Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
07 January 2022

DEPARTMENT MEMORANDUM
No. 2022 - 0010

FOR : CENTER for

HEALTH DEVELOPMENT DIRECTORS and
REGIONAL EPIDEMIOLOGY SURVEILLANCE UNIT and
HEADS

SUBJECT : Guidelines on the Hiring of Disease Surveillance Officers in the

Epidemiology and Surveillance Units for CY 2022

Pursuant to the Section 8 of RA as the

Establishment of Epidemiology and
11332 also known
Surveillance Units under the Mandatory Reporting of Notifiable Diseases and Health Events
of Public Concern Act and the
Rule 7 of the Implementing Rules and Regulations of RA 11332
(2020), this memorandum provides guidance on the hiring, roles and responsibilities,
qualification and salary grades of Disease Surveillance Officers (formerly Public Health
Associates) at
the different levels of Epidemiology and Surveillance Units, as partial fulfillment
of the criteria for ESU Functionality. Attached herewith is the HPSDT-approved
Recommended Organizational and Staffing Complement for ESUs

Kindly note that the tasks and functions previously held by the Public Health Associates are
rebranded towards a more epidemiologic and surveillance related line of work, hence named
Disease Surveillance Officers. PHAs are not included in the HHRDB cadre anymore.

For your information and guidance.

By Authority of the Secretary of Health:

Digitally signed Vergeire
by

Maria Rosario Singh

Date: 2022.01.12 19:49:49

S. II
+08'00"

MARIA ROSARIO VERGIERE, MD, MPH, CESO

Undersecretary of Health
Public Health Services Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Trunk Line 8651-7800 Direct Line: 8711-9501
Fax: 8743-1829; 8743-1786 URL: http://www.doh.gov.ph; e-mail: [email protected]
 Annex A. Recommended Organizational Structure and Staffing Complement ESUs

Organogram for RESUs (Basic Structure)

RESU

Note:
Based onthe following:
2018 Functional Review of RESU (Conducted by FETPAPI thru EU-TA Philippine Health Sector Reform Contract);
 IRR of RA 11332 Rule VII Section 2;
Feedback from Session 4 (Batch | & 2) Orientation and Refinement of the DOH Devolution Transition Plan
with CHDs;

Recommended Organizational Structure and Staffing Complement for RESUs

Regional
Epidemiology
Chief Health
Program
24 - Ideally a Trained
field epidemiologist.
1 The RESU Head is responsible for all management duties within
the RESU, including planning, budgeting, performance staff
Surveillance Officer (RESU - May bea Medical Officer, Nurse, management and management reporting. As a_ field
Units (RESU) Head) or a Medical Technologist. epidemiologist, the RESU Head has oversight of all surveillance,
Ideally, CHPO should reporting and investigation activities and takes a lead on outbreak
-
-
*Source Functional have management experience. response. The RESU Head conducts detailed analysis of data and is
Review of the - Must have a postgraduate responsible for critical communications with other agencies,
Regional degree. network strengthening and for capacity development of the RESU
Epidemiology
Surveillance Units
- At least 4 years in position/s
and
and oversight of ESU performance in the region.
involving management
(RESUs) supervision.
- CS (Professional) 2nd Level
Eligibility / RA 1080
Supervising 22 - Ideally a Trained 1 The Surveillance Coordinator coordinates all surveillance and
Health field epidemiologist. response activities within the RESU. Their primary role is
Program - Bachelor’s degree monitoring and capacity development ofESUs and other Disease
Officer preferably Medical Allied Reporting Units (DRUs) within the LGUs. A significant amount of
(Surveillanc Courses. their time is spent following up on systemic issues identified by
e - Atleast 3 years of relevant Disease Surveillance Officers (DSO) through DRU reporting
Coordinator experience. activities and providing both on-the-job and structured training
) - CS (Professional) 2nd and capacity development to ESUs and DRUs. The Surveillance
Level Eligibility / RA 1080 Coordinator also coordinates with concerned national and
subnational laboratories for confirmation of etiology when
available.
Senior
Health
18 Usually a Nurse or Medical
Technologist.
The PIDSR DSO is
primarily responsible for validation, analysis
and reporting of PIDSR data at a regional level. The PIDSR DSO
Program Bachelor's degree monitors DRU reporting activities, identifies and follows up on
Officer preferably Medical Allied missing data and reports and identifies capacity development
(PIDSR Courses. needs. The PIDSR DSO conducts case identification and
Disease At least 2 notification and also supports the ESUs in investigation and
years of relevant
Surveillanc experience. response activities.
e officer) CS (Professional) 2nd
Level Eligibility / RA 1080

Senior
Health
18 Usually a Nurse or Medical
Technologist.
The ESR DSO
is primarily responsible for validation, analysis and
reporting of ESR data at a regional level. The ESR DSO monitors
Program Bachelor's degree DRU
reporting activities, identifies and follows up on missing data
Officer preferably Medical Allied and reports and identifies capacity development needs. The DSO
(ESR Disease Courses. supports the ESUs in
investigation and response activities.
Surveillance At
least 2 years of relevant
Officer) experience.
CS (Professional) 2nd
Level Eligibility / RA 1080

Statistician 18 Statistics/mathemat The FHSIS Officer is primarily responsible for the validation,
III (FHSIS ics qualification. analysis and reporting of FHSIS data at the regional level. This
Coordinator) Bachelor’s degree, at least 2 includes quarterly and annual report preparation and preparation
yearsof relevant experience. of ad-hoc reports and presentations. They are
also responsible for
CS (Professional) 2nd disseminating amendments in
FHSIS indicators. As a Statistician,
Level Eligibility / RA 1080 the position also assists DSOs in
statistical analysis of data and
developing statistical analysis competency within the RESU. The
in
FHSIS officer coordinates with the Programs DSO regarding
specific programmatic indicators based on the FHSIS data for the
validation and analysis of program- specific data.

Senior
Health
18 Usually a Nurse or Medical
Technologist.
The RESU COVID-19 DSO is
primarily responsible for validation,
analysis and reporting of COVID-19 and COVID-19 Vaccination
Program Bachelor's degree Adverse Event Following Immunization (AEFI) data at a regional
Officer preferably Medical Allied level. The COVID- 19 DSO monitors DRU reporting activities,
(COVID-19 Courses. identifies and follows up on missing data and reports and
Disease At least 2 years of relevant identifies capacity development needs. The COVID-19 DSO
Surveillanc experience. conducts
e officer) CS (Professional) 2nd_Level
 Eligibility / RA 1080 case identification and notification and also supports the ESUs
in
investigation and response
activities.

Senior Health 18 Usually a Nurse or Medical The RESU HIV/STI Surveillance Officer is expected to
Program Technologist. perform the following functions:
Officer Bachelor's degree Encodes, processes, and analyzes HIV, hepatitis B & C,
(Disease preferably Medical Allied syphilis, gonorrhea and other STI surveillance data in
Surveillance Courses. the One HIV, AIDS and STI Information System
Officer for
HIV/STI/Vira
2
At least

experience.
years of relevant (OHASIS)
Assists in the conduct of orientation on the use and
| Hepatitis) CS (Professional) 2nd maintenance of the electronic information system,
Level Eligibility / RA 1080 OHASIS, to newly designated DOH HIV Primary Care
and treatment facilities, certified rHIVda confirmatory
laboratories (CrCL), & new disease surveillance unit
staff
Collects and follows-up STI and HIV & AIDS case reports
from disease surveillance units, HIV & STI laboratories,
treatment hubs, social hygiene clinics, private
physicians
Ensures that the encoding of the disease
surveillance units were done on time in the
OHASIS
Assists in monitoring HIV & STI programs
national, regional, and local levels;
at the

Assists in providing support

local counterparts;
to national, regional, and

Assists in disseminating strategic information through

presentations and information materials;
Provide report/s to stakeholders upon request,
either through eFOI or communication.
Follow-up monthly/quarterly HIV/AIDS & STI
surveillance reports and data submission to RESUs;
Assists in the preparation of HIV/AIDS & STI
surveillance reports namely: Priority Areas for HIV
Intervention (PAHI) report, Regional
 HIV/AIDS Updates to the DOH -
Epidemiology Bureau, and Local Government
Units.
-__Ensures data integrity and security at all times.
Health
Program
15 Usually a Nurse or Medical
Technologist.
The Program DSO is primarily responsible for validation,
analysis, reporting and communication of program-
Officer Il Bachelor's degree
preferably Medical Allied
specific data at a regional level. The DSO maintains a
close relationship with regional and LGU program units
(Progra
m DSO) Courses. (e.g. VPD, VBD, MR) and ensures that the programs are
At least 2 years of relevant receiving the data and analysis that they require. The
experience. Program DSO also supports the ESUJs in investigation
CS_
(Professional) 2nd and response activities as required.
Level Eligibility / RA 1080
Health 11 Usually a Nurse or Medical Assists the HPOII in validation, analysis, reporting and
Program Technologist. communication of program-specific data at a regional
Officer
(Progra
I Bachelor's degree
preferably Medical Allied
level. Assist also in maintaining a close relationship with
regional and LGU program units (e.g. VPD, VBD, MR) and
m DSO) Courses. ensure that the programs are receiving the data and
CS (Professional) 2nd analysis that they require. The Program DSO also
Level Eligibility / RA 1080 supports the ESUJs in investigation and response
activities as required.

Administrativ Completion of two-year studies The Administrative Assistant is responsible for all
e Assistant III in college administrative activities within the RESU, including
1
year of relevant experience logistical arrangements, maintenance of supplies for
CS Sub-professional/ First investigations, preparation of documents and publishing
Level Eligibility of reports. The Admin Assistant may provide data
encoding support where necessary.
Data Completion of two-year studies Responsible for encoding of data into PIDSR, ESR, FHSIS
Encoder II in college and other program-specific data systems. Follows up on
1
year of relevant experience missing data with the support of DSOs and the
CS Sub-professional/ First Surveillance Coordinator.
Level Eligibility
Organogram for PESUs/CESUs (Basic Structure)
PESU/CESU
PHO/CHO

Note:
Based on
the
following:
RA 11332 Rule VII Section 2;
Submitted proposal from RESU;
Feedback from Session 4 (Batch | & 2) Orientation and Refinement of the DOH Devolution Transition Plan with CHDs;
Any additional personnel is within the discretion or absorptive capacity of the LGU.
 Recommended Organizational Structure and Staffing Complement for PESUs/CESUs

Provincial PHO - Oversight of ESU performance within the

Epidemiology province.
Surveillance
Units (PESU)
Senior 18 Ideally a Trained As Unit Head:
Health field epidemiologist. - Responsible for all management duties within
Program Bachelor's degree the PESU, including planning, budgeting,
Officer preferably Medical Allied performance staff management and
(Unit Head) Courses. management reporting.
At
least 2 years of relevant Oversight of all surveillance, reporting and
experience. investigation activities and takes a lead on
CS (Professional) 2nd outbreak response.
Level Eligibility / RA 1080 Conducts detailed analysis of data and is
responsible for critical communications with
other agencies, network strengthening and for
capacity development ofthe PESU.
Coordinates all surveillance and response
activities within the PESU.
Conducts monitoring and provides technical
assistance on capacity development ofDisease
Reporting Units (DRUs) within the LGU.
Follow-ups on systemic issues identified by
Disease Surveillance Officers (DSO) through
DRU
reportingactivities.
Coordinates with concerned national and
subnational laboratories for confirmation of
etiology when available.

10
Health 15 - Usually a Nurse or Medical The Surveillance Officer is primarily responsible for
Program Technologist. validation, analysis, reporting and communication of
Officer II - Bachelor's degree program-specific data at the provincial level. The DSO
(Surveillance preferably Medical Allied maintains a close relationship with regional and LGU
) Courses. program units (e.g. FHSIS, COVID-19, ESR, VPD, VBD,
- Atleast 2 years of relevant MR) and ensures that the programs are receiving the
data and analysis that they require. The Program DSO
experience.
- CS (Professional) 2nd Level
Eligibility / RA 1080
also supports the ESUs
activities as required.
in investigation and response

Health 15 - Statistics/mathemat TheStatistician is primarily responsible for the

Program
Officer II -
ics qualification.
Bachelor's degree, at least 2
validation, analysis and reportingof data (e.g. FHSIS
ESR, COVID- 19, etc.) at the provincial level. This
,

(Statistician years of relevant includes monthly, quarterly and annual report

) experience. preparation and preparation of ad-hoc reports and
- CS (Professional) 2nd Level at
presentations needed the provincial level. They are
Eligibility / RA 1080 also responsible for disseminating amendments in
FHSIS indicators. As
a Statistician, the position also
assists DSOs in statistical analysis of data and in
developing statistical analysis competency within the
PESU.

Administrati 9 - Completion of two- The Administrative Assistant III is responsible for all
ve Assistant yearstudies in college administrative activities within the PESU, including
Ill - 1
year of relevant logistical arrangements, maintenance of supplies for
experience investigations, preparation of documents and publishing
- CS Sub-professional/ of reports. The Admin Assistant may provide data
First Level Eligibility encoding support where necessary.

Data 8 Completion of two-year studies Responsible for encoding of data into PIDSR, ESR,
Encoder II in college FHSIS and other program-specific data systems.
1
year of relevant experience Follows up on missing data with the support of DSOs
CS Sub-professional/ First Level and FHSIS coordinators.

11
 Eligibility

City CHO - Oversight of ESU performance in the

city.
Epidemiology
Surveillance
Units (CESU) Senior 18 - Ideally a_ Trained As Unit Head:
Health field epidemiologist. - Responsible for all management duties within
Program - Bachelor's degree the CESU, including planning, budgeting,
Officer preferably Medical Allied performance staff management and
(Unit Head) Courses. management reporting.
- Atleast 2 years of relevant - Oversight of all surveillance, reporting and
experience. investigation activities and takes a lead on
- CS (Professional) 2nd Level outbreak response.
Eligibility / RA 1080 - Conducts detailed analysis of data and is
responsible for critical communications with
other agencies, network strengthening and for
capacity development of the CESU.
- Coordinates all surveillance and response
activities within the CESU.
- Conducts monitoring and provides technical
assistance on capacity development of Disease
Reporting Units (DRUs) within the LGU.
- Follow-ups on systemic issues identified by
Disease Surveillance Officers (DSO) through
DRU
reporting activities.
- Coordinates with concerned national and
subnational laboratories for confirmation of
etiology when available.
Health 15 - Usually a Nurse or Medical The Surveillance Officer is primarily responsible for
Program Technologist. validation, analysis, reporting and communication of
Officer II - Bachelor's degree program-specific data at the city level. The DSO
(Surveillance preferably Medical Allied maintains a close relationship with regional and LGU
) Courses. program units (e.g. FHSIS, COVID-19, ESR, VPD, VBD,
- Atleast 2 years of relevant MR) and
experience. ensures that the programs arereceiving the data and
- CS (Professional) 2nd Level analysis that they require. The Program DSO also
Eligibility / RA 1080 supports the ESUs in investigation and response
activities as required.
Health 15 Statistics/mathemat TheStatistician is primarily responsible for the
Program
Officer II
ics qualification.
Bachelor’s degree, at least 2
validation, analysis and reporting of data (e.g. FHSIS ,
ESR, COVID- 19, etc.) at the city level. This includes
(Statistician years of relevant monthly, quarterly and annual report preparation and
) experience. preparation of ad-hoc reports and presentations
CS (Professional) 2nd Level needed
at the
city level. They are also responsible for
Eligibility / RA 1080 disseminating amendments in FHSIS indicators. As a
Statistician, the position also assists DSOs
in statistical
analysis of data and in developing statistical analysis
competency within the CESU.
Administrati 9 Completion of two- The Administrative Assistant III is responsible for all
ve Assistant year studiesin college administrative activities within the CESU, including
Il 1
year of relevant logistical arrangements, maintenance of supplies for
experience investigations, preparation of documents and publishing
CS Sub-professional/ of reports. The Admin Assistant may provide data
First Level Eligibility encoding support where necessary.

Data 8 Completion of two- Responsible for encoding of data into PIDSR, ESR,
Encoder II year studiesin college
1 year of relevant
FHSIS and other program-specific data systems.
Follows up on missing data with the support of DSOs
experience and FHSIS coordinators.
CS Sub-professional/
First Level Eligibility

13
Organogram for MESUs (Basic Structure)

MESU

(MESU Head)
}

(1) Senior Health Program Officer‘ DMO

m
(Surveillance Coordinator)

Note:
Based on
the
following:
RA 11332 Rule VII Section 2;
Submitted proposal from RESU;
Feedback from Session 4 (Batch 1 & 2) Orientation and Refinement of the DOH Devolution Transition Plan with
CHDs;
 Recommended Organizational Structure and Staffing Complement for MESUs

Municipal Oversight all surveillance, reporting and

Municipal Health investigation activities and takes a lead on
Epidemiology Officer outbreak response.
Surveillance (MESU Head) Oversight of ESU performance in_ the
Units (MESU) municipality.
Senior 18 Usually a Nurse or Medical Coordinates all surveillance and response
Health Technologist. activities within the MESU.
Program Bachelor's degree Conducts monitoring and provides technical
Officer/DMO preferably Medical Allied assistance on capacity development of Disease
Ill Courses. Reporting Units (DRUs) within the municipality.
(Surveillanc At
least 2years of relevant Follow-ups on systemic issues identified by
e experience. Disease Surveillance Officers (DSO) through
Coordinator CS (Professional) 2nd Level DRU
reporting activities.
) Eligibility / RA 1080 Coordinates with concerned national and
subnational laboratories for confirmation of
etiology when available.
Assist the MHO for all management duties
within the MESU, including planning, budgeting,
performance staff management and
management reporting.
Leads in the investigation and _response|
activities.
Health 15 Usually a Nurse or Medical Primarily responsible for validation, analysis,
Program Technologist. reporting and communication of program-
Officer II Bachelor's degree specific data at the municipal level.
(Program preferably Medical Allied Maintains a close relationship with regional and
s DSO) Courses. LGU program units (e.g. PIDSR, VPD, ESR,
At least 2 years of relevant
 experience. COVID-19 & AEFI, VBD, MR, FHSIS, HIV & STI)
CS (Professional) 2nd Level Ensures that the programs/stakeholders are
Eligibility / RA 1080 receiving the data and analysis that they
require.
Supports the ESUs in
investigation and response
activities as required and will report to the
Surveillance Coordinator.
Ensures data integrity and security at all times.

11 Usually a Nurse or Medical Assists the HPO II in validation, analysis,

Health Technologist. reporting and communication of program-
Program Bachelor's degree specific data at the municipal level.
Officer
(Program
I preferably Medical Allied
Courses.
Assist in maintaining a close relationship with
regional and LGU program units (e.g. PIDSR,
s DSO) CS (Professional) 2nd Level VPD, ESR, COVID-19, AEFI, VBD, MR, FHSIS, HIV
Eligibility / RA 1080 & STI).
Ensure that the programs are receiving the
data and analysis that they require.
Assist in the investigation and response
activities as required.
Data 8 Completion of two- Responsible for encoding of data into PIDSR,
Encoder II yearstudies in college VPD, ESR, COVID-19, AEFI, VBD, MR, FHSIS,
1
year of relevant HIV & STI other program-specific data systems.
experience Follows up on missing data with the
CS Sub-professional/
support of DSOs.
First Level Eligibility Assists in preparing and submitting
reports submitted to the Epidemiology
Bureau.
Ensures data integrity and security at all times

16
Organogram for HESU-Level III Hospital (Basic Structure)
HESU
Level Ill Hospital

(1) Disease Surveillance

Coordinator/Nurse II
(Asst. Team Leader)

Note:
Based on
the
following:
DOH Administrative Order No. 2018-0023: Guidelines in Strengthening the Capacity of Public Health Units of DOH Hospitals and All Level 3 Hospitals on Sentinel Surveillance
System for Notifiable Diseases of Epidemic Potential;
RA 11332 Rule VII Section 2;
Feedback from Session 4 (Batch 1 & 2) Orientation and Refinement of the DOH Devolution Transition Plan with CHDs;
DOH
A.O. No. 2020-0016: Minimum Health System Capacity Standards for COVID-19 Preparedness and Response Strategies;
 Recommended Organizational Structure and Staffing Complement for HESUs — Level III Hospital

Hospital Medical 23 Education: Must have a Dedicated HESU Unit Head/Team Leader to:
Epidemiology Officer IV postgraduate degree;
Surveillance (HESU Unit Experience: At least 3 years in 1. Ensure the operation of HSS in the PHU
Units (HESU) Head/Tea position/s involving management 2. Be the focal person for the disease surveillance
m Leade and supervision. system in the hospital
Level 3 Hospital Training: Ideally, a trained Field 3. Ensure that daily (e.g. AFP, Measles and other
r Epidemiologist
Eligibility: CS (Professional) 2nd
diseases for elimination/eradication) and weekly
surveillance report is being forwarded/submitted
Level Eligibility / RA 1080 to the RESU
Competencies: Maintain a close coordination:
1. Identifies relevant and a. with different departments of the hospital to
discuss the case definition as set in the Epidemic
appropriate sources of
surveillance data prone case-based diseases under PIDSR and
(example, ESR, EDCS) to other health events
include what diseases or b. with their respective RESU
syndromes to collect c. with reference laboratory
Recognizes an outbreak Review data collected for the day and analyze them
(more than usual number
in
of cases on average the
Review the surveillance report and present
MCC and
the Chief of Clinics for
it to the
actions
appropriate
past five years) Disseminate surveillance report (any unusual
Analyzes surveillance data
as to time, place, person
incidence of
diseases and or any health event) to the
MCC, hospital committee and when needed to
using excel communicate this report to the community
Coordinates with
Orient the staff of different departments on the
program managers for hospital surveillance system
appropriate public
health interventions Represent the hospital during meeting and
surveillance updates

18
 10.Include operating requirement in
the annual budget
of the PHU
11.Support the functions of the Hospital Infection
Prevention and Control (IPC), especially for hospital-
acquired infections with outbreak potential.

Disease
Surveillance
17 Education: Bachelor's degree Dedicated DSC
to:
pref. Medical Allied Courses
Coordinator 2
Experience: minimum of years’ 1. Ensure the list
of diseases/conditions to be reported
(DSC)/Nurse
III (Assistant
experiencein disease surveillance
of notifiable diseases and health
is placed on the table under
a glass or hung on the
wall at site easily visible to doctors sitting in OPD/ER
Team events Training: 8 hours relevant and ward for
ready reference.
Leader) training preferably on on Basic
Epidemiology; Event-based
Remind physician on duty at OPD/ER in
completing
provisional diagnosis.
Surveillance; Epidemic- prone Collect and record on daily basis of cases seen and
Disease Case-based Surveillance managed in their service/unit/division and report
Eligibility: CS (Professional) these cases to the nurse disease surveillance
2nd Level Eligibility / RA 1080
coordinator of PHU for encoding, consolidation and
Competencies:
1. Identifies relevant and
reporting to the MCC and the RESU.
Responsible for day to day collection of hospital
appropriate sources of data from the different DSOs
surveillance data (example,
ESR, EDCS) to include what
Assist the HESU Unit Head/Team Leader in
diseases or syndromes to organizing an orientation for doctors assigned at
collect the OPDAR
2. Recognizes an outbreak and ward on
hospital surveillance.
6. Collect daily report from the different DSOs diseases
(more than usual number of and or conditions that are under surveillance at the
cases on average in the past
five years) following departments: Pediatrics, Obstetrics and
3. Identifies the need to Gynecology, Medicine and Surgery
conduct field investigation Notify the HESU Unit Head/Team Leader on any
to verify epidemiologic diseases or health event that are highly contagious
data including contact- or unusual for appropriate action
tracing Do data analysis and prepare reports as warranted.
4. Coordinates with program 9. Prepare daily (e.g. AFP, Measles and other diseases
managers for appropriate for elimination/eradication) and weekly
public health interventions surveillance report for submission to the RESU. All
5. Competencies on HSS reports
technical writing
(epidemiologic
 investigation reports) must be reviewed and approved by the HESU Unit
and communication Head/Team Leader before its submission.
10. Support the functions of the Hospital Infection
Prevention and Control (IPC), especially for hospital-
acquired infections with outbreak potential.

Disease 15 Education: Bachelor's degree Dedicated DSO to: Department of Pediatrics,

Surveillance preferably Medical Allied Courses Obstetrics and Gynecology, Medicine, and Surgery
Officer 2
Experience: minimum of years’
(DSO)/Nurse experiencein disease surveillance list
Ensure the of diseases/conditions to be reported
II of notifiable diseases and health
events Training: preferably trained
is placed on the table under
a glass or hung on the
wall at site easily visible to doctors sitting in OPD/ER
on Basic Epidemiology; Event- and wardfor ready reference.
based Surveillance; Epidemic- 2. Remind physician on duty at OPD/ER in completing
prone Disease Case-based provisional diagnosis.
Surveillance 3. Collect and record ona daily basis of cases seen and
Eligibility: CS (Professional)
2nd Level Eligibility / RA 1080
managedin their service/unit/division and report
these cases to the nurse disease surveillance
Competencies: coordinator for encoding, consolidation and
Identifies relevant and
reporting to the MCC and the RESU.
appropriate sources of 4. Notify the HESU Unit Head/Team Leader on any
surveillance data (example,
diseases or health event that are highly contagious
ESR, EDCS) to include what
or unusual for appropriate action
diseases or syndromes
collect
to 5. Do data analysis and prepare reports as warranted.

Recognizes an outbreak (more

6. Prepare daily (e.g. AFP, Measles and other diseases
than usual number of cases on for elimination/eradication) and weekly
averagein the past five years)
Identifies the need to conduct
surveillance report for submission to the RESU. All
HSS
reports must be reviewed and approved by the
field investigation to verify HESU Unit Head/Team Leader before its submission.
epidemiologic data including 7. Support the functions of the Hospital Infection
contact-tracing Prevention and Control (IPC), especially for hospital-
Generates surveillance reports acquired infections with outbreak potential.
(see example of ESR VRand FF
Reporting Form template and
EDCS case investigation or

reporting form)
Analyzes surveillance data as
to time, place, person using
excel
20
Data Education: Completion of two- Dedicated Data Encoder to:
Encoder II year studies in college Assist the DSO in the conduct of the hospital disease
1.

Experience: 1 year of surveillance such as data collection and

relevant experience recording/encoding
Training: 4 hoursof relevant 2. Maintain a data management system such as (data
training Eligibility: CS Sub- entry, encoding, cleaning and merging)
professional/ First Level Eligibility 3. Assist the DSO in the preparation of weekly
Competencies: surveillance reports
1. Skills and knowledge on how 4. Assist in the orientation of hospital staff on NSS
to manage program-specific 5. Perform administrative function related to HSS
data systems (e.g. MS Office)

21
Organogram for HESU-Level II Hospital (Basic Structure)
HESU
Level Il Hospital

Note:
Based on
the following:
DOH A.O. No.2018-0023: Guidelines in Strengthening the Capacity of Public Health Units of DOH Hospitals and All Level 3 Hospitals on Sentinel Surveillance System for
Notifiable Diseases of Epidemic Potential;
RA 11332 Rule VII Section 2;
Feedback from Session 4 (Batch | & 2) Orientation and Refinement of the DOH Devolution Transition Plan with CHDs;
DOH A.O. No. 2020-0016: Minimum Health System Capacity Standards for COVID-19 Preparedness and Response Strategies;
Any additional personnel is within the discretion or absorptive capacity of the LGU.
 Recommended Organizational Structure and Staffing Complement for HESUs — Level II Hospital

Hospital Medical 21 Education: Must have a Dedicated HESU Unit Head/Team Leader to:
Epidemiology Officer III postgraduate degree; 1, Ensure the operation of HSS in the PHU
and Surveillance (HESU Unit Experience: Ideally, with experience 2. Be the focal person forthe disease surveillance system in
Units (HESU) Head/Tea in position/s involving management the hospital
m Leader) and supervision. 3. Ensure that daily (e.g. AFP, Measles and other diseases
Level 2 Hospital Training: Ideally, a trained Field for elimination/eradication) and weekly surveillance report
Epidemiologist is being forwarded/submitted to the RESU
Eligibility: CS (Professional) 2nd 4. Maintain close coordination:
Level Eligibility / RA 1080
a. with different departments of the hospital to discuss the
Competencies:
Is Identifies relevant and case definition as set in the Epidemic prone case-based
diseases under PIDSR and other health
appropriate sources of events
surveillance data
(example, ESR, EDCS) to b. with their respective RESU
include what diseases or with reference laboratory
Cc.

syndromes to collect 5. Review data collected for the day and analyze them
Recognizes an outbreak
(more than usual number
6. Review the surveillance report and present
MCC and
it to the
the Chief of Clinics for appropriate actions
in
of cases on average the 7. Disseminate surveillance report (any unusual incidence of
past five years) diseases and or any health event) to the MCC, hospital
Analyzes surveillance data
committee and when needed to communicate
as to time, place, person this report to the community
using excel 8. Orient the staff of different departments on the hospital
Coordinates with surveillance system
program managersfor 9. Represent the hospital during meeting and surveillance
appropriate public updates
health interventions
10. Include operating requirement in of
the annual budget the
PHU

23
 11. Support the functions of the Hospital Infection
Prevention and Control (IPC), especially for hospital-
acquired infections with outbreak potential.

Disease
Surveillance
17 Education: Bachelor's degree Dedicated DSC
to:
pref. Medical Allied Courses
Coordinator 2
Experience: minimum of years’ 1. Ensure the list of diseases/conditions to be reported is
(DSO)/Nurse
III (Assistant
experience in disease surveillance
of notifiable diseases and health
placed on
the a
table under glass or hung on the wall at
site easily visible to doctors sitting in OPD/ER and ward
Team events Training: 8 hours relevant for ready reference.
Leader) training preferably on Basic N Remind physician on duty at OPD/ER in completing
Epidemiology; Event-based provisional diagnosis.
Surveillance; Epidemic- prone 3. Collect and record on a daily basis of cases seen and
Disease Case-based Surveillance
Eligibility: CS (Professional)
managed in their service/unit/division and report these
cases to the nurse disease surveillance coordinator of
2nd Level Eligibility
/ RA 1080 PHU
for encoding, consolidation and reporting to the MCC
Competencies: and the RESU.
1. Identifies relevant and 4. Responsible for day to day collection of hospital data
appropriate sources of from the different DSOs
surveillance data (example,
ESR, EDCS) to include what
5. Assist the HESU Unit Head/Team Leader in
organizing
an orientation for doctors assigned at the OPDAIR
diseases or syndromes
collect
to and ward on hospital surveillance.
6. Collect daily report from the different DSOs diseases and
N
Recognizes an outbreak
(more than usual number of or conditions that are under surveillance at the following
cases on average
five years)
in the past departments: Pediatrics, Obstetrics and Gynecology,
Medicine and Surgery
3. Identifies the need to 7. Notify the HESU Unit Head/Team Leader onany diseases
conduct field investigation or health event that are highly contagious or unusual for
to verify epidemiologic appropriate action
data including contact- 8. Do data analysis and prepare reports as warranted.
tracing 9. Prepare daily (e.g. AFP, Measles and other diseases for
4. Coordinates with program elimination/eradication) and weekly surveillance report
managers for appropriate for submission to the RESU. All HSS reports must be
public health interventions reviewed and approved by the HESU Unit Head/Team
5. Competencies on Leader before its submission.
technical writing
(epidemiologic
investigation reports)
and communication
24
 10. of
Support the functions the Hospital Infection Prevention
and Control (IPC), especially for hospital- acquired
infections with outbreak potential.

Disease 15 Education: Bachelor's degree Dedicated DSO for: Department of Pediatrics,

Surveillance preferably Medical Allied Courses Obstetrics and Gynecology, Medicine, and Surgery
Officer Experience: minimum of 2 years’
(DSO)/Nurse experience in disease surveillance of Ensure the list of diseases/conditions to be reported is
II notifiable diseases and health events
Training: preferably trained on Basic
placed on
the a
table under glass or hung on the wallat
site
easily visible to doctors sitting in OPD/ER and ward for
Epidemiology; Event-based ready reference.
Surveillance; Epidemic-prone 2. Remind physician on duty at OPD/ER in completing
Disease Case-based Surveillance provisional diagnosis.
Eligibility: CS (Professional) 2nd 3. Collect and record on a daily basis of cases seen and
Level Eligibility / RA 1080
managed in their service/unit/division and report these
Competencies: cases to the nurse disease surveillance coordinator for
Identifies relevant and
encoding, consolidation and reporting to the MCC and the
appropriate sources of RESU.
surveillance data (example, ESR,
EDCS)
to include what diseases
4. Notify the HESU Unit Head/Team Leader on any diseases
or health event that are highly contagious or unusual for
or syndromes to collect
Recognizes an outbreak (more appropriate action
5. Do data analysis and prepare reports as warranted.
than usual number of cases on
average in the past five years)
Identifies the need to conduct
6. Prepare the daily (e.g. AFP, Measles and other diseases for
elimination/eradication) and weekly surveillance report
field investigation to verify for submission to the RESU. All HSS reports must be
epidemiologic data including reviewed and approved by the HESU Unit Head/Team
contact-tracing Leader before its submission.
Generates surveillance reports 7. Support the functions of the Hospital Infection Prevention
(see example of ESR VR and FF and Control (IPC), especially for hospital- acquired
Reporting Form template and infections with outbreak potential.
EDCS case investigation or

reporting form)
Analyzes surveillance data as
to time, place, person using
excel

Evidence:
Surveillance reports with analysis and

25
 recommendation (example ESR
reports or Field Investigation reports,
weekly notifiable disease reports)

Data Education: Completion of two- Dedicated Data Encoder to:

Encoder II year studiesin college I. Assist the DSO in the conduct of the hospital disease
surveillance such data collection and recording/encoding
Experience: 1 year of as

relevant experience 2. Maintain a data management system such as (data entry,

of
Training: 4 hours relevant encoding, cleaning and merging)
3. Assist the DSO in the preparation of weekly surveillance
training Eligibility: CS Sub-
professional/ First Level Eligibility reports
Competencies: 4. Assist in the orientation of hospital staff on NSS
2. Skills and knowledge on how 5. Perform administrative function related to HSS
to manage program-specific
data systems (e.g. MS Office)

26
Organogram for HESU-Level I Hospital (Basic Structure)

HESU
Level | Hospital
(1) Disease Surveillance
Coordinator/Nurse III
(Team Leader)

Note:
Based on the following:
DOH A.O. No. 2018-0023: Guidelines in Strengthening the Capacity of Public Health Units of DOH
Hospitals and All Level 3 Hospitals on Sentinel Surveillance System for Notifiable Diseases of Epidemic Potential;
RA 11332 Rule VII Section 2;
Feedback from Session 4 (Batch 1
& 2) Orientation and Refinement of the DOH Devolution Transition Plan
with CHDs;
DOH A.O. No. 2020-0016: Minimum Health System Capacity Standards for COVID-19 Preparedness
and Response Strategies;

27
 Recommended Or; anizational Structure and Staffing Complement for HESUs — Level I Hospital

Hospital Disease
Surveillance
17 Education: Bachelor's degree Dedicated DSC
to:
Epidemiology pref. Medical Allied Courses
and Surveillance Coordinator Experience: minimum of 2 years’ 1. Ensure the operation of HSS in the PHU
Units (HESU) (DSC) /Nurs experience in disease surveillance
of notifiable diseases and health
2. Be the focal personfor the disease surveillance system in
e Ill (Team the hospital
Level 1 Hospital Leader) events Training: 8 hours relevant 3. Ensure that daily (e.g. AFP, Measles and other diseases for
training preferably on Basic elimination/eradication) and weekly surveillance report
Epidemiology; Event-based is being forwarded/submitted to
Surveillance; Epidemic- prone the RESU
Disease Case-based Surveillance 4. Maintaina close coordination:
Eligibility: CS (Professional) 2nd
Level Eligibility / RA 1080 a with different departments of the hospital to discuss
the case definition as set in the PIDSR
Competencies:
1. Identifies relevant and b_ with their respective RESU
appropriate sources of C_
with reference laboratory
surveillance data (example, ESR, 5. Review data collected for the day and analyze them
to
EDCS) include what diseases
or syndromes to collect
6. Review the surveillance report and present
it to the
2. Recognizes an outbreak
MCC and the Chief of Clinics for appropriate actions
7. Disseminate surveillance report (any unusual incidence of
(more than usual number of
diseases and or any health event) to the MCC, hospital
cases on average in the past
five years)
committee and when needed to
communicate this report to the community
3. Identifies the need to
8. Orient the staff of different departments on the
conduct field investigation to
hospital surveillance system
verify epidemiologic data
including contact-tracing 9.Represent the hospital during meeting and
4. Coordinates with program surveillance updates
managers for appropriate 10. Include operating requirement
of the PHU
in the annual budget
public health interventions and
communication. 11. Support the functions of the Hospital Infection Prevention
Competencies on technical writing and Control (IPC), especially for hospital- acquired
(epidemiologic investigation reports) infections with outbreak potential.
and communication

28
Disease
Surveillance
15 Education: Bachelor's degree
preferably Medical Allied Courses
Dedicated DSO
to:
Officer 2
Experience: minimum of years’ 1. Ensure the list of diseases/conditions to be
(DSO)/Nurse
I
experience in disease surveillance
of notifiable diseases and health
reported is placed onthe table under
a glass or hung
on the wall at site easily visible to doctors sitting in
events Training: preferably trained OPD/ER and ward for ready reference.
on Basic Epidemiology; Event- Remind physician on duty at OPD/ER in completing
based Surveillance; Epidemic- provisional diagnosis.
prone Disease Case-based Collect and record ona daily basis of cases seen and
Surveillance
Eligibility: CS (Professional)
managed in their service/unit/division and report
these cases to the nurse disease surveillance
2nd Level Eligibility / RA 1080
Competencies:
coordinator of PHU for encoding, consolidation and
reporting to the MCC and the RESU.
Identifies relevant and
Notify the DSC/Team Leader on any diseases or
appropriate sources of health event that are highly contagious or unusual
surveillance data (example,
for appropriate action
ESR, EDCS) to include what
Do data analysis and prepare reports as warranted.
diseases or syndromes to
collect Prepare the daily (e.g. AFP, Measles and other
Recognizes an outbreak (more diseases for elimination/eradication) and weekly
than usual number of cases on surveillance report for submission to the RESU. All
average in the past five years) HSS reports must be reviewed and approved by
the
Identifies the need to conduct DSC/Team Leader before itssubmission.
to
field investigation verify
epidemiologic data including
Support the functions of the Hospital Infection
Prevention and Control (IPC), especially for
contact-tracing hospital- acquired infections with outbreak
Generates surveillance reports potential.
(see example of ESR VRand FF
Reporting Form template and
EDCS case
investigation or
reporting form)
Analyzes surveillance data as
to time, place, person using
excel
Evidence:
Surveillance reports with analysis
and recommendation (example ESR
reports or Field Investigation reports,
weekly notifiable disease reports)

29
Data Education: Completion of two- Dedicated Data Encoder to:
Encoder II year studies in college Assist the DSO in the conduct of the hospital disease
|.

Experience: 1 year of surveillance such as data collection and

relevant experience recording/encoding
Training: 4 hours of relevant 2. Maintain a data management system such as (data
training Eligibility: CS Sub- entry, encoding, cleaning and merging)
professional/ First Level Eligibility 3. Assist the DSO in the preparation of weekly
Competencies: surveillance reports
3. Skills and knowledge on how 4. Assist in the orientation of hospital staff on NSS
to manage program-specific 5. Perform administrative function related to HSS
data systems (e.g. MS Office)

30