Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

DEC 21 2020

ADMINISTRATIVE ORDER
No. 2020 - 0058

Subject: Guidelines on the Transformation of the Health Promotion and

Communication Service (HPCS) to the Health Promotion Bureau .

(HPB)

RATIONALE

Republic Act No. 11223 otherwise known as Universal Health Care (UHC) Act laid out
the strategic reform agenda of the nation’s health system to achieve our health goals
equitably. It embodies the concept that health and social wellbeing are determined by the
social determinants of health (SDH) which include many factors outside of the health
systems — including socioeconomic factors, globalization and urbanization, demographic
patterns, environments (physical, legal, economic, and political), patterns of
consumption (food, technology, and natural resources), commercialization and trade,
climate change, family structures, and the cultural and social fabric of societies.

The UHC Act also operationalized the need to invest in health promotion and protection
by mandating the (1) transformation of the existing Health Promotion and
Communication Service (HPCS) to the Health Promotion Bureau (HPB); (2)
requirement of health impact assessment (HIA) for policies, programs and projects that
are crucial in attaining better health outcomes or those that may have an impact on the
health sector as stated in Sec. 30 of the law; and, (3) support of participatory action
research (PAR) on cost-effective high impact interventions on health promotion and
social mobilization as stated in Sec. 31 of the law.

With this, there is a need to articulate the roles and responsibilities of the HPB, ensure
that all other functions that are no longer congruent to the said mandates are transferred
to respective DOH offices and bureaus, and that functions are clearly delineated with
other offices.

II. OBJECTIVES

This Order aims to provide guidance on the transformation of the HPCS to a full-fledged
HPB by virtue of the UHC Act. Specifically, this Order aims to:
1. Specify the expanded mandates of the HPB per UHC Act; and
2. Clarify HPB’s roles and responsibilities vis-a-vis other DOH Bureaus and
Services and Centers of Health Development (CHD) engaged in policy, research,
A capacity building, monitoring and evaluation and communication functions in the
~
Department
J TRUE COBY
ve
Sp
. Building 1, San Lzazarp Compound, Rizal Avenue, Sta. Cruz, 1003 Manila
11-9502; 711-9503 Fax: 743-1829 ¢ URL:
® Trunk Line 651-7800 local 1108, 1111, 11 12, 1113

http://www.doh.gov.ph; e-mail: ftduque@doh.gov.ph

pL V
1 |
I
IIL. SCOPE OF APPLICATION

This Order shall apply to all DOH Central Office Bureaus and Services, DOH attached
agencies, Centers for Health Development, DOH Hospitals, Local Government Units
(LGUs), the Bangsamoro Autonomous Region in Muslim Mindanao, and all others
concerned engaged in policy and program development, research, communication,
monitoring and evaluation, and capacity building on health promotion and health impact
assessment.

DEFINITION OF TERMS

A. Determinants of Health refers to those factors that have a significant influence,

whether positive or negative, on an individual or population’s health, which can
include biological, political, and social factors, among others
Disease Prevention refers to measures adopted in the prevention of disease
occurrence such as risk factor reduction, as well as prevention in disease progression
Health Literacy refers to skills that empower individuals to gain access to,
understand and use information in ways which promote and maintain good health
outcomes
Health Policy refers to official documents and procedures within government and
non-government institutions which set health priorities in response to the needs of
the population and other sociopolitical factors
Health Promotion refers to the process of enabling people to increase control over
the determinants of health, and to improve their health.
Risk Communication refers to communication capacities used to encourage
informed decision making, during the different phases of a serious public health
event

IMPLEMENTING MECHANISMS

A. Transformation of HPCS to full-fledged HPB

1. The Health Promotion and Communication Service shall be transformed,

renamed, and hereafter referred to as “Health Promotion Bureau (HPB)”;
2. The DOH, together with the Department of Budget and Management (DBM)
and other relevant agencies, shall identify and ensure appropriate
organizational structure with corresponding human resource complement to
support the mandate of the HPB; Provided, that health promotion, capabilities,
financial capacities, and human resources to support the implementation of the
Health Promotion Framework Strategy (HPFS) at the regional level shall be
strengthened and expanded.
3. The HPB shall exercise the following additional mandates as enshrined in the
UHC Act Sec 30. and its implementing rules and regulations:
a. Be responsible for healthy public policy and reorient health systems to
prioritize health promotion and prevention, and increase health
literacy;
b. Lead the formulation of a Health Promotion Framework Strategy
(HPFS) which shall serve as the national health promotion roadmap
and the basis of all health promotion policies and programs;
Develop population-wide health promotion policies and programs
across SDH and behavioral risk factors;
2
1
“3 RY

d. Promote and provide technical, logistical and financial support to local

research and development of local policies and programs on health
promotion based on the HPFS and the local investment plans for
health; and
e. Exercise multi-sectoral policy coordination on health promotion and
enter into partnerships with national government agencies, LGUs, the
private sector, civil society organizations, professional societies and
academe, among others, to ensure the attainment of the HPFS through
adoption, implementation, enforcement and research of policies and
programs.

Furthermore, to operationalize the mandates on Participatory Action Research (PAR)

for health promotion and social mobilization and Health Impact Assessment (HIA)
under Section 31 and 33 of the UHC Act respectively, the HPB shall exercise the
following additional mandates:

1. Lead the development of policies and programs on HIA, and the management
of the overall HIA review process for development projects, policies and
programs; and
2. Lead the development of policies and programs to ensure conduct and funding
of participatory action researches on cost-effective, high-impact interventions
for health promotion and social mobilization, which shall form part of the
national health research agenda of the Philippine National Health Research
System.

B. Delineation of HPB Roles and Functions vis-a-vis other DOH Bureaus and
Services

Further to the mandates stipulated in Sec. V.A, the HPB shall perform the
1.
following roles and functions within the Department of Health in coordination
with concerned DOH bureaus and services:
a. Lead in the development and coordination of health promotion and
intersectoral strategies, policies, plans, programs, standards, and social
and behavioral change campaigns (SBCC) directed to address
(a) underlying behavioral risk factors such as but not limited to
tobacco, alcohol and substance use, diet and physical activity, mental
wellness, violence and injury prevention, hygiene and health-seeking
behavior, (b) social determinants of health, (c) functional health
literacy, and (d) healthy settings such as but not limited to schools,
communities and workplace;
b. Lead in risk communication of all health risks and hazards;
c. Build sectoral and institutional capacity on health promotion, HIA, and
PAR for health promotion and social mobilization;
d. Develop policy and research agenda for PAR on health promotion and
social mobilization which shall form part of the NUHRA of the
PNHRS, and implement mechanisms to provide adequate funding
support for the conduct of PAR;
Te Co
e. Ensure monitoring and evaluation of health promotion, HIA and PAR
policies, plans and programs;
-.f.
Provide clearance and support the development and implementation of
and approved by
WE COPT | ~ SBCC plan for public health programs as prioritized
|

the DOH Executive Committee;

AM
4] Y
1
 g. Provide content and materials for both social and behavioral change
and disease prevention/ program communications; and
h. Perform functional analysis and organization design of HPB and health
promotion units in hospitals, CHDs, and Province/City-Wide Health
Systems (P/CWHS) and define competencies and develop
competency-based job descriptions for health workers performing
health promotion functions in coordination with HHRDB.

2. The Disease Prevention and Control Bureau shall:

a. Lead in the development of disease prevention and control strategies,
policies, programs, and metrics (e.g. epidemiology, supply side,
demand side indicators) and provide technical inputs in the
.

engagement of stakeholders for diseases resulting from poor behavior

or specific disease-based programs;
Lead in enabling services at all levels of care such as: (a) development
of Clinical Practice Guidelines, (b) inclusion of essential medicines
into the Philippine National Formulary and availability of
nationally-negotiated price, (c) inclusion into PhilHealth’s
reimbursement packages, (d) input to health care providers’ education
curriculum, and (e) proof-of-concept of for programs/services (e.g.
oo
quitline).
Provide technical inputs to environmental health and clinical
health-related aspects of HIA Reports submitted by Project Proponents
and HIA Preparers;
Lead in the Environmental Health Impact Assessment (EHIA)
pursuant to the Implementing Rules and Regulations of the Code on
Sanitation of the Philippines (Presidential Decree No. 856), in support
to the Philippine Environmental Impact Statement System (Presidential
Decree No. 1586) of the Department of Environment and Natural
Resources (DENR); and
Develop setting-specific technical guidance on disease prevention and
control strategies, if applicable.

3. The Health Policy Development and Planning Bureau shall:

a. Lead in the coordination of organizational (DOH-wide) and
sector-wide policies, plans and programs;
b. Provide technical inputs to health systems-related aspects of HIA
Reports submitted by Project Proponents and HIA Analysts, and
submit to HPB for consolidation; and
C. Provide technical assistance on the conduct of PAR for health
promotion and social mobilization, as necessary.

4. The Bureau of Local Health Systems Development shall incorporate health

promotion principles and metrics of healthy communities into the local health
systems development policies, manuals, tools, and scorecard, where
applicable.

5. The Health Human Resource Development Bureau shall:

a. Provide technical assistance to HPB on the conduct of staffing studies
using human resource management tools;
 b. In coordination with HPB, enhance and/or update existing competency
catalog, which includes the competency models and competency-based
job descriptions related to health promotion;
Provide technical assistance on the development of learning design and
packages, and on the evaluation of health promotion-related
curriculum, modules, courses and LDIs; and
Integrate health promotion initiatives in organizational and sectoral
HRH management and development systems, policies and programs in
collaboration with concerned offices.

6. The Health Emergency Management Bureau shall:

a. Lead in DRRM-H promotion and advocacy activities including those
for safe and resilient communities; and
b. Provide inputs to risk management strategies for all health hazards
across the disaster cycle.

7. The Knowledge Management and Information Technology Service shall:

a. Develop, manage, and maintain the official DOH website and other
identified digital health solutions for health promotion and
communication such as chatbot applications, online database systems,
and non-social media platforms, among others. This includes
digitalization of health promotion and communication materials into
ICT applications;
Implement the layout and design of the official DOH website and other
identified digital health solutions following the HPB functional and
technical requirements;
Provide the necessary ICT infrastructure, security and user analytics
data of the official DOH website and other identified digital health
solutions; and
C. Analyze monitoring and evaluation data together with HPB and CMU.

8. Media Relations Unit shall be transferred to the Office of the Secretary to

support public relations and communications of the DOH, and shall be
renamed to the “Communications Management Unit” (CMU) to accurately
reflect its functions. The CMU shall:
a. Develop corporate and crisis communication plans and manage and
facilitate the activation of crisis communication protocol for health
risks and hazards, and institutional reputational risks;
Perform internal communication functions within the DOH Central
Office and cascade to the regional Centers for Health Development and
attached agencies;
Develop and facilitate the approval of communication materials as
aligned with developed communication plans;
Facilitate the execution of editorial plans through coordination with the
appropriate DOH offices;
Provide capability-building sessions/workshops for media practitioners
and designated national and regional DOH spokesperson(s);
Assist in layout and design of the official DOH website and other
identified emerging media platforms in reference to Internal
Department branding, DICT guidelines, and other applicable policies;
Provide analysis of monitoring and evaluation of health information
platforms together with KMITS;
 h. Monitor and evaluate developed editorial plans and communication
activities; and
i. Administrative management of social media platforms.

9. Centers for Health Development shall:

a. Establish a Health Promotion Unit under the supervision and
management of the Local Health Support Division of CHDs with the
following minimum four (4) dedicated or designated Health Program
Officers (HPOs) and/or Health Education and Promotion Officers
(HEPOs) to support the operationalization of health promotion in
province/city-wide health systems, and to perform the following
functions:
i. Lead risk communication within their respective jurisdiction;
ii. Facilitate implementation and evaluation of the HPFS and
national policies and campaigns for regional and local
applications;
iii. Provide technical assistance for the implementation of health
promotion initiatives aligned with the HPFS to LGUs;
iv. Build regional and local capacity on health promotion, HIA and
PAR for health promotion and social mobilization;
v. Monitor the implementation of health promotion activities and
projects in the area of assignment;
vi. Submit technical and evaluation reports in the implementation
of health promotion activities and projects; and
vii. Establish a regional network of health promotion champions
and partners that will support the HPU carrying out its
functions.
b. Establish a Communications Management Unit under the
supervision and management of the Office of the Regional Director of
the CHD with a minimum of two (2) dedicated or designated HPOs to
perform the following communications and media-related functions:
i. Lead crisis communication within their respective jurisdiction;
ii. Develop and adopt, localize, laymanize, reproduce and
disseminate communication materials in various traditional and
emerging media platforms;
iii. Develop and implement an external relations strategy that
enhances the DOH’s brand image among various stakeholders
and ensure adherence to DOH Brand Manual at all times;
iv. Develop and implement strategies to keep DOH employees
connected to the vision, mission and values and up-to-date on
latest policies and initiatives; and
v. Manage media relations.

VI. SEPARABILITY CLAUSE

If any provision of this is

Order declared invalid, unenforceable or unconstitutional, the
enforceability of the remaining provisions shall not be affected, and this
validity or
Order shall be interpreted
~~" ‘unconstitutional provision.
as
if it did not contain the particular invalid, unenforceable, or
REPEALING CLAUSE

All issuances inconsistent with the provisions of this Order are hereby revised, modified
or rescinded accordingly. All other provisions of existing issuances not affected by this
Order shall remain valid and in effect.

EFFECTIVITY

This Order shall take effect fifteen (15) days after its publication to the Official Gazette
or a newspaper of general circulation.

FRANCISCO T. DUQUE HI, MD, MSe¢