Ordinance No.

09-2018

Series 2018

AN ORINANCE ADOPTING THE IMPLEMENTATION OF COMPREHENSIVE PROGRAM FOR THE

TREATMENT, CONTROL AND EVENTUAL ELIMINATION OF TUBERCOLOSIS IN CADIZ CITY, TO ATTAIN
A TB-FREE COMMUNITY AND APPROPRIATING FUNDS THEREFORE

SECTN 1.

TITLE

THIS ORDINANCE SHALL BE KNOWN AS THE CADIZ CITY COMPREHENSIVE TUBERCULOSIS PROGRAM
ORDINANCE.

SECTION 2.

IMPLEMENTATION OF THE NATIONAL TUBERCULOSIS PROGRAM

THE CADIZ CITY JOINS THE GOVERNMENTS EFFORTS TO INSTITUTE AND EFFECTIVE PROGRAM FOR
TUBERCULOSIS CONTROL THROUGH THE NATIONAL TUBERCULOSIS CONTROL PROGRAM (NTP). THE
DIRECTLY OBSERVED TREATMENT SHORT COURSE (DOTS) STRATEGY OF THE NTP SHALL BE MAIN
STRATEGY FOR TUBERCULOSIS CONTROL IN THE CITY OF CADIZ. THE FIVE (5) COMPONENT OF DOTS
STRATEGY INCLUDES:

2.A DIRECT SPUTUM SMEAR EXAMINATION SHALL BE INITIAL DIAGNOSTIC TOOL IN CASE FINDING
OF NEW TB CASES THE GENE XPERT MACHINE SHALL BE UTILIZED MAINLY FOR SUSPECTED
RETREATMENT PTB CASES;

2.B STANDARDIZED CHEMOTHERAPY IN ACCORDANCE WITH THE NATIONAL TB PROGRAM;

2.C RECORDING AND REPORTING OF CASES SHALL BE ON THE STANDARDIZED NATIONAL TB

PROGRAM FORMS TO BE IMPLEMENTED IN ALL HEALTH CENTERS;

2.D DIRECTLY OBSERVED TREATMENT (DOT) SHALL BE USED AS THE STRATEGY TO ENSURE PATIENT
COMPLIANCE;

2.E POLITICAL COMMITMENT TO ENSURE SUSTAINED, COMPREHENSIVE IMPLEMENTATION OF

NATIONAL TB PROGRAM ACTIITIES.

SECTION 3.

DEFINITION OF TERMS
 FOR THE PURPOSE OF THIS ORDINANCE HEREBY DEFINED:

3.A TUBERCULOSIS OR TB REFERS TO AN INFECTIOUS BUT CURABLE DISEASE CAUSED BY BACTERIA

CALLED MYCOBACTERIUM TUBERCULOSIS. IT IS TRANSMITTED FROM A TB PATIENT TO ANOTHER
THROUGH COUGHING, SNEEZING AND SPITTING AND WHILE THE BACTERIUM USSUALY AFFECTS THE
LUNGS, IT MAY ALSO AFFECT THE BONE AND OTHER LIKE THE KIDNEY AND THE LIVER.

3.B TB SYMPTOMATIC – A PERSON WHO IS EXPERIENCING COUGH FOR (2) WEEKS OR MORE WITH
OR WITHOUT THE FOLLOWING SYMPTOMS: CHEST AND BACK PAIN, FEVER, LOSS OF APPETITE, LOSS
OF WEIGHT AND BLOOD STREAKED PHLEGM.

3.C TB POSITIVE – A PERSON WHO AHS TWO (2) OR MORE DSSM POSITIVE RESULT.

3.D MULTI – DRUG RESISTANT TB (MDRTB) IS A HIGHLY DANGEROUS DORM OF TB THAT REQUIRES
EXPENSIVE SPECIALIZED CARE AND TREATMENT (PROGRAMMATIC MANAGEMENT OF DRUG-
RESISTANT TB) OVER A PERIOD OF 18-24MONTHS.

3.E DSSM DIRECT SPUTUM SMEAR MICROSCOPY IS THE DIAGNOSTIC PROCEDURE WHEREIN A TB
SYMPTOMATIC PHLEGM IS EXAMINED FOR PRESENCE OF TB BACILI.

3.F NTP (NATIONAL TUBERCULOSIS CONTROL PROGRAM) – THE PROGRAM OF THE DEPARTMENT OF
HEALTH (DOH) IN TB CONTROL AND PREVENTION.

3.G DOTS DIRECTLY OBSERVED TREATMENT SHORT COURSE CHEMOTHERAPY-IS A STRATEGY

ENSURING THAT TB PATIENTS ARE TAKING THE RIGHT KINDS OF MEDICINES, AT THE RIGHT DOSAGE
AT THE RIGHT TIME AND THE PERIOD OF TIME.

3.H DOT DIRECTLY OBSERVED TREATMENT-IS THE PROCESS WHEREIN A TRAINED HEALTHCARE
WORKER OR OTHER DESIGNATED INDIVIDUAL PROVIDES THE PRESCRIBED TB DRUG AND WATHCES
THE PATIENT SWALLOW OVER DOSAGE.

3.I ACSM – ADVOCACY COMMUNICATION AND SOCIAL MOBILIZATION

SECTION 4.

CREATION OF CADIZ CITY TUBERCULOSIS (TB) REGULATORY AND POLICY MAKING COUNCIL

THE TB COUNCIL SHALL BE COMPOSED OF THE FOLLOWING:

4.A HONORARY CHAIRMAN – CITY MAYOR OR DESIGNATED REPRESENTATIVE OVER-ALL CHAIRMAN
– CITY HEALTH OFFICER

4.B OVER-ALL VICE CHAIRMAN – SP CHAIRMAN COMMITTEE ON HEALTH

4.C MEMBERS:

I. REPRESENTATIVE FROM THE HEALTH RELATED NGO

II. REPRESENTATIVE FROM THE FEDERATION OF BRGY. LEVEL TB TASK FORCE

III. REPRESENTATIVE FROM THE PRIVATE SECTOR (COMMERCIAL COMPANY, SOCIO-CIVIC OR

RELIGIOUS ORGANIZATION)

IV. PRESIDENT OF LIGA NG MGA BARANGAY OF HIS/HER DULY AUTHORIZED REPRESENTATIVE

V. MEDICAL TB PROGRAM COORDINATOR OF THE CITY HEALTH OFFICE

VI. LABORATORY COORDINATOR OF THE CITY HEALTH OFFICE

VII. REPRESENTATIVE FROM THE MEDICAL OR ALLIED HEALTH SCIENCE SCHOOL

VIII. DOH REPRESENTATIVE TO THE LGU

SECTION 5

ROLES, FUNCTIONS AND RESPONSIBILITIES OF CADIZ CITY TB COUNCIL.

5.1 IDENTIFY AND ESTABLISH THE ROLES AND RESPONSIBILITIES OF THE PARTNERS IN THE

ORGANIZATION AND THE DELIVERY OF TB CARE AS PER NTP GUIDELINES.

5.2 COORDINATE THE DIFFERENT SECTORS INVOLVED IN THE NTP IMPLEMENTATION AND ENSURE
THAT THE NTP POLICIES AND THE DOTS STRATEGY IS IMPLEMENTED.

5.3 ASSIST IN THE ACTIVITIES OF THE BARANGAY HEALTH CENTER TOWARDS EFFICIENT AND
EFFECTIVE IMPLEMENTATION OF THE CADIZ CITY TB CONTROL PROGRAM.

5.4 PERFORM OTHER FUNCTIONS AS MAYBE NECESSARY.

SECTION 6.

THE IMPLEMENTING ARM STRENGTHENING OF CADIZ CITY HEALTH CENTERS IN THE PROVISION OF
HEALTH SERVICES TO CONTROL AND ELIMINATE TB BY UNDERTAKING THE FOLLOWING ACTIVITIES:
6.A PROVIDE FREE LABORATORY SERVICES THROUGH THE DOH RETAINED HOSPITALS;

6.B PROVIDE RELAIBLE SUPPLY OF DRUGS TO PATIENT FOR FREE BY ENSURING THAT LOCAL HEALTH
CENTERS, THROUGH COORDINATION WITH LOCAL GOVERNMENT UNITS (LGUs) CONCERNED, HAVE
SUFFICIENT SUPPLY OF MEDICINES FOR THE COMMUNITIES THEY SERVE;

6.C UNDERTAKE PUBLIC INFORMATION AND EDUCATION PROGRAMS TO TRAIN THE PUBLIC ON
BASIC WAYS AND MEANS TO PREVENT THE SPREAD OF TUBERCULOSIS;

6.D TRAIN AND ENHANCE THE CAPABILITY OF HEALTH PROVIDER IN BOTH PUBLIC AND PRIVATE
HOSPITALS;

6.E ENSURE THE PROPER MONITORING OF TUBERCULOSIS CASES IN THE CITY AND BARANGAY.

6.F ENSURE THAT MONITORING SERVICES ARE EXTENDED AS FAR AS PRACTICABLE, AT THE LOWEST
LOCAL LEVEL HEALTH UNIT.

6.G SHALL BE RESPONSIBLE FOR SUPERVISION, REVELATION AND MONITORING OF ALLIED

IMPLEMENTING SERVICES.

6.F CREATE OTHER RELATED ACTIVITIES AS MAYBE NECESSARY.

SECTION 7.

CREATION OF BARANGAY LEVEL TB TASK FORCE

AS A VEHICLE FOR CONSOLIDATION AND UNIFICATION OF EFFORTS ON TB, THE CITY OF CADIZ
MANDATES THE CREATION OF BARANGAY LEVEL TB TAS FORCE WHO WILL LEAD AND SUPERVISE ALL
THE ACTIVITIES IN THE IMPLEMENTING ARM OF THE PROGRAM.

SECTION 8.

COMPOSITION OF BARANGAY LEVEL TB TASK FORCE

THE BRANGAY LEVEL TB TASK FORCE SHALL BE COMPOSED OF VOLUNTEERS FROM VARIUOS
SECTORS OF THE COMMUNITY SUCH AS NGO’s YOUTH, WOMEN’S GROUP, SOCIO-CIVIC
ORGANIZATION, SENIOR CITIZEN AND LOCAL GOVERNMENT AMONG OTHERS.
 SECTION 9.

ROLES, FUNCTIONS AND RESPONSIBILITIES O BARANGAY LEVEL TB RASK FORCE

THE FOLLOWING ARE THE ROLES, FUNCTIONS AND RESPONSIBILITIES OF THE BARANGAY LEVEL TB
TASK FORCE.

9.A IDENTIFY AND ESTABLISH THE ROLES AND RESPONSIBILITIES OF THE PARTNERS IN THE
ORGANIZATION AND THE DELIVERY OF TB CARE AS PER NTP GUIDELINES.

9.B COORDINATE THE DIFFERENT SECTORS INVOLVED IN THE NTP IMPLEMENTATION AND ENSURE
THAT THE NTP POLICIES AND THE DOTS STRATEGY IS IMPLEMENTED.

9.C ASSIST IN THE ACTIVITIES OF THE BARANGAY HEALTH CENTER TOWARDS EFFICIENT AND
EFFECTIVE IMPLEMENTATION OF THE CADIZ CITY TB CONTROL PROGRAM.

9.D COMMIT THEIR TIME AND EFFORT TO:

9.D.1 HELP RAISE AWARENESS AND REMOVE PUBLIC STIGMA ON TB

9.D.2 IDENTIFY AND REFER TM SYMPTOMATIC FOR SPUTUM EXAMINATION

9.D.3 ENGAGE IN ADVOCACY ACTIVITIES LIKE WORLD TB DAY AND LUNG MONTH

9.D.4 BECOME TREATMENT PARTNERS TO TB PATIENTS; CONDUCT HEALTH EDUCATION

CLASSES

9.D.5 MONITOR THE HEALTH CONDITION OF THE COMMUNITY

9.D.6 WORK WITH TB PARTNERS IN THEIR AREAS TO ACHIEVE THE PROJECT’S GOALS.

9.D.7 ENSURE PROPER RECORDING AND REPORTING OF TB CASES.

SECTION 10

MANDATORY PROCEDURES

THE FOLLOWING PROCEDURES SHALL BE STRICTLY OBSERVED IN THE IMPLEMENTATION OF THE TB

PROGRAM TO WIT:

10.A NO PERSON IDENTIFIED AS TB SYMPTOMATIC BY BARANGAY HEALTH STAFF (NURSE, MIDWIFE

& DOCTOR) CAN REFUSE TO SUBMIT HIMSELF/HERSELF FOR SPUTUM EXAMINATION.

10.B NO PERSON INDENTIFIED TO BE TB POSITIVE BY THE CITY HEALTH DIVISION PERSONNEL CAN
REFUSE OR DENY THE FREE COMPREHENSIVE MEDICATION FOR TB, WHICH MUST BE COMPLETED
AT SPECIFIC MONTH DURATION OF THE TREATMENT PROCESS.
10.C IF A PERSON REFUSES OR DENY SPUTUM EXAMINATION AND/OR SUBMISSION OF SELF FOR
MEDICATION, ANY MEMBER OF CADIZ CITY TB DIVISION IS GIVEN AUTHORITY WITH ASSITANCE OF
THE PUNONG BARANGAY AND THE LOCAL PNP TO ENFORCE THE COMPULSORY SUBMISSION OF
SPUTUM AND ENROLMENT TO THE TREATM