Overview of

TSeKaP Roll Out

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 TSeKaP

Tamang Serbisyo Para sa

Kalusugan ng Pamilya

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 Objective

 Tofacilitate access by the poorest

and marginalized members of our
society to essential package of
health services

 Target:20 million individuals, all

ages, poor and marginalized

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TSeKaP Roll out 2nd draft ESND 4
No. of HH assessed and Identified
Poor HH from Listahanan PHIC

Reg Identifieda Target Reg Identified Target

nd Poor Family Poor Family

Ilocos Sur 16,944 HH

Household Members*
s
Households Members*

CA 64, 327 NIR 339,879 1,359,516

R 257,308 R7 385,534 1,542,136
NC PHIC NHTS-99,558R8
96,495 330,945 1,323,780
R 385,980 R9 364,723
R1
Family/151,481FM
165,235
1,458,892
660,940 R10 485,539 1,942,156
R2 135,824 543,296 R11 280,325 1,121,300
R3 244,593 978,372 R12 358,132
4A 202,279 1,432,528
809,116 R13 259,858 1,039,432
5
4B 207,863multiplied by 4
*estimate-
ARMM 573,446
831,452
2,293,784
 Scope

 Nationwide, all levels of health facilities: DOH

and other NGA facilities, LGU facilities,
private facilities

 Duration: 16 September – 23 December 2018

 Essential Package of Services

 Includes
linkage to an SDN for ailments
needing longer time for diagnosis and
treatment 6
Strategies
 Data source for the list of poor
families/individuals:
Listahanan if available at the municipal level

 Other sources:
Families and members of the 4Ps or CCT which
can be obtained from the DSWD Municipal/City
Link,
NHTS families enrolled in Philhealth which can
be obtained from Philhealth Office
Listof Women of Reproductive Age with unmet
needs which can be obtained from PopCom

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General Guidelines
 Life stage approach: package address common
health needs at each life stage: 0-28days,
29day to 11 mos, under-5, 5-9 years old, 10-19
years old, 20-49 years old, 50 to 59, 60 and
above
 to be delivered through the barangay
mobilization approach: all in, one stop shop and
available within the 100 days duration
 backed up by a link through SDN for continuity of
care for health problems that are less common,
more difficult to manage and will take more than
2 clinical consultations
• Monthly reporting using prescribed form
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Essential Service Package

 Complete physical examination

 Identification and management
of key risk factors
 Laboratory tests
 Health education and promotion
 Treatment and services
 Other Health Related Services

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Essential service package

Complete physical examination includes:

 weighing of under-5 children
 developmental assessment of infants,
 BP measurement of 25+
 eye, ear and dental examination
 review of all body organs including skin,
 breast exam, digital exam if indicated
 mental status: learning disabilities such as
autism in children,
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 Essential service package

Identification and management of key risk

factors:
 missed vaccinations for infants,
 non-breastfeeding or not exclusive
breastfeeding for under-6 months old,
 undernutrition among under-5s,
 inadequate or no antenatal care for pregnant
women,
 inadequate or no post-partum care,
 noFamily planning method for reproductive
age groups, smoking for all ages,
 drug addiction all ages
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 Essential service package

Laboratory tests:
 blood typing,
 capillary glucose (fasting),
 CBC,
 Urinalysis
 fecalysis if indicated,
 malaria smear in endemic areas,
 HIV testing if requested,
 newborn screening test
*(have MOA with private labs, if necessary)
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Essential service package

Health education and promotion:

 blood donation,
 basic disease prevention,
 healthy lifestyle, environmental
control, child care and
immunization, family planning,
dental care like toothbrushing

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Essential service package

Treatment and services:

 immunization for missed children or on schedule,
 deworming for those missed in school-based
deworming, micronutrient supplementation,
 on the spot FP services,
 dental services such as cleaning, sealant for
children, tooth extraction (those with dental vans),
 ointments for common skin diseases eg. scabies,
 start-up or follow-up anti-hypertensive and/or anti-
diabetic medications including enrollment in health
club, distribution of ear cleaning home kit for otitis
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 Essential service package

Other Health Related Services:

 PhilHealth family enrollment with ID
card,
 health information sheets,
 growthchart with immunization
schedule,
 prenatal and post-partum chart,
 hypertension and diabetes diary, SDN
card (?) – or equivalent, eg. Family
folder, etc.
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 Services not part of essential package
that will be provided through SDN
 Subsequent immunizations on schedule
 Nutrition rehabilitation for under-5
 More thorough ear cleaning by ENT for otitis
 Other dental services
 Sputum smear for chronic cough
 Follow-up antenatal, post-partum care and FP services
 More thorough refraction by optometrist
 Smoking cessation clinic
 Drug rehabilitation services
 Hospital diagnostic services and care for danger signs:
tumors, blood problems, major organ damage, others
 Referral to Specialist/ DOH program for special needs:
autism and other learning disabilities, delayed
development, dermatological problems like leprosy and
others 16
Funding

Unutilized funds of DOH-RO (for

discussion by Asec Santiago with
Execom on Oct 3, 2016)
Point of Care for clients who were
found not Philhealth enrolled and
needs admission
Philhealth benefit package for those
clients who needs admission and out
patient procedures
Medical Assistance Program in
hospitals
LGU counterpart 17
 TSeKaP forms

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TSeKaP Roll out 2nd draft ESND 19
NEWBORN

INFANT & CHILD

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ADOLESCENT (10-19) ,ADULT (20-49)

50 Y/O – 60 ABOVE

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WEEKLY REPORTING FORM

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TSeKaP Roll out 2nd draft ESND 23
ILOCOS SUR NHTS
ACCOMPLISHMENTS 2018

Reasons for blank spaces – Non

submission of Municipality report
for consolidation or did not start
with consolidation of report

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 ILOCOS SUR TSeKaP ACCOMPLISHMENT as of
February 5, 2018 NHTS

TSeKaP Roll out 2nd draft ESND 25

 TSeKaP Accomplishment per Municipality as
of February 5, 2018 NHTS

TSeKaP Roll out 2nd draft ESND 26

 TSeKaP Accomplishment per Municipality as
of February 05,2018 NHTS

TSeKaP Roll out 2nd draft ESND 27

Municipality Accomplishments NHTS
Cities and Number
NHTS % of
Municipaliti of NHTS
es HH Family NHTS accomplish
members examined ment
ALILEM 968 1687 450 26.67
BANAYOYO 1000 730 173 23.70
BANTAY 1907 2831 310 10.95
BURGOS 950 2744 197 7.18
CABUGAO 3349 5922 0 0.00
CAOAYAN 1195 1535 1024 66.71
CERVANTES 2321 5742 1192 20.76
CITY OF CANDON7267 7805 0 0.00
CITY OF VIGAN 3819 4050 1606 39.65
GALIMUYOD 1126 1691 0 0.00
GD PILAR 380 988 302 30.57
LIDLIDDA 404 535 0 0.00
MAGSINGAL 3704 4890 0 0.00
NAGBUKEL 571 1313 211 16.07
NARVACAN 3146 6739 2178 32.32
QUIRINO 1964 2033 1000 49.19
SALCEDO 919 1783 0 0.00
TSeKaP Roll out 2nd draft ESND 28
53018 8643
Municipality Accomplishment NHTS
NHTS
Family NHTS
Muicipa lities members Examined
SAN EMILIO 1632 1335 160 11.99
SAN ESTEBAN 721 884 0 0.00
SAN ILDEFONSO 680 607 812 133.77
SAN JUAN 1679 3215 0 0.00
SAN VICENTE 1148 903 186 20.60
SANTA 728 1905 0 0.00
SANTA CATALINA 616 1249 86 6.89
SANTA CRUZ 4745 7372 0 0.00
SANTA LUCIA 2588 3274 825 25.20
SANTA MARIA 1688 4740 0 0.00
SANTIAGO 1473 2794 0 0.00
1704
SANTO DOMINGO 2620 795 30.34
SIGAY 341 734 618 84.20
SINAIT 2335 3778 0 0.00
SUGPON 748 1504 61 4.06
SUYO 1673 3114 112 3.60
TAGUDIN 2680 6512 131 2.01
TSeKaP Roll out 2nd draft ESND 29
ILOCOS SUR 63566 46540 3786 8.13
99558 12429 12.48
Municipality Accomplishment Non
NHTS

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Municipality Accomplishment Non
NHTS

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IP ACCOMPLISHMENT PER
MUNICIPALITY

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GIDA ACCOMPLISHMENT PER
MUNICIPALITY

TSeKaP Roll out 2nd draft ESND 33

 Agreements with District Hospitals
•Participate in the conduct of laboratory exams
and other diagnostic services to identified
NHTS poor families referred by MHOs in their
catchment areas

•Assist the RHU staff to verify NHTS families

who were admitted/ OPD patients in the
Hospital

•When referring patients for further evaluation

and laboratory, indicate in the referral form or
label the form as TSeKaP

•For RHUs without laboratory, augment the

hospital’s need for reagents
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 Proposed Activities
1.Establish a baseline masterlist of NHTS with age
disaggregated data
2.Determine who among them have received
essential packages since July
3. Coordinate with District Hospitals to check if
some of the NHTS families/family members
availed of the essential packages
4.From the masterlist determine who among them
did not received essential packages since July
5.Coordinate with school dentist/ school nurse and
determine who were given dental services/
feeding programs in the school
6.Organize a TWG at the municipal level if needed
7.TSeKaP Caravan ( Municipal & Barangay level)
8.Submit report weekly 35
 PROPOSED TSeKaP CARAVAN SCHEME
1. SCHEDULE THE CONDUCT OF TSEKAP CARAVAN/PER
DAY/MUNICIPALITY. IDENTIFY THE PRIORITY TARGET.
2. ALL UHCs ARE REQUIRED TO ASSIST IN ALL SITES OF THE
CARAVAN
3. COORDINATE WITH NGOs, DISTRICT HOSPITALS FOR SUPPORT
IN TERMS OF EYE REFRACTIONS, ULTRASOUND FOR
PREGNANTS, LABORATORY EXAMS, COUNSELLING & TESTING (
HIV, SMOKING CESSATION) & OTHERS
4. THE LGU SHOULD SEND A NOTICE TO THE NHTS FAMILY 2
WEEKS PRIOR THE SCHEDULED DATE OF TSEKAP CARAVAN
5. TSeKaP KITS GIVEN TO BHS SHALL BE UTILIZED DURING THE
CARAVAN
6. DOH Medtechs, PHARMACIST ARE REQUIRED TO ASSIST
DURING THE ACTIVITY
7. LABORATORY REAGENTS SHALL BE A COST SHARING BETWEEN
DOH, LGU AND HOSPITAL
8. NDPs & PHAs SHALL BE RESPONSIBLE OF THE REPORTS &
ORGANIZE CARAVAN AT THE BARANGAY LEVEL
9. THE DMO ASSIGNED IN THE AREA SHALL BE THE OVER-ALL
COORDINATOR OF THE ACTIVITY IN COORDINATION WITH THE
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MHO
10.MEALS & SNACKS SHALL BE PROVIDED BY THE DOH
 Proposed Agreements
1. Establish a masterlist of NHTS per
Municipality/barangay/family with family members and per
age group using the TSeKaP forms

2. For family members who availed the essential packages

since July, submit reports using the profiling form for
TSeKaP

3. For patients needing special services, they can be referred

to ITRMC.
Contact Dr. Jan Polette Sandino cp # 09228268823 at the OPD.
Use a referral form with back referral . Indicate/ label it as
Tsekap referral
OPD ofc hrs- Monday- Friday @ 8-4PM, Saturday 8-11AM

5. Diagnostic Laboratory – CBC, UA, FBS, FA as indicated if

limited supplies & reagents
Blood Typing – mandatory
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 Proposed Agreements
Funding- Cost sharing :
6.
DOH – to augment reagents & supplies, facilitate the
use of MAP funds for special cases
LGU- utilize PCB package to provide the services
Dist Hospitals thru PHO- assist to do the check up of
patients, provide laboratory diagnostics as indicated,
enroll patients to PHIC through POC.

7. Ensure that at least 3 Essential Health Packages are

provided for every family member

8. Ensure that weekly TSeKaP and 6x6 monthly reports

are submitted

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 Proposed Agreements
9. Conduct TSeKaP caravan in 11 identified
municipalities with the highest NHTS population

10. All UHCs, Med Techs are required to participate in

the implementation of TSeKaP. UHCs and NDPs are
likewise required to do home visits between 5pm to
7 pm onwards

11. Elicit multi-stakeholder support for the assistive

devices and refraction

12. Engage with private Hospitals and laboratories thru

MOA to provide diagnostic exams. Operationalize
SDN strategy

13. Learn & share plan strategy to carry out the

TSeKaP Roll out 2nd draft ESND 39

implementation of TSeKaP
 Our Commitment

The government is
Filipino families committed to…
are entitled to…
Guarantee services that
Comprehensive range
provide care for ALL
of services that protect
LIFE STAGES &
everyone at all ages
ADDRESS THE
and
TRIPLE BURDEN OF
all stages DISEASES

Receive coordinated, Ensure these services

appropriate, quality are accessible in
and respectful care functional SERVICE
DELIVERY NETWORK
UNIVERSAL
HEALTH
INSURANCE

Sustainably finance
Financial freedom
these services through
when utilizing health
UNIVERSAL HEALTH
care services
INSURANCE
 New Slogan

“All for Health

Towards Health for ALL”
Lahat Para sa Kalusugan! Tungo sa Kalusugan Para sa
Lahat