Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARY

August 17, 2020

MEMORANDUM CIRCULARNo. 2020 - O040

TO

SUBJECT:

>: ALL UNDERSECRETARIES, ASSISTANT SECRETARIES,DIRECTORS OF BUREAUS, REGIONAL OFFICES ANDSERVICES; EXECUTIVE DIRECTORS OF SPECIALTYHOSPITALS, AND NATIONAL NUTRITION COUNCIL;CHIEFS OF MEDICAL CENTERS, HOSPITALS, SANITARIAAND _INSTITUTES; PRESIDENT OF THE PHILIPPINEHEALTH INSURANCE CORPORATION; DIRECTORS OFPHILIPPINE NATIONAL AIDS COUNCIL AND TREATMENTAND REHABILITATION “CENTERS; AND OTHERSCONCERNED

DILG-DOH-DICT-NEDA Joint Memorandum Circular No. 2020-01 entitled “Organization and Mobilization of Composite TeamsinLocal Health Units for Community Mitigation of COVID-19”

Attached for your information and guidanceis a copy of the DILG-DOH-DICT-NEDAJoint Memorandum Circular No. 2020-01 entitled “Organization and Mobilization ofComposite Teams in Local Health Units for Community Mitigation of COVID-19” datedMay20, 2020.

Dissemination of the information to all concerned is requested.

By Authority ofsey of Health:

LILIBETH C. DAVID, MD, MPH, MPM, CESO IUndersecretary of HealthHealth Facilities and Infrastructure Development Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1113, 1108, 1135Direct Line: 711-9502; 711-9503 Fax: 743-1829; 743-1786 @ URL: http://www.doh.gov.ph; e-mail: ftduque@doh.gov.ph

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Republic of the PhilippinesDEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

DEPARTMENT OF HEALTHDEPARTMENT OF INFORMATION AND COMMUNICATIONS TECHNOLOGY

NATIONAL ECONOMIC AND DEVELOPMENT AUTHORITY

May 20, 2020

JOINT MEMORANDUM CIRCULAR *

No. 2020-01

SUBJECT:Government Units for Community Mitigation of COVID-19

I BACKGROUND

In viewof the ongoing threat of COVID-19 pandemic, the Department ofthe Interiorand Local Government (DILG), Department of Health (DOH), Department of Informationand Communications Technology (DICT), and National Economic and DevelopmentAuthority (NEDA)issuc these guidelines to establish a network of agencies and compositeteams that will execute COVID-19 response activities.

II. LEGAL BASES

A. Republic Act No. 11223, “Universal Health Care Act of 2019”:B. Republic Act No. 7160, “Local Government Code of 1991”:C. Republic Act No. 7305, “Magna Carta of Public Health Workers”:D. Republic Act No. 11332, “Mandatory Reporting of Notifiable Diseases and Health

- Events of Public Health Concern Act”;Proclamation No. 922 (March 8, 2020), “Declaring a State of Public HealthEmergency throughout the Philippines”;

=F. Proclamation No. 929 (March 16, 2020), “Declaring a State of Calamity

throughout the Philippines due to Coronavirus Disease 2019”;G. DOH Administrative Order 2020-0016, “Minimum Health System Capacity

Standards for COVID-19 Preparedness and Response Strategics”:H. DOH Administrative Order 2019-0046, “National Policy on Disaster Risk

Reduction and Management in Health (DRRM-H)”:I. DOH-DILG-NEDA-POPCOM|Joint Memorandum Circular 2020-0001,

“Asscssing the Demographic Vulncrabilitics of Communitics and Houscholds toCOVID-19 Infections in Planning and Implementing Efficient PandemicResponse at the Local and Community Levels”;

J. DOH Department Memorandum 2020-0189, “Updated Guidelines on ContactTracing for Close Contacts of Confirmed COVID-19 Cases”:

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K. DILG Memorandum Circular 2020-077, “Rationalizing the Establishment ofa.Local Government Unit Task Force Against COVID-19”; and

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L. DILG Memorandum Circular 2020-023, “Amended Guide to Action Against the

2019 Novel Coronavirus Acute Respiratory Discase”.

Hl. OBJECTIVES

This Joint Mcmorandum Circularaims to provide guidance to local government units(LGUs) on the development of composite teams for COVID-19 response, align terminologiesin the policies issued by different national government agencies, and expand the functionsand capacities of the composite teams mentioned in these policies.

IV. SCOPE AND COVERAGE

This Joint Memorandum Circular shall apply to the devclopment of composite teamsby local government units, spanning provincial, city, and municipal governments.

V. DEFINITION OF TERMS

For the purpose ofthis Joint Memorandum Circular, the following termsare defined:

1. Case Investigation - profiling of suspect, probable, and confirmed COVID-19

case, which includes but not limited to accomplishment of the caseinvestigation form (CIF), and review of medical, surveillance and laboratoryrecords

tN Case Management - includes first-line response to patients in their householdsand communities andreferral to health facilities and temporary treatment and

monitoring facilities (TTMFs)for quarantine or isolation

Case Reintegration - the process of transitioning from being a close contact,

suspect, probable or confirmed COVID-19 casc to being a recovered case andbeing certified as cligiblc to resume community functions, such as returning to

work, returning to public places and socializing with community members,while observing enhanced or general community quarantine procedures, ifbeing implemented in the arca

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4. Community Engagement - mechanisms for meaningful participation ofstakcholders in COVID-19 response at the provincial, city/municipal,barangay, and houschold Icvels

5. Composite Team - refers to the overall LGU-Ied group tasked with

implementing the province/city-wide response against COVID-19 and

composed of local health boards, task forces, and units at the provincial,city/municipal and barangay level

6. Contact Tracing - a processof identifying, listing, and following up ofpersonswho may have come into close contact with a confirmed COVID-19 case

7. Close Contact - a person who mayhave comie into contact withthe probable orconfirmed case two days prior to the onsct ofillness of the confirmedCOVID-19 case (usc date of sample collection for asymptomatic cases as

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basis) until the time that said case test negative on laboratory confirmation orother approved laboratory test through:

a. Face-to-face contact with a probable or confirmed case within ] meterand for more than 15 minutes;

b. Direct physical contact with a probable or confirmed case:c. Direct care for a patient with probable or confirmed COVID-1I9 disease

without using proper personal protective equipment: ORd. Othcr situations as indicated by local risk assessments.

8. Confirmed COVID-19 Case - any individual who tested posilive forCOVID-19 through laboratory confirmation at the national referencelaboratory, subnational reference laboratories, or DOH-certified laboratorytesting facilities

9. Prevention - implementation of non-pharmaceutical interventions intended toproactively minimize and mitigate transmission of COVID-19

10. Probable COVID-19 Case - a suspect case who fulfills anyone of thefollowing listed below:

a. Suspect case whose testing for COVID-19 is inconclusive; orb. Suspect who tested positive for COVID-19, but whose test was not

conducted in a national or subnational reference laboratory orofficiallyaccredited laboratory for COVID-19 confirmatory testing; or

c. Suspect case who died without undergoing any confirmatory testing.11. Suspect COVID-19 case — a person presenting with any of the conditions

below:a. All cascs of severe acute respiratory infection (SARI) where NO other

etiology or cause that fully explains the clinical presentation:b. Influenzalike illness (ILI) cases with any of the following:

i. With no other ctiology that fully explains the clinicalpresentation AND a history of travel to OR residence in an areathat reported local transmission of COVID-19 diseases duringthe 14 days prior to symptom onset; or,

ii. With contact to a confirmed or probable case of COVID-19discase during the 14 days prior to the onsct of symptoms

c. Individuals with fever or cough or shortness of breath or otherrespiratory signs or symptoms fulfilling any of the followingconditions:

i. Aged 60 years old and above:it. With a co-morbidity;

ii. Assessed as having a high-risk pregnancy; and/oriv. Health worker.

12. Task Force - a body organized at the national, regional, provincial, city ormunicipal level to carry out specific functions and comprised of differentOffices, units or coordinators

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Vi. GENERAL GUIDELINES

A. The followingshall be the géné1.

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tal impleintntation strategies for these guidelincs:Establish a province-led/city=ted—¢F UCs/ICCs) COVID-19 response, pursuantto the Local Government Code of1991;Employ a primary health care-oriented approach to service delivery withdedicated navigators and coordinators;Observe the process of discase (infectious) notification of health facilitiesmanaging COVID-19 cases to the Epidemiology Bureau of the Department ofHealth andits local counterpart at all levels of local government, pursuant tothe law on the Mandatory Reporting of Notifiable Diseases and Health Eventsof Public Health Concern Act or R.A. 11332Prescribe the assignment ofcoordinators to give LGUsafree hand to how bestorganize its response teams; andHandhold the implementation of COVID-19 strategies through the provisionof dedicated staff fromthe national government.

B. All governors, city and municipal mayors shall organize and lead a Task ForceAgainst COVID-19 under their respective Local Health Boards. The compositionof the Task Force shall be as follows

I. Provincial level (See Annex A)Governor(Chair),Vice Governor (Vice-Chair),Provincial Health Office (PHO),Provincial Epidemiology and Surveillance Unit (PESU),Provincial Disaster Risk Reduction and Management in Health(DRRM-H) or Health Emergency Management (HEM) Unit,Diagnostic and Testing Coordinator (DTC),Provincial Referral and Liaison Coordinator (RLC), - (PRLC)Provincial Logistics and Resource Support Coordinator (LRSC),Provincial Local Government Operations Office,Provincial Population Office,Provincial Disaster Risk Reduction Management Office (PDRRMO),and

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The Provincial Task Force Against COVID-19 shall develop and oversee theimplementation of the province-wide COVID-19 prevention and mitigationplan.

Highly Urbanized City and Independent Component City level (See AnnexB):

Mayor (Chair),Vice Mayor (Vice Chair),City Health Office (CHO),City Epidemiology and Surveillance Unit (CESU),City Disaster Risk Reduction and Management in Health (DRRM-H)or Health Emergency Management (HEM) Unit,Contact Tracing Teams (CTT),

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g. Diagnostic and Testing Coordinator (DTC),h. City Referral and Liaison Coordinator (RLC),i. City Logistics and Resource Support Coordinator (LRSC),j. City Local Government Operations Office,k. City Population Office,I, City Disaster Risk Reduction Management Office (PDRRMO),m. City PNP Office. andn. Barangay Health Emergency Response Teams (BHERT).

The City Task Force Against COVID-19 for HUCs and ICCs shall developand implement the city-wide COVID-19 prevention and mitigation plan.

3. Component City and Municipal level (See Annex A):Mayor (Chair),Vice Mayor (Vice Chair),City/Municipal Health Office (CHO/MHO),City/Municipal Epidemiology and Surveillance Unit (CESU/MESU),City/Municipal Disaster Risk Reduction and Management in Health(DRRM-H)or Health Emergency Management (HEM) Unit,Contact Tracing Teams (CTT),City/Municipal Referral and Liaison Coordinator (RLC),City/Municipal Logistics and Resource Support Coordinator (LRSC),City/Municipal Local Government Operations Office,City/Municipal Population Office,City/Municipal Disaster Risk Reduction Management Office(CDRRMO/MDRRMO),

1. City PNP Office, andm. Barangay Health Emergency Response Teams (BHERTs).

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The City/Municipal Task Force Against COVID-19 shall implement theCOVID-19 prevention and mitigation strategics in accordance with theprovince-wide plan.

C. The PHOs, in coordination with the Provincial Department of Health Offices(PDOHO), shall disseminate related COVID-19 policies and provide guidance indeveloping strategies and plans to operationalize these provisions and tools andprocesses to monitor their implementation. These activities should similarly beconducted by CHO/MHOs, in coordination with assigned DOH DevelopmentManagement Officers (DMO),at the city and municipal level.

- Local epidemiology and surveillance units shall be responsible for conductingsurveillance activitics, such as but not limited to casc investigation. They shall beestablished encompassing provincial, city, and municipal levels. They shall becomposed at a minimumofeight (8) members, preferably with adequate trainingon cpidemiology. To ensure that local epidemiology and surveillance units arcequipped incarrying out their functions, Centers for Health Devclopment (CHD)and the PDOHO, through DMOs,shall mobilize Public Health Associates (PHA)to be part of local epidemiology and surveillanceunits.

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1. The Provincial Epidemiology and Surveillance Unit (PESU) shall oversee thecase investigation and contact tracing related to COVID-19 in the componentcity and municipal level. The PESU shall validate all cases and contact tracingdata and other essential information from the municipal and component citylevel for submission to the CHDs/RESU. The PESU shall also ensure that staffshall be assigned to encodecase, laboratory, and contact tracing data throughthe COVID Kaya Information System. These tasks shall be taken on by theepidemiology and surveillance units of highly urbanized or independentcomponent cities.

ed The City Epidemiology and Surveillance Unit (CESU) of highly urbanizedcities, independent component cities, and component cities and MunicipalEpidemiology and Surveillance Unit (MESU) of municipalities shall performcase investigation of suspect, probable, and confirmed COVID-19 cases, aswell as provide technical supervision to the Diagnostic and TestingCoordinator in the facilitation of testing and transport of samples to thenational reference laboratory or subnational laboratorics. The CESU/MESUshall coordinate with the Contact Tracing Teams (CTT) for contact tracing.Dedicated staff shall be assigned to encode cases, laboratory results, and

contacts traced through the COVID Kaya Information System.

E. Disaster Risk Reduction and Management in Health (DRRM-H) or HealthEmergency Management (HEM) Units shall support in management of the eventand health operations during COVID-19 through its coordination, liaison, resourcemobilization and information management functions. It shall also support the

operationalization of the health cluster in times of other emergencies and disastersthat can coincide with the pandemic.

Contact Tracing Teams (CTT) shall be responsible for the conduct of contacttracing. A CTT shall be composed of physicians, nurses, midwives, sanitaryinspectors, population officers, staff from local disaster risk reduction and

management offices, Bureauof Fire Protection, local police officers, members ofthe Armed Forces of the Philippines (AFP) and volunteers for contact tracing,navigation, and monitoring of COVID-19. In forming CTTs,a ratio of one (1)

contact tracer for every eight hundred (800) individuals is recommended. Theadditional workers shall be mobilized by mayors of highly urbanized cities,

independent component cities and municipalities.

. The Diagnostic and Testing Coordinator (DTC) shall facilitate the testing ofpatients in coordination with hospitals, swabbing centers, testing centers “and

sub-national] laboratories.

_ The Referral and Liaison Coordinator (RLC), in coordination with the BHERT,shall facilitate the referral of COVID-19 patients to hospitals, TTMFs, and otherhealth facilities. The coordinator must have an updated list of health facilities andavailable resources for the referral and admission of paticnts.

The Logistics and Resource Support Coordinator (LRSC), in coordination withother offices, units and coordinators, shall identify and mobilize all necessaryresources for implementing prevention measures, case investigation, contact

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tracing, case management, case & close contact testing, and case reintegration.Provincial LRSC shall coordinate with the City or Municipal LRSC to mobilizeadditional resources necded by component cities and municipalities.

J. The BHERTs shall be responsible for implementation of preventive measures,support in the conduct of contact tracing at the household level, monitor of closecontacts under home quarantine, provision of first-line response, and coordinationwith the RLC for the referral of patients. To ensure that BHERTs are equipped toconduct these functions, they shall be composed of a barangay executive officer,barangay tanod, health and allied health workers. Furthermore, members of theBHERTsshall possess the basic, common and core competencies of the BarangayHealth Services NC II Qualifications of the Technical Education and SkillsDevelopment Authorily (TESDA).

VII, SPECIFIC GUIDELINES

A. Case Prevention

1. LCEs shall ensure the implementation of COVID-19 prevention protocolsincluding but not limited to strict hand washing, physical distancing, andappropriate use of masks for individuals going to public places as prescribedby AO 2020-0015 on the Guidelines on the Risk-based Public HealthStandards for COVID-19 Mitigation, They shall also ensure the provision ofnecessary logistics to practice preventive behaviors as indicated in the FamilyFocused Care Plans, including but are not limited to access to water,handwashingandtoilet facilities, PPEs, and home disinfectants.

2. LCEsshall utilize the tool developed by the Commission on Population andDevelopment in assessing demographic vulnerabilities of households andcommunitics. Local population officers shall conduct the survey on thedemographic vulnerabilities in the locality.

The City or Municipal Health Office, Rural Health Units (RHU) and BarangayHealth Stations (BHS) shall continuously provide non-COVID-19 healthservices in adherence to enhanced or general community quarantine protocols.These health facilities shall ensure availability of dedicated healthcareworkers, separate from the BHERTs, who will be assigned to provide essentialhealth services including, but not limited to, essential services indicated in DC2020-0167 on the Continuous Provision of Essential Health Services DuringCOVID-19. Dedicated health workers include Barangay Health Workers(BHWs), Barangay Population Volunteers, Barangay Nutrition Scholars, andDaycare Workers.

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4. BHERTs and BHWsshall utilize health promotion strategies and providehealth education to houscholds and communities in line with the DOH - “RiskCommunication for COVID-19 Health Situation (Message Toolkit)”.

a. They shall engage with local civil society or people’s organizations,such as recognized community leaders, schools, and senior citizengroups, to provide health education to households.

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b. They shall employ appropriate mechanisms to inform houscholds andcommunitics information on COVID-19, including print information,education and communication (IEC) materials, radio advertisements,and household visits. Ready-to-use DOH approved materials fromwebsiles and social media accounts of DOHand DILG or from HealthEducation and Promotion Officers of Centers for Health Developmentmay be used to inform houscholds and communities regardingCOVID-19 health education. They shall utilize visual cues and nudgesto reinforce COVID-19 prevention strategies, including paintingfootprints and providing scating arrangements in lines to indicateproper physical distancing.

¢. Theyshall recommend the development of appropriate policics to thelocal health board to institutionalize the different strategics employedfor COVID-19 prevention and health promotion.

B. Case Investigation

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The CESU and MESU shall conduct discasc epidemiological and surveillanceactivities for reported cases in their jurisdictions. This includes: a) establishingdisease surveillance systems in their reporting unit, b) locating and profiling ofcases and revicw of medical records, c) identifying and investigating caseclusters, especially in communities and close scltings, d) collecting and_

transporting of specimens for laboratory confirmation, and ¢) encoding ofsurveillance, laboratory, and close contact data using the COVID KayaInformation System.

The PESU shall supervise and provide technical assistance to CESUs andMESUsoftheir municipalities and component cities in the conduct of diseaseepidemiologic and surveillance activities, as well as necessary resources fortheir operations. The PESUs shall also validate data submitted by CESUs andMESUs to the COVID Kaya Information System.

The RESU shall provide technical assistance in the establishment of ESUs inthe provincial/city/municipal health offices, supervise the conduct of diseaseepidemiological and surveillance activities, and dala management. The RESUsshall assess and report all essential information to the DOH through theCOVID Kaya Information System.

C, Contact Tracing

I. CTTs shall conduct contact tracing following DOH DM 2020-0189 ontheUpdated Guidelines on Contact racing of Close Contacts of ConfirmedCOVID-19 Cases and the Data Privacy Act of 2012. The CTTs shall alsomaintain and update a masterlist of individuals assigned to them, ensuring thatall have the PhilHealth Identification Number.

a. Locating of close contacts, as well as assisting in their profiling,assessment and management shall be headed by the BHERTs, local

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police officers, Bureau of Fire Protection (BFP) staff, and members ofthe Armed Forces ofthe Philippines (AFP).

b. Profiling, assessment for symptoms and management ofclose contactsshall be done by the health and allied health workers of CTTs, assistedby the staff from local population offices, disaster risk reductionmanagement offices.

c. Ensuring the safety and welfare of CTTs and close contacts shall be theresponsibility of local police officers and members of the AFP.

CTTs shall submit data to the C/MLESU for validation and clearance.Alternatively this data shall be reported through the StaySafe Informationsystem which is integrated with COVID Kaya Information System.

a. CESUs and MESUs of component citics and municipalities shallclosely coordinate with their respective PESU for the conduct ofcontact tracing and submission of data upon clearance from theconcemed LCL.

b. CESUs of highly urbanized cities shall closely coordinate with theirrespective RESU for their conduct of contact tracing and submission ofdata upon clearance fromthe concerned LCE,

D. Case and Close Contact Management in Communities

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Aside from case prevention and support in contact tracing, BHERTs shallmonitor close contacts under home quarantine ona daily basis via home visitsor usc of communication lincs (e.g. telephone, cellphone) and self-reportingapplications when home visits are not feasible.

BITERTsshall provide first-line response to individuals manifesting signs andsymptoms, including but not limited to home visits, clinical assessment andcoordination ofreferral.

Based on clinical presentation and laboratory results, the close contacts maybe re-classified as suspect, probable, or confirmed COVID-19 cases andshould be isolated and provided appropriate care immediately. Thisinformation should be reported and updated using the EB COVID KayaInformation System. All suspect cases or confirmed cases must becommunicated to the LGU health authority for the timely conduct of contacttracing activity.

BHERTsshall coordinate with the Referral and Liaison Coordinator (RLC) forthe referral of palicnts to appropriate health facilities or TTMFs for isolationor quarantine. The City or Municipal RLC shall manage the referral ofasymptomatic, mild, severe and critical COVID-19 cases to TTMFs andCOVID-accepting district hospitals, while the Provincial RLC shall managethe referral of severe andcritical to COVID-accepting provincial hospitals andCOVID-referral hospitals at the regional Ievel. Referral of paticnts shall be inaccordance with DM 2020-0178 on the Jnterin Guidelines on Health Care

Provider Networks during the COVID-19 Pandemic. Logistical andtransportation requirements shall be coordinated with the Provincial orCity/Municipal Logistics and Resource Support Coordinator (LRSC).

E. Case and Close Contact Testing

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The Diagnostic and Testing Coordinator (DTC) shall coordinate with theBIIERTsfor thetesting of cligible individuals.

Hospitals and swabbing centers shall swab patients or health workers inaccordance with the latest guidelines on Expanded Testing.

After swabbing the patient, the DTC shall facilitate the transport of specimensto hospitals, sub-national laboratories, and other testing centers.

F. Case and Close Contact ReintegrationI.

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Reintegration into the community of close contacts, suspect and probableCOVID-19 cases, and recovered confirmed COVID-19 cases shall follow thelatest DOH protocols.

BHERTs shall respond to close contacts and recovered suspect, probable andconfirmed COVID-19 cases manifesting recurrence of signs and symptomsaccording to Section VII. E ofthis issuance.

The LCE, through C/MESU, shall report data of rcintegrated cases to theCOVID Kaya Information System.

G. Implementation of COVID-19 Strategies in High Risk Areas

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The COVID Special Teams shall be composedofdedicated epidemiology andsurveillance and contact tracing personnel under the guidance of DOH, DILG,and PNP, reporting to the Regional Task Force (See Annex D).

The COVID Special Teams shall be tasked to investigate and identify sourcesand causcs of outbreaks and increase in cases in high risk arcas (c.g. informalsettlements, prisons and detention facilities, orphanages, nursing homes),conduct rigorous contacttracing, immediatcly refer suspect and probable casesfor isolation and close contacts for quarantine, and support thc enforcement ofprevention measures, in coordination with the composite teams of theProvincial and City or Municipal Task Forces. The COVID Special Teamsmay implement actions to support the efforts of the Provincial and City orMunicipal Task Forces, such as but not limited to providing additionalresources, manpower, funding, or investments, assisting the strict enforcementof minimum health standards. or recommending community quarantinemeasures.

Consistent with EO 112, Local Chief Executives may impose communityquarantine for specific barangays, municipalities, and component cities, withconcurrence from the Regional Interageney Task Force (RIATF). Communityquarantine may be imposed on provinces, highly urbanized cities, and

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independent component cities with approval of the national IATF uponendorsement of the RIATF.

4. The Local Chicf Exccutives shall be guided by FASSSTER, a decision toolthat provides visualization on COVID-19 status, forecasts on the epidemiccurve, and quick data on socio-economic and sccurity status of an LGU

H. Reporting Lines

1. The provincial government shall provide overall supervision, supported by theprovincial health board, to the Provincial and City/Municipal Task ForcesAgainst COVID-19 and the different composite teams. The provincialgovernment shall also report pertinent provincial reports and/or data regularlyto the DOH, DILG and POPCOM regional offices and the Regional TaskForce.

Ww Municipal and component city governments shall regularly report to theirprovincial government on the conduct of the different COVID-19 strategiesthrough the composite teams.

3. CTTs shall report daily to the City or Municipal Health Officer regarding theconductof contact tracing.

4. BHERTs shall report daily to the City or Municipal Health Officer regardingmonitoring of close contacts under home quarantine, first-line response. andcoordination for the referral of patients.

5. Annex C provides a summaryof the reporting lines of the composite teamsspanning different levels of government.

I. Ensuring the Safety and Welfare of Composite Teams

1. All composite tcams shall adhere to COVID-19 prevention protocols,including use of appropriate personal protective equipment (PPEs) andphysical distancing, following specifications set by DM 2020-0176 on theInterim Guidelines on the Rational Use of Personal Protective Equipment forCOVID-19.

tro All members of composite teams shall be entitled to remunerations andbenefits as provided under existing laws, including Republic Act 7305 andAdministrative Order No. 28.

3. Members of composite teams who become symptomatic shall be immediatelyisolated and tested following DM 2020-0180 on the Revised InterimGuidelines on Expanded Testing for COVID-19 and DM 2020-0178 InterimGuidelines on Health Care Provider Networks during the COVID-19Pandemic.

J. Training and Development

1. DOH shall develop the necessary materials for the capacity building ofcomposite teams. Online capacity building shall be rolled out to ensure that

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composite tcams are composed of well-trained human resource complementand provision of adequate resources to carry out their functions and use oftheCOVID Kaya Information System. The DILG through the Local GovernmentAcademy (LGA) shall provide assistance in the conduct of training ofcomposite teams.

Other external training providers shall also be engaged to conduct capacitybuilding of composite teams.

K. Data Sharing Agreements and Performance CommitmentsI, DOH, DILG, DICT, and NEDA shall enter into a Memorandum of Agreementand Data Sharing Agreement to facilitate the collection of case investigation

and contact tracing data and ensure that data privacy of close contacts andsuspect, probable, and confirmed COVID-19 cases are protected.A Performance Commitment Form shall be signed by all composite teammembers to ensure proper implementation of prevention measures, caseinvestigation, case management, case and close contact testing, and casereintegration protocols, and accountability in collecting and processingpersonal information of close contacts, suspect, probable, and confirmedCOVID-19 cases (See Annex E).

VIN. ROLES AND RESPONSIBILITIES

A. The Department of Health (DOH), through the Epidemiology Bureau (EB),shall:

I. Develop policies and guidelines on and provide overall technical supervisionto the conduct of case investigation, contact tracing, and referral for isolationor quarantine;

2. Create learning designs and provide expert's content and resource persons tothe courses and learning materials to be developed withHHRDB; and3. Implement and cascade theroll-out planfor the use of COVID KAYA.

The Department of Health (DOH), through the Health EmergencyManagement Bureau (HEMB),shall:

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Develop policies and guidclines and provide technical assistance on theoperationalization of preparedness, response and recovery plans forCOVID-19 in the context ofhealth resilience:Develop mechanisms 1o strengthen command, control, coordination andcommunication functions ofhealth sector;Support in the mobilization of resources to address the requirements ofCOVID-19 and other hazards, emergencies and disasters.

The Department of Health (DOH), through the Health Promotion andCommunications Service (HPCS), shall:

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I, Develop policies and guidelines and provide overall technical supervision tothe implementation of health promotion activitics and discasc preventionmeasures; and

2. Provide inputs to the capacity building plan, content and materials developedby HHRDB.

The DOH Academy, through the Health Human Resource DevelopmentBureau (HHRDB),shall:1. Assist EB in the development of capacily-building plan and flexible learning

materials, integrated with other DOH offices and DILG;2. Assist EB in the repackaging ofcourscs into online resources and facilitate

uploading into the DOH eLearning platform; and3. Engage with learning institutions and providers who will dcliver DOH

learning modules.

The DOH Centers for Health Development (CHD), shall:

1. Provide technical assistance, guidance and capacity-building of LGUs, localtask force and the composite icams;

2. Mobilize available supplementary resources for the assistance inimplementation of COVID-19 strategies by the composite teams; and

3. Assist in the capacity building of LGUs and composite teams.

The Department of the Interior and Local Government (DILG) shall:1. Facilitate interagency implementation of the JMC.2. Provide overall managerial support to composite teams formed at the local

level;3. Ensure the compliance of LGUsto case prevention, case investigation, contact

tracing, case management, case and close contact testing and cascreintegration policies, plans and protocols by the national and provincialgovernment;

4, Support the capacity building of LGUs through the Local GovernmentAcademy (LGA), in partnership with the DOH, POPCOM, and DICT;

5. Provide counterpart support through the DILG Regional Office and ProvincialOffices for every deliverable of the LCEs.

6. Mobilize human resources to support the staffing requirements of thecomposile teams; and

7. Cascade and orient LGUs on the COVID-19 LGU Handbook.

The Department of Information and Communications Technology (DICT)shall:

|. Ensure integration and intcroperability of various information andcommunication technologies and systems for COVID-19; and

2. Provide necessary support as deemed necessary by the DILG.

The National Economic and Development Authority, through the Commissionon Population and Development (POPCOM)), shall:

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5.

Implement the use of the Demographic Vulnerabilitics Survey to localgovemment units;Develop a capacity building plan and materials forthe training of LGUson theuse ofthe Demographic Vulnerabilities Survey:Engage training providers, as needed:Mobilize human resources to support the staffing requirements of thecomposite teams; andProvide necessary support as deemed necessary by the DILG.

The Province shall:

I.

2.

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10.

1.12.

Organize and Icad, through the PHB, the provincc-wide response againstCOVID-19 in accordanceto therisk classification of the province;Establish, through the PHO, the Health Care Provider Network from primarycare to terliary care, both government and private, within the wholeprovinee-wide health system, with defined pathways for COVID-19 andnon-COVID-19 cases;Organize and lead the Provincial Task Force Against COVID-19;

. Oversee the performance of component cities and municipalitiesDevelop, through the Vice Governor, COVID-19-related ordinances andpolicies;Allocate, through the Provincial LRSC, 30% of Approved Bed Capacity oflevel 2 and level 3 LGU hospitals forpossible admission ofcritical and severeCOVID-19 cases;Establish, through the Provincial RLC, coordination lines the City/MunicipalReferral & Liaison Coordinator, CHDs, and public and private healthfacilities for the for the referral of critical and severe COVID-19 cases;Ensure, through the DTC, thatall patients needing testing are tested;Mobilize, through the Provincial LRSC, all necessary resources forCOVID-19;Validate, through the PESU, all COVID-19 data submitted to the COVIDKaya Information System;Partner with NGOs, CSOs, andall other institutions for the implementation ofCOVID-19 strategics; andMaster the COVID-19 LGU Handbook.

Highly Urbanized Cities and Independent Component Cities shall:

I.

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Organize and lead, through the City Health Board (CH B), the city-wideresponsc against COVID-19 in accordanceto the risk classification of the cily;Establish, through the City Health Office (CHO), the Health Care ProviderNetwork with defined pathways for COVID-19 and Non-COVID-19 Cases:Organize and lead the City LGU Taskforce against COVID-19:Develop, through the Vice Mayor, COVID-19-related ordinances and policics:Allocate, through the City Logistics & Resource Support Coordinator, at Icast30% of Approved Bed Capacity of level 2 and Level 3 hospitals for possibleadmission of critical and severe COVID-19 cases;Provide, through the City Health Office, administrative supervision totemporary treatment and monitoring facilities;Establish, through the City Referral & Liaison Coordinator (RLC),

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8.

9.

coordination lines with the BHERTs, CHDs, and public and private healthfacilities for the referral of asymptomatic, mild, severe and critical COVID-19cases;Ensure, through Diagnostic and Testing Coordinator (DTC), that all patientsnecding testing arc tested;Mobilize, through the City Logistics & Resource Support Coordinator, allnecessary resources for COVID-19;

10, Validate, through the City Epidemiology and Surveillance Unit (CESU),allCOVID-19 data submitted to the COVID-19 Information System;

11. Partner with NGOs, CSOs, andall other institutions for the implementation ofCOVID-19 strategies; and

12. Master the COVID-19 LGU Handbook.

K. Component Cities and Municipalities shall:

1.

2.

3.

Organize and Icad the City/Municipal Task Force Against COVID-19;Implement, through the City/Municipal Task Foree Against COVID-19, theCOVID-19 Response in accordance to the approved province-wide plan;Develop, through the Vice Mayor, COVID-19-related ordinances and policies;Ensure. through the City/Municipal Health Office, the continuous provision ofessential health services for COVID-19 and non-COVID-19 paticnts;Establish, through the City/Municipal Referral & Liaison Coordinator,coordination lines with BHERTs and Provincial Referral & LiaisonCoordinator forthe referral of asymptomatic and mild COVID-19 cases;Provide, through the C/MHO, administrative support to the temporarytrcatment and monitoring facilitics;Partner with NGOs, CSOs, andall other institutions for for the implementationof COVID-19 strategies, andMobilize, through the City/Municipal LRSC, resources for the following kcyactivitics:

Prevention measures through the BHERT and BHW;Case Investigation through the CESU or MESU;Contact Tracing through the CTT;Operationoffacility-based (TTMF)isolation or quarantine through theC/MHO; and

e. Patient transportation.

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Organize and mobilize the BHERTS;Ensure all constituents have Philhealth Identification: Number;Implement, through the BHERT, community-based interventions (prevention,monitoring and first-line response);Partner with NGOs, CSOs,and all other institutions for for the implementationof COVID-19 strategics, andSupport the following key activities:

a, Implementing preventive measures through the Barangay HealthEmergency Response Teams;

b. First-line response through the Barangay Health Emergency ResponseTeams;

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c. Support in contact tracing (as designated by City of Municipal HealthOfficer); and

d. Patient Transportation.

IX. SEPARABILITY CLAUSE

If any provision in this JointMemorandum Circular (JMC) is declared invalid orunconstitutional, the other provisions not affected thereby shall remain valid andsubsisting.

X. REPEALING CLAUSE

All provisions ofexisting guidelines that are not consistent with this JMC are herebyrevised, modified, and/or repealed accordingly.

XI=EFFECTIVITY

This Joint Memorandum Circular shall take effect inimedia

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Annex A. Organizational Structure and Coordination Lines of the Provincial TaskForce Against COVID-19

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Annex E. Performance Commitment Form

(Letterhead of Local Government Unit)

(Date)DEPARTMENT OF HEALTHSan Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila

SUBJECT: Performance Commitment

Sir/Madam:

To guarantee our commitment to support the fight against COVID-19, we respectfullysubmit this Performance Commitment. We hereby warrant the following

representations:

1. That we shall participate in the conduct of COVID-19 surveillance activities in

accordance with the policies and protocols set by the Department of Health, the

Department of the Interior and Local Government, and the Department of

Information and Communications Technology.

That we shall ensure the safety and welfare of each of the membersof compositeteams through providing appropriate personal protective equipment andreinforcing other prevention measures.

That we shall ensure that reasonable and appropriate security measures areimplemented to safeguard the patients’ data collected, used, stored, or otherwiseprocessed using the platform, against any accidental or unlawful destruction,alteration or disclosure as well as unlawful access, fraudulent misuse, or any otherunauthorized processing.

That we shall ensure <insert composite team> members are trained prior to

conduct <insert composite team> functions.

_ That we shall first obtain the informed consent ofthe patient prior to the collectionof any personal data and the offering of any telemedicine service.

That we shall uphold the data privacy rights of patients and physicians or medicaldoctors using the platform, and shall provide mechanisms for the effective

exercise of these rights.

That we shall comply with all pertinent DOH guidelines on COVID-19 responsesand patient surveillance.

That we recognize that the DOH shall be the controller of patients’ data, whichremains to be owned bythe individual patients.

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9. That we shall comply with the necessary protocols for data sharing, monitoringand evaluation activities.

40. That we shall act as the processor of patient data for and on behalf of the DOH.

41. That we understand and acknowledgethat any unauthorized use of informationwithout the proper government authority shall constitute a violation of all

applicable laws and regulations on confidentiality including the provisions underRepublic Act 10173, otherwise knownas the “Data Privacy Act of 2012", and shallbe dealt with accordingly.

Very Truly Yours,

Authorized Representative of the Local Government Unit

DEPARTMENT GF THE INTERIOR AND LOTALGOVERNMENT

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