Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
9 April 2018

DEPARTMENT MEMORANDUM
No. 2018 - (”Aft

TO : ALL REGIONAL DIRECTORS, HUMAN RESOURCE

DEVELOPMENT UNIT (HRDU) HEADS, TRAINING
SPECIALISTS, THE DOH ARMM AND OTHERS
CONCERNED

SUBJECT : Acceptance of Scholars and Partner Schools for the Department of

Health Pre- Service Scholarship Program for Medical and
Midwifery Courses

Given the inadequate healthcare professional to population ratio and inequitable

distribution of healthcare professionals in the country, the failure to deliver quality basic
health services to the majority of populace especially in the peripheral areas is inevitable.
Thus, the DOH pursued schemes supportive of the Local Government Code through an
integrated approach, one of which is Pre Service Scholarship for Human Resource for Health
(HRH) deployment program. This is to promote equitable distribution of HRH, and address
the inadequate production of HRH coming from the different priority areas as a means of
addressing inequitable distribution of HRH.
This scholarship program aims to increase availability of physicians, midwives and
other priority health care professionals who shall provide quality basic health care services to
the un-served, underserved, hard to reach, economically underdeveloped, distressed, conflict
and geographically isolated and disadvantaged areas (GIDA) of the country.

Relative to this, the Department of Health is now accepting applications for the Pre
Service Scholarship for Medical and Midwifery students for SY 2018 — 2019. The program
provides opportunities to deserving and academically able students to pursue studies in
academic institutions recognized and accredited by the Commission on Higher Education
(CHED). A11 DOH Regional Offices and DOH Autonomous Region for Muslim Mindanao
(ARMM) are hereby directed to observe the following:

A. Recruitment and Selection of Applicants

1. Recruitment of Applicants
DOH Regional Offices (ROS), Health Human Resource Development Bureau
(HHRDB) and partner schools in coordination with other stakeholders shall advocate
and disseminate information on the program, its application process and general
provisions.
2. Qualification Requirements for Applicants

Minimum qualifications required for application to the program are as follows:

a. Must be a Natural born/ Naturalized Filipino citizen;
hmclcdmd/hhrdb/18—11

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila 0 Trunk Line 651-7800 local 1108, 1111, 1112,1113
Direct Line: 711-9502; 711-9503Fax: 743-1829 0 URL: [Link] e-mail: ftduque@[Link]
 b. Must be of good moral character;
c. Must have passed the admission requirements, standards and policies of chosen
school as well as the other requirements of the DOH;
d. Must not have availed of any other scholarship grants or with return service
obligation at the time of application or at the same period;
e. Priority shall be given to any of the following:
Applicants residing in GIDA and indigenous communities as certified by
—

concerned government agencies (eg. National Commission on Indigenous

Peoples (N CIP), Local Government Unit (LGU)).
- Those belonging to the minority sector (e.g., Indigenous People)
- Dependents of government employees, Barangay Health Workers and
Traditional Birth Attendants (TBA)
- Victims of calamities, children/ dependents of police/ soldiers fatally
wounded/ killed while on duty
3. Application and Selection Process
a. Applicants shall apply directly to the DOH partner school of their choice
preferably within or near the province or region of residence, if available.
(Please see Annex A — List of DOH Partner Schools). He/ she shall undergo
screening and selection process as defined by the partner school for admission
to the program/course;
b. The partner school endorses the list of scholarship applicants to the DOH RO
within the region for evaluation and validation (Please see Annex B —
Validation Criteria for Scholars);
0. RO shall endorse the results of validation with recommendation to HHRDB for
evaluation and recommendation for approval by the Pre- Service Scholarship
Program Management Committee;
(1. HHRDB shall endorse the list of approved/accepted scholars to concerned ROs
for coordination with partner schools to facilitate the enrolment of scholars;
e. The partner school through the school scholarship coordinator shall notify the
applicants on the status of their application. All accepted scholars shall be
enrolled accordingly. Likewise, the partner school shall submit the list of
enrolled scholars to respective ROs for documentation;
f. RO shall endorse the list of enrolled scholars to HHRDB for issuance of
Department Personnel Order.
B. Admission to the Partner School
Applicants shall abide to the standards, policies, guidelines of the partner school and
must sign an agreement stating the terms and conditions of the Pre Service Scholarship
Program.
C. Scholarship Benefit Package
The DOH shall grant to the Scholar a package that includes the following:

1. Tuition fees, laboratory, miscellaneous and other related school fees which shall be
paid directly to the partner school.

hmc/cdmd/hhrdb/1B—11

2 of 3
 2. Subsidy and allowances which shall be paid directly to scholars:

ALLOWANCES MEDICAL MIDWIFERY

a. Book Allowance Php 12,100.00/semester Php 10,000.00/semester
b. Uniform Allowance Php 3,025.00/semester Php 2,500.00/semester
0. Miscellaneous Allowance Php 5,500.00/semester Php 5,500.00/semester
(1. Living Subsidy Php 4,500.00/month Php 4,500.00/month
e. Lodging Php 3,000.00/month Php 3,000.00/month
f. Transportation Allowance Php 880.00/month Php 880.00/month

3. Enrolment to Philhealth Insurance for 18 years old and above in the amount of
Php200.00 per month.

D. Criteria in the Selection of DOH Partner Schools

All Regional Offices and DOH ARMM can accept additional DOH Partner School
utilizing the attached evaluation tool (Please see Annex C — Validation Criteria for
Partner Schools) and with the following criteria:
1. Must be recognized by the Commission on Higher Education (CHED);
2. Must have a performance of at least 65% passing average for first time takers in the
licensure examination of the Professional Regulation Commission;
3. Must be willing to provide financial counterpart for the balance of tuition,
miscellaneous, laboratory, student and any other necessary fees;
. Must be capable to provide facilities/ infrastructure to deliver quality education that is
critical to produce competent, committed and community oriented health workers;
. Must have a designated Scholarship Coordinator or Focal Person for the DOH Pre-

Service Scholarship Program;

. Must have slots for Indigenous People (IP) and from GIDAs;
\]O\

. Preferably accessible to DOH- ROS and Affiliating Hospitals/ health facilities.

. Must be capable to conduct review classes for graduating scholars.

Attached is the DOH application Form, Scholarship Process Flow and Commitment
to Render Service, for information and guidance.

For other concerns and inquiries, please contact Career and Development
Management Division at (02) 651 7800 locals 4227 or at (02) 743 1776 or through email
[Link]@[Link].

By Authority of the Secretary of Health:

GERARDO BAYUGO, MD, MPH, CESO III

.
ndersecretary of health
Sectoral Management and Coordinator Cluster

hmc/cdmd/hhrdb/1B-11

3of3
ANNEX A.
LIS .3 DOH PARTNER SCHOOLS
Medical Partner Schools
Region Name of Partner Schools
1. Pamantasan ng Lungsodng Maynila
NCR WWW
University of the Philippines College ofMedicine
2.

I
r

3. University ofNorthern Philippines

fl iii
WW 7 7777 if
V4 Cagayan State University
77777 —

WiWII
77 III Angeles University Foundation

L
if
5.
7—
V
7 7 m 76.7"
SicolChristian CollegeiofiMedicine
7
I»
7 7fl
VI 7.
W
westVisayas State University W
i 7

:::
7

VII 8. Southwestern Unlversny PHINMA

::
, 7
9. University of Cebu College of Medicine
Ci
10 University of thePhilippmes Schoolof Health
W

VIII
SIX
7
r

11.
Mindanao State University
Sciences
i
13. Davao Medical School Foundation L

Midwifery Partner Schools

Region Name of Partner Schools
NCR 1.
MaryChiles College
CAR 2. Cordillera Career Development College
7 7

3. Don Mariano Marcos Memorial State University- South La Union Campus

r

4. gemlsangasinan University
5.
7

North Luzon PhlllpplnesStgte College

WW7 if
6 UFdaTetaCity University
7
i if VVWV

7 r
7.
W
Union Christian College r
7
igi 7"
CW
S. Bataan Peninsula
State UmverSIty
111 9'. GSEJQRQE " 7 7 7 7 7

10. GogciiSzmigFitan Colleges, Inc fl7

‘L 11.
,
5gpfi§11¢éi & Educational Center
W W
C, 777 7

if Tanchuling College
12.
13. ”*7 7 7
lloilo Doctor’ 5 College 1
VI
14. IMAP Foundation School of Midwifery
7 7 7
'#_
H
15.
7 V

7 W 7
WVII University of Bohol _ 7 7
16.
7‘71"; HolyInfant College 77:7
17. Franciscan College of Immaculate Conception
7
"7
IX 18. Brent Hospital and Colleges Incorporated
W V

19. Brokenghire College

7
7
7 H
X1 20. DavaoiMedical School Foundation Inc
271.
r

"Fecarro College Foudation

if i
W 7 7 W 7 7 7
22. MMG College of GeneralSantos City
XII 23. NotreDameHosp1tal & School of Midwifery
24. SouthernChristian College—Am
7 r
W i” 7 7 V 7777
XIII Butuan Doctor’ s College
i
725.7
r
7
ARIIVIIVI
26. Tawl 7172112111 School of Midwifery
ANNEX.B.

SELECTIONCRITERIA FOR SCHOLARS

Name of Applicant: Date Evaluated:

Address:

Course & Year Level: School:

SUMMARY

Category Weight Score

Category 1: Citizenship 5 SCORING:
Category 2: Health Condition 5 lSt Priority: more than 42
Category 3: School Admission 5 2“dPriority: 31— 41
Category 4: Residence Not a Priority: less than 30
4a: GIDA 10
4b: CADT Area/Indigenous Community 10
4c: Municipality Class/ City 5
4d: Poverty Incidence 10
Category 5: Income (Monthly Gross) 10
Category 6: Affiliation 10
Total 70

CATEGORY I: CITIZENSHIP
Criteria Weight Score
Filipino 5
Non- Filipino 0
Total

CATEGORY 2: HEALTH CONDITION

Criteria Weight Score
Physically and mentally fit 5
With illness 0
Total

CATEGORY3: SCHOOL ADMISSION

Criteria Weight Score
Passed 5
Declined 0
Total

CATEGORY 4: RESIDENCE
Category 4a: Geographically Isolated and Disadvantaged Areas (GIDA)
Criteria Weight Score
GIDA 10
Non- GIDA 0
Total

Category 4b: Certificate of Ancestral Domain Title (CADT) Area/Indigenous Community

Criteria Weight Score
CADT Area/Indigenous Community 10
Non— CADT Area/ Non- Indigenous Area 0
Total

1 of2
mpzd/cdmd/hhrdb/18-60
Category 4c: Municipality ClaSE%i
Criteria Weight Score
Sixth Class 5
Fifth Class 4
Fourth Class 3
Third Class 2
Second Class 1

First Class 0
City 0
Total

Category 4d: Poverty Incidence

Criteria
>71
61-70
46-60
3 1-45
26—30
<25
Total

CATEGORY 5: INCOME (COMBINED MONTHLY GROSS FAMILY)

Criteria Weight Score
Php 30,000.00 per family member 0
Php 20,000.00 — 29,999.00 per family member 5

<Php19,999.00 per family member 10

Total

CATEGORY 6: AFFILIATION
Criteria Weight Score
Member of Minority Sector ([Link], Aeta, Mangyan, Tausug, Maranao, Badjao, etc) 10
Dependent of Government Employee
Dependent of Barangay Health Worker
Dependent of Traditional Birth Attendant
UIKJILIIU'IIJI

Dependent of Police/ Soldier Fatally Wounded/ Killed on Duty

Victim of Calamities/ Insurgencies
Total

Evaluated by: Noted by:

<NAME> <NAME>
Position/Designation Regional Director
 ANNEX c.
\JAHJDATION
CRITERIA FOR PARTNER SCHOOL

Name of School: Date Validated:

SUMMARY
Category Weight Score
Category 1: Commission of Higher Education (CHED) Recognized 5 SCORING:
Category 2: Passing Rate in the Licensure Examination of the PRC 10 Qualified: 35—40
Category 3: Counterpart (balance of tuition and other school fees) 5 NOt Qualified: 0’30
Category 4: School Facilities/ Infrastructure 5
Category 5: Scholarship Coordinator 5
Category 6: Slots for IP & GIDA 10
Total 30

CATEGORY 1: CHED RECOGNITION

Criteria
CHED
N0 CHED R

CATEGORY 2: LICENSUREPERFORMANCE RATING

Criteria Weight Score
65% and above 10
Below 65% 0
Total

CATEGORY 3: COUNTERPART
Criteria
Wi to vide
Not will to vide

CATEGORY 4: SCHOOL FACILITIES/ INFRASTRUCTURE*

Criteria Weight Score
Presence of Affiliating Facility, Laboratory, Library, etc. 5
Absent 0
Total
*Please attach pictures

CATEGORY 5: SCHOLARSHIPCOORDINATOR/FOCAL PERSON

Criteria Weight Score
Present 5
Absent 0
Total

CATEGORY 6: SLOTS FOR INDIGENOUS PEOPLE (1P) AND FROM GIDA

Criteria Weight Score
With slots and special considerations for [PS and from GIDA 10
No slots for IPS and from GIDA 0
Total

Recommendations:

Validated by: Noted by:

<NAME> <NAME>
Position/Designation Regional Director

mpzd/cdmd/hhrdb/18-53
 Republic of the Philippines
Department of Health
DOH SCHOLARSHIP PROGRAM ”$302233 (LIES

APPLICATION FORM within the last 6 months)

in this box.

Print Iegibly and use .rapurure sheet if necarsary. Place v/murlu in appropriate btlxex. ()uly accomplii‘lwrlnlquicutilmfarmx will be proccxxctL
SCHOLARSHIP APPLIED FOR:
[I Medical ScholarshipProgram
[I Midwifery ScholarshipProgram

PERSONAL BACKGROUND
[ ] Memberof Ethnic Minority or [ ] Barangay Health Worker— Child [ ] Government Staff— Child
IndigenousPeople
Specify: [ ] Traditional Birth Attendant - Child [ ] Victim of Calamity/ Insurgency
NAME:
(Surname) (First Name) (Middle Name)
DATE OF BIRTH: PLACE OF BIRTH:

AGE: GENDER: CIVIL STATUS: NATIONALITY: ReligiousAffinity:

[ ]Female [ ] Singe [ ] Widowed
[]Male [ ] Married [ ] Separated
PERMANENT ADDRESS: Tel #:

MAILING ADDRESS: Tel #:

CELLPHONE# (if any) E-MAIL ADDRESS: (if any)

TIN #: Philhealth # (if any)

LBP Account: (if any) LBP Branch:

FAMILY BACKGROUND
Father’s Name: Age: Occupation: Salary:

Mother’s Name: Age: Occupation: Salary:

Spouse’s Name: Age: Occupation: Salary:

Gross Monthly Family Names ofChildren: Age(s)

Number of siblings Income:

Sibling Rank

EDUCATIONAL BACKGROUND

LEVEL NAME OF SCHOOL FINISHED OR

A .FTENDAN C E DISTINCTION
DEGREE EARNED
From To RECEIVED

ELEMENTARY

SECONDARY

VOCATIONAL/
TRADECOURSE

COLLEGE

GRADUATE
STUDIES

Page I of 2
EMPLOYMENT / SERVICE RECORD (Start from current work)
INCLUSIVE STATUS OF MONTHLY
POSITION Tl TLE OFFICE/COMPANY DATES EMPLOYMENT SALARY

REFERENCES
Please provide at least two (2) character references you are not related to.

NAME POSITION & ADDRESS CONTACT NO.

I declare that all information and documents submitted with this application form are true and correct pursuant to the
provisions of pertinent laws, rules and regulations of the Republic of the Philippines
I authorize the agency head / authorized representative to verify /validate the contents stated herein. I trust that this
information shall remain confidential.

Applicant’sSignature over
Printed Name

Date

Attachments:

Copy of Barangay Cenification/ Certificationof a Bona Fide Resident of the Community

fieP’Nr‘
Copy of Combined Family Income Tax Return (lTR)
Certificate of lndigency (if applicable)
Certification from National Commission on IndigenousPeoples (NClP) (if applicable)

Page 2 of 2
 Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

PROCESS FLOW
Department of Health (DOH) Pre- service Scholarship

Iii? Key Activities Responsibilities Docufizhetrlelggiord

- DOH announces the - DOH—HHRDB - Department
availability of the - DOH-ROS Memorandum
scholarship grant - Partner - Advisory
1 Announcement through the Regional Schools
of Scholarship Offices and partner
.

schools
I
- DOH and partner - DOH (HHRDB, - List of potential
schools screen and ROS) scholars
evaluate interested - DOH
applicants scholarship
- Applicants are committee
evaluated based on - Partner schools
A pp l'mat''0" an (1 the criteria and - Interested
Screenlng requirements set by applicants
2
DOH and partner
schools.
I Only those who have
meet the requirements
of both the DOH and
partner schools are
eligible to apply for the
DOH scholarship
- DOH through the - DOH - Approved list of
scholarship committee, Scholarship accepted scholars
HHRDB and ROs shall committee - Department
V validate and evaluate Personnel Order
Validation, the applicants
Evaluation and endorsed by the
approval of schools based
partrner
on e set criteria
:3::f:;fm . DOH through the
3 scholarship committee
approves the list of
accepted scholars

Successful scholars
shall be notified
through the Regional DOH—HHRDB
Office and partner
schools

- DOH HHRDB and DOH-HHRDB - Memorandum of

ROs shall facilitate the and ROs Agreement with
signing of MOA with Partner partner schools
Signing of MOA the partner schools for Schools - Scholarship
and Contracts the joint Scholars contract
4 implementation of the
scholarship program
- DOH through ROS and
partner schools shall
facilitate the signing of
Scholarship Contracts

Building 1., San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila 0 Trunk Line 651-7800 local 1108, 1111, 1112,1113
Direct Line: 711-9502; 711-9503Fax: 743-1829 0 URL: [Link] e—mail: ftduque@[Link]
Ref. Reference
No. Key Activities Responsibilities Document I Record
I Partner schools shall I Partner school I Necessary reports:
submit performance - School
reports to the Regional performance
Offices at the end of report
every semester with —
Academic
appropriate Performance
recommendations on reports with
the scholarship of the recommended
students actions
I Regional Offices shall —
Licensure
provide updates to examination
HHRDB at the end of status report
every semester with I DOH—R0 - List of examinees
appropriate vis a vis number
recommendations on of graduates
the status of
scholarship and
performance of partner
V schools
I Schools shall provide
Monitoring of DOH the list of
Academic successful graduates
Performance and those who have
and Tracking of failed to finish the
Scholars course with complete
contact details of
scholars
I Partner Schools shall
provide DOH the list of
scholars who took the
licensure exam and
those who did not
I Partner Schools shall
provide the list of
passers and those
who have failed the
licensure exams
I Partners Schools shall
inform the scholars to
report to the
respective Regional
Office upon passing
the board examination
V I Students shall render DOH-HHRDB I List of scholars
(two) 2 years of DOH- RO rendering service
service for every one Partner schools with corresponding
Rendering of (1) year of scholarship Scholars areas of
return service grant assignment
obligations

20f2
 Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICE

OBLIGATION

I, , years old, with permanent

address at
dohereby declare that should I be selected as scholar
,
under the DOH Medical Scholarship Program, I am willing to render two (2) years of service
to the government for every year or fraction of a year of study/scholarship granted. I am
willing to render the first three (3) years in Public Health Care Services through the DOH-
HRH Deployment Program or the DOH Doctors to the Barrios Program.

IN WITNESS WHEREOF, I do hereby affix my signature this at

Name of Scholar

Name of Parent/Guardian Name of Parent/Guardian

(Witness) (Witness)

SUBSCRIBE AND SWORN to before me this at the

, Affiant exhibited to me his/her Community Tax Certificate No.
issued at on

Doc. No.
Page No.
Book No.
Series
 Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICE OBLIGATION

I, , years old, with permanent
address at
, dohereby declare that should
I be selected as scholar
under the DOH Midwifery Scholarship Program, I am willing to render two (2) years of
service to the government for every year or fraction of a year of study/scholarship granted. I
am willing to serve in Public Health Care Services through the DOH- HRH Deployment
Program. Preferably within or near their area of residence.

IN WITNESS WHEREOF, I do hereby affix my signature this at

Name of Scholar

Name of Parent/Guardian Name of Parent/Guardian

(Witness) (Witness)

SUBSCRIBE AND SWORN to before me this at the

, Affiant exhibited to me his/her Community Tax Certificate No.
issued at on

Doc. No.
Page No.
Book No.
Series