Documente Academic
Documente Profesional
Documente Cultură
Writer:
Irene S Lim, MD, DPBP
Editors:
SSUPT ARTHUR C LORENZO, MD
Irene S Lim, MD, DPBP
Design & Layout:
SJO2 Annabelle A Tabernilla, RN
Members
CINSP LORNA P TERENCIO, MD
SINSP NORA G CANDELARIA, DMD
SINSP JAIME A CLAVERIA JR, MD
SINSP JOY T MANZO, MD, FPPA
SINSP JOHN PAUL DG BORLONGAN, MD
Claro T Mundin, MD
Secretariat
SJO2 Annabelle A Tabernilla, RN
JO1 Janelle Erika S Rodriguez, RN
Ms Erna C Compuesto
TABLE OF CONTENTS
Message
1-2
Introduction
4-6
The Logo
Organizational Structure
Staffing Pattern
10
11
Staff Qualifications
12-13
13
14
14
14
15
16
17
17
17
17
17
18
18
18
19
20
21
22-23
24-25
26
27-96
97-100
MANUAL
MESSAGE
The Office of Health Service is an essential part of our Bureau in
providing professional service, individualized approach, and holistic
management to our inmates and personnel to achieve and promote
wellness to the entire institution.
HSO is vital in the following programs: monitoring and providing
good nutrition; providing appropriate diagnostics, treatment and
medication as necessary; observing and maintaining cleanliness and
sanitation; promoting physical activities to maintain ideal physical well-being, to include
conducting activities for promotion of a sound mind in attainment of behavioral and emotional
equilibrium; more importantly HSO is tasked to identify, contain and manage any health
condition affecting the inmates and personnel.
The term health may also correspond with observance of humane safekeeping. Despite the
problem with congestion of most of our jails, early detection of a health condition and abrupt
management of it is one of the crucial ways to control a certain health problem thus limiting
the morbidity and achieving a near zero mortality. All health personnel in their respective
assignments should professionally work hand in hand to achieve this goal.
This manual is issued to provide essential knowledge and appropriate skills to our health
personnel to enable them to perform their functions more efficiently. I congratulate all those
who brainstorm in organizing this manual. Together may we address the challenges we may
face in health service, maintain the good practice we have now concerning health, and improve
on some programs for the benefit of those whom we serve.
Page 1
MANUAL
MESSAGE
Health is considered as one of the basic needs of every
individual. Proper nutrition, good sanitation and decreased
incidence of diseases as well as injuries all reflect to a good
health management.
The Health Service Office is a vital umbrella unit of the
Bureau in providing humane safekeeping and development
of inmates, and welfare of personnel.
The Bureaus Health Personnel are determined and confident to sustain these
ideals; hence this Health Service Manual was created.
The Health Service Manual will guide the Bureaus health personnel to live up
with their commitment to give professional, efficient and holistic health service
to the inmates as well as to the Bureaus personnel.
To all who shared their time, ideas and skills for the completion of this manual,
my gratitude and appreciation for all your contributions.
Page 2
I.
MANUAL
INTRODUCTION
The Health Service is a technical support service of the Bureau of Jail
Management and Penology and has been in existence since the
creation of the bureau way back in 1991. The Health professionals play
a major role in shaping the mission and vision of the BJMP. Its main
task is to provide quality physical and mental health care delivery of
the BJMP to its clientele as well of its personnel. The number of BJMP
workforce and the inmate population is steadily increasing each year.
This contributes to the challenges encountered by the bureau in its aim
of maintaining the health of its personnel as well as of the inmates. It
screens incoming personnel and ensures the quality of new recruits
through a series of evaluation. A good and thorough recruitment
process defines a professionalized jail services.
The growing number of inmate population, on the other hand, has
caused the jails to be congested. This overcrowding in our jails has
greatly affected the living condition and wellbeing of the inmates.
Without the services of our medical professionals and supplies
provided, morbidity and mortality rates among inmates will surely be
on the rise. Mental health professional likewise provide services to both
inmates and personnel to lessen the prevalence of mental illness
related to the living condition of inmates and working environment of
the personnel. The Health Service views an individual as a whole being
thus providing services that address his physical, mental, and
psychological needs. This manual will serve as a guide and reference
in the implementation of the different programs of the office in the
attainment of its goals.
Page 3
II.
MANUAL
Page 4
MANUAL
Page 5
MANUAL
Page 6
III.
MANUAL
Page 7
IV.
MANUAL
The stars
represent the 3
main islands
Luzon, Visayas
and Mindanao
Page 8
V.
MANUAL
MEDICAL
SECTION
NURSING
SECTION
CHIEF,
MEDICAL
CHIEF,
NURSE
NP
SECTION
ADMINISTRATIVE
SECTION
CHIEF, ADMIN
CHIEF, NP
DENTAL
SECTION
CHIEF,
DENTAL
RESEARCH &
TRAINING
SECTION
CHIEF,
RESEARCH
ADMIN OFFICER
DENTAL OFFICER
MEDICAL
OFFICER
EMRT
STAFF
NURSES
PSYCHOLOGISTS
RECORDS
OFFICER
PSYCHOMETRICIAN
SUPPLY OFFICER
PSYCHOSOCIAL
TEAM
LIASON OFFICER
TEAM
AMBULANCE
DRIVER
PLANS &
PROGRAM
OFFICER
Page 9
DENTAL
ASSISTANT
RESEARCHERS
STATISTICIAN
VI.
MANUAL
STAFFING PATTERN
LEVEL
Office
MEDICAL SECTION
POSITION/DESIGNATION
Chief, Health Service
Deputy Chief
Section Medical
Medical Officer
RANK/ITEM
SSUPT (MD)
SUPT
CINSP (MD)
Medical Officer IV
SINSP (MD)
INSP (RN)
JO1
CINSP (RN)
SJO4
SJO2
JO1
Nurse 1 (NUP)
SG
26
25
24
24
23
22
10
24
19
17
10
11
No.
1
1
1
1
1
1
4
1
1
1
3
1
Section Chief
CINSP
24
Psychologists
SINSP
Psychologists (NUP)
Psychologist (NUP)
SJO4 (RN)
JO1 (RSW)
Psychologists (NUP)
SINSP (Psychiatrist)
SJO2 (RN)
Psychologists (NUP)
SINSP
SJO2
JO1
JO1
NUP
SJO4
SINSP
SJO1
JO1
SINSP
SJO4
SJO2
JO1
22
15
15
19
10
15
23
17
15
23
17
10
10
15
19
23
16
10
23
19
17
10
1
3
2
1
1
1
1
1
3
1
1
1
1
1
1
1
1
1
1
1
1
1
JO2
12
EMRT TEAM
NURSING SECTION
Section Chief
Staff Nurses
NEUROPSYCHIATRIC
SECTION
Psychometrician
Drug and Alcohol
Rehab/Monitoring Team
Psychosocial Team
ADMINISTRATIVE
SECTION
DENTAL SECTION
RESEARCH &
TRAINING SECTION
Section Chief
Admin Officer
Records Officer
Liason Officer
Supply Officer
Plans and Program Officer
Section Chief
Dental Officer
Dental Assistant
Section Chief
Researchers
Statistician
Page
10
VII.
MANUAL
Deputy Chief
Assists the Chief, Health Service in the implementation of the different health
programs for BJMP personnel and inmates.
Assists the Chief, Health Service in the supervision and monitoring of the implemented
health programs.
Represents and assumes the role of the Chief, Health Service in the latters absence.
Performs other functions as directed by the Chief, Health Service.
Medical Officer/Physician
Performs medical evaluation and management to its clientele and personnel as
necessary.
Refer its clientele and personnel to medical institutions for further evaluation and
management as the need arise.
Provides medical assessment of an inmate and submit report to concerned offices.
Performs other functions as directed by the Chief, Health Service.
Psychiatrist
Perform all functions of a Medical Officer
Perform psychiatric evaluation and treatment to BJMP personnel.
Perform psychiatric evaluation to applicants for jail positions and BJMP personnel for
promotion.
Perform psychiatric evaluation and management to its clientele and prepare psychiatric
report once directed by the court and concerned office/s.
Conduct psychological rehabilitation of offenders
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11
MANUAL
Dentist
Formulate plans and programs for the enhancement and improvement of dental health
care for inmates, personnel and qualified dependents.
Identify, diagnose and treatment of dental condition of inmates, personnel and qualified
dependents.
Conduct dental missions to various city, district and municipal jails nationwide.
Perform dental clearance and referrals during recruitment process.
Perform other functions as directed by the Chief, Health Service.
Nurse
Psychologist
Assist the psychiatrist in the neuro-psychiatric evaluation of subjects.
Administer psychological test among applicants, inmates and personnel.
Conduct psychological evaluation to inmates with psychiatric symptoms.
Provide psychological rehabilitation among selected subjects.
Conduct counselling and psychotherapy to inmates and personnel.
Performs other functions as directed by the Chief, Health Service.
VIII.
STAFF QUALIFICATIONS
a. Medical Doctors
Page
12
MANUAL
b. Dentist
Must be a licensed dentist in the Philippines
Must be of good moral character
c. Nurse
Must be a registered nurse in the Philippines
Must have undergone relevant trainings in the field of nursing.
Must be of good moral character
d. Psychologist
Must be a graduate of Bachelors degree in psychology
Must be a licensed psychologist/or have undergone the required training in
psychological testing and evaluation in an accredited training institution
Must be of good moral character
IX.
Page
13
MANUAL
b. Psychiatric Services
1) For Personnel
All BJMP personnel who need counselling or psychiatric attention will be
referred to the BJMP Psychiatrist for
evaluation and treatment. Those who warrant confinement will be referred to a
government psychiatric hospital or the personnels hospital of choice. Hospital
expenses will be borne by the personnel or may be subjected to
reimbursement pending assessment by the Adjudication Board.
2) For Inmates
Inmates manifesting signs and symptoms of psychiatric illness will be initially
seen by the Jail Psychologist. Those who warrant immediate psychiatric
attention will be referred to the Jail Psychiatrist for evaluation and treatment.
Those who need to be admitted in a Psychiatric Hospital will be referred to a
government psychiatric hospital or the inmates hospital of choice for further
treatment. For inmates hospital of choice, expenses will be borne personally
by the inmate.
The Psychiatrist will likewise prepare a Psychiatric evaluation on a specific
inmate if mandated by the court.
c. Dental Services
1) For Personnel
All personnel who need dental treatment may report to the HSO-NHQ or the
Jail Dentist to avail of consultation and dental treatment. Those who need
treatment that is not available in the HSO will be referred to a government
Dentist or the personnels dentist of choice.
2) For inmates
Inmates who need dental treatment will be referred to the Dental Officer for
evaluation and treatment. Those who need oral treatment that is not available
in the jail will have to secure court order based on the recommendation of the
Dental Officer.
d. Nursing Services
1) For Personnel
Personnel who seek medical attention will be assessed by the Nurse and will
be provided with appropriate initial intervention. Those who need further
evaluation and treatment will be referred to the Medical Officer.
Page
14
MANUAL
2) For Inmates
Inmates who need medical attention will be assisted and initially assessed by
the Nurse. The Nurse will provide the inmate with appropriate medications as
per doctors order and will monitor the inmates condition.
e. Psychological Service
1) For Personnel
All personnel who need counselling may report to the HSO to avail of
counselling services by trained Psychologists. Those who need further
evaluation and treatment will be referred to the Psychiatrist.
2) For Inmates
Inmates who manifest signs and symptoms of psychological imbalance will be
referred to the Psychologist for counselling and assessment. Those who need
further evaluation and treatment will be referred to the Psychiatrist.
f.
Recruitment Process
Applicants for Jail Officer 1 position who passed the preliminary requirement
(Eligibility, Entry Level Examination, weight, height) will be endorsed by the
Directorate for Personnel and Records Management (DPRM)/Regional PRM
for medical and psychiatric screening.
Applicants will undergo psychological testing to be conducted by the BJMP
NHQ and Regional Psychologists. The test will consist of Intelligence and
Personality Test. Once the psychological test results are in, the applicant will
be scheduled for neuro-psychiatric interview.
The BJMP Psychiatrist will conduct the neuro-psychiatric interview to
determine the mental condition of the applicant at the time of examination.
Those who passed the neuro-psychiatric screening will proceed with the
medical examination to be conducted by the BJMP Medical Officer.
Applicants will be subjected to various laboratory tests that are found relevant
to nature of the job applied for.
After collating all the results of the examination, those who passed the medical
screening and found to be physically and mentally fit will be endorsed for
employment.
Page
15
MANUAL
Psychological Examination
Neuro-Psychiatric Interview
Page
16
MANUAL
h. Promotion Process
Personnel for promotion to next higher rank must first undergo the PROMEX
examination, after which he/she will be endorsed by the Directorate for Personnel
and Records Management (DPRM) for NP Evaluation.
Personnel who are candidates for promotion will undergo psychological testing to
be conducted by the BJMP NHQ and/or Regional Psychologists. The test will
consist of Intelligence and Personality Test. Once the psychological test results
are in, the applicant will be scheduled for neuro-psychiatric interview.
The BJMP Psychiatrist will conduct the neuro-psychiatric interview to determine
the mental condition of the applicant at the time of examination.
Those who passed the neuro-psychiatric screening will proceed with the medical
examination. Applicants will be subjected to various laboratory tests.
After collating all the results of the examination, those who passed the medical
screening and found to be physically and mentally fit will be properly endorsed.
X.
i.
j.
Medical Reimbursement
BJMP personnel confined in private or government hospital as service-related casualty or
have sustained injury while performing legitimate jails functions can avail Medical
Reimbursement under DILG Circular No. 2008-19 dated 07 October 2008.
PROGRAMS
a. TB in Jails/Prisons Program
The objective of TB in Jails/Prisons Program is to provide a standard guidelines for
implementing Directly Observed Treatment Short-Course (DOTS) Strategy, within jails
pursuant to Executive Order 187 s 2003 otherwise known as Comprehensive and Unified
Policy (CUP) for TB Control in the Philippines.
b. Mental Health and Psychosocial Support (MHPSS)
BJMP Personnel from various regions are being trained to respond to critical incidents
involving personnel and inmates nationwide who witnessed, experienced and survivors of
the traumatic incident i.e. jail riots, hostage taking incident, homicide/suicide incident and
natural disasters such as earthquakes, massive flooding, typhoon which caused mass
displacement, by conducting the Mental Health and Psychosocial Support (MHPSS)
Page
17
MANUAL
MANUAL
XI.
FRONTLINE SERVICES
A. NEURO-PSYCHIATRIC EXAMINATION
Schedule of Availability of Service:
Upon endorsement of DPRM
8:00 AM 5:00 PM
Who May Avail of the Service:
Applicants/clients initially evaluated by DPRM
Has not taken the same examination during the span of the preceding six (6)
months period
What are the Requirements:
Applicants/client should bring the following:
Page
19
MANUAL
Applicant/Client
Proceed to Health
Service Unit to sign
in the Attendance
Sheet
Proceed to the
Examination Room
Service
Provider
Give client the
visitors pass
Verify if the
applicant was
endorsed by
DPRM
Give applicants
the rules and
regulations of
the examination
Duration of Activity
(Under Normal
Circumstances)
Person In
Charge
Fees
Forms
5 minutes
Guard on
Duty
n/a
Visitors
Logbook
5 minutes
Examiner
n/a
Attendance
Sheet
10 minutes
Examiner
n/a
n/a
Depending on the
test to be given
Examiner
n/a
Test Materials
Examiner
n/a
Test Materials
Examiner
n/a
Test Materials
Examination Proper
Give applicants
the instructions
of the tests
Go back to the
Examination Room
End of the
examination
B. INITIAL INTERVIEW
Schedule of Availability of Service:
Monday Friday
8:00 AM 12:00 PM
Who May Avail of the Service:
Applicants/personnel who took Neuro-Psychological examination
What are the Requirements:
Applicants/personnel should wear proper interview attire
Duration: 15 20 minutes
Page
20
MANUAL
Step
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Proceed to Health
Service Unit to
sign in the
Attendance Sheet
Wait in the lobby
to be called
Interview Proper
3
4
5
End of Interview
Duration of
Activity
(Under Normal
Circumstances)
5 minutes
Get the
applicants/personnel 1 minute
protocol
Read the protocol of
the applicant
5 minutes
Evaluate the
applicant/personnel
15 20 minutes
Advise to wait for the
schedule of
1 minute
Psychiatric Interview
End of Transaction
Person In
Charge
Fees
Forms
Guard on
Duty
n/a
Visitors
Logbook
Interviewer
n/a
Attendance
Sheet
Interviewer
n/a
Interviewer
n/a
n/a
Interviewer
n/a
n/a
C. PSYCHIATRIC INTERVIEW
Schedule of Availability of Service:
8:00 AM 5:00 PM
Who May Avail of the Service :
Applicants/clients who undergone NP Examination
What are the Requirements :
Applicants/personnel should wear proper interview attire
Duration: 15-20 minutes
Page
21
n/a
MANUAL
Step
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Proceed to Health
Service Unit to
sign in the
Attendance Sheet
Wait in the lobby
to be called
Interview Proper
3
4
5
End of Interview
Get the
applicants/personnel
protocol
Duration of
Activity
(Under Normal
Circumstances)
Person In
Charge
Fees
Forms
5 minutes
Guard on Duty
n/a
Visitors
Logbook
1 minute
Interviewer
n/a
Attendance
Sheet
Interviewer
n/a
n/a
Interviewer
n/a
n/a
Interviewer
n/a
n/a
Page
22
MANUAL
Step
1
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Proceed to Health
Service Unit to fill
out the Report of
Physical and Dental
forms
Submit to the Staff
Nurse the fully
accomplished forms
Verify if the
applicant was
endorsed by
DPRM/RRSB
Proceed to Dental
Section
Proceed to Medical
Officer for Medical
Evaluation
Review the
accomplished
forms
Conduct Vital
Signs to applicant
and Refer to dental
officer for dental
check-up
Dental Check-up
and instruction
from the Dental
Officer
Medical Evaluation
of applicant and
giving of
laboratory request
Duration of
Activity
(Under Normal
Circumstances)
5 minutes
10 minutes
Person
In
Charge
Fees
Guard on
Duty
n/a
Staff
Nurse
n/a
15 minutes
Staff
Nurse
n/a
5 minutes
Dental
Officer
n/a
15 minutes
Medical
Officer
n/a
Page
23
Forms
Visitors
Log Book
Report of
Physical
and Dental
forms
Report of
Physical
and Dental
forms
Dental
forms
Laboratory
request
forms
Step
6
Applicant/Client
Proceed to any
Government or
accredited
diagnostic center
and dental clinic
Return to Health
Service Unit for the
evaluation of
laboratory and
dental results
MANUAL
Duration of
Activity
(Under Normal
Circumstances)
Service Provider
Secure the
accomplished
medical and dental
forms of the
applicant and wait
for the submission
of their laboratory
result.
Check for the
completeness of
laboratory results
1 day
15 minutes
If there is
abnormality in their
laboratory result
refer to specialist
doctor for further
evaluation
Person
In
Charge
Staff
Nurse
Medical
Officer
and
Dental
Officer
If there is no
abnormal findings
in their laboratory
result the MD will
endorse the
applicant to
DHRRM
End of Transaction
E. Medical and Dental Evaluation (Promotion/Schooling)
Schedule of Availability of Service:
Monday Friday
8:00 AM 12:00 PM
Who May Avail of the Service:
Personnel for promotion and schooling
What are the Requirements:
Special order from the DPRM
Duration: 15 20 minutes
Page
24
Fees
Forms
Depending Laboratory
on the
Results
diagnostic
laboratory
centers
n/a
Laboratory
Results
MANUAL
3
4
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Proceed to Health
Service Unit to fillout the medical
and dental record
form
Wait in the lobby
to be called
Consultation
proper
Proceed to the
Medical Officer for
final medical
evaluation
Duration of
Activity
(Under Normal
Circumstances)
Page
25
Forms
Guard
on Duty
n/a
Visitors Log
Book
5 minutes
Staff
Nurse
n/a
Medical and
Dental
Forms
10 minutes
If there is no abnormal
findings in their
laboratory result the
Medical Officer will
endorse the personnel
for promotion and
schooling to DHRD
End of Transaction
Fees
5 minutes
5 minutes
If there is abnormality in
their laboratory result
refer to specialist doctor
for further evaluation
Person
In
Charge
15 minute
Staff
Nurse
n/a
Staff
Nurse
n/a
Medical
Officer
n/a
Laboratory
Results
Medical,
dental forms
and
Laboratory
Results
Medical,
dental forms
and
Laboratory
Results
XII.
MANUAL
POLICIES /GUIDELINES
Page
26
XIII.
MANUAL
ANNEXES
22 July 2014
BJMP-HSO
STANDARD OPERATING PROCEDURE
Number 2014- 03
COMPREHENSIVE POLICY ON THE DEPLOYMENT AND REASSIGNMENT OF
HEALTH PERSONNEL
I.
II.
INTRODUCTION/RATIONALE
The BJMP has presently 681 Health Personnel distributed nationwide. This
Health Personnel consist of Doctors, Dentists, Nurses and Psychologists who
ensure the quality delivery of health care services to inmates as well as
personnel. The services of Health Personnel are vital to the success of the
mandate of the BJMP in line with the welfare and development of inmates.
Despite the shortage of manpower, the Health Service has by far successfully
carried out its mission. It is for this reason that continuity of treatment is
necessary. This can only be carried out if the Health Personnel stay in their
work station for at least 5 years for them to properly implement, monitor and
evaluate the success of their health programs. Lacking continuity in the
Page
27
MANUAL
treatment process may eventually lead to failure of the program which may
stem from lack of monitoring, misdiagnosis, incomplete medication or simply
failure to detect and treat. Due to the shortage of manpower, Health
Personnel oftentimes tasked to assume custodial, escort and other clerical
responsibilities, compromising their main mandate. Health Personnel are also
rotated or deployed without proper coordination with the Health Service
Office, thus creating vacuum in the position. Some are even whimsically
transferred to other jails or removed from their present positions and are
given other designations without regard to the responsibilities that will be left
behind. The services of the Health Personnel are of prime importance as they
deal with the lives of inmates and personnel hence, their constant presence in
their areas of responsibilities is necessary for them to promote the continuous
care that their clientele deserve.
III.
CONCEPT
To create a policy which sets up a systemic and efficient selection,
deployment and reassignment of all BJMP Doctors, Dentists, Nurses and
Psychologists nationwide.
IV.
OBJECTIVES
This policy aims to:
a. Set the standards and procedures in the selection, deployment and
reassignment of all BJMP Doctors, Dentists, Nurses and Psychologists
nationwide.
b. Ensure the proper tenure of assignment of all BJMP Health Personnel.
Page
28
V.
MANUAL
b. Dentists
c. Nurses
d. Psychologists
VI.
DEPLOYMENT
a. The deployment of BJMP Health Personnel in jails shall be
recommended by the Regional Chief, Health Service. The Chief,
Health Service, BJMP will review and evaluate recommendations
prior to endorsement to the Chief, BJMP for approval .
b. The Office of the Health Service will determine the qualification and
capability of the Health Personnel to be deployed to ensure the
quality of service to be rendered.
Page
29
MANUAL
VII.
REASSIGNMENT
a. No Health Personnel will be reassigned to other responsibilities or
jails without notifying the Chief, Health Service, BJMP prior to
approval of the Chief, BJMP.
b. Recommendations from the regions regarding the reassignment of
Health Personnel will be evaluated by the Chief, Health Service,
BJMP and make final endorsement based on the merits of all
recommendations, for approval of Chief, BJMP.
c. Health Personnel must have served at least 5 years in his/her
present assignment except in the following conditions:
1. If the Health Personnel has committed an infraction that
his/her stay in his/her present assignment would pose a
threat to his/her own safety and those of others; and
2. If the supervisor of the Health Personnel strongly
believes that he/she has become ineffective in the
conduct of his/her duties and responsibilities.
Page
30
VIII.
MANUAL
SEPARABILITY CLAUSE
In the event that any provision or part of the policy be declared unauthorized
or rendered invalid by a competent authority, those provisions not affected by
such declaration shall remain valid effective.
IX.
REPEALING CLAUSE
All other existing issuances which are inconsistent with this policy are hereby
rendered rescinded or modified accordingly.
X.
EFFECTIVITY
This policy shall take effect immediately.
Page
31
MANUAL
MEMORANDUM
FOR/TO
Director of Directorates
Chief of Offices
JNTI Director
Regional Directors
SUBJECT
DATE
22 July 2014
Page
32
MANUAL
b. Laboratory/Diagnostic Requirements:
These shall be performed by a reputable BJMP accredited
Diagnostic/Laboratory Center or any Government Health Centers/Hospitals;
Official results of laboratories, together with ECG tracings and X-ray
plates, done within one month, shall be submitted.
Chest X-ray
Electrocardiogram (ECG)
Urinalysis
Fecalysis
Complete Blood Count (CBC)
Blood Typing
Blood Urea Nitrogen (BUN)
Creatinine
SGOT
SGPT
Lipid Profile
Fasting Blood Sugar (FBS)
BUA
Drug Test for : Cannabinoids & Metamphetamine
VDRL
Pregnancy Test (for female only)
HBs Ag Screening/Anti-HBs Titer
2. BJMP Personnel
During Annual Medical Examination, Schooling/Training and Promotion, BJMP
personnel are required to submit the following laboratory/diagnostic tests:
35
Page
33
MANUAL
Creatinine
SGOT
SGPT
Drug Test for : Cannabinoids & Metamphetamine
VDRL
For overweight and obese personnel, following additional laboratory
tests must be added: Fasting Blood Sugar (FBS) and Lipid Profile.
36 years old and above
Chest X-ray
Electrocardiogram (ECG)
Urinalysis
Fecalysis
Complete Blood Count (CBC)
Blood Urea Nitrogen (BUN)
Creatinine
SGOT
SGPT
Lipid Profile
Fasting Blood Sugar (FBS)
BUA
Drug Test for : Cannabinoids & Metamphetamine
VDRL
Mandatory Pregnancy Test for all female of reproductive age.
Laboratory tests with normal findings shall be valid for a period of six
(6) months for promotion. ECG and drug test must be updated or within
one month prior to mandatory training.
B. Neuro-Psychological/Psychiatric Aspect
1. All applicants shall take the prescribed examinations only, free of
charge, at the Office of the health Service, BJMP
The assessment process is composed of the following:
a. Battery of tests composed of objective and projective type of psychological
examination duly administered by BJMP in-house psychometrician or clinical
psychologists.
b. Psychological interview which further assesses the socio-demographic profile
of the examinee, personality dynamics, responses and reactions to situations,
issues and conflicts, coping skills and life experiences that contribute to
his/her current psychological functioning.
c. Psychiatric evaluation to further evaluate underlying psychopathology or
predisposition to mental illness that may be precipitated or aggravated by
rigorous or rigid military training.
d. Applicant/s may be subjected to further psychological examination upon the
discretion of examining authority, i.e. BJMP Psychiatrist.
The recommendation of the N-P unit shall be treated with utmost confidentiality
and will be properly endorsed to the authorized unit, i.e. DPRM.
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C. Dental Aspect
The BJMP Dental Officers shall perform the dental examinations and shall make
referrals for further treatment/management if necessary.
General Requirements for Dental Examination for JO1 applicants and BJMP
Personnel:
Missing teeth should be replaced by fixed bridge or removable partial
denture (RPD) either plastic or porcelain with or without casted clasp
arm or one piece metal in all quadrants.
Single tooth replacement should be done by standard fixed bridge
procedure or with denture.
Loose and/or defect appliance should be repaired or replaced to become
functional or serviceable.
For full mouth and partial dentures, it should be properly constructed and
functional.
There should be a proper occlusion for upper and lower dentures.
Jacket crown should be properly placed for aesthetic reasons and
functions.
Absence of unfilled cavity and carious teeth. Teeth should be properly
restored.
Defective restorations of the teeth should be corrected.
Teeth should be free from calcular deposits, white plaques and other
tissue problems.
Absence of periodontal diseases that might affect mastication and speech.
Client must undergo proper treatment.
Impaction of malpositioned upper and lower third molar.
Other dental procedures/treatment that the BJMP Dentists may reasonably
require.
2. The result of final evaluations will be forwarded to the National Promotion and Selection Board
(NPSB)/Regional Promotion and Selection Board (RPSB) for final disposition.
3. For information and widest dissemination.
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24 July 2014
BJMPHSO
MEMORANDUM CIRCULAR
Number 2014- 006
I. REFERENCES:
a.
Approved Proposal submitted to ICRC re- Request for a Mobile Digital X-ray Machine dated 13
March 2013.
b. Extended MOU between BJMP and ICRC signed by OIC, BJMP and ICRC Head Delegation dated 30
April 2014.
II. RATIONALE
Annual mortality statistics of BJMP Health Service for the past six years showed that
Pulmonary Tuberculosis (PTB) is the 2nd leading cause of death among inmates.
DOTS implementation in jails and prisons has been done in coordination with many local
government units using varied strategies and approaches. In 2009, collaboration among
partners, mainly the Bureau of Jail Management and Penology (BJMP), Bureau of Corrections
(BuCor) and the Infectious Disease Office (IDO) of the Department of Health (DOH), with
assistance from the International Committee of the Red Cross (ICRC) developed a standard
approach to TB in detention implementation. In the same year, DOH Administrative Order
2009-0003, entitled Technical Guidelines for Implementing DOTS Strategies in Jails and
Prisons, was issued which was the basis for the Operational Guidelines for both BJMP and
BuCor.
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After pilot testing in 5 jails, expansion by phases now covers regions NCR, I, III, IV-A, VI,
VII, and XI. Per protocol, DOTS monitoring was conducted in the implementing jails every
quarter. Following were the findings/observations noted by the LGUs, BJMP Monitoring Team
and DOH-CHD, to wit;
1. That some jails, particularly, Quezon City Jail wherein the incidence rate of TB is
higher, had no Smear (-) negative cases for the 1st quarter because of the
unavailability of X-ray machine;
2. That access to Radiology Services for the inmates were delayed due to financial
constraint on the part of the inmate and the absence of budget for said services
from the bureau; and
3. That delay is compounded due to the prolonged process in securing inmates
Court Order for the conduct of said services available only outside of the jail
confines.
III. OBJECTIVE
To strengthen the case finding strategy in jails so as to address the barrier of the TB
suspect who have smear negative DSSM.
IV. MANPOWER CAPABILITY
The BJMP shall provide a team with the following personnel designated, to wit:
o One (1) Radiologist
o One (1) Radiologic Technician
o One (1) Assistant RadTech
o One (1) Driver
V.
GUIDELINES:
1. The Chest X-ray machine shall be placed at the National Headquarters under the
supervision of the Chief, Health Service.
2. Jails in NCR and nearby regions can avail of the service after submitting a letter
request to the NHQ Health Service indicating the preferred date for the conduct of
said service.
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3. The BJMP National Nurse TB Coordinator shall be in-charge for the scheduling of the
mobile x-ray machine subject to the approval of the BJMP National TB Medical
Coordinator.
4. The machine will be mobilized with at least twenty (20) inmates for x-ray.
5. The machine can also be accessed by personnel requiring x-ray.
6. Results of x-rays shall be provided by the in-house Radiologist.
7. The Directorate for Logistics shall provide the operating expenses such as gas
allowance and other maintenance supplies of the vehicle.
8. The requesting jail shall be responsible for providing security personnel to the
inmates while the activity is being undertaken in their AOR.
VI. EFFECTIVITY
This Circular takes effect immediately.
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03 March 2014
BJMPHSO
MEMORANDUM CIRCULAR
Number 2014- 001
II. RATIONALE:
According to Department of Health, Overnutrition i.e. overweight and obesity has
been recognized as a public health problem particularly in developed countries where
there is abundance of food supply and physical activity continues to diminish due to
automation and mechanization.
In the Philippines, among adults 20 years old and above, a trend was noted
towards an increase in overweight at 0.67 percentage point annually for the past 15
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years from 1993 to 2008. Apple-shaped obesity was six times more common in women
than men, affecting 7 in 10 women and 1 in 10 men. (NNHeS 2008, FNRI-DOST)
Based on the Annual Medical Evaluation results in BJMP-National Headquarters
showed that out of two hundred one (201) personnel taken with BMI (Body Mass
Index), 26 or 12.93% are obese and 95 or 45% are overweight, comprising more than
half of the several population.
Overnutrition indeed poses a serious health especially in the light of its strong
association with the development of non-communicable diseases such as
cardiovascular diseases, cancer, diabetes mellitus, hypertension, renal diseases,
degenerative arthritis, gout and gall bladder diseases.
Based on the death data of BJMP personnel in 2013, these non-communicable
diseases (NCDs) are among the leading cause of mortality. With the various medical
consequences associated with overnutrition, this weight problem contributes to
decreased labor productivity and economic growth retardation.
Wherefore, the Jail Bureau adopts and implements the Belly Gud for Health
Program of the Department of Health in its effort and intervention to promote and
protect its personnel towards prevention and control of NCDs.
III. OBJECTIVES:
This circular aims to:
1. Promote the reduction of waist circumference among personnel toward risk
reduction for non-communicable diseases.
2. Undertake a continuous information and awareness to the personnel about
healthy lifestyle and encourage them to stay fit and productive.
3. Promote a healthful environment like engaging in regular physical activity and
nutritious and healthier dietary management.
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IV. GUIDELINES/MECHANICS:
1. Baseline Non-Communicable Disease (NCD) Risk Assessment. The Health
Service will conduct medical assessment/evaluation which will include Waist
Circumference Measurement, BMI, Biochemical examination (glucose, cholesterol).
Waist Circumference is a significant indicator of risk for non-communicable diseases
(NCDs) particularly heart disease and stroke. The bigger the waist circumference is, the
higher the risk for non-communicable diseases. The normal and desirable waist
circumference:
Men
2.
< 90 cms
(35 inches)
(31 inches)
at the midpoint between the lower margin of the least palpable rib. For measurement,
the subject should stand with feet close together, arms at the side and body weight
evenly distributed. The subject should be relaxed, and the measurement should be
taken at the end of the normal expiration. Each measurement should be repeated twice;
if the measurements are within 1cm of one another, the average should be calculated.
4.
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reduced their waist circumference in a quarter should be re-assessed and their physical
activity monitored .
e. Health Promotion/Education can
Committee. This can help promote health awareness and further encourage
the
participants to actively participate in the program. The Committee shall coordinate with
DOH and other allied health organizations for support services. Suggested topics are
the following:
o Diabetes Mellitus and Its complications
o Stroke and Heart Attack
o Stress management
o Cancer
o Other topics with regards to health and well-being like
smoking, drinking and the likes.
f.
implemented.
V. ADMINISTRATION:
a. The following offices will implement the program.
Health Service Office
WC measurement In-Charge
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1st Offense
Reprimand
2nd Offense
3rd Offense
Dismissal
VII. EFFECTIVITY
This Circular shall take effect immediately.
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MEDICAL FORMS
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CLARO T MUNDIN, MD
Medical Officer IV/Surgeon
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Mr Carlo F Malicdem, RN
Supply Officer/Staff Nurse
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HEALTH SERVICE OFFICE PERSONNEL
Mr Voltaire C Dulfo
Psychologist
Ms Erna C Compuesto
Psychologist
Ms Mayflor N Macapugas
Psychologist
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