2
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TESTIMONIALS	
                                                                         IF	
  YOU’RE	
  INTERESTED	
  TO	
  JOIN	
  A	
  NURSE	
  COOP	
  OR	
  
                                                                                        FORM	
  ONE,	
  CONTACT	
  US	
  FOR	
  HELP:	
  
 	
  
1. “EntrepreNurse hopes to address public health needs for nursing services             	
     DOLE 11 Regional Office
    and at the same time create a testing alternative model for the nurses to                  LDL Bldg., F. Bangoy St., Davao City
    remuneration outside their traditional mode of employment. This project will               Tel No. (082) 227-4289, 226-2481
    push the boundaries of nursing practice in the Philippines.”
                                                                                               Cel. No. 09219027178
   - Dr. Josefina Tuazon, UPCN
                                                                                               e-mail: dole11davao@yahoo.com
                                                                                               website: www.dole11.net
2. “We foresee that the impact of this initiative will be in the public health realm,
    in addressing the many health concerns of poor, rural communities.”
                                                                                                                                                                               INTRODUCING	
  THE	
  CON
   - Usec. Carmelita Pineda, DOLE Focal Person
     Project NARS & Project EntrepreNurse
                                                                                               Davao City EntrepreNurse Health Care Cooperative
                                                                                               Marina Ledesma, Chairman
                                                                                                                                                                               NURSE	
  ENTREPRENEURS
                                                                                               Cel. No. 09177043431                                                            AMONG	
  UNEMPLOYED	
  N
3. “Nurses will not remain employees all throughout their career life, so they                 e-mail: neneledz@yahoo.com
    must bear the challenges of the economic situation. This initiative will change                                                                                            TO	
  ACHIEVE	
  PUBLIC	
  	
  
    the face of nursing in the country.”                                                       Davao Oriental EntrepreNurse Health Care Services
   - Mr. Marco Antonio Santo Tomas, BON-PRC                                                    Geofford Montejo, Chairman
                                                                                                                                                                               HEALTH	
  OBJECTIVES	
  
                                                                                               Cel. No.: 09212703091
4. “I would like to manifest to all of you that Davao Oriental is giving on all out            e-mail : ford_bodik@yahoo.com
    support for this initiative.”
   - Gov. Corazon Malanyaon, Davao Oriental
                                                                                               Davao del Sur Health Care Services Cooperative
                                                                                               Jessamine Dela Peña, Chairman
5. “This project is going to be able to serve not just our personal and
    professional needs but also the needs of our countrymen who need our                       Cel. No. 09285213498
    services.”                                                                                 e-mail: jessrussel2002@yahoo.com
   - Sec. Esperanza I. Cabral, DOH
                                                                                               DavNor EntrepreNurse Service Cooperative
6. “Each of you will be proud to say, that this project was conceived, was                     Paul John Gabayan, Chairman
    developed, and was born here in Davao City.”                                               Cel. No.: 09202606917
   - Sec. Marianito D. Roque, DOLE                                                             e-mail : pauljohngabayan@yahoo.com

                                                                                               Comval Nurses Health Care Services Cooperative
                                                                                               Elizar Bulac, Chairman
WHAT	
  CAN	
  YOU	
  DO	
  TO	
  HELP?	
                                                      Cel. No. 09283539966
                                                                                               e-mail: metallicates24@yahoo.com
	
  
       1. SEND two or three or a hundred nurses for six                                          OR CONTACT YOUR NEAREST DOLE REGIONAL OFFICE                      PROJECT	
  DESCRIPTION	
  
          months to a poor rural community and see the
                                                                                                                                                                              An initiative of DOLE, in collaboration with BON-PR
          tremendous impact.                                                                                                                                       OHNAP and other government and non-government entities, an
                                                                                                                                                                   to promote nurse entrepreneurship in the Philippines:
       2. ADOPT a nurse cooperative and help sustain the                                                                                                                      1)   to reduce the cost of health care for the count
          mission of hundreds of public health advocates.                                                                                                                          by bringing primary health care services to poor
                                                                                                                                                                              2)   to maximize employment opportunities for the
       3. DONATE to a nurse cooperative.                                                                                                                                           nurses and
                                                                                                                                                                              3)   to utilize the country’s unemployed human reso
                                                                                                                                                                                   delivery of public health services and the achie
       4. OUTSOURCE the delivery of your health care                                                                                                                               Millennium Development Goals on matern
          services to a nurse cooperative.                                                                                                                                         consistent with the Fourmula One for Hea
                                                                                                                                                                                   Department of Health.
PROJECT	
  BENEFICIARIES	
                                                                                 In Region 11, the ratio of public health manpower to population is even more
                                                                                                                                                                                                            FORMS	
  OF	
  NURSE	
  ENTREPRENEUR
                                                                                               worrying: Compostela Valley has only 1 government doctor for every 49,666 population and one
          HMO members, PhilHealth members, self-paying patients,
                                                                                               government nurse for every 40,353; Davao del Norte has one doctor for every 53,924 and one                   	
  
                                                                                               nurse for every 27,832; Davao Oriental has one doctor for every 49,189 and one nurse for every               1.  Hospice, domiciliary and healthcare facility manage
convalescent patients, patients needing long-term treatment, elderly,
                                                                                               32,793; Davao del Sur has one doctor for every 49,189 and one nurse for every 32,793; Davao
occupationally disabled, identified poor rural communities, and unemployed                                                                                                                                  2.  Public health advocacy
                                                                                               City, the regional center, has one doctor for every 73,484 and one nurse for every 39,891.
nurses.          	
                                                                            Therefore, the deployment of nurses to poor rural communities in these provinces is an urgent                3.  Home health care services
	
                                                                                             need.                                                                                                        4.  Outsourcing public health delivery for LGUs, NGAs,
                                                                                                                                                                                                                other government institutions
LEGAL	
  BASES	
                                                                                           On the other hand, the oversupply of registered nurses in the country, now estimated             5. Medical transcription services
                                                                                               at 150,000, resulting from the boom in the number of nursing schools and the spike in nursing                6. Health care training management
ARTICLE VI, RA 9173                                                                            enrolment from the 1980s to 2008 (there has been a 17% drop in enrolment for 2009) has
                                                                                               brought home the issue of how to provide employment opportunities for our unemployed nurses.
                                                                                                                                                                                                            7. Emergency medical services
NURSING PRACTICE                                                                                                                                                                                            8. Tourism health care services
                                                                                               The DOLE’s Project NARS has provided temporary employment for 11,000 nurses all over the
Section 28. Scope of Nursing. - A person shall be deemed to be practicing nursing              country in 1,000 poverty-stricken municipalities.                                                            9. Wellness and fitness management for private comp
within the meaning of this Act when he/she singly or in collaboration with another,                                                                                                                         10. Outsourcing health services for private establishm
initiates and performs nursing services to individuals, families and communities in any                                                                                                                         Code requirement
health care setting. It includes, but not limited to, nursing care during conception, labor,     IMPLEMENTING	
  ENTITIES	
  AND	
  THEIR	
  	
                                                             11. Medical mission management for private companies
delivery, infancy, childhood, toddler, preschool, school age, adolescence, adulthood,                                                                                                                       12. Periodic physical examination of workers for private
and old age. As independent practitioners, nurses are primarily responsible for the              PRINCIPAL	
  ROLES	
  
promotion of health and prevention of illness.
                                                                                                 	
   Department of Labor and Employment (DOLE) – Provide overall management and direction
                                                                                                1.
Article V, RA 7164
NURSING PRACTICE
                                                                                                      and provide financial assistance in the form of grants to nurses’ cooperatives which the latter       PROCESS	
  FLOW	
  
                                                                                                      will use as start-up capital. The DOLE through its regional offices shall also assist the nurses
Section 27. Scope of Nursing. - A person shall be deemed to be practicing nursing
                                                                                                      organize themselves into cooperatives or associations and register themselves with the                	
  
                                                                                                      appropriate government authority.
within the meaning of this Act when he/she, for a fee, salary or other reward or
compensation, singly or in collaboration with another, initiates and performs nursing           2.    Department of Health (DOH) – Lead in the formulation or reform of health policies in support
services to individuals, families and communities in various stages of development                    of this initiative, including referring patients to the project’s nurses’ cooperatives.
toward the promotion of health, prevention of illness, restoration of health, and
alleviation of suffering.                                                                       3.    Philippine Health Corporation (PhilHealth) – Upon approval of its Board of Directors, shall
                                                                                                      modify its rules to include home and rehabilitation services as part of its package of benefits for
                                                                                                      Philhealth members and pay for or reimburse home health care services of nurses’
  RATIONALE	
                                                                                         cooperatives registered with the CDA under this Project.

                                                                                                4.    Board of Nursing-Professional Regulation Commission (BON-PRC) – Promote nurse
            This initiative aims to achieve public health objectives and at the same time             entrepreneurship among the country’s nursing students and schools and research on the
address the unemployment problem of licensed nurses in the country. The strategy is to                feasibility of including nurse entrepreneurship in the BSN curriculum; Design and implement an
encourage nurses to form cooperatives and manage nurses’ clinics, under the                           Enterprise Development Training Course for nurses’ cooperatives in partnership with the
supervision of trained and experienced nurses, which will deploy newly licensed nurses                Cooperatives Development Authority.
to poor rural communities with little or no access to basic health care and with
substantial populations of sick, elderly and disabled patients. These services will be          5.    University of the Philippines College of Nursing and Philippine Nurses Association
compensated by the LGU, Philhealth, HMOs, by the patients themselves on a per visit                   (UPCN and PNA)– Research and formulate costing standards that our nurses’ cooperatives
basis, or from grants from local and foreign donors. Congressmen’s and Senator’s                      can use as guide in fixing the cost of their services; formulate metrics in evaluating socio-
                                                                                                      economic impact of the project on public health in pilot communities and conduct evaluation
Priority Development Funds shall also be tapped.
	
                                                                                                    using the same metrics.
            Quality health care is an expensive option for most Filipinos, many of whom         6.    Philippine Nurses Association (PNA) – Shall promote the concept of nurse entrepreneurship
do not have health insurance. The popular saying, “Bawal Magkasakit” is not only an                   among its chapters and members and help obtain funding grants from abroad, particularly its
attempt at dark humor but reflects a reality that the overwhelming majority of Filipinos              overseas chapters.
simply cannot afford quality health care. The data from the HMOs is that only less than
15% of the population have health insurance. The rest pay for health care services              7.    Occupational Health Nurses Association of the Philippines (OHNAP) – Refer qualified
either out of pocket or through the Philhealth. In 2002, the World Health Organization                patients from their company-based clinics to the project’s nurses’ cooperatives; and train nurse
estimated that of total health expenditures in the Philippines, 47.5% is out of pocket.               cooperative members on basic occupational safety and health for nurses

           Beyond the issue of the high cost of quality health care, access to primary          8.    Cooperatives Development Authority (CDA) – Shall register nurses’ cooperatives and train
health care is also a problem amongst poor rural communities. In one report of one of                 them on cooperativism.
our nurses under Project NARS, a pregnant woman died under his watch simply                     9.    Insurance Commission (IC) – Shall promote the Project among HMOs to include home health
because the upland town lacked oxygen supplies. The Philippines has one of the worst                  care as part of its package of benefits for their HMO member.
health manpower to population ratio in Asia. In 1999, our ratio of one doctor per 9,689
population is only slightly better than Cambodia’s 9,997, but lower than Indonesia’s            10.   LGUs and other sponsoring agencies or organizations – Identify the barangays which are
6,195, Thailand’s 3,670, Myanmar’s 3,291, Vietnam’s 2,122, Malaysia’s 1,465 and                       most in need of health care services and pay for the services of the project’s nurses’
Singapore’s 731.                                                                                      cooperatives on a per visit basis.

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Project entrepre nurse

  • 1. TESTIMONIALS   IF  YOU’RE  INTERESTED  TO  JOIN  A  NURSE  COOP  OR   FORM  ONE,  CONTACT  US  FOR  HELP:     1. “EntrepreNurse hopes to address public health needs for nursing services   DOLE 11 Regional Office and at the same time create a testing alternative model for the nurses to LDL Bldg., F. Bangoy St., Davao City remuneration outside their traditional mode of employment. This project will Tel No. (082) 227-4289, 226-2481 push the boundaries of nursing practice in the Philippines.” Cel. No. 09219027178 - Dr. Josefina Tuazon, UPCN e-mail: [email protected] website: www.dole11.net 2. “We foresee that the impact of this initiative will be in the public health realm, in addressing the many health concerns of poor, rural communities.” INTRODUCING  THE  CON - Usec. Carmelita Pineda, DOLE Focal Person Project NARS & Project EntrepreNurse Davao City EntrepreNurse Health Care Cooperative Marina Ledesma, Chairman NURSE  ENTREPRENEURS Cel. No. 09177043431 AMONG  UNEMPLOYED  N 3. “Nurses will not remain employees all throughout their career life, so they e-mail: [email protected] must bear the challenges of the economic situation. This initiative will change TO  ACHIEVE  PUBLIC     the face of nursing in the country.” Davao Oriental EntrepreNurse Health Care Services - Mr. Marco Antonio Santo Tomas, BON-PRC Geofford Montejo, Chairman HEALTH  OBJECTIVES   Cel. No.: 09212703091 4. “I would like to manifest to all of you that Davao Oriental is giving on all out e-mail : [email protected] support for this initiative.” - Gov. Corazon Malanyaon, Davao Oriental Davao del Sur Health Care Services Cooperative Jessamine Dela Peña, Chairman 5. “This project is going to be able to serve not just our personal and professional needs but also the needs of our countrymen who need our Cel. No. 09285213498 services.” e-mail: [email protected] - Sec. Esperanza I. Cabral, DOH DavNor EntrepreNurse Service Cooperative 6. “Each of you will be proud to say, that this project was conceived, was Paul John Gabayan, Chairman developed, and was born here in Davao City.” Cel. No.: 09202606917 - Sec. Marianito D. Roque, DOLE e-mail : [email protected] Comval Nurses Health Care Services Cooperative Elizar Bulac, Chairman WHAT  CAN  YOU  DO  TO  HELP?   Cel. No. 09283539966 e-mail: [email protected]   1. SEND two or three or a hundred nurses for six OR CONTACT YOUR NEAREST DOLE REGIONAL OFFICE PROJECT  DESCRIPTION   months to a poor rural community and see the An initiative of DOLE, in collaboration with BON-PR tremendous impact. OHNAP and other government and non-government entities, an to promote nurse entrepreneurship in the Philippines: 2. ADOPT a nurse cooperative and help sustain the 1) to reduce the cost of health care for the count mission of hundreds of public health advocates. by bringing primary health care services to poor 2) to maximize employment opportunities for the 3. DONATE to a nurse cooperative. nurses and 3) to utilize the country’s unemployed human reso delivery of public health services and the achie 4. OUTSOURCE the delivery of your health care Millennium Development Goals on matern services to a nurse cooperative. consistent with the Fourmula One for Hea Department of Health.
  • 2. PROJECT  BENEFICIARIES   In Region 11, the ratio of public health manpower to population is even more FORMS  OF  NURSE  ENTREPRENEUR worrying: Compostela Valley has only 1 government doctor for every 49,666 population and one HMO members, PhilHealth members, self-paying patients, government nurse for every 40,353; Davao del Norte has one doctor for every 53,924 and one   nurse for every 27,832; Davao Oriental has one doctor for every 49,189 and one nurse for every 1. Hospice, domiciliary and healthcare facility manage convalescent patients, patients needing long-term treatment, elderly, 32,793; Davao del Sur has one doctor for every 49,189 and one nurse for every 32,793; Davao occupationally disabled, identified poor rural communities, and unemployed 2. Public health advocacy City, the regional center, has one doctor for every 73,484 and one nurse for every 39,891. nurses.   Therefore, the deployment of nurses to poor rural communities in these provinces is an urgent 3. Home health care services   need. 4. Outsourcing public health delivery for LGUs, NGAs, other government institutions LEGAL  BASES   On the other hand, the oversupply of registered nurses in the country, now estimated 5. Medical transcription services at 150,000, resulting from the boom in the number of nursing schools and the spike in nursing 6. Health care training management ARTICLE VI, RA 9173 enrolment from the 1980s to 2008 (there has been a 17% drop in enrolment for 2009) has brought home the issue of how to provide employment opportunities for our unemployed nurses. 7. Emergency medical services NURSING PRACTICE 8. Tourism health care services The DOLE’s Project NARS has provided temporary employment for 11,000 nurses all over the Section 28. Scope of Nursing. - A person shall be deemed to be practicing nursing country in 1,000 poverty-stricken municipalities. 9. Wellness and fitness management for private comp within the meaning of this Act when he/she singly or in collaboration with another, 10. Outsourcing health services for private establishm initiates and performs nursing services to individuals, families and communities in any Code requirement health care setting. It includes, but not limited to, nursing care during conception, labor, IMPLEMENTING  ENTITIES  AND  THEIR     11. Medical mission management for private companies delivery, infancy, childhood, toddler, preschool, school age, adolescence, adulthood, 12. Periodic physical examination of workers for private and old age. As independent practitioners, nurses are primarily responsible for the PRINCIPAL  ROLES   promotion of health and prevention of illness.   Department of Labor and Employment (DOLE) – Provide overall management and direction 1. Article V, RA 7164 NURSING PRACTICE and provide financial assistance in the form of grants to nurses’ cooperatives which the latter PROCESS  FLOW   will use as start-up capital. The DOLE through its regional offices shall also assist the nurses Section 27. Scope of Nursing. - A person shall be deemed to be practicing nursing organize themselves into cooperatives or associations and register themselves with the   appropriate government authority. within the meaning of this Act when he/she, for a fee, salary or other reward or compensation, singly or in collaboration with another, initiates and performs nursing 2. Department of Health (DOH) – Lead in the formulation or reform of health policies in support services to individuals, families and communities in various stages of development of this initiative, including referring patients to the project’s nurses’ cooperatives. toward the promotion of health, prevention of illness, restoration of health, and alleviation of suffering. 3. Philippine Health Corporation (PhilHealth) – Upon approval of its Board of Directors, shall modify its rules to include home and rehabilitation services as part of its package of benefits for Philhealth members and pay for or reimburse home health care services of nurses’ RATIONALE   cooperatives registered with the CDA under this Project. 4. Board of Nursing-Professional Regulation Commission (BON-PRC) – Promote nurse This initiative aims to achieve public health objectives and at the same time entrepreneurship among the country’s nursing students and schools and research on the address the unemployment problem of licensed nurses in the country. The strategy is to feasibility of including nurse entrepreneurship in the BSN curriculum; Design and implement an encourage nurses to form cooperatives and manage nurses’ clinics, under the Enterprise Development Training Course for nurses’ cooperatives in partnership with the supervision of trained and experienced nurses, which will deploy newly licensed nurses Cooperatives Development Authority. to poor rural communities with little or no access to basic health care and with substantial populations of sick, elderly and disabled patients. These services will be 5. University of the Philippines College of Nursing and Philippine Nurses Association compensated by the LGU, Philhealth, HMOs, by the patients themselves on a per visit (UPCN and PNA)– Research and formulate costing standards that our nurses’ cooperatives basis, or from grants from local and foreign donors. Congressmen’s and Senator’s can use as guide in fixing the cost of their services; formulate metrics in evaluating socio- economic impact of the project on public health in pilot communities and conduct evaluation Priority Development Funds shall also be tapped.   using the same metrics. Quality health care is an expensive option for most Filipinos, many of whom 6. Philippine Nurses Association (PNA) – Shall promote the concept of nurse entrepreneurship do not have health insurance. The popular saying, “Bawal Magkasakit” is not only an among its chapters and members and help obtain funding grants from abroad, particularly its attempt at dark humor but reflects a reality that the overwhelming majority of Filipinos overseas chapters. simply cannot afford quality health care. The data from the HMOs is that only less than 15% of the population have health insurance. The rest pay for health care services 7. Occupational Health Nurses Association of the Philippines (OHNAP) – Refer qualified either out of pocket or through the Philhealth. In 2002, the World Health Organization patients from their company-based clinics to the project’s nurses’ cooperatives; and train nurse estimated that of total health expenditures in the Philippines, 47.5% is out of pocket. cooperative members on basic occupational safety and health for nurses Beyond the issue of the high cost of quality health care, access to primary 8. Cooperatives Development Authority (CDA) – Shall register nurses’ cooperatives and train health care is also a problem amongst poor rural communities. In one report of one of them on cooperativism. our nurses under Project NARS, a pregnant woman died under his watch simply 9. Insurance Commission (IC) – Shall promote the Project among HMOs to include home health because the upland town lacked oxygen supplies. The Philippines has one of the worst care as part of its package of benefits for their HMO member. health manpower to population ratio in Asia. In 1999, our ratio of one doctor per 9,689 population is only slightly better than Cambodia’s 9,997, but lower than Indonesia’s 10. LGUs and other sponsoring agencies or organizations – Identify the barangays which are 6,195, Thailand’s 3,670, Myanmar’s 3,291, Vietnam’s 2,122, Malaysia’s 1,465 and most in need of health care services and pay for the services of the project’s nurses’ Singapore’s 731. cooperatives on a per visit basis.