Author/s :
- Hon. Jefson Romeo B. Felix
DATE PROPOSED / SUBMITTED:
Date Received: September 6, 2026
ORDINANCE SUMMARY :
This ordinance establishes an integrated Chronic Kidney Disease (CKD) prevention and early care system embedded within Naga City’s existing City-Wide Health System. It seeks to lower CKD risks, improve risk-based kidney assessments, and streamline primary care management, closed-loop patient navigation, and higher-level referrals.
ORDINANCE HIGHLIGHTS :
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SYSTEM ESTABLISHMENT: Embeds a comprehensive prevention-to-care pathway for CKD into the existing City-Wide Health System without setting up parallel governance structures.
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LEAD IMPLEMENTATION: Designates the City Health Office to lead technical coordination, service integration, and partnership alignments for kidney health.
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RISK-BASED ASSESSMENT: Focuses on targeted assessments based on medical history and recognized risk factors (such as hypertension and diabetes) rather than indiscriminate mass screening.
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CLOSED-LOOP REFERRALS: Establishes tracking mechanisms to ensure patients successfully complete referrals, receive feedback, and seamlessly return to primary care.
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GAP-FILLING & BENEFIT OPTIMIZATION: Maximizes national health financing while allowing localized financial and operational support for diagnostics and essential medicines where gaps persist.
- Proposed