III Magna Carta for PWDs

8/3/2019 III Magna Carta for PWDs

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NATIONAL COUNCIL FOR THENATIONAL COUNCIL FOR THE

WELFARE OF DISABLEDWELFARE OF DISABLED

PERSONSPERSONS

MAGNA CARTA FOR DISABLED

PERSONS (RA 7277) and its

Implementing Rules and Regulations on

Rule IV Health Provisions


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A. BASIC POLICIES &A. BASIC POLICIES &

PRINCIPLESPRINCIPLES (IRR(IRR--RA 7277 Rule IV, Section 1)RA 7277 Rule IV, Section 1)

1. Disabled Persons are part of Philippine Society,thus the State shall give full support for the

provision of health services to them and it shallbe the responsibility of the government andprivate sector and the members of thecommunity at large.

2.

Health Services for Persons with Disabilitiesshould be an integral part of all basic services.

3. Health Services should be accessible,appropriate, acceptable, affordable and timely.


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(RA 7277 Section 2 )

4. Disabled persons have the same rights as other people.They should be able to live freely and as

independently as possible. Disabled persons rightsmust never be perceived as welfare services by thegovernment.

5. Rehabilitation Services shall be the concern of

government and benefits shall be expanded beyondthe traditional urban-based centers to communitybased programs.

6. To facilitate integration of disabled persons into themainstream of society; the State shall advocate forand encourage respect for disabled persons. The Stateshall exert all efforts to remove all social, cultural,economic, environmental and attitudinal barriers.


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B. Responsibility of theB. Responsibility of the

Department of HealthDepartment of HealthHealth Services (IRR-RA 7277 Rule IV, Section 6A)

1. Accessibility ofHealth Services

The health services should be madeavailable at affordable cost in primary,secondary and tertiary health care.

2. In order to ensure health services forPWDs, the DOH undertake trainings forall its health personnel for the followingpurposes:


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2.1 Care of the disabled persons(IRR-RA 7277 Rule IV, Section 7)

Medical Personnel

Physicians - rural health physicians/municipalhealth physicians, district/provincial hospitalphysicians

Health Personnel - Occupational therapists, Speechtherapists, Physical therapists, Nurses, Midwives,Nutritionist- dietician, Social Workers, Otherrehabilitation workers

Community Health Workers Barangay healthworkers, Volunteer health workers,

Barangay nutrition scholar, Community-basedrehabilitation field worker (local supervisors)


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2.2 In consultation with NCWDP and other

specialists recommend standards foraccreditation of training centers, trainers and

training programs for rehabilitation of

PWDs.2.3 The training should include, but shall not be

limited to, the following: (IRR-RA7277, Section 7)

Early Detection and Identification of

Disabilities

Immunization


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Family Care Program for the Disabled in

the CommunityPsychosocial Concerns of Disabled

Persons: Detection and Management ofPsychosocial Problems among Disabled

PersonsNutrition Education

Genetic Counseling

Psychiatric and Medical Emergencies:Identification and Management ofPsychiatric Emergencies


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Rehabilitation Procedures Including

Dangers and Precautions

Interdisciplinary Approach;

Transdisciplinary Awareness and Role

Functioning

Environmental Hazards

Referral Network

Safe Motherhood

Safe Drugs


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3. Basic health services for the prevention,

early diagnosis, timely intervention, andearly rehabilitation of disability shall be

provided as follows : (IRR-RA 7277, Section 6C)

3.1 Control of communicable andnon-communicable diseases

3.2 Nutrition

3.3 Environmental sanitation3.4 Maternal/child health services

Prenatal counseling


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Safe delivery

Child care and immunizationControl of diarrheal diseases

Breastfeeding

Premarital/genetic counseling3.5 Control of environmental hazards and

occupational safety

3.6 Dental Care3.7 General health and medical services

3.8 Physical and psychosocial rehabilitation


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C. Role of Local Government UnitsC. Role of Local Government Units

in the Provision of Healthin the Provision of HealthServicesServices (IRR(IRR--RA 7277 Rule IV, Section 3B)RA 7277 Rule IV, Section 3B)

Local Government Units shall:

1. Provide rehabilitation services within thescope and capability of the center ataffordable cost;

2. Allocate or construct a room within or adjacentto the provincial hospital building with adimension of at least 100 square meters tohouse the medical rehabilitation center;


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3. Provide adequate funding for the proper

maintenance and operation of the center;

4. Create positions and provide funding for

salaries of permanent and casual personnelassigned to the center; and

5. Tap the services of local non-government

organization, private practitioners and othergovernment agencies in the area, whenever

feasible.


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D. Implementation and MonitoringD. Implementation and Monitoring

I. The National Health Program for Disabilityshall address health promotion, prevention,early detection and rehabilitation ofdisabilities/conditions which include but notlimited to the following: (IRR-RA 7277, Section 4B)

1. Ortho/moving disabilities

2. Communication deficits

3. Visual/seeing disabilities4. Learning (cognitive or intellectual

disabilities)


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5. chronic illnesses with disability

6. mental disabilities

7. psychosocial and behavioral

(Rule IV, Section 3, A1)

The Department of Health shall be the lead

agency and shall do the following:

i. include in its annual budgetary proposals

the provision for the funding requirements

of the program;


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ii. create a division under the Non-

Communicable Disease Control Servicethat shall administer and lead in the

implementation of the program;

iii. set up a national registration/reporting

system for specific types of disabilities and

shall generate and assess data base on the

current status, needs and circumstances of

disabled in the country to provide aneffective basis for a national health

program plan for disabled persons;


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Disability Screening (IRR-RA7277, Section 6, #2)

a. All health personnel attending to birth,whether private or public, shall screen forand report disabilities to the nearest ruralhealth unit within seven (7) days.

b. Screening at the barangay level using theapproved screening tool to be developedshall be done by the midwife and/orbarangay health worker (either thebarangay health worker, barangay nutritionscholar or the like).


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c. Any child identified/suspected with adisability during the process of immunizationor Operation Timbang shall be referred to thenearest government health care facility forconfirmation of findings.

d. Confirmation of disability shall be done by arural health physician/district hospitalphysician/provincial as the case maybe, forwork-up and specific treatment, management

and rehabilitation.e. All confirmed disability cases shall be

recorded and reported in accordance with theDepartment ofHealths guidelines.


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f. All primary and secondary schools, both publicand private, shall integrate disability screeningduring the annual physical examinationutilizing the approved forms to be developed.

g. The school physician/nurse/teacher shall make

a report of all suspected disabilities to theprincipal, who in turn shall inform, advice andmake appropriate medical referrals through theparents.

h. All cases of disability diagnosed andconfirmed in any health care facility whethergovernment and private shall be reported to theDepartment ofHealth.


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iv. strengthen its programs on immunization,

breastfeeding, maternal and child care, safemotherhood, family planning, pre-

employment examination/orientation disease

control programs and other relevant

programs in support of the National HealthProgram for Disabled Persons.


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(IRR-RA 7277, Section 3, #2)

II. Establishment of Medical Rehabilitation Centersat the Provincial Level - The Department shall:

a. initiate the establishment of medicalrehabilitation centers at the provincial level and

shall request for the necessary capital andequipment outlay needed for this purpose;

b. program the establishment of medicalrehabilitation centers at the provincial level

through a reasonable phasing scheme that willensure a nationwide coverage within a ten yearperiod, subject to availability of funds;


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c. formulate policies and standards governing

the operations of such medical

rehabilitation centers;

d. institute a manpower development

program to ensure adequate manpowersupport for the centers; and

e. monitor and assess regularly the operations

of the centers to ensure that standards arestrictly followed


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(IRR-RA 7277, Section 4A)

III. For the purpose of instituting a national health

program for disability, an ad-hoc inter-agencycommittee is hereby created, to be composed of thefollowing:

Chairman DOH

Co-Chairman NCWDPMembers:

DSWD, DOLE, DECS, NGOs, UP-Manila

A representative each from League of cities, provincesand municipalities. Other multi-disciplinary andmulti-sectoral team of specialists or agencies thatDOH and NCWDP may enlist.


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Functions:

1. The committee shall develop a master plan for anational health program for disability which shall

be comprehensive in nature, integrated in health

service delivery, and shall have the basic premise

of integrating disabled persons into themainstream of society.

2. A national rehabilitation center shall establish

under the program which will function as anational training, research and rehabilitation

center in the country .


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3. The committee shall formulate the program

within one year from the approval of these Rules

and Regulations. Operational expenses of the

committee shall be charged against the funds of

the Department ofHealth.


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EndEnd

Documents

III Magna Carta for PWDs