The Center for Health Development for Cagayan Valley (CHD-CV) is one of the seventeen CHDs of the Department of Health. Located at Carig, Tuguegarao City, its headquarter office sits on a 10,000 Sq. meter Lot donated by the Provincial Government of Cagayan. It is just along the Cagayan Valley Road, adjacent to the regional offices of T.E.S.D.A and N.F.A.
Its location therefore renders it very accessible to all kinds of motor vehicles at any time including air transportation, with the Tuguegarao Airport just 2 kilometers away. As a necessary backgrounder for this manual, the following profile is hereunder discussed.
A.GEOGRAPHICAL AND JURISDICTION LIMIT
The CHD-CV, as a center for health development, covers the four provinces and 3 Cities of region 2, namely;
1.The Province of Cagayan, with 28 municipalities plus the city of Tuguegarao, has a population of 1, 063,093 (2003 est.) that is served by one (1) Medical Center, one (1) Provincial Hospital, seven (7) District Hospitals, and three (3) Municipal Hospitals, aside from private hospitals. The province has a total land area of 9, 007.7 sq. km. including Tuguegarao City.
2.The Province of Isabela, with 35 municipalities plus the cities of Santiago and Cauayan, has a population of 1, 377,061 (2003 est.) that is served by one (1) Provincial Hospital, five (5) District Hospitals, four (4) Municipal/Station Hospitals and one (1) Community Hospital, aside from many private hospitals. It has a total land area of 10,664 sq. km. including the cities therein.
3.The Province of Nueva Viscaya has fifteen (15) municipalities and a population of 389, 426 (2003 est.) which is served by one (1) Regional Hospital, three (3) District Hospitals and two (2) Municipal/Station Hospitals aside from the private hospitals therein. It has a total land area of 3, 904 sq. km.
4.And lastly the Provice of Quirino, with six (6) municipalities and a population of 161, 372 (2003 est.). it is served by one Provincial Hospital and four (4) District Hospitals aside from few private clinics operating within the province. It has a total land area of 3,057.1 sq. km.
The island Province of Batanes, with six (6) municipalities and a population estimated at 18,151 as of 2003, which is served by one (1) Provincial Hospital and one (1) Distric Hospital, has been excluded from the administrative responsibility of the CHD-CV by virtue of a Department Order placing it under the administrative supervision of the National Capital Region. The province has a total land area of 209.3 sq. km.
Before the effective of the Local Government Code of 1991 and the devolution that followed, the then Regional Health Office No. 02 exercised
supervision and control (Administrative and Technical) over all heath operations and programs in the Region including assets, facilities, funds, liabilities and personnel thru its Provincial Health Offices, District Health Offices, Municipal Health Offices, Main Health Centers, and Barangay Health Stations.
However, after the effectivity of the Local Government Code and the Devolution Scheme, particularly the Regional Health Offices were re-structured. The Provincial Hospitals, District Hospitals, Municipal and Barangay Health Stations, including all their personnel, properties assets, facilities, liabilities and funding complements, were effectively devolved to concerned Local Government Units. Thus, transferring to them full control and supervisions (Administrative and Technical) of Health services in their respective jurisdictions.
What were therefore left to the then Regional Health Office No. 02 are:The regional office headquarter including the Cagayan Valley Herbal Processing Plant that was later placed under the jurisdiction of the new Philippine Institute of Traditional and Alternative Health Care; the then Cagayan Valley Regional Hospital and now upgraded as Cagayan Valley Medical Center, also at Carig, Tuguegarao City; the Veterans Regional Hospital at Boyombong, Nueva Vizcaya and the recently re-nationalized Southern Isabela General Hospital at Santiago City; b) The Personnel complements of the above establishments; and c). Technical monitoring and supervision of health programs in the region and health regulation activities, including the establishment of appropriate linkages and partnerships with Local Government Units and other organizations in the field of health.
B.BRIEF HISTORY AND LEGAL BASIS FOR ITS CREATION AND ESTABLISHMENT
On June 18, 1958, HEALTH REGION 02 was established and organized comprising the Provinces of Batanes, Cagayan, Isabela and Nueva Vizcaya per Reorganization Plan Nos. 12-A and 14-A as implemented by Executive Order No. 288s. 1958 of the President of the Philippines.
However, actual operation only started a year later on June 20, 1959 by skeletal number of personnel from the Department of Health-Central Office when the late Mr. Cornelio Dela Cruz, formerly a Security Guard and retired as Cashier III, together with Mr. Severo San Jose, Utility Worker, came to Tuguegarao and started to arranged the office at the little Adduru Building along what is now Legaspi Street. A week later, the Administrative Officer, Personnel Officer, Cashier and Accountant also arrived and joined the first two above. Barely two years in the Adduru Building, the RHO2 transferred its office to the Moldero Building at the corner of Magallanes and Aguinaldo Streets where is stayed for some years until it transferred to the Durian Building located at the corner of Taft and Zamora Streets at Bagumbayan, Tuguegarao. In the years that followed, the Regional Health Office 02 grew in size, personnel and physical establishments such as hospitals and other health facilitites. Meanwhile, in the 60s, Batanes was transferred ro Health Region 3.
On November 01, 1972, the President of the Philippines issued letter of Instruction (L.O.I) No. 08 reorganizing and dividing the country into two twelve (12) regions. Region 02 was increased to seven (7) provinces with the additional of the two Cordillera provinces of Kalinga-Apayao and Ifugao, the province of Quirino and the return of Batanes, thereby increasing the area coverage of the Office.
The years that followed saw the then Regional Health Office 2 growing by leaps and bounds to meet its increasing needs and size. This office was then transferred from the Tuguegarao poblacion to its present location upon the initial construction of the Regional Health Training Center in July 1978. During those intervening periods, new hospitals were established across the region, and vertical programs were expanded. Meanwhile, in the early 80’s, thereby providing enough space for the Director/Assistant Director’s Office, Finance, Division, Administrative Division and the Commission on Audit.
On May 01, 1985 another reorganization was made upon the issuance of Executive Order No. 851 integrating public health with the Hospital Services. District Health Offices were organized with their catchment areas composed of Rural Health Units and Barangay Health Stations, thereby decentralizing the management of the D.O.H. and its Regional Offices.
The snap Presidential election of Febraury 7, 1986 was a turning point for all Regional Health Offices. For right after the ascendance of Mrs. Corazon C. Aquino to the Presidency, she issued Executive Order No. 119 of 1987 reorganizing the Ministry of Health by changing its name to Department of Health. Hospitals and other health facilities which carried names associated with the Martial Regime were accordingly changed to reflect the mood of the moment.
In 1989, the salary standardization law was passed which saw the upgrading and downgrading of some plantilla positions of the Regional Offices and the reclassification of the title of some plantilla positions including the positions of the Regional Director and the Assistant Regional Director into Director IV and Director III respectively. That same year, Region 02 was downsized with the separation of the Provinces of Ifugao and Kalinga-Apayao to join the newly created Cordillera Administrative Region. Meanwhile, the two-storey warehouse and technical building was constructed to house the Supply Section and the Technical Division.
In 1991, Congress passed and approved the Local Government code of 1991, effectively devolving health services, assets and properties, liabilities and personnel to the Provincial Health Services, assets and properties, liabilities and personnel to the Provincial Health Offices down to the Barangay Health Stations, thereby further emasculating the Regional Health Offices not only in terms of size but most importantly in terms of functions as discussed above. With the appointment of Dr. Juan M. Flavier as Secretary of D.O.H, the names of the Regional Offices were changed to Department of Health Integrated Regional Field Offices or DIRFO.
Nowwothstanding the Devolution, the then DIRFO 02 and its three (3) Retained Hospitals continued to Develop with the construction of the Regional Health Training Center Annex in 1995 and the Motor Pool Building in 1996 both at DIRFO 02 compound; the construction of the Dietary and Supply area, the second storey portion of the Surgery and Medical Wards and the Central module of the Psychiatry Department at the then CVRH (now CVMC); the Administrative Building of the Herbal Processing Plant; and the construction of the Administrative Building of the Veterans Regional Hospital, and many other similar improvements.
The above developments, however, reflected only the physical aspect of the continuing metamorphosis and growth of the Department of Health and its field offices as it is today. Other very important factors as political and legal mandate like the planned re-engineering or re-direction of the agency under EO 102 necessitates new structural and operational setup to go along with new realities.
This evolutionary development is both a vertical and horizontal concern, cutting across clusters and from up, down the line to the lowest administrative levels such as the Regional Offices and the retained National Hospitals in each of the regions or provinces.
The Regional Offices of the Department of Health, now officially known as Centers for Health Development (CHDs), were the first to be affected by these metamorphic changes. Horizontally, the streamlining were reflected in clusters that resulted to the merging of divisions. The Administrative and Finance Divisions were put together to form the new Management Support Division; the Technical and Training Divisions were merged to form the new Health Operation Divisions; and two (2) new divisions were created, namely the Health Regulation And Local Health Assistance Division. The Human Resource Development aspect of the Training Division was merged with the Office of the Regional Director and Assistant Regional Director; while some units of the Office of the Assistant Regional Director (OARD) such as the Radio Communication unit, were merged with the MSD, while the INFRA unit, was merged with HOD.
Vertically, the changes were minimal as the horizontal changes did not much affect the general principle of the administrative chain of command even in the regional level. Except for the fact that some units were re-assigned to new divisions necessitating new relational approaches and strategies.
As the wheels of changed roll on, new visions and missions are carved out to meet new operational and structural realities that demand re-examination, re-definition, and re-statement per level and per cluster/unit within each particular level. Functions of each plantilla position need re-statement to suit the new and emerging reality. All of this however is subject to constraints owing to difficult Fiscal and Budgetary conditions as well as the legal and political considerations that go with so huge and gargantuan a project.
Today, the Center for Health Development is still at the forefront in health activities of the Region. Cogzinant of its mandate per devolution, the office is doing its share of helping and assisting the Local Government Units in their health concerns so as to effectively empower them for better delivery of health services in their respective constituencies.
Function of CHD-CV:
Based on the provisions of Sec. 16 of E.O 119 s. 1987, Sec. 18 of E.O 292 s. 1987 and the Local Government Code of 1991, the following comprises the function of the Department of Health at the Regional Level:
The Regional Health Office No. 2 or what is now known, as Center for Health Development for Cagayan Valley shall be responsible for the operation of the Department in region 2 and for providing the same with efficient/effective health and medical service. It shall supervise all agencies of the department on its jurisdiction, including whatever Medical Centers, Regional Hospitals and Sanitaria under it, except those placed under the department proper. Specifically, it shall exercise within its administrative region the following functions:
1.Implement laws, rules, regulation, policies, plans, programs and projects of the Department of Health in the region.
2.Provide effective and efficient health and medical services to the people;
3.Coordinate with regional offices of other department, offices and agencies in the region.
4.Coordination with Local Government Units in the region; and
5.Perform such other functions as may be provided by law.