supported & assisted
by his/her council. Each Bgy. Kagawad has committee in charge for
health, education, environmental, public works, agriculture
appropriation/budget,women,children & senior citizen’s affairs. SK
The BNS(Bgy. Nutrition Scholar)is in charge of nutrition services. KGWDS
The Bgy. Secretary works on documentations & Bgy. Treasurer
works on budget, procurement, expenses & liquidations.

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