Angeles City Legislative Information System
Ordinance Number: 327
Series: 2012
Author: Councilors Indiongco, Morales, Bonifacio, E. Pamintuan, Nepomuceno, Sangil, Aguas and JC Pamintuan
Approved Date: December 26, 2012

Ordinance No. 327
Series of 2012

Article I



Section 1.  Title.  This ordinance shall be known as “CHILD WELFARE CODE OF ANGELES CITY


Section 2. Declaration of Policies and Principles of the City of Angeles.  The City of Angeles is hereby declared a Child-Friendly City.  As such, it is the policy of the City Government that the rights of children to survival, development, protection and participation shall be given high priority.  It shall likewise work and support the role of the family in providing for children and promote the efforts of parents, other child care and development workers, People’s Organizations (POs), Non-Government Organizations (NGOs), religious sector and communities to nurture and care for children from conception to adolescence including the inculcation of values that adhere to the standards of society for ethical and moral behavior.


Consistent with this, the City Government shall endeavor to strengthen the establishment of a Comprehensive Child and Family Support System in the entire city and enjoin all the efforts of the public, POs, NGOs and the private sector to achieve the goals for the survival, protection, development, participation and values formation of children in the society.


The City of Angeles shall allocate funds for the effective implementation of this Code and that every effort shall be made to ensure that such programs are protected from economic austerity measures and structural adjustments.


Further, the City Government shall recognize, adopt and adhere to the following guiding principles and policies:


  1. The vital role of the child in society.  It shall promote, develop and protect his/her physical, moral, spiritual, intellectual and social well-being.  It shall inculcate patriotism and nationalism, and encourage the child’s involvement in public and civic affairs.
  2. The child has the rights to survival, protection, development and participation in accordance with the United Nations Convention on the Rights of the Child.  These rights are interdependent, indivisible and therefore shall be respected, promoted and protected so that the child can enjoy a full life.
  3. The child is a human being capable of participating in proceedings affecting him, with his evolving capacities;
  1. These rights apply to every child without discrimination, irrespective of his parent’s or legal guardian’s ethnicity, sex, language, religion, political affiliation, disability, paternity and filiations, birth or other status;


  1. The best interest of the child shall be the paramount consideration in all matters affecting him.  All doubts in the interpretation of the provisions of this Code, including its implementing rules and regulations, shall be resolved in the best interest of the child;
  2. The rights of the child, just like any other basic human rights, are universal and have in them inherent obligations and responsibilities that must be inculcated in all children to ensure their true holistic development;
  3. The City shall defend the rights of every child including proper care and nutrition, special protection from all forms of abuse, neglect, cruelty, exploitation and discrimination and other conditions prejudicial to his development.


Section 3. Definition of Terms.


  1.  Alcoholic beverage - ethyl alcohol, ethanol, or spirits of wine including all dilutions, purifications and mixtures thereof, from whatever source by whatever process produced and shall include whisky, brandy, rum, gin, tequila and vodka and other similar products or mixtures. It shall also include malt beverages, mixed or fermented liquors, including tuba, basi, tapuy and lambanog.
  2. Amusement and Entertainment Establishments shall be limited to the following:  Agogo houses, bars, beerhouses, sauna/massage parlors, pubs, motels/inns, sing alongs/videoke bars/houses, kitchenettes, which provide/require male or female table companion/s, dancing halls and other facilities that feature live entertainment shows featuring male and female modeling.


  1. Anti-social related activities - refers to those acts against property, chastity and person which include but not limited to the following:

           1. Petty crimes such as snatching, shoplifting, misrepresentation;

2. Using and pushing prohibited drugs, selling illegal or lewd reading materials;

3. Pimping for young and old prostitutes, doing or participating in obscene shows;

           4. Gambling of any form;

           5. Rape and incest;

           6. Unjust and inhumane manner of eviction and demolition; and

           7. Any other circumstances as defined in the existing laws.


  1. Authentic Birth Certification – a certificate issued either by the National Census and Statistics Office (or any Local Government Unit, Civil Registry Office, confirming the date and place of birth of the subject individual.


  1. Benefit Dance – refers to an exploitative dance promoted in the locality wherein young girls and boys who are tagged as benefit dancers are being offered to dance with any partner upon payment of certain pric


  1. Child Abuse - refers to the maltreatment of the child, whether habitual or not which includes any of the following:

f.1. Psychological and physical abuse, neglect, cruelty, sexual abuse and exploitation and emotional maltreatment;

f.2.  Any act or deed or words which debases, degrades or demeans the intrinsic worth and dignity of a child as a human being;

f.3. Unreasonable deprivation of his/her basic needs of survival such as food and shelter; or

f.4. Failure to immediately give medical treatment to an injured child resulting in serious impairment of his/her growth and development or permanent incapacity or death.


  1. Child at Risk - refers to a child who is vulnerable to and at the risk of committing criminal offenses because of personal, family and social circumstances, such as, but not limited to, the following:

g.1. Being abused by any person through sexual, physical, psychological, mental, economic or any other means and the parents or guardian refuse, are unwilling, or unable to provide protection for the child;

g.2. Being exploited including sexually or economically;

g.3. Being abandoned or neglected, and after diligent search and inquiry, the parent or guardian cannot be found;

g.4. Coming from a dysfunctional or broken family or without a parent or guardian;

g.5. Being out of school;

g.6. Being a street child;

g.7. Being a member of a gang;

g.8. Living in a community with a high level of criminality or drug abuse; and

g.9. Living in situations of armed conflict.

  1. Child in Conflict with the Law refers to a child who is alleged as, accused of, or adjudged as, having committed an offense under Philippine laws;
  2. Child – shall refer to a person below eighteen (18) years of age or one over said age and who upon evaluation of a qualified physician, psychologist or psychiatrist, is found to be incapable of taking care of himself fully because of a physical or mental disability or condition or of protecting himself from abuse;
  3. Circumstances which gravely threaten or endanger the survival and normal development of children which include, but are not limited to the following:

j.1. Working under conditions hazardous to life, safety and morals, which unduly interfere with their normal development or working without provision for their education;

j.2. Living in or finding for themselves in the streets of urban and rural areas without the care of parents or guardians or any adult supervision needed for their welfare;

j.3. Being a member of indigenous cultural community and/or living under conditions of extreme poverty or in an area which is underdeveloped and/or lack or has inadequate access to basic services needed for a good quality of life;

j.4. Being with family members or guardians having psychological problems grave enough for them to commit incest, siblings rape, lascivious acts and other forms of physical and mental abuse;

j.5. Being a victim of man-made or natural disasters or calamity;

j.6. Being a victim of an illegal transnational organization; or child trafficking;

j.7. Circumstances analogous to those above stated which endanger the life, safety, or normal development of children.

  1. Commodities - refer to the contraceptives to be used; e.g. condoms, Intra Uterine Devices (IUD), pills and the like and other MNCHN commodities such as TB drugs, Vit A, zinc supplements, syringes and needles.
  1. Contraceptives – pertain to the modern methods of family planning, such as, but not limited to, pills, condoms and injectables.
  1.  Contraceptive Self-Reliance – is a multi-sectoral effort which seeks to ensure the self-sufficiency in family planning services and commodities in its ability to sustain the provisions of affordable quality family planning services to eliminate unmet needs in the context of increasing contraceptive use. It requires the capacity to forecast, finance, procure and deliver family planning services and contraceptives to all men and women who need them, when they need them.
  2. Culturally Relevant Activities – refers to activities showcasing the Filipino Culture and tradition such as but not limited to the following:


n.1. Ethnic dances;

n.2. Historical drama;

n.3. Folk dances

n.4. Others


  • Development Rights - pertain to the access of a child to educational opportunities, access to relevant information, play leisure, cultural activities and the right to freedom of thought, conscience and religion;
  • Early Childhood Care and Development is defined as the holistic development of children including physical, cognitive, language, social and emotional development from conception to age six.
  • Legal Guardian – any person related to the minor either by consanguinity or affinity within the fourth civil degree, provided that he is more than five years older to the minor.
  • LGU/s – refer to the City of Angeles and its barangay.
  • Minors –persons below eighteen (18) years of age.
  • MNCHN Core Package of Services or Integrated MNCHN Services refers to a package of services for women, mothers and children covering the spectrum of (1) known appropriate clinical case management services in preventing direct causes of maternal and neonatal deaths, and which are within the capacity of the health system to routinely provide; and (2) known cost-effective public health measures capable of reducing exposure to and the severity of risks for maternal and neonatal deaths, that are within the capacity of the health system to routinely provide.
  • MNCHN Service Delivery Network refers to the network of facilities and providers within the province- or city-wide health system offering MNCHN Core Package of Services, including the communication and transportation systems supporting this network. The following health providers are part of the MNCHN Service Delivery Network:

u.1. Community level providers refer primarily to Barangay Health Stations (BHS) and its health staff (e.g. midwife) and volunteer health workers (e.g. barangay health workers, traditional birth attendants) that typically comprise the Community Health Team or Barangay Health Team. These teams implement MNCHN Core Package of Services identified for the community level. Their

functions include advocating for birth spacing and counseling on family planning services; the  tracking and master listing of pregnant women; assisting pregnant women and their families in formulating a birthing plan, early detection and referral of high-risk pregnancies, and reporting  maternal and infant deaths. The teams shall also facilitate discussions of relevant community health issues, particularly those affecting women and children. Community teams can become high volume providers for IUD and NSV, either through outreach or its fixed facilities.

u.2. Facilities with Skilled-Birth Attendants are capable of attending to uncomplicated deliveries. These shall be appropriately linked to the nearest BEmONC- or CEmONC-capable facilities.

u.3. Basic Emergency Obstetric and Newborn Care (BEmONC)-capable facilities are capable of performing the following six signal obstetric functions: (1) parenteral administration of oxytocin in the third stage of labor; (2) parenteral administration of loading dose of anticonvulsants; (3) parenteral administration of initial dose of antibiotics; (4) performance of assisted deliveries; (5) removal of retained products of conception; and (6) manual removal of retained placenta. These facilities are also able to provide emergency neonatal interventions, which include the minimum: (1) newborn resuscitation; (2) treatment of neonatal sepsis/infection; and (3) oxygen support. It shall also be capable of providing blood transfusion services on top of its standard functions.

u.4. Comprehensive Emergency Obstetric and Newborn Care (CEmONC)- capable facilities can perform the six signal obstetric functions as in BEmONC facilities, as well as provide caesarean delivery services, blood banking and transfusion services, and other highly specialized obstetric interventions. It is also capable of providing neonatal emergency interventions, which include at the minimum, the following: (1) newborn resuscitation; (2) treatment of neonatal sepsis/infection; (3) oxygen support for neonates; (4) management of low birth weight or premature newborn; and (5) other specialized neonatal services. These facilities can also serve as high volume providers for IUD and VSC services, especially tubal ligations. Province-wide or city-wide health system refers to the default catchment area for delivering integrated MNCHN services. It is composed of public and private providers organized into systems such as inter-local health zones (ILHZ) or health districts for provinces and integrated urban health systems for highly-urbanized cities. Service arrangements with other LGUs may be considered if provision and use of integrated MNCHN services across provinces, municipalities and cities become necessary.

u.5. Service Coverage Indicators are parameters which reflect coverage or utilization of services. For MNCHN Strategy, the following indicators are monitored:

u.5.1. Antenatal Care Coverage (ANC) is an indicator of access and use of health care during pregnancy. It constitutes screening for health and socioeconomic conditions likely to increase the possibility of specific adverse pregnancy outcomes, providing therapeutic interventions known to be effective; and educating pregnant women about planning for safe birth, emergencies during pregnancy and how to deal with them (WHO; Indicator definitions and metadata 2008).


u.5.2. Contraceptive Prevalence Rate (CPR) is the proportion of married women aged 15-49 reporting current use of a modern method of family planning, i.e. pill, IUD, injectables, male condom, mucus/Billings/ovulation, Standard Days Method (SDM), and Lactational Amenorhea Method (LAM).

u.5.3. Facility-Based Deliveries (FBD) is the proportion of deliveries in a health facility to the total number of deliveries

u.5.4. Fully Immunized Children (FIC) is the ratio of children under 1 year of age who have been given BCG, 3 doses of DPT and OPV and measles vaccine to the total number of 0-11 months old children


  1. Parents – any of the biological parent of the minor, whether married or not.
  1. Participation Rights include the child’s freedom to express oneself in matters affecting his/her life as part of preparation for responsible parenthood and to freedom of association;
  1. Pre-school education - refers to the age from birth up to six years of age (0-6) and known to be the critical phase of the child’s psychomotor development.  It is the phase when ninety percent (90%) of the human brain is developed.  It is therefore the phase when activities for developmental stimulation for children must therefore the phase when activities for development stimulation for children must be provided, hence, the need for early childhood care and development program.
  1. Protection Rights cover those which guard children against all forms of child abuse, exploitation and discrimination and in major areas where a child is considered in extreme difficult circumstances;
  2. Poor and non-poor – refer to individuals as determined and defined by the validated Community Based Management System (CBMS) data, or other acceptable LGU means-testing instruments, which shall be utilized in the formulation of criteria and guidelines of availing those free contraceptives.


  • Skilled-Birth Attendant Deliveries (SBA)-  is the proportion of deliveries attended by skilled health personnel to the total number of deliveries Skilled health professionals refers exclusively to people with midwifery skills (for example, midwives, doctors and nurses) who have been trained to proficiency in the skills necessary to manage normal

deliveries and diagnose or refer obstetric complications

  1. Survival Rights - deal with the provision in relation to parental and governmental duties and responsibilities, adequate standard of living and access to basic health and social services and security;


  • Tobacco product- any product that consists of loose tobacco that contains nicotine and is intended for use in a cigarette, including any product containing tobacco and intended smoking or oral or nasal use
  1. Traditional Birth Attendants are traditional, independent, non-formally trained and community-based providers of care during pregnancy, childbirth, and postnatal period


  • Users- refer to the actual users of contraceptives, men and women alike.


  • Vitamin A supplementation coverage (VAS) – is the proportion of 6-59 months pre-schoolers given Vitamin A capsules twice a year





Section 4. The Community Support System.  Pursuant to Republic Acts No. 4881, 8980 and 9344 and Presidential Decree No. 603 as amended and to ensure institutionalization and sustainability of programs and services intended for the welfare of children, there shall be an established Local Council for the Protection of Children (LCPC) from the community as a support system to ensure attainment of the aforementioned policies.


Section 4.1. Establishment of Local Council for the Protection of Children (LCPC).  There shall be created a Local Council for the Protection of Children in the City and every Barangay including the institutionalization of a mechanism for monitoring its functionality as per the Guidelines for LCPC Monitoring set forth by the Department of Interior and Local Government.


Section 4.2. Composition of the Local Council for the Protection of Children.  The membership of the Local Council for the Protection of Children shall be taken from responsible members of the community, including representatives from the children and youth sector as well as representatives of government and private agencies and organizations concerned with the welfare of children.  Local Council for the Protection of Children shall be composed of the following:


City Mayor                                                                              -           Chairperson

City Vice Mayor                                                                     -           Co-Chairperson


Chairperson, SP Committee on Social Services

Chairperson, SP Committee on Women

Chairperson, SP, Com. On Rights & Welfare of Children

Chairperson, SP Committee on Education

Chairperson, SP Committee on Health

City Administrator

City Legal Officer

President, Liga ng mga Barangay


President, City Federation of Sangguniang Kabataan

City Director, Department of Interior and Local Government (DILG)

City Director, PNP Office

City Schools Division Superintendent of the Department of Education

City Social Welfare and Development Officer

City Health Officer

City Hospital Administrator/Director

City Agriculturist

City Planning and Development Coordinator

City Information Officer

PESO Officer

City Budget Officer

City Treasurer

City Accountant

City Civil Registrar

City President, Federation of Day Care Workers

Three (3) NGOs accredited by the Sangguniang Panlungsod catering to Children


Section 4.3. Powers and Functions of the Local Council for the Protection of Children.  The following shall be the functions and powers of the Local Council for the Protection of Children:

  1. Foster the education of every child;
  2. Take steps to prevent children from being in conflict with the law  and assist parents of children with behavioral problems for expert advice
  3. Adopt measures for health of children;
  4. Encourage proper performance of the duties and responsibilities of parents, and provide learning opportunities on the adequate rearing of children and positive parent-child relationship;
  5. Promote wholesome entertainment in the community;
  6. Prepare Annual Work and Financial Plan (AWFP) for children and recommend appropriations to local Legislative Bodies;
  7. Provide coordinative linkage with other agencies and institutions in the planning, monitoring and evaluation of plans for children;
  8. Establish and maintain database for children in the barangay, municipality and city;
  9. Advocate for the establishment and maintenance of playgrounds, day care centers and other facilities necessary for child and youth development;
  10. Advocate for the passage of barangay resolutions or ordinances responsive to child-related issues and concerns and ensure the inclusion of children’s programs in the executive agenda;
  11. Protect and assist Children in Need of Special Protection and refer cases filed against child abusers to proper agencies and institutions;
  12. Monitor situational reports on children and prepare quarterly updates and reports including the implementation of children’s program submitting the same and making recommendations to the City Council for the Protection of Children;
  13. Perform such other functions and other child related laws especially in matters of child and parent education, health, entertainment and others.


Section 4.4. Secretariat Support.  The CSWDO shall act as Secretariat and shall be responsible for the documentation of proceedings and meetings and preparation of reports and other necessary documents needed by the Committee and the Angeles City Child Welfare Council.  There shall be an Officer-in-Charge/Executive Director and Staffs that ensure the monitoring and implementation of this ordinance.


Section 4.5. Funding /Appropriation for the Local Council for the Protection of Children.  The Local Government Unit shall regularly appropriate funds for its LCPC of one percent (1%) of its Internal Revenue Allotment (IRA) to support the administrative


and operational needs of the LCPC and to strengthen and implement its programs and projects.


Section 4.6. Monitoring of the Functionality of the Barangay Council for the Protection of Children.  The City shall create an LCPC Functionality and Monitoring Committee that would monitor and submit quarterly reports on the functionality and all other activities of the LCPC subject to the existing policies of the Department of Interior and Local Government.  The committee shall be composed of the following:


Chairperson     :           City Director, DILG


City Social Welfare and Development Coordinator

City Planning and Development Officer

City Health Officer

City School’s Division Superintendent

Director, PNP Office


Section 4.7. Child Welfare Programs and Services as one of the Bases for the Approval of the City Annual Budget.  It shall be the policy of the City Government to ensure that Child Welfare Programs and Services are included in the city appropriations prior to their approval. 


The Sangguniang Panlungsod, in its review of budgets, shall ensure the inclusion in the AIP of each city the Child Welfare Programs and Services as well as the functionality of its LCPC in terms of its organization and capability building before the approval of their budget.


Article III



Section 5.  General Framework.  The development and survival of children are determined by both external and internal factors, so that, it shall be the shared responsibility of the parents, siblings and relatives of the child, being the primary care givers, and the state, civil society and community to provide the necessary environment, support, assistance and other initiatives to make children responsible and productive members of the society.  It shall also be the policy of the City Government of Angeles that relative to recognition and priority given to the rights of children for development, children shall have the inherent obligations to adhere to moral and ethical issues valued by the Filipino society.

As such, the City Government of Angeles shall establish programs, projects and services to contribute to the survival and development of children, focusing on the following areas:

  1. Establish and institutionalize an Early Childhood Care and Development (ECCD) System that shall undertake a comprehensive and integrated package of cost-effective ECCD interventions and services. As a complex undertaking across the health, education, and nutrition sectors, the System shall provide services at each stage of child development from prenatal care to birth to enrolment in the first grade;
  1. Establish and maintain maternal and child health care and interventions that would include prenatal, delivery, postpartum, newborn health services, immunization, breastfeeding, as well as the appropriate management of common childhood illnesses;
  1. Maintain growth and nutritional well-being of children and women through Nutrition Programs and Services that would supplement existing interventions given by City and primary caregivers at every household;
  1. Ensure the strengthening and maintenance of an accessible quality basic education system that is committed to the development of the child’s full potential in a child-centered and value-driven teaching-learning environment; and
  2. Institute in all schools and other learning centers, a curriculum that will raise awareness of children in adhering to unique moral, spiritual and ethical principles highly valued and treasured by the Filipino society;

Section 6. Establishment of an Early Childhood Care and Development (ECCD) Support System.  An Early Childhood Care and Development (ECCD) Support System is hereby established and institutionalized in the City of Angeles.  Pursuant to Republic Act No. 8980 otherwise known as the Early Childhood Care and Development Act, the City Government shall ensure that the support system is comprehensive, integrative and sustainable, involving multi-sectoral and inter-agency collaboration at the national and local levels from the government, service providers, families and communities, public and private sectors, non-government organizations, professional associations and academic institutions. This support system shall promote the inclusion of children with special needs and advocate respect for cultural diversity.  The ECCD Support System shall have the following components (a) Structural Mechanism for ECCD Support System, (b) ECCD Curriculum, (c) Parent Education and Involvement, Advocacy, and Mobilization of Communities, (d) Human Resource Development Program, (e) ECCD Management, and (f) Quality Standards and Accreditation.

Section 6.1. Structural Mechanism for the ECCD System. The Local Council for the Protection of Children (LCPC) shall hereby establish a structural mechanism for the ECCD Support System through the creation of an ECCD Committee that would ensure the institutionalization of the ECCD System and implementation of its components in the City of Angeles.  The committee shall ensure implementation of the ECCD Support System and undertake quarterly monitoring and evaluation of the ECCD programs and services offered in the City, report and submit recommendation for the enhancement and maintenance of the same to the LCPC.  The ECCD Committee shall be composed of the following:

Chairperson     : City Mayor


President, Liga ng mga Barangay

City Social Welfare and Development Officer

City Health Officer

City Nutrition Action Officer

City Planning and Development Officer

City Director, DILG

City Budget Officer

City Treasurer

City Schools Division Superintendent of the Department of Education

President, City Association of Day Care Workers.

Section 6.1.1.  The City ECCD Officer.  The City Social Welfare and Development Officer shall be designated as the City ECCD Officer that would monitor and evaluate the implementation of the ECCD Program in the city in coordination with the other members of the ECCD Committee.


Section 6.2.     The ECCD Curriculum.  The ECCD Committee through the collaboration of the City Schools Division Office, the City Social Welfare and Development Office and the shall ensure the implementation of the ECCD Curriculum designed by the National Government that focuses on children's total development according to their individual needs and socio-cultural background. It shall promote the delivery of complementary and integrative services for health care, nutrition, early childhood education, sanitation, and cultural activities.

Section 6.2.1. Institutionalization of Pre-school Education.  To ensure implementation of the ECCD Curriculum in the City of Angeles, the City Government hereby institutionalizes and makes mandatory the entrance of 3 to 4 year old children in the Day Care Service and 5 year old children in Kindergarten in accordance with the policies of

the National Government.  The City Government shall establish Day Care Centers in every area with 100 families present in every barangay. Day Care Centers shall be managed by the City Social Welfare and Development Office which shall ensure that highly trained and qualified Day Care Workers are provided.  All elementary schools in the City shall likewise establish Kindergarten classes. 

Section 6.3.  Parent Education and Involvement, Advocacy and Mobilization of Communities.  The ECCD Committee, in collaboration with the LCPC in the City of Angeles, shall assist in the education and involvement of parents on ECCD programs and services. Assistance in the advocacy and mobilization of community by the City Government shall be done to harness and develop parents' strengths at home and become active partners of other stakeholders, advocate for community concerns that affect children, and pillars of support for local and national ECCD programs through community organization efforts.

Section 6.4. Human Resource Development Program.  The ECCD Committee in collaboration with the LCPC shall support the City Social Welfare & Development Office which establishes mechanisms for the systematic professionalization of ECCD service providers, through enrolment in educational programs in site-based or distance educational modes, pre-service or in-service training including continuing education programs, whereby a registration and credential system shall be developed in the ECCD System. 

Section 6.5.  ECCD Management.  The ECCD Committee shall establish and implement a protocol for ECCD Management which focuses on the continuing process of planning, implementation, supervision, financial management, monitoring, evaluation and reporting.  The ECCD Committee shall encourage the active involvement and build the capabilities of service providers, parents, and the City Mayor to sustain the program.  It shall be guided by the principles of decentralization as stipulated in the Local Government Code of 1991.

Section 6.6.  Quality Standards and Accreditation.  The ECCD Committee shall advocate and support the adherence of City Government to each component in the ECCD System that complies with national standards, with special emphasis on the ECCD programs, services and facilities (Day Care Centers and Barangay Health Centers) offered in every barangay on the City.


Section 7.  Promotion and Implementation of Primary Health Care Programs.  The City of Angeles, through the LCPC and in coordination with the City Health Board, shall promote and implement an integrated and comprehensive approach to primary health care designed for the well-being of women and children. 

Section  8.       Birth Preparedness and Maternity Services.  The City Government of Angeles, through the City Health Office shall continue and support the implementation of programs and services which shall cater to the needs of the mother that would affect the child in the womb with the end-view of delivering a healthy baby.

Section 9.  Newborn Care and Treatment Program.  The City Government of Angeles, through the City Health Office shall institutionalize programs and services for the screening and initiation of interventions for diagnosed newborn disorders in all Hospitals in the City.

Section 10. The Maternal New-Born Child Health and Nutrition (MNCHN/Contraceptive Self-Reliance (CSR+) Program


Section 10.1.  MNCHN Framework

  1. The City of Angeles believes that the goal of rapidly reducing maternal and neonatal mortality shall be achieved through effective population-wide provision and use of integrated MNCHN services as appropriate to any locality in the country
  2. MNCHN reforms, improvement and changes in local health systems shall, among others results, create the following intermediate results that can significantly lower the risk of dying secondary to pregnancy and child birth:

b.1. Every pregnancy is wanted, planned and supported

           b.2. Every pregnancy is adequately managed throughout its course

b.3. Every delivery is facility-based and managed by skilled birth attendants

           b.4. Every mother-and-newborn pair secures proper postpartum and postnatal with smooth transitions to the women’s health care package for the mother and child survival package for the newborn

  1. The City of Angeles likewise believes that the Commodity Self-Reliance (CSR+) Strategy shall create the following supply conditions necessary to eliminate the unmet needs for family planning and ensure the availability of MNCHN packages of interventions:


c.1. The phasing up of domestically provided supplies to replace those quantities of foreign-donated contraceptives;

c.2. The increase in levels of domestic supplies of contraceptives made available to meet the needs of additional future users of contraceptives;

c.3.  The increase in levels of other commodities such as TB drugs, Vit A capsules, zinc supplements, syringes and needles to meet the needs of mothers and children.


Section 10.2.  Implementation of MNCHN/CSR+ Program. The City recognizes that reforms in service delivery, governance, regulation, and financing are needed for a sustained improvement of the health status of mothers and children. The LGU shall undertake the following steps to implement the MNCHN Strategy:


  1. Organizes the CSR+/MNCHN Team.  Building the MNCHN Service Delivery Network and ensuring its sustainability would entail analysis of the existing situation in the locality and assessment of gaps in service delivery, utilization and health systems in general as well as identifying and planning appropriate interventions to address these gaps. To begin this process, the LGU shall organize a team coming from the City Health Office, and other relevant members of the locality like DOH Center for Health Development, donors, non-government organizations (NGOs), civil society groups and the like. From this team, the LGU can assign a coordinating body to oversee the direction and progress of implementation of the MNCHN Strategy after assessment and initial planning.
  2. Knows the MNCHN Situation in the LGU.  The CSR+/MNCHN TWG’s initial work shall be to assess the MNCHN situation in the LGU. Assessing the LGUs’ current level of performance against national data would provide the province an idea of targets they should set to be able to contribute in achieving target MNCHN indicators. The MNCHN Management Team can use Health Outcome Indicators or Health Service Coverage Indicators to assess the LGUs’ situation.

Health indicators shall be collected and used to monitor the health status of a population. The City of Angeles recognizes that these health indicators either (1) reflect impact or outcomes or (2) coverage or utilization of services. For MNCHN, health outcome indicators are Maternal Mortality Ratio (MMR), Neonatal Mortality Rate (NMR), Infant Mortality Rate (IMR), Underfive Mortality Rate (UFMR) and proportion of underweight 6 to 59- month old children while Service Coverage indicators are Contraceptive Prevalence Rate (CPR), Antenatal Care (ANC), Facility-Based Deliveries (FBD), and Fully Immunized Children (FIC) and Vit. A supplementation coverage.


Principal Author
Councilors Indiongco, Morales, Bonifacio, E. Pamintuan, Nepomuceno, Sangil, Aguas and JC Pamintuan