Health Service Manual 1st Edition 2014

Copyright@2014
All rights reserved.

No part of this manual should be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopy, recording or by any information storage
retrieval system without the permission in writing from Health Service Office, BJMP.
Health Service Manual 2014
1st Edition
Writer:
Irene S Lim, MD, DPBP
Editors:
SSUPT ARTHUR C LORENZO, MD
Design & Layout:
SJO2 Annabelle A Tabernilla, RN
TECHNICAL WORKING GROUP

Chairperson
CINSP ILNA RITA B MADERAZO, MD, TLPE

Vice Chairperson
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
Chief Health Service/Officer In-Charge
4-6
Mission & Vision
The Logo
Organizational Structure
Staffing Pattern
10
Staff Duties and Responsibilities
11
Staff Qualifications
12-13
Services and Procedures

a. Medical Services
b. Psychiatric Services
c. Dental Services
d. Nursing Services
e. Psychological Services
f. Recruitment Process
g. Flow Chart of Recruitment Process
h. Promotion Process
i. Personnel Annual Examination
j. Medical Reimbursement
Programs
a. TB in jails/Prison Program
b. Mental Health and Psychosocial Support (MHPSS)
c. Personnel Weight Management (Belly Gud for Health Program)
d. Health Information System (HIS)
e. Drug and Alcohol Rehabilitation Program
Frontline Services
a. Neuro-Psychiatric Examination
b. Initial Interview
c. Psychiatric Interview
d. Medical and Dental Evaluation (Applicants)
e. Medical and Dental Evaluation (Promotion/Schooling)
Policies/Guidelines
Annexes
Health Service Personnel
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
BJMP-HEALTH SERVICE OFFICE
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.
J/DIR DIONY D MAMARIL, CES (E)

Chief, BJMP
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
CHIEF HEALTH SERVICE/OFFICER-IN-CHARGE

From 1991 to Present
J/SUPT VENANCIO T GATCHALIAN, MD

Chief, Health Service
1991 to 1994
J/SUPT CESAR O DE GUZMAN, MD

1994 to 05 February 2003
J/SSUPT RENATO P GACUTAN, DMD

Chief Health Service
06 February 2003 to 28 February 2003
02 January 2012 to 11 March 2013
Page 4
MANUAL

J/SSUPT IRENE S LIM, MD, DPBP

01 March 2003 to 30 July 2006
J/SSUPT NIDA G GACUTAN, MD

02 January 2007 to 16 January 2011
J/CINSP ILNA RITA B MADERAZO, MD, TLPE

Officer-In-Charge, Health Service
17 January 2011 to 01 January 2012
Page 5
MANUAL

J/SUPT MA VICTORIA E VALERIA, MD

Officer-In-Charge
01 August 2006 to 01 January 2007
12 March 2013 to 12 December 2013
J/SSUPT ARTHUR C LORENZO, MD, DSC

13 December 2013 to Present
Page 6
III.
MANUAL
MISSION & VISION

MISSION
To provide quality health care among its clientele in various jails under the
jurisdiction of the Bureau of Jail Management and Penology, and ensure the
wellbeing of its personnel and qualified dependents.
VISION
The Health Service Office envisions an office that ensures accessibility health
services and prompt delivery of care and provides comprehensive and holistic
approach in addressing the health needs of its clientele and personnel.
OBJECTIVES
1. To examine, diagnose, and treat Medical, Dental and Neuro- Psychiatric
client/s of BJMP.
2. To provide Medical, Dental and Neuro-Psychiatric evaluations among BJMP
applicants.
3. To provide opportunities for professional growth and development among
health personnel.
4. To conduct researches regarding health concerns of clientele and employees
for formulation of health policies of the bureau.
5. To assist the Chief, BJMP in the total management of the bureau regarding
health concerns of clientele and employees.
6. To assist in the total health care delivery of the government for national
development.
Page 7
IV.
MANUAL
HEALTH SERVICE OFFICE LOGO
The gold font symbolizes

value and worth of health
service client.
The Caduceus sign

represents the medical
profession.
The stars
represent the 3
main islands
Luzon, Visayas
and Mindanao
The black background signifies

our clients who are in gloom and
in despair.
1991 is the year the

health service was
established.
The Clover leaf represents the four (4)
sections of the health service namely;
medical, neuro-psychiatric, nursing and
dental section. The color green is
associated with health and healing.
Page 8
V.
MANUAL
HEALTH SERVICE ORGANIZATIONAL STRUCTURE

CHIEF, HEALTH SERVICE
DEPUTY CHIEF, HEALTH SERVICE
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
ALCOHOL & DRUG

REHAB/MONITORING
TEAM
Page 9
DENTAL
ASSISTANT
RESEARCHERS
STATISTICIAN
VI.
MANUAL
STAFFING PATTERN
LEVEL
Office
MEDICAL SECTION
POSITION/DESIGNATION
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
STAFF DUTIES AND RESPONSIBILTIES

Assists the Chief, BJMP in the formulation of doable programs, projects and activities
that would promote physical and mental wellbeing of inmates in preparation for their
reintegration into the mainstream of society.
Implements programs that would address the physical, mental and psychological
needs of BJMP personnel and inmates under the bureaus custody.
Formulates and implements policies and guidelines relating to the different health
programs of the bureau.
Supervises the implementation of the health programs of the bureau, monitors its
effectiveness and makes changes when necessary.
Performs other functions as directed by the Chief, BJMP.
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.
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
Perform other functions as directed by the Chief, Health Service.
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
Assist the Medical Officer during medical examinations and management.

Administer medicines and other treatment procedures upon doctors order.
Prepare and submit monthly accomplishment report to higher office.
Collate mortality and morbidity report submitted by the Regional Offices.
Facilitate in the medical re imbursement / claims of BJMP personnel.
Conduct initial health assessment to newly committed inmates and record relevant
information.
Conduct health assessment and intervention to inmates.
Conduct regular health promotion/education to its clientele.
Establish and maintain proper linkages with Local Executives, Local Health units and
Civic Health Organizations for health related assistance.
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.
VIII.
STAFF QUALIFICATIONS
a. Medical Doctors
Must be a graduate of Doctor of Medicine and has passed the Physicians

Licensure Examination
Must have the rank of at least SINSP or its equivalent NUP rank
Page
12
MANUAL
Doctors can be General Practitioners or Specialists

For Psychiatrist, he/she must have completed a four (4) year residency training in
Psychiatry in accredited training institution
Must be of good moral character
b. Dentist
Must be a licensed dentist in the Philippines
c. Nurse
Must be a registered nurse in the Philippines
Must have undergone relevant trainings in the field of nursing.
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
IX.
SERVICES AND PROCEDURES

a. Medical Services
1) For Personnel
All BJMP personnel who need medical attention may report at the Health
Service Office to be examined and treated by the Medical Officer. Those who
need further treatment or who need the attention of a specialist will be referred
to a government physician or their physician of choice. Hospital expenses will
be personally borne by the personnel or may avail of the Hospital
Reimbursement Program of the bureau pending the assessment of the
Adjudication Board.
2) For Inmates
Inmates who need medical attention will be initially seen by the Jail Nurse for
assessment and will be referred to the Medical Officer for further evaluation
and treatment. If a Medical Officer is not available, the inmate who needs
urgent medical attention will be referred to the nearest government hospital.
For non-emergency cases that requires further evaluation and management in
a hospital setting, court order must be secured.
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.
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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
g. Flow Chart of Recruitment Process
Endorsement for NP Evaluation

from DPRM/RPRM
Psychological Examination
Neuro-Psychiatric Interview
Endorsement of NP Evaluation Result to

DPRM/RPRM
Endorsement of DPRM/RPRM for Medical and Dental

Evaluation
Medical and Dental Evaluation
Endorsement of Medical and Dental

Evaluation to DPRM /RPRM
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.
Personnel Annual Physical Examination

Annual Physical Examination is a mandatory requirement to evaluate the physical
wellbeing of every personnel. Series of diagnostic and laboratory tests are submitted for
medical evaluation.
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
formerly introduced as Critical Incidence Stress Debriefing (CISD) to prevent unwarranted

sequelae of the traumatic incident to the mental health of the victims or survivors.
MHPSS is an intervention conducted by a group of trained and skilled BJMP personnel by
processing the survivors experience of the trauma. The process allows the participant
survivor to relate the fact, express their thoughts, feelings or reactions and made them
recognize symptoms brought by the incident. After the group processing, assessment
results to 1) identification of individuals already manifesting signs and symptoms of
psychological/behavioral/cognitive disturbances; 2) refers index cases to psychiatrists for
further evaluation and management; 3) identify and reports individuals that may later on
manifest or develop signs and symptoms of mental illness; 4) teaching coping skills and
enhancing adaptive capacities and innate resources for the victim/individual resume their
usual function.
To date, the BJMP nationwide are almost represented by MHPSS trained personnel. They
are mobilized once the situation calls for after proper coordination at the National
Headquarters who is responsible for MHPSS team output review and recommendation.
c. Personnel Weight Management (Belly Gud for Health Program)
The bureau adopts and implements the Belly Gud for Health Program of the Department
of Health in its effort to promote and protect its personnel towards prevention and control
of Non-Communicable Diseases. Among the objectives of this is to promote the reduction
of waist circumference among personnel toward risk reduction for non-communicable
diseases, undertake a continuous information and awareness to the personnel about
healthy lifestyle and encourage them to stay fit and productive. This is likewise geared
towards promoting a healthful environment like engaging in regular physical activity and
nutritious and healthier dietary management.
d. Health Information System (HIS)
Health Information System is responsible for the reporting and recording of the diseases
affecting the community, as well as the number of deaths in a given period of time. By
analysing statistical data, it is possible to know the most common prevalent illnesses and
possibly the main causes of deaths within the detainees. Through this data, jail nurses can
properly shape a health system strategy and target interventions properly carried out.
e. Drug And Alcohol Rehabilitation Program
The HSO-NP Section is the technical arm of the BJMP Drug and Alcohol Rehabilitation
Committee. The section evaluates the personnel who availed and was granted
rehabilitation procedures by the committee. After initial psychological and psychiatric
evaluation, the personnel will be recommended for inpatient or outpatient rehabilitation
whichever is applicable to the jail officer. The outpatient process involves monitoring of
personnel for recurrent drug use for period of six months duly conducted by the Chief
Page
18
MANUAL
Health Officer of their respective region. Personnel requiring further psychological

intervention and psychiatric management will be referred to the nearest mental health
facility for management. Coordination with the attending psychologist and/or psychiatrist
will be facilitated by the regional psychologist.
Inpatient rehabilitation will be upon the recommendation of the Psychiatrist-in-charge of
Rehabilitation Program and be duly approved by the BJMP Drug and Alcohol
Rehabilitation Committee of the National Headquarters. Jail officer will undergo 6-8 months
of inpatient rehabilitation and will re-assessed thereafter. He will be endorsed to his
regional office to undergo out-patient rehabilitation to cover a period of two years of
rehabilitation.
Report of compliance of outpatient and inpatient rehabilitation will be forwarded to the
Office of the Chief, NP of the National Headquarters for review and reporting to the BJMP
Committee.
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:
One (1)piece 2x2 picture

Ball pen, lead pencil (no.2), eraser
Duration: one (1) day
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19
MANUAL
How to Avail of the Service:

Step
Applicant/Client
Register at the guard

and get visitors pass
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
Give applicants Depending on the

the instructions
test to be given
of the tests
Schedule the
applicant for
3 minutes
Initial Interview
End of Transaction
B. INITIAL INTERVIEW
Monday Friday
8:00 AM 12:00 PM
Applicants/personnel who took Neuro-Psychological examination
Applicants/personnel should wear proper interview attire
Duration: 15 20 minutes
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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
Give client the

visitors pass
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
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
Give client the

visitors pass
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
Read the protocol of

the applicant
10 minutes
Evaluate the
applicant/personnel
15 20 minutes
Advise to wait for the
result from the DPRM 2-4 days
End of Transaction
Interviewer
n/a
n/a
Interviewer
n/a
n/a
D. Medical and Dental Evaluation (APPLICANT)

Upon endorsement of DPRM/Regional Recruitment and Selections
Board
8:00 AM 5:00 PM
Who May Avail of the Service :
Applicants/clients initially evaluated by DPRM/Regional Recruitment and Selections
Board
What are the Requirements :
Endorsement to conduct medical and dental evaluation from the DPRM/Regional
Recruitment and Selections Board
Complete Laboratory Examination Results from the Government or Accredited
Diagnostic Centers
Duration: two (2) days
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22
MANUAL
Step
1
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Give client the

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
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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)
Monday Friday
8:00 AM 12:00 PM
Personnel for promotion and schooling
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

Step
3
4
Applicant/Client
Service Provider
Register at the
guard and get
visitors pass
Give client the visitors

pass
Proceed to Health
Service Unit to fillout the medical
and dental record
form
Wait in the lobby
to be called
Get the personnel

protocol and ask to fill
out the medical dental
form.
Consultation
proper
Proceed to the
Medical Officer for
final medical
evaluation
Check for the

completeness of
laboratory results
Get the vital signs of
the personnel and give
the accomplished
medical and dental
form to dental officer for
dental check-up
Evaluate the patient
and check for any
abnormality in their
laboratory results
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
1. Standard Operating Procedure 2014-03 (Comprehensive Policy on the Deployment

and Reassignment of Health Personnel)
2. Amended Guidelines on Medical, Neuro-Psychological/Psychiatric and Dental
Evaluation
3. Guidelines on the Management of Human Immunodeficiency Virus (HIV) among
Inmates in all BJMP Jails Nationwide.
4. Guidelines on the Utilization of Mobile Digital X-ray Machine
5. Implementation of Belly Gud for Health-Keeping fit, Moving Forward the BJMP Way.
6. Implementation of BJMP-MC No. 2011-01 (BJMP Personnel Fitness
Program)
7. Implementation of BJMP-MC No. 2009-003 ( Operational Guidelines for the
Management of TB in Jails.)
8. Hospitalization Treatment/Hospitalization of Inmates
9. Implementation of Hepatitis B Screening and Vaccination to all BJMP
Applicants.
10. Implementation of DILG Circular No. 2008- 19 (Reimbursement of Hospitalization
Expenses of BJMP Personnel.)
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.
Reference : Health Service Program Thrust
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
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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.
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28
V.
MANUAL
QUALIFICATIONS OF BJMP HEALTH PERSONNEL

a. Medical Doctors
Must be licensed Medical Doctor
Must qualify in the recruitment process with an entry rank of Senior

Inspector
Doctors can be General Practitioners or Specialists
b. Dentists
Must be a licensed Dentist
c. Nurses
Must be a Registered Nurse
Must have undergone relevant trainings in the field of nursing.
d. Psychologists
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
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.
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29
MANUAL
c. No Health Personnel will be deployed or assigned to a specific jail

without endorsement from the Chief, Health Service and the
approval of the Chief, BJMP.
d. Every region shall have at least one (1) Medical Doctor, one (1)
Dentist and one (1) Psychologist depending on the health
demands.
e. All jails must have at least one (1) full time nurse per 8 hour shift.
f.
Designated Health Personnel shall concentrate on their given task

and not be allowed to do other functions other than their job
description.
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.
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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.
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31
MANUAL
MEMORANDUM
FOR/TO
Director of Directorates
Chief of Offices
JNTI Director
Regional Directors
SUBJECT
Amended Guidelines on Medical, Neuro- Psychological/Psychiatric and

Dental Evaluation
DATE
22 July 2014
1. This guideline prescribes the criteria for the Medical, Neuro-Psychological/Psychiatric

and Dental Evaluations of JO1 applicants and BJMP personnel both uniformed and civilian employees.
A. Medical Aspect
1. JO1 applicants
a. Must undergo a thorough medical examination performed by a BJMP
Medical Officer and must be free from the following medical conditions:
No cardiovascular diseases like hypertension, post cerebro-vascular
accident (CVA) cases, cardiac dysrythymias, ischemic heart
diseases, aneurysms, and other cardiac disorders.
No pulmonary diseases like active pulmonary tuberculosis (PTB),
severe Bronchial Asthma requiring steroid treatment, Emphysema
and other diseases that compromise respiratory functions.
No active major systemic diseases like Hepatitis A, B, C, D, E;
Diabetes Mellitus, Systemic Lupus Erythematosus (SLE), and
other chronic and dreaded diseases that will require continuous or
intermittent evaluations and treatment.
No major genito-urinary disorders like obstructive renal stones,
other renal disorders, and sexually transmitted infections (STI).
Other medical diseases further identified by the BJMP Medical
Officer that may compromise the physical and mental capacity of
the applicant as required in their specified training and job.
No unusual body piercing/s and tattooes
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32
MANUAL
Mass or tumors that need further assessment by medical

specialist.
No gross eye deformity, major visual defect and color blindness
No hearing loss or impairment.
No other deformities that may affect speech, mastication and
deglutition.
No active major neurological deficits/disorders and muscular
dystrophies that impair normal mental and physical functions.
No gross skeletal deformity as to limit joint movements and those
with long bone pins and/or screws.
Ambiguous genitalia, abdominal hernia.
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
years old and below

Chest X-ray
Urinalysis
Fecalysis
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33
MANUAL
Creatinine
SGOT
SGPT
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
Urinalysis
Fecalysis
Creatinine
SGOT
SGPT
Lipid Profile
Fasting Blood Sugar (FBS)
BUA
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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34
MANUAL
Applicants who wish to discuss areas of deficiency will be accommodated once

their letter request for discussion of their N-P evaluation is approved by the
Office of the Chief, BJMP.
Result will be discussed privately by the psychologist or psychiatrist with the
requesting party but they may not be allowed to secure a copy of the test result
and final recommendation.
The result shall be considered clinically valid for a duration of six (6-months)
from the date of psychological examination. Therefore, applicants shall be allowed
STRICTLY to take these examinations ONCE and there shall be no retake or
repeat N-P Examinations, within the six (6-months) period.
2. Personnel candidate for promotion 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/ regional psychologists.
b. Psychological interview, which updates the personnels socio-demographic
profile of the examinee, determines his/her 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 undergoing psychopathology or
predisposition to mental illness that may be precipitated or aggravated by
recent stressful life events.
d. Personnel may be subjected to further psychological examination upon the
discretion of examining authority, i.e. BJMP Psychiatrist.
e. If and when a clinical disorder was considered, the personnel may be
recommended to undergo treatment to his/her psychiatrist of choice.
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.
Personnel who wish to discuss areas of deficiency will be accommodated once
their letter request for discussion of their N-P evaluation is approved by the
Office of the Chief, BJMP.
Result will be discussed privately by the psychologist or psychiatrist with the
requesting party but they may not be allowed to secure a copy of the test result
and final recommendation.
The result shall be considered clinically valid for a duration of six (6-months)
from the date of psychological examination. Therefore, personnel shall be allowed
STRICTLY to take these examinations ONCE and there shall be no retake or
repeat N-P Examinations within the six (6-months) period.
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35
MANUAL
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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36
MANUAL
24 July 2014
BJMPHSO
MEMORANDUM CIRCULAR
Number 2014- 006
GUIDELINES ON THE UTILIZATION OF MOBILE DIGITAL X-RAY MACHINE
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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37
MANUAL
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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38
MANUAL
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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39
MANUAL
03 March 2014
BJMPHSO
MEMORANDUM CIRCULAR
Number 2014- 001
GUIDELINES ON ADOPTING AND IMPLEMENTING THE BELLY GUD FOR HEALTH

Keeping Fit, Moving Forward, the BJMP Way .
II. REFERENCES:
a. Policy/Guidelines of the Department of Health re: Belly Gud Program;
b. Civil Service Commission Memorandum Circular No. 06, S. 1995; and
c.
Civil Service Commission Memorandum Circular No. 38, S. 1992
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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40
MANUAL
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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41
MANUAL
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)
Women < 85 cms
(31 inches)
Selection of Target Participants. Based on the NCD risk assessment and
evaluation, personnel categorized as Obese/Overweight this also includes patient

diagnosed with Hypertension and Diabetes Mellitus; and having a waist circumference
greater from the desirable waist circumference will automatically become the target
participants.
3.
Method of Measuring Waist Circumference. Waist circumference should be
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.
Intervention Activities. The interventions to be undertaken by the target
participants are the following, to wit;

a. Orientation will be done to the participants about the background,
mechanics and the expected output of the program. This will be done by one of the
representatives of the Committee. All the participants will work on their own
interventions in accordance to their preference, schedule and convenience. However,
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42
MANUAL
they are encouraged to participate in various intervention activities implemented by the

Bureau.
b. Session on Nutrition will be provided at least once a month to the
participants to give an overview on dietary management and encourage them to eat
healthy diet. Use of slimming tea/drugs or other artificial/commercial formulations are
strictly prohibited. The Committee shall conduct lecture on healthy recipes and other
nutrition topics.
c. Session on Physical Activity will be done regularly by the participants
with considerations to those with medical restrictions. The activity will be supervised and
administered by a representative of the Committee. They are also tasked to conduct
lectures on physical activities/exercises such as dance for health, yoga, tae-chi and
therapeutic massage will be included. One of the activities to be undertaken is the
FITNESS Camp which consists of indoor and outdoor fitness activities, with the
consultation /approval of the head of the participants as follows, to wit;
o HATAW exercise to be done every Tuesday and Thursday (1600H
onwards)
o Physical work out using GYM facilities whether within office/jail
premises or other commercial facilities will be allowed
o ALA STRESS consists of activities such as short prayer and 15
minute dance exercise such as Zumba, Aero-kaebo. This will
relieve stress and promote wellness in the workplace.
o Other activities initiated by the Committee.
d. Monthly NCD Risk Assessment and Screening. This undertaking
should be strictly adhered to by the Committee in order to monitor/assess the
effectiveness and improvement of the participants in the program. Waist monitoring will
be monitored every month and should be documented. It is highly recommended that
only two (2) person should do the measurement for all participants. This is to avoid bias
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43
MANUAL
and discrepancies in getting the waist circumference.
Participants who have not
reduced their waist circumference in a quarter should be re-assessed and their physical
activity monitored .
e. Health Promotion/Education can
also be undertaken by the
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.
Duration of the program will be six (6) months and continuously be
implemented.
V. ADMINISTRATION:
a. The following offices will implement the program.
Health Service Office
WC measurement In-Charge
DPRM/ RPRM Division

DHRD/PHRD
In-Charge for Physical Activity
VI. AWARDS AND SANCTIONS :

a. By the end of six (6) months, the biggest loser will be given a
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MANUAL
Certificate/Plaque of Recognition/Commendation by the concerned offices/jails.

Likewise, it is also encourage giving incentives in the form of
cash or valuables to the biggest loser.
b. During culmination of the program, if any participants failed to
reduced its waist circumference by at least 8 to 10 centimetres, the Committee
shall re-assess/re-evaluate the subject personnel. Any violation of this Circular
shall be considered as ground for disciplinary action and the personnel
concerned shall be prosecuted for VIOLATION OF REASONABLE OFFICE
RULES AND REGULATIONS. Pursuant to Section 1 Dc of Rule IV of the BJMP
Administrative Disciplinary Machinery violation of this circular is considered a
light Offense with the following penalties:
1st Offense
Reprimand
2nd Offense
Suspension of one (1) day to

thirty (30) days
3rd Offense
Dismissal
VII. EFFECTIVITY
This Circular shall take effect immediately.
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MEDICAL FORMS
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HEALTH SERVICE OFFICE PERSONNEL
J/SSUPT ARTHUR C LORENZO, MD, DSC

J/SINSP NORA G CANDELARIA, DMD

Deputy Chief, Health Service
Dental Officer
J/SINSP JOY T MANZO, MD, FPPA

Chief, NP Section
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J/SINSP JOHN PAUL DG BORLONGAN, MD

Chief, Medical Section
J/SINSP MANUEL R RAFANAN

Chief, Admin Section
CLARO T MUNDIN, MD
Medical Officer IV/Surgeon
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Irene S, Lim, MD, DPBP

Psychiatrist
SJO4 Regina P Morfon, RN

Chief, Nursing Section
SJO2 Annabelle A Tabernilla,RN

Admin Officer/Staff Nurse
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JO1 Janelle Erika S Rodriguez, RN

Records Officer/Staff Nurse
JO1 Czar John R Rabara, RN

Ambulance Driver/Staff Nurse
Mr Carlo F Malicdem, RN
Supply Officer/Staff Nurse
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Mr Voltaire C Dulfo
Psychologist
Ms Erna C Compuesto
Psychologist
Ms Mayflor N Macapugas
Psychologist
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144 Mindanao Avenue, Quezon City

Philippines 1106
www.bjmp.gov.ph
email : bjmphealthservice@gmail.com
(+63 2) 927 6383 loc 109

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TECHNICAL WORKING GROUP

Irene S Lim, MD, DPBP

CINSP ILNA RITA B MADERAZO, MD, TLPE

Chief Health Service/Officer In-Charge

Mission & Vision

Staff Duties and Responsibilities

Services and Procedures

BJMP-HEALTH SERVICE OFFICE

J/DIR DIONY D MAMARIL, CES (E)

BJMP-HEALTH SERVICE OFFICE

BJMP-HEALTH SERVICE OFFICE

BJMP-HEALTH SERVICE OFFICE

CHIEF HEALTH SERVICE/OFFICER-IN-CHARGE

J/SUPT VENANCIO T GATCHALIAN, MD

J/SUPT CESAR O DE GUZMAN, MD

J/SSUPT RENATO P GACUTAN, DMD

BJMP-HEALTH SERVICE OFFICE

CHIEF HEALTH SERVICE/OFFICER-IN-CHARGE

J/SSUPT IRENE S LIM, MD, DPBP

J/SSUPT NIDA G GACUTAN, MD

J/CINSP ILNA RITA B MADERAZO, MD, TLPE

BJMP-HEALTH SERVICE OFFICE

CHIEF HEALTH SERVICE/OFFICER-IN-CHARGE

J/SUPT MA VICTORIA E VALERIA, MD

J/SSUPT ARTHUR C LORENZO, MD, DSC

BJMP-HEALTH SERVICE OFFICE

MISSION & VISION

BJMP-HEALTH SERVICE OFFICE

HEALTH SERVICE OFFICE LOGO

The gold font symbolizes

The Caduceus sign

The black background signifies

1991 is the year the

BJMP-HEALTH SERVICE OFFICE

HEALTH SERVICE ORGANIZATIONAL STRUCTURE

DEPUTY CHIEF, HEALTH SERVICE

ALCOHOL & DRUG

BJMP-HEALTH SERVICE OFFICE

BJMP-HEALTH SERVICE OFFICE

STAFF DUTIES AND RESPONSIBILTIES

BJMP-HEALTH SERVICE OFFICE

Perform other functions as directed by the Chief, Health Service.

Assist the Medical Officer during medical examinations and management.

Must be a graduate of Doctor of Medicine and has passed the Physicians

BJMP-HEALTH SERVICE OFFICE

Doctors can be General Practitioners or Specialists

SERVICES AND PROCEDURES

BJMP-HEALTH SERVICE OFFICE

BJMP-HEALTH SERVICE OFFICE

BJMP-HEALTH SERVICE OFFICE

g. Flow Chart of Recruitment Process

Endorsement for NP Evaluation

Endorsement of NP Evaluation Result to

Endorsement of DPRM/RPRM for Medical and Dental

Medical and Dental Evaluation

Endorsement of Medical and Dental

BJMP-HEALTH SERVICE OFFICE

Personnel Annual Physical Examination

BJMP-HEALTH SERVICE OFFICE

formerly introduced as Critical Incidence Stress Debriefing (CISD) to prevent unwarranted

BJMP-HEALTH SERVICE OFFICE

Health Officer of their respective region. Personnel requiring further psychological