DEPARTMENT OF HEALTH

Center for Health Development-I

Province of Ilocos Norte

IMPLEMENTING GUIDELINES FOR

THE ESTABLISHMENT OF HPN
AND DM CLUB
DOH Administrative Order 2016-0014

RURAL HEALTH UNIT-III

Laoag City
PACKAGE OF ESSENTIAL NON-
COMMUNICABLE DISEASE
a “prioritized set of cost-effective
interventions that can be delivered to an
acceptable quality of care even in
resource-poor settings” (World Health
Organization)
CASE FINDING
Blood pressure measurement of all 40 year-old
and above by BHW

Risk Assessment of clients 25 and above who

visit the health center .

Those who have BP >140/90 on both readings

shall be referred to Barangay Health Station.
ENROLLMENT
All patients with Chronic Lifestyle Related Non-communicable
disease shall be encouraged to enroll in appropriate heath
club in their respective health centers.

Registered members shall be issued with an ID and patient

booklet.

The club member shall be informed of scheduled activities

from which incentives can be provided if attended (i.e.
ZUMBA)
ESTABLISHMENT OF OTHER HEALTH CLUBS
Each health club shall elect their own
officers and they are encouraged to meet
at least once a month and election every
yea.
CORE ACTIVITIES
-Lifestyle improvement activities such as
changes of diet, increased physical activities,
smoking cessation and reduction of alcohol
intake.
-Health education
-Periodic BP and Blood Sugar assessment
Replenishment of free medications
-Stress Management
 MEMBERSHIP AND ID
-Each club shall be given a unique
chronological Club Membership Number

FACILITY CODE 102-2016-H/D Club – 1

Example: DOH 3723-2018-H/D CLUB -1
DOH 4017 – NANGALISAN BHS
DOH 3723 – GABU BHS
DOH 17652 – DOH000000000004017MANGATO
DOH 2551 - CABUNGAAN
 ID
-Each member shall receive a unique
identification (ID) card color-coded
according to their clinical classification
<20 % RISK 20-30 % RISK >30% RISK
Patient has HYPERTENSION Patient has HYPERTENSION Patient has HYPERTENSION
OR DM only (no signs of AND DM only (no signs of AND / OR DM only (with
target organ damage) target organ damage) signs of target organ
damage)
When the clinical condition of the patient
improves or deteriorates, he shall be given
with an adjusted color ID.

RED CODED patients shall be also enrolled in

hospital-based club membership number.
They can be active in either clubs but shall
claim their free medication only from one
health station.
MEDICATION
Receive a maintenance medication in
their respective RHU/BHS where they are
registered on a monthly basis.
Patients shall personally claim their
medicines in their respective station.
 HPN – DM CLUB may engage
activities, such as:
in other

-Peer group engagement in health education, regular activities

like Zumba and sustained medication to ensure continuity of
care leading to better health outcomes.

-Social activities like get-togethers to further raise the

understanding of health messages (ex: meals served should be
diabetic-friendly or hypertensive friendly)

-Own fun raising activities to get free or discounted laboratory

tests such as cholesterol and ECG, among others.
-Involvement of family members to encourage participation
especially health promotion activities.
 ELECTION OF OFFICERS
RHU- III HPN /DM FEDERATED CLUB
• PRESIDENT:
• VICE PRESIDENT:
• SECRETARY
• SUB-SECRETARY
• TREASURER
• PIO:
GABU BHS-
CABUNGAAN BHS
NANGALISAN BHS-
MANGATO BHS-

RECREATIONAL OFFICERS:
“GALAW-GALAW PARA
HINDI PUMANAW”

CHRISTIAN IGNACIO
NDP