EXCERPTS FROM THE MINUTES OF THE 46^TH REGULAR SESSION OF THE 6^th SANGGUNIANG PANLUNGSOD BATCH 2016-2019 OF THE CITY OF TABACO HELD AT THE SESSION HALL, LOCATED AT THE SECOND FLOOR TABACO CITY HALL BUILDING ON MAY 23, 2017.

Present:

Hon. Nestor T. San Pablo                           City Vice Mayor & Presiding Officer.

Hon. Luis Renir B. Burce                              President Pro-Tempore & Member,

Hon. Sheina Marie C. Onrubia                              Floor Leader & Member,

Hon. John Gio Ong-Bongao                                           Member,

Hon. Roderick P. Martirez                                             Member,

Hon. Raul Roi B. Borejon                                              Member,

Hon. Oscar R. Rocha                                                     Member,

Hon. Hector D. Rodriguez                                             Member, &

Hon. Preciocisima B. Tanggo (Pres., LMB)                    Member.

Absent:

Hon. Julio C. Azada Chua, Jr.                                        Member.

On Official Business:

Hon. Arnaldo B. Bragais                                                Member.

 Proponent:       HON. SHEINA MARIE C. ONRUBIA

City Ordinance No. 020- 2017

AN ORDINANCE ESTABLISHING THE TABACO CITY BIRTHING FACILITY AND OFFICIALLY NAMING IT AS TABACO CITY MAIN HEALTH CENTER LYING-IN KLINIK AND DEFINING ITS GENERAL FUNCTIONS, OPERATIONS, RESPONSIBILITIES AND ADMINISTRATION.

Be it ordained by the Sangguniang Panlungsod of Tabaco City in regular session assembled, that:

SECTION 1. Title – This Ordinance shall be known as “AN ORDINANCE ESTABLISHING TABACO CITY BIRTHING FACILITY”.

SECTION 2. PREPATORY STATEMENT. The Philippine Government, along with 189 nations and 147 heads of state, has committed to the Millennium Development Declaration in 2000 and has pledged to fulfill its goals of reducing disease and poverty by 2015, including two (2) of the eight (8) MDG goals of reducing a child mortality and the improvement of maternal health by reducing maternal deaths, and in pursuit of this global commitment, the Department of Health (DOH) in partnership with Local Government Units (LGUs) is implementing health reforms to rapidly reduce maternal and newborn death through the Integrated Maternal, Newborn and Child Health and Nutrition (MNCHN) strategy.

As part of the Sustainable Development Goals (SDGs), the Philippines aims to curb and reduce the increasing maternal mortality ratio (MMR) to 54 per 100,000 live birth by 2015, while results of the 2010 National Statistics Office (NSO) survey shows an increase in the number of deaths due to childbirth complications to 21 per 100,000 childbirths in 2010, compared to 162 in 2006.

The City of Tabaco respects and adheres to the provisions of Section 17 of Republic Act 7160, otherwise known as the “Local Government Code (LGC) of 1991”, the responsibility of providing basic health services, including among others, the implementation of programs and projects on primary health care, maternal and child care, and communicable and non-communicable disease, control services, purchase of medicines, medical supplies and equipment needed to carry out the services herein enumerated, were devolved to the LGUs.

SECTION 3. DECLARATION OF POLICIES AND PRINCIPLES – It is hereby declared that the City Government of Tabaco City shall adopt the following policies and principles:

• The City shall establish the city birthing facility, and shall be registered officially under the name of Main Health Center Lying-In Clinic.
• That this facility shall provide quality birthing services, to ensure the safety of both the mother and the child.
• That this facility shall serve all pregnant women wishing to deliver in the facility, and within the territorial jurisdiction of the City of Tabaco. In extreme and emergency cases, this birthing facility may accept non-residence depending on the capability of the staff and resources of the City.
• That the operation of the birthing facility shall be under the supervision and control of the City Health Officer (CHO).
• That the City Health Officer (CHO) shall see to it that birthing facility shall operate twenty-four (24) hours a day, from Monday to Sunday.
• That the delivery of other health services at the City rendered to the people shall not be interrupted.

SSECTION 4. DEFINITION. As used in this ordinance, the following terms and phrases shall mean as follows:

• Maternal Death – the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy from any cause-related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.
• Maternal, Newborn and Child Health and Nutrition (MNCHN) Strategy – addresses the risks that continuously threaten the lives of underprivileged Filipino women of reproductive age and their children.
• Maternal Mortality Ratio (MMR) – is a key performance indicator for efforts to improve the health and safety of mothers before, during, and after childbirth per country worldwide. Often referred to as MMR, it is the annual number of female deaths per 100,000 live births from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes).
• Lying-In Clinic – these are built away from hospitals and are focused purely on assisting pregnancy.
• Communicable Disease – A disease that is transmitted through direct contact with an infected individual or indirectly through a vector. Also called contagious disease.
• Non-Communicable Disease(NCD) – is a medical condition or disease that is not caused by infectious agents (non-infectious or non-transmissible). NCDs can refer to chronic diseases which last for long periods of time and progress slowly. Sometimes, NCDs result in rapid deaths such as seen in certain diseases such as autoimmune diseases, heart diseases, stroke, cancers, diabetes, chronic kidney disease, osteoporosis, Alzheimer’s disease, cataracts, and others. While sometimes referred to as synonymous with “chronic diseases”, NCDs are distinguished only by their non-infectious cause, not necessarily by their duration, though some chronic diseases of long duration may be caused by  Chronic diseases require chronic care management, as do all diseases that are slow to develop and of long duration.
• National Household Targeting System NHTS – is a poverty reduction data bank and an information management system that identifies who and where the poor are in the Republic of the Philippines.

SECTION 5: COMPOSITION, FUNCTIONS AND RESPONSIBILITIES.  The birthing facility shall be administered and operated by City Health Unit personnel, specifically the following:

• City Health Officer as Overall Overseer of the birthing facility.
• City Health Physician as the Officer-in-Charge.
• City Health Nurse who serve as Senior Staff of the regular personnel to implement the requirements of the birthing facility.
• City Health Midwives who serve as regular personnel to attend to the patient.
• Job-Order Midwife/Nurse or Volunteer Midwife/Nurse who is assisting the regular personnel
• Utility Worker / Person who is responsible for the cleanliness of the entire birthing facility and other minor tasks to be assigned from time to time by his/her immediate superior.

SECTION 6. EXEMPTION. The following patients are exempted from paying fees as cited.

• PhilHealth member patient
• NHTS patient
• Indigent patient as duly certified by the City Social Welfare and Development Office (CSWDO)

SECTION 7. APPROPRIATIONS. The fund for the implementation of this Ordinance shall be sourced out from Mayor’s Office Fund, City Health Unit Fund and PhilHealth Funds. Thereafter, the amount necessary to carry out the provisions of this Ordinance shall be included in the Annual Budget Appropriations of the City Government and such programs and projects shall be included in the Annual Investment Plan (AIP).

SECTION 8. SEPARABILITY CLAUSE. Should any part or provision of this Ordinance be declared by a court of competent jurisdiction to be invalid, the same shall not affect the validity of the Ordinance as a whole or any part thereof other than the part held invalid.

SECTION 9. REPEALING CLAUSE. Local ordinances, rules and regulations, and other issuances or parts thereof which are inconsistent with this Ordinance, are hereby repealed of modified accordingly.

SECTION 10. EFFECTIVITY CLAUSE. This Act shall take effect upon approval and after posting at the bulletin boards of the City Government.

APPROVED.

We hereby certify to the correctness of the foregoing Ordinance.

 (Sgd.)

               SHEINA MARIE C. ONRUBIA                               NESTOR T. SAN PABLO

                              Proponent                                            City Vice Mayor & Presiding Officer

ATTESTED:

GLENDA B. PANTI

Secretary to the Sangguniang Panlungsod

                                                                                    APPROVED:

CIELO KRISEL LAGMAN-LUISTRO

City Mayor