Department of Health

Bicol Center for Health Development

Orientation on Interim Guidelines on PuroKalusugan

Department Memorandum No. 2025-0024

For ALBAY Province

March 7, 2025, Venezia Hotel, Legazpi City
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department Circular
No. 2025-0011

Department of Health
Bicol Center for Health Development
Department Memorandum
No. 2025-0024

Department of Health
Bicol Center for Health Development
Regional Circular
No. 2025-0010
Dissemination of DM No. 2025-0024 entitled
“Interim Guidelines on PuroKalusugan: An Approach
in Improving Primary Health Service Delivery to the
Underserved and Unserved Filipinos

Department of Health
Bicol Center for Health Development
Objective
Provide strategic approaches necessary for
the effective operationalization of
PuroKalusugan, with the primary aim of
enhancing healthcare service delivery at the
Barangay and Purok level.

Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Key Strategies for PuroKalusugan (PK)

A. Establishment of PuroKalusugan
B. Responsive Health Service Delivery
C. Enhanced Digital Information Systems
D. Financing Strategies
E. Leadership and Governance
F. Monitoring and Evaluation
Department of Health
Bicol Center for Health Development
A. Establishment of PuroKalusugan (PK)
• Organization of PuroKalusugan in all Barangays and
their Puroks
• Identification of at least three (3) Barangay (with
their respective puroks) per Municipality/City as
priority implementation sites for the initial
implementation of PK
• Provision of enhanced health services and additional
assistance/logistics support from the DOH for the
identified priority implementation sites
Department of Health
Bicol Center for Health Development
B. Responsive Health Service Delivery
to Address the Specific Needs of each
Barangay and its Purok
• Targeted Intervention: Focused on health promotion, wellness,
and nutrition at the primary level aligned with the services being
given in DOH’s 8 Priority Health Outcomes namely Immunization,
Nutrition, Maternal Health, WASH, TB and HIV AIDS Management
and Control, Road Safety, NCDs esp HPN and DM Control and
Mental Health, Cancer Prevention and Control and Hepatits B
Management
• Implementation sites may focus on at least three (3) programs

Department of Health
Bicol Center for Health Development
B. Responsive Health Service Delivery
to Address the Specific Needs of each
Barangay and its Purok
• PuroKalusugan Health Teams: PKTs that will provide direct health
service delivery at least twice a week to priority PK sites
• Core Members: (a) At least a nurse of midwife from the NHWSS,
(b) Other DOH-deployed HRH under the NHWSS, DOH-hired
HRH such as CHD-hired, DPCB-hired,HPB-hired or DOH-hospitals
deployed at LGU,(c) LGU-hired HRH, and (d) BHWs

The PKTs of a municipality/city shall be directly supervised by a

DOH Representative.
Department of Health
Bicol Center for Health Development
B. Responsive Health Service Delivery
to Address the Specific Needs of each
Barangay and its Purok
• There shall be at least one (1) PK team in each barangay
• The nurse or midwife from DOH-deployed HRH shall lead the PK
Team and shall directly report to the DOH Representative
assigned
• PK team composition may be expanded

Department of Health
Bicol Center for Health Development
B. Responsive Health Service Delivery
to Address the Specific Needs of each
Barangay and its Purok
• Different cadres of health care workers may potentially be
deployed depending on the identified needs and strategies to be
implemented.

Other Potential HCWs: e.g. BNS, BVSI, BHERTs, HRH from SUCs, HRH from
private sectors, or other volunteer HRH

Department of Health
Bicol Center for Health Development
B. Responsive Health Service Delivery
to Address the Specific Needs of each
Barangay and its Purok
• Resource Assessment and Gap Analysis within the
Barangay/Purok
• Structured Healthcare Services:e.g. via existing healthcare
facilities,deployment of mobile clinics, or direct house-to-house
health service delivery
• Health Promotion: Enhancing health literacy community
awareness, and support for health initiatives
• Patient Registration: Advocacies on first patient encounters and
registration/updating to a primary care provider
Department of Health
Bicol Center for Health Development
C. Enhanced Digital Information
Systems for Health Service Delivery and
Monitoring of Implementation
• Toolkit Adaptation: PK Manual for DOH Representatives, PKTs
and BHWs
• PuroKalusugan Dashboard (PK Dash):Monitor and evaluate the
performance and impact of PuroKalusugan. Allowing access
and input for implementers and visualization of PuroKalusugan’s
contributions to the 8 Priority Health Outcomes.
• Data Digitalization: For tracking, data collection and analysis
• Digital Health Integration: Maximize technological
advancements
Department of Health
Bicol Center for Health Development
D. Financing Strategies for the
Implementation and Sustainability of
PuroKalusugan
• Fund Review Allocation: Review budget allocations, identify
potential areas for reallocation.
• Partnership and Collaboration:Private sectors, development
partners, and/or civil society organizations
• Maximize Patient Benefits: e.g. Konsulta packages
• Cost projection: Close coordination between CHDs and LGUs to
identify financial needs and implementation costs for potential
funding from the LGUs, Central Office and other investments on
health
Department of Health
Bicol Center for Health Development
E. Leadership and Governance
• Creation of PuroKalusugan Steering Committee and Technical
Secretariat: To provide overall leadership, implementation and
policy direction. Provision of direct oversight, through the CHDs.
• Establishment of the PuroKalusugan Technical Working Group
• Mobilization of PDOHOs and DOH Reps: Supervise and monitor
implementation and provide technical assistance
• Community Leadership and Engagement: Engaging formal and
informal leaders as Health Champions
Department of Health
Bicol Center for Health Development
F. Monitoring and Evaluation
• The performance monitoring and evaluation of DOH Bureaus,
Services, Offices and Centers for Health Development relating to
the PuroKalusugan initiative shall be reflected in their respective
Office/Individual Performance Committee and Review (O/IPCRs)
• Further, the performance of DOH-hired HRH, whether under the
NHWSS or those directly hired by DOH Offices/CHDs, deployed
for the implementation of the PuroKalusugan or as members of
PKTs, shall be monitored and evaluated based on indicators
aligned with the DOH’s 8 Priority Health Outcomes as reflected
in their respective IPCRs.
Department of Health
Bicol Center for Health Development
PuroKalusugan Plans for 2025
PLANS TIMELINES
Policy Issuance for Funding Support Q1-Q2
Issuance of M&E Tools Q3
Issuance of BHW PK Manual Q2
Issuance of DM for Monitoring of Implementation Q2,Q4
Select Monitoring and Technical Assistance to CHDs Q1-Q3

Department of Health
Bicol Center for Health Development
Frequently Asked Questions on
PuroKalusugan
QUESTIONS ANSWER
1. How is this different from what is being done? PuroKalusugan aims to be a community-based approach
to health service delivery, wherein services being
delivered are responsive to the needs of the
barangays/puroks
2. Will there be additional funding from the Central Office Yes, resources are being reviewed and reallocated as may
be allowed
3. Will there be a monitoring tool for its implementation? Yes, there is an ongoing development of the monitoring
and evaluation framework where the tools will come from
4. What are the specific roles or each stakeholder for its Central Office- Policy development, funding and technical
implementation assistance
CHDs/MOH_BARMM- Implementers (e.g. action planning,
budgetary requirements, deployment of HRH, conduct of
training), provision of technical assistance

Department of Health
Bicol Center for Health Development
PuroKalusugan Notion Page
PARTICULARS Key Features
Access Accessible for all stakeholders, in any platforms with
internet connectivity (e.g. mobile phones, search
webpage such as chrome)
Content Policy issuances for PK, future implementations
Requests for Information Submission for queries
Link https://bit.ly/PKNotion

Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

PuroKalusugan Sites and

Program Criteria
ANNEX A: CRITERIA FOR SELECTION OF
PRIORITY IMPLEMENTATION SITES
TABLE 1. Criteria for the Selection of Priority Initial Implementation Sites
CRITERIA DESCRIPTION INDICATOR PARTICULARS SCORE VALUE DATA SOURCE REPORTING
UNIT
Poor Health The number Indicators for ≥ 4/8 4 FHSIS or Epidemiology
Outcomes of priority the 8 Priority Available LGU Bureau or
(from the health Health ≤ 3/8 2 data LGU
DOH’s 8 outcomes Outcomes
Priority wherein the
Health communities
Outcomes did not reach
more than
50% of the
National
Targets

Department of Health
Bicol Center for Health Development
ANNEX A: CRITERIA FOR SELECTION OF
PRIORITY IMPLEMENTATION SITES
TABLE 1. Criteria for the Selection of Priority Initial Implementation Sites
CRITERIA DESCRIPTION INDICATOR PARTICULARS SCORE VALUE DATA SOURCE REPORTING
UNIT
Low Health Areas with a Percentage of ≥ 2 hrs travel 4 Administrativ HFDB or LGU
Service least 1 hour the time e data or
Coverage of travel time population available LGU
(any means of with access to ≥ 1 hr travel 2 data
travel an time
including by ambulatory
foot) from a (primary) care
primary care facility
facility

Department of Health
Bicol Center for Health Development
• The highest total score value is 8. Areas will be ranked according to the
total score value. The M/CHOs may select at least 3 priority
barangays with their respective puroks as the initial implementation
sites. The sites may be expanded or adjusted depending on the
identified gaps and resources available in the communities until all the
areas identified in the ranking are served. If the resources available
cannot meet the needs of all identified puroks, those with a higher
number of households may be prioritized.

Department of Health
Bicol Center for Health Development
ANNEX A: CRITERIA FOR SELECTION OF
PRIORITY IMPLEMENTATION SITES
TABLE 2. Sample Ranking Municipality X
PARTICULARS SCORE LOW HEALTH SCORE TOTAL SCORE
VALUE SERVICE VALUE VALUE
COVERAGE
Brgy 4/8 1. 40% FICs 4 ≥ 2 hours of 4 8
1 2. 30% of children are stunted travel time
3. 10% of live births resulted to
maternal deaths
4. 5% of the pop died due to TB
Brgy 2/8 1. 5% of the pop died due to TB 2 ≥ 2 hours of 4 6
2 2. 30% of the pop have travel time
uncontrolled DM
Brgy 2/8 1. 25% of the pop have no 2 At least 1 hour 2 4
3 access to safe water
2. 30% of the pop have
uncontrolled HTN

Department of Health
Bicol Center for Health Development
Results
1. Brgy 1*
2. Brgy 2*
3. Brgy 3

* Priority Area for the first year of implementation, which may be

expanded or adjusted depending on the identified gaps and resources
available in the communities and the progress of the initial
implementation.

Department of Health
Bicol Center for Health Development
ANNEX B: CRITERIA FOR SELECTION OF
PRIORITY HEALTH PROGRAMS
TABLE 3. Criteria for the Prioritization of Health Programs Based on Health Outcome Indicators
CRITERIA DESCRIPTION INDICATOR PARTICULARS SCORE VALUE DATA SOURCE REPORTING
UNIT
Poor Health Priority Health Indicators for ≤ 50% of 4 FHSIS or Epidemiology
Outcomes Outcomes not the 8 Priority National Available LGU Bureau of LGU
(from the reaching the Health Targets Data
DOH’s 8 National Outcomes ≤25% of 2
Priority Health Targets National
Outcomes) Targets
High Disease Communicable Mortality and High mortality 2 FHSIS or Epidemiology
Burden and Non- morbidity rate rate Available LGU Bureau of LGU
communicable Data
diseases in the High morbidity 1
communities rate
that reflects
high burden of
diseases

Department of Health
Bicol Center for Health Development
• The highest total score value is 6. The program may be ranked
according to the total score value. The M/CHOs will initially focus on
the top 3 priority health outcomes that most need target
interventions, this may expand depending on available resources.
Close coordination and collaboration with the Rural Health Units of
identified priority areas is a must to avoid overlapping of services and
functions.

Department of Health
Bicol Center for Health Development
TABLE 4. Sample Ranking Purok 1
DOH’s 8 Priority Status of Score High Disease Burden Score Value Total Score
Health health Value Value
Programs outcomes
versus the
National
Targets

Nutrition <50% 4 High morbidity rate 1 5

WASH <10% 2 High morbidity rate 1 3
Immunization <50% 4 High morbidity rate 1 5
Maternal Health <50% 4 High mortality rate 2 6
Road Safety <10% 2 High mortality rate 2 4
TB/HIV Control <50% 4 High mortality rate 2 6
DM and HTN <25% 2 High morbidity rate 1 3
Control
Cancer Control <25% 2 High morbidity rate 1 3

Department of Health
Bicol Center for Health Development
Results
1. Maternal health and TB/HIV Control*
2. Nutrition and Immunization*
3. Road Safety, DM and HTN Control
4. WASH and Cancer Control

* Priority Area for the first year of implementation, which may be

expanded or adjusted depending on the identified gaps and resources
available in the communities and the progress of the initial
implementation.

Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

Overview of Targets and Key

Strategies for 2025
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

Recommended Health
Services For PuroKalusugan
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

PUROKALUSUGAN-RELATED
OPCR METADATA
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

PK ACTION PLANNING
TEMPLATE
Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development
DEADLINE OF ACTION PLANS
APRIL 30, 2025

DMOs to submit action plans per PK implementation

sites/barangay (3) per municipality assignments

Department of Health
Bicol Center for Health Development
Department of Health
Bicol Center for Health Development

REPORTING FORMS
TEMPLATE
Department of Health
Bicol Center for Health Development

MARAMING SALAMAT PO