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Republic of the Philippines

Department of the Interior and Local Government

LGU Monitoring for COVID-19 (nCoV ARD)


DILG MC No. 2020-023

LGU Information:
City or Municipality of:
No. of Barangays:

Check if "YES" or leave unckeck if "NO" the box


City/Municipality Actions Yes / No
1 The LCE is within his/her AOR

Get Organized:

2 Convened the Local Health Board / COVID-19 Task Force

Organized Barangay Health Emergency Response Teams (BHERTs) within


3
24 hours upon receiving the DILG MC 2020-23

Organized and provided sufficient Personal Protective Equipment (PPE) to


4
BHERTs, PNP, BFP and other local health workers
5 Updated the contact information of DOH, PNP, BFP, AFP, PCG and others

Organized contact information of DOH, MHO, BHW, other local health


6
responders
Alert Communities:

Informed Punong Barangays of DILG MC No. 2020-023 re COVID-19 (nCoV


7
ARD) and other related policies/advisories
Reproduce and disseminate IECs provided by DOH and WHO.
8
Link: http://bit.ly/ncovdilg
Informed the local media informing the public re COVID-19 (nCoV ARD) and
9
to avoid panic and mal-information (fake news)
Conducted public dialogue with health and police authorities re COVID-19
10
(nCoV ARD)
Issued precautionary advisory on the conduct of crowd parties/events for
11
public, work for private and government offices
Execute Plans:

Established and Prepared Barangay Special Care Facility (BSCF) previously


12 know as Barangay Isolation Unit (BIU); suitable or proper in the
circumstances.
Conducted monitoring of prices of medicines and medical devices
13
(Republic Act No. 7581 or The Price Act)
Conducted proper disposal/segregation of garbage including Biological and
14
Chemical wastes. (Presidential Decree No. 856)
Enact and/or an ordinance on public health and sanitation.
15
(Presidential Decree No. 856)
16 Establish Barangay Health Information Center (BHIC)
Conducted home visits of every persons arrived from other country with
17
COVID-19 (nCoV ARD) confirmed case
18 Coordinated with PNP and LHW for reporting of the status in your AOR

19 C/MHO coordinated with PNP and Local Health Hospitals

COVID-19 (nCOV ARD) Cases Status:

Number of PUM from DOH/BI List

Number of PUM from DOH/BI List Attended/Visited

BHERTs Action:

Number of BHERT Organized

Number of Barangay Isolation Unit (BIU) / Barangay Special Care Facility


(BSCF) established

Number of Barangay Health Information Center (BHIC) established

Identified Referral Faciility / Hospital:

Name of Referral Facility / Hospital


(capable of handling PUMs/PUIs)

Level of Hospital
(Level 1, Level 2 or Level 3)

Type
(LGU Facility, DOH-Retained, Private)

Is the Hospital Informed?


(Yes or No)

Number of PUM in BIU / BSCF

Number of PUI
(admitted to hospital)

Number of Confirmed Cases

Number of Discharged

Other preparedness/response actions:

Certified True and Correct:

C/MLGOO

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