ORDINANCE NO. 2025-107

AN ORDINANCE AMENDING THE NAGA CITY CHILDREN’S WELFARE CODE BY UPDATING, CONSOLIDATING AND HARMONIZING ALL EXISTING LOCAL LEGISLATION ON CHILDREN IN THE CITY OF NAGA, PROVIDING FUNDS THEREFOR AND FOR OTHER PURPOSES:-

Author: Hon. Elmer S. Baldemoro

BE IT ORDAINED, therefore, by the Sangguniang Panlungsod of the City of Naga, that:

TITLE I. BASIC PRINCIPLES

CHAPTER 1. Title, Policy, Principles, and Definition of Terms

Article 1

Title, Policy, and Principles

Section 1. Short Title. This Ordinance, which shall be known and cited as the “2025 Updated Children’s Welfare Code of Naga City“

Section 2. General Principles. The City Government of Naga reiterates its adherence to the general principles provided for in the 1987 Constitution that lays out in broad strokes the State’s responsibility to the rights and welfare of children in favor of their development, and as such, the Local Government of Naga City shall give utmost priority for its local execution in terms of programs and projects for that purpose;

The City Government of Naga also recognizes the primary role of parents or legal guardians in child rearing. As such, the local government shall only help with the development of children in cases when it is not possible for the parents and legal guardians to rear their children. In this case, they shall be referred to private and public welfare institutions.

The City Government of Naga also adheres to the general framework of the 1989 UN Convention on the Rights of the Child which provides, among others, four general principles as follows:

(1) “In all actions concerning children, whether undertaken by public or private social welfare institutions, courts of law, administrative authorities or legislative bodies, the best interests of the child shall be a primary consideration”;

(2) “State parties shall assure to the child who is capable of forming his or her own views the right to express those views freely in all matters affecting the child, the views of the child being given weight in accordance with the age of maturity of the child”;

(3) The third principle is that of the survival and development of the child. “Survival” is an amplification of the right to life. The term “development” relates to the individual child and should be interpreted in broad sense. It adds a qualitative aspect to the right to life and implies that law, policy, and administrative action must look beyond the physical survival of the child to issues of cognitive, emotional, social, and cultural development;

(4) The fourth is the right of children to non-discrimination.

Section 3. Adoption of National Laws. The City Government of Naga adopts the provisions of:

(1) Republic Act (R.A.) No. 9231, otherwise known as the “Special Protection of Children Against Abuse, Exploitation, and Discrimination Act.”;

(2) R.A. No. 9344, otherwise known as the “Juvenile Justice and Welfare Act of 2006”;

(3) R.A. No. 12199, otherwise known as the “Early Childhood Care and Development System Act”;

(4) R.A. No. 10821, otherwise known as the “Children’s Emergency Relief and Protection Act”;

(5) R.A. No. 11036, otherwise known as the “Mental Health Act”;

(6) R.A. No. 11037, otherwise known as the “Masustansyang Pagkain para sa Batang Pilipino Act”;

(7) R.A. No. 10666, otherwise known as the “Children’s Safety on Motorcycle Act” and

(8) R.A. No. 11930, otherwise known as the “Anti-Online Sexual Abuse or Exploitation of Children (OSAEC) and Anti-Child Sexual Abuse or Exploitation Materials (CSAEM) Act”

Article 2

Definition of Terms

Section 4. When used in this Code, the term:

(A) “Children” refers to persons below eighteen (18) years of age or persons over eighteen years of age but are unable to fully take care or protect themselves from abuse, neglect, cruelty, exploitation, and discrimination because of physical or mental disability or infirmity;

(B) “Survival Rights” refers to the rights of the children to demand from the state, their parents or legal guardians for adequate living standard, access to basic health services and social security;

(C) “Developmental Rights” pertain to the access of the child to educational opportunities, relevant information, play, leisure, cultural activities and the right to freedom of thought, conscience, and religion;

(D) “Protection Rights” are those rights of children to be protected against all forms of child abuse, exploitation, and discrimination in situations where the children are considered in extremely difficult circumstance;

(E) “Participation Rights” are those rights the children asserts as described in the 1989 UN Convention for the Rights of Children which says that the children have the freedom to express themselves on matters affecting his or her life.

(F) “Child Abuse” refers to the abuse or maltreatment of the child, whether habitual or not, which includes:

(1) Psychological, physical, and sexual abuse, neglect, cruelty, and emotional maltreatment;

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

(3) Unreasonable deprivation of his or her basic needs of survival such as food, clothing, and shelter; or

(4) Failure to immediately give medical treatment to an injured child resulting in serious impairment of his or her growth and development, permanent incapability, or death.

(G) Circumstances which gravely threaten or endanger the survival and normal development of children which include, but are not limited to, the following:

1) Being in a community where there is armed conflict or being affected by armed conflict-related activities;

2) Working under conditions hazardous to life and morals which unduly interfere with their normal development or working without provisions for their education;

3) Living in or fending for themselves in the streets without the care of parents or guardians or any adult supervision needed for their welfare;

4) Being a member of an indigenous cultural community and/or living under conditions of extreme poverty or in an area which is underdeveloped and lacks or has inadequate access to basic services needed for a normal quality of life;

5) 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;

6) Being a victim of man-made or natural disaster or calamity;

7) Being a victim of an illegal transnational union or child trafficking;

8) Recruitment of children in the Armed Forces of the Philippines, its civilian units, or other armed groups;

9) Circumstances analogous to those above stated circumstances that endanger the life, safety or normal development of children.

(H) Comprehensive Children’s Support System Against Child Abuse, Exploitation and Discrimination refers to the coordinated program of services and facilities to protect the children against:

1) Child prostitution and other sexual abuse;

2) Child trafficking;

3) Obscene publications and indecent shows;

4) Exploitation;

5) Other acts of abuse;

6) Circumstances which gravely threaten or endanger the survival and normal development of children as prescribed in the 1989 UN Convention of the Rights of the Child.

(I) Comprehensive Support System for the Development of Children also refers to the coordinated program of services and facilities outlined in Section 3 of RA 6972 and as prescribed by the UN Convention on the Rights of the Child;

(J) Children’s Affairs Office (CAO) is the Secretariat of the Naga City Council for the Welfare and Protection of Children (NCCWPC), the body which shall act as the overall coordinating body for the execution of the programs and projects under this ordinance.

(K) Junk Foods are foodstuffs which are processed with artificial flavors, coloring, and preservatives which have been found to contain carcinogenic elements harmful for the body or those sold beyond their expiry periods;

(L) Anti-Social Related Activities are those acts against property, chastity, and persons which include, but are not limited to, the following:

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

2. Using and pushing prohibited drugs;

3. Selling or distribution of lewd/obscene reading materials;

4. Pimping for young and adult prostitutes, sexual perversions, and doing or participating in obscene shows;

5. Gambling of any form;

6. Rape and incest; and

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

(M) “Abandoned Children” refers to children who have no proper parental care or guardianship, or whose parent(s) have deserted him/her for a period of at least three (3) continuous months, which includes a foundling

(N) “Abused Children” refers to children who are maltreated physically, sexually, and/or psychologically by a parent, a caregiver, or any other person from society;

(O) “After-care Phase” refers to the period of time a child returns to the community;

(P) “Children in Conflict with the law” refers to children who are alleged as, accused of, or adjudged as, having committed an offense under Naga City and Philippine laws;

(Q) “Community-based Programs” refers to programs in a community setting designed for intervention, diversion, and rehabilitation, and reintegration of children in conflict with the law into their families and communities;

(R) “Exit Programs” are initiatives, activities, and projects done by the concerned agencies/departments to prepare children and youthful offenders for their reintegration into society;

(S) “Neglected Children” refers to children whose basic needs have been deliberately unattended or inadequately attended within a period of three (3) continuous months. Neglect may occur in two (2) ways:

(i) There is physical neglect when the child is malnourished, ill-clad, and without proper shelter. A child is unattended when left by himself/herself without proper provisions and/or without proper supervision;

(ii) There is emotional neglect when the child is maltreated, raped, seduced, exploited, overworked, or made to work under conditions not conducive to  good health or is made to beg in the streets of public places; or when children are in moral danger, or exposed to gambling, prostitution, and other vices;

(T) “Offense” refers to any act or omission whether punishable under local and national laws;

(U) “Placement Phase” refers to the time the children are in the secure care facility;

(V) “Reentry/Reintegration” refers to the onset of children leaving child-care institutions and youth rehabilitation centers to face society after months of rehabilitation;

(W) “Transitional Phase” refers to the actual act of leaving the facility and reentering the community, immediately before and immediately after the date of exit;

(X) “Youth Rehabilitation Centers” refer to 24-hour residential care facilities managed by the Department of Social Welfare and Development (DSWD), local government units (LGUs), and/or licensed and accredited nongovernment organizations (NGOs) which provides care, treatment, and rehabilitation services for children in conflict with the law.

(Y) Motorcycle– refers to any two (2)-wheeled motor vehicle having one (1) or two (2) riding saddles;

(Z) Public roads refer to roads designed by the national government or local government units as roads for public use such as, but not limited to, national highways, provincial roads, city, municipal and barangay streets;

(AA) Foot peg refers to a flat form attached to the motorcycles on which to stand or brace the feet;

(BB) Rider shall mean any person(s) riding on the motorcycle, scooter or moped but not necessarily driving the same

(CC) Breastmilk Substitute refers to any type of milk, in either liquid or powdered form, including soy milk and follow-up formula, that are specifically marketed for feeding infants and young children up to the age of three (3) years;

(DD) Children with special nutrition and health needs refers to children who have special nutritional and health care.

(EE) Chronic Energy Deficiency (CED), or acute undernutrition, refers to a condition where there is negative energy balance due to inadequate food and nutrient intake, problems in absorption, relatively rare or excessive nutrient loss mostly due to infections and malignancies;

(FF) Civil Society Organizations (CSOs) refer to non-State actors whose aims are neither to generate profits nor to seek governing power, such as nongovernment organizations (NGOs), professional associations, foundations, independent research institutes, community-based organizations (CBOs), faith-based organizations, people’s organizations, social movements, networks, coalitions, and labor unions, which are organized based on ethical, cultural, scientific, religious or philanthropic considerations;

(GG) Early Stimulation refers to the process where infants and young children receive external stimuli to interact with others and their environment. It provides different opportunities for the child to explore, develop skills and abilities in a natural way and understand what is happening around them. Examples of early stimulation are language, motor and sensory stimulation with the aim of optimizing their cognitive, physical, emotional and social abilities, to avoid undesired states in development;

(HH) First one thousand (1,000) days of life refers to the period of a child’s life, spanning the nine (9) months in the womb starting from conception to the first twenty-four (24) months of life, which is considered to be the critical window of opportunity to promote health and development and prevent malnutrition and its life-long consequences;

(II) Geographically Isolated and Disadvantaged Areas (GIDA) refer to areas that are isolated due to distance or geographical isolation, weather conditions and lack of modes of transportation. This also refers to unserved and underserved communities and other areas identified to have access or service delivery problems, high incidence of poverty, presence of vulnerable sector, communities in or recovering from situation of crisis or armed conflict, and those recognized as such by a government body;

(JJ) Low birth weight refers to weight at birth of an infant, whether born full term or preterm, of less than 2,500 grams or 5.5 pounds, or 5 pounds and 8 ounces;

(KK) Malnutrition refers to deficiencies, excesses or imbalances in a person’s intake of protein, energy (carbohydrates and fats) and/or nutrients covering both undernutrition which includes suboptimal breastfeeding, stunting, wasting, thinness, underweight and micronutrient deficiencies or insufficiencies, as well as overnutrition, which includes overweight and obesity;

(LL) Moderate Acute Malnutrition (MAM) refers to low weight-for-length/height, defined as between two (2) and three (3) Standard Deviations (SD) below the median (<-2 up to 3 SD) of the WHO growth standards or a Mid-Upper Arm Circumference (MUAC) measurement of less than one hundred twenty-five millimeters (<125mm) and greater than or equal to one hundred fifteen millimeters (>115mm);

(MM) Nutrition-sensitive interventions and programs refer to interventions or programs that address the underlying determinants of maternal, fetal, infant and child nutrition and development, such as those pertaining to food security, social protection, adequate caregiving resources at the maternal, household and community levels; and access to health services and a safe and hygienic environment, and incorporate specific nutrition goals and actions. Nutrition-sensitive programs can serve as delivery platforms for nutrition-specific interventions, potentially increasing their scale, coverage, and effectiveness;

(NN) Nutrition-specific interventions and programs refer to interventions or programs that address the immediate determinants of maternal, fetal, infant and child nutrition and development, adequate food and nutrient intake, feeding, caregiving and parenting practices, and low burden of infectious diseases;

(OO) Nutritionally-at-risk pregnant women refers to pregnant women, including teenage mothers, with a low pre-pregnancy body mass index (BMI) or those who do not gain sufficient weight during pregnancy, with any of the following predisposing factors: narrowly-spaced pregnancies and births, situated in families with low income, with large number of dependents where food purchase is an economic problem, has previously given birth to a preterm or low birth weight infant, or other unfavorable prognostic factors, such as obesity or anemia, with diseases which influence nutritional status such as diabetes, tuberculosis, drug addiction, alcoholism and mental disorder;

(PP) Overweight and obesity refer to the abnormal or excessive fat accumulation that may impair health. It is measured by BMI, a simple index of weight-for-height, which is commonly used to classify overweight and obesity among adults. BMI is calculated by dividing a person’s weight in kilograms by the square of his/her height in meters $(kg/m^{2})$. According to the WHO, adults with a BMI greater than or equal to twenty-five (25) are overweight and a BMI greater than or equal to thirty (30) is obese. For children, it is defined as the percentage of children aged zero (0) to fifty-nine (59) months whose weight for length/height is above two (2) SD (overweight) or above three (3) SD (obese) from the median of the WHO Child Growth Standards;

(QQ) Responsive caregiving refers to the method where the caregiver pays prompt and close attention with affection to what the child is signaling and then provides a response that is appropriate to the child’s immediate behavior, needs and developmental state;

(RR) Severe Acute Malnutrition (SAM) refers to very low weight for length/height, defined as less than three (3) SD below the median (< 3SD) of the WHO Growth Standards, characterized by visible severe wasting, or by the presence of bipedal pitting edema, or a MUAC measurement of less than one hundred fifteen millimeters (<115mm);

(SS) Stunting refers to chronic undernutrition during the most critical periods of growth and development in early life. It is defined as the percentage of children aged zero (0) to fifty-nine (59) months whose height for age is below minus two (2) SD (moderate stunting) and minus three (3) SD (severe stunting) from the median of the WHO Child Growth Standards.

(TT) Women with special nutrition and health needs refers to pregnant, lactating and reproductive age women who have special nutritional and health care needs arising from physiological and medical conditions, including marginalized women whose socio-economic-political conditions have prevented them to benefit from quality health and nutritional services, such as women with disabilities, urban poor women and those living in danger-prone areas, women deprived of liberty and rural women.

TITLE II. SURVIVAL AND DEVELOPMENT RIGHTS OF CHILDREN

CHAPTER 2. General Framework

Article 3

The development and survival of children are determined by both external and internal factors so that it is the shared responsibility of the parents, siblings, and relatives, which shall be known as the internal factor, and the State, civil society, and community, which shall be known as the external factor, to provide the necessary environment, support, assistance, and other initiatives for the children to become responsive and productive members of the society.

Article 4

The Naga City Government, representing the State, shall ensure, to the maximum extent possible, the survival and development of the child by providing facilities, programs, and projects for the said purpose and at the same time facilitate and mobilize the civil society and the community to reinforce and strengthen the initiatives for the general welfare of the children.

CHAPTER 3. Programs, Projects, and Initiatives for the Preservation of the Rights of Children to Survival and Development

Article 5

The Naga City Government shall establish the following programs, projects, and initiatives to contribute to the survival and development of the children.

Section 5. Maintain monitoring of registration of births and complete the immunization series for the prevention of tuberculosis, diphtheria, pertussis, tetanus, measles, poliomyelitis, and such other diseases for which vaccines have been developed for the administration to children up to six years of age.

Section 6. Maintain growth and nutritional monitoring among children up to six years of age and provide nutritional feeding and supervision of nutritional intake at home.

Section 7. Provide facilities where children of working parents can be taken cared of during the day, and whenever feasible, facility where children up to six years of age of parents working at night can be taken cared of during the night.

Section 8. Establish a community-based program that will build a network of households and develop it into a functional “care giver” mechanism where adult members are mobilized to take care of the children of working parents during the working hours. In this regard, the social welfare development officer of Naga City shall provide supervision, training, and seminars to adults mobilized as ‘care givers’ of working parents. Furthermore, in cases where children are left to the care of paid domestic elderly relative or older children without adequate and competent adult supervision, the social welfare development officer shall provide the same supervision, training, and seminars.

Section 9. Develop a program that will pool intellectual resources through a network of surrogate parents-teachers who will provide intellectual and mental stimulation to the children, supervised wholesome recreation with balanced program of supervised play, mental stimulation activities, and group activities with their peers.

Section 10. Establish a center that will serve as the sanctuary for the abused, neglected, or exploited children which will provide shelter to children in urgent need of protection from imminent danger, cruelty, and abuse. The center, which shall be established through the barangay local governments, shall also conduct rescue operation of children in clear danger with law enforcement agencies when the situation merits.

Section 11. Foster Care Parenting for Abused Children shall be implemented following the provisions of Ordinance No. 2000-023.

Section 12. Establish a Reproductive Health Care Center for pregnant mothers for prenatal check-up, neonatal services, delivery of infant under conditions that shall prevent or minimize risk of mother and child; Provided that high-risk mothers shall be referred to the proper tertiary or secondary care service personnel and children who are at risk from condition or illness will be brought for care; Provided further, that traditional hilot and barangay health workers are provided with the basic training for normal delivery and are trained to recognize high-risk pregnancies which should be referred to competent obstetrical and pediatric medical care for mother and child who are at risk.

Section 13. Organize a Barangay Council for the Protection of Children (BCPC) that will ensure the protection and development of children, and lobby to the barangay council programs, projects, and initiatives that will enhance the protection and concerns of the children.

Section 14. Institute in the children and Educare centers learning exercises and modules that raise awareness and respect the participation of children in decision-making processes.

Section 15. Maintain a pool of trained and specialized educare or child development workers with an upgraded salary scheme commensurate to the tasks assigned.

Section 16. Early childhood care and development program. The Naga City Government shall establish a program that will cater to the needs of 0 to 2-year-old children. The Council, City Health Office, and the City Social Welfare and Development Office shall outline the program content and beneficiaries according to actual needs and economic standing. Primarily, the program shall be designed to cater to the most needy beneficiaries or the ‘poorest of the poor’ in Naga City.

Section 17. Population-based educare centers. The Naga City Government shall establish at least one Educare Center in each barangay which shall implement programs for children, including the Early Childhood Care and Development Program and other related programs the Council has assigned. The general principles upon which the educare centers are to be established shall be based on the population ratio that the Council and the City Social Welfare and Development Office will determine.

Section 18. Role of primary health care program in children’s health. The promotion of primary health care program in the barangays shall give specific emphasis on monitoring the children’s health. As such, a barangay child health officer shall be employed and a salary commensurate to the assigned task will be paid. To ensure that the implementation of the Primary Health Care Program will give specific emphasis on children’s health, the following strategies shall be pursued:

(A) Apply readily available technology and provide adequate nutritious food and safe drinking water in connection with the health programs intended for the children.

(B) Establish a comprehensive Parent’s Orientation Development Program which include courses on reproductive health, child health, and child rearing practices in the context of Filipino psychology;

(C) Monitor the full implementation of the Milk Code of the Philippines and advocate for the prosecution of milk firms that violate the code;

(D) Conduct massive information and education campaigns on breast-feeding. Whenever possible, students in all levels shall be required to take breast feeding course which shall be integrated in the curricula.

Article 6

Parenting Orientation Courses as Requirement for Marriage License

Section 19. Marriage license applicants shall be required to attend in the Parenting Orientation Course I, among other requirements, prior to the issuance of marriage license by the Civil Registrar. This course becomes an integral part of existing Family Training Seminar on Reproductive Course Council, in close coordination with the City Health Office and the City Civil Registry Office, shall upgrade the Family Planning Seminar in cognizance of this ordinance.

Section 20. Parent-applicants for birth certificates of their first-born child(ren) shall be required to participate in Parenting Orientation course II, as a follow-up to the first course, before issuance of Certificate of Live Birth by the Civil Registrar without prejudice to the early registration of birth requirement under existing laws.

Section 21. Modules for these courses shall be designed by the Council and the City Social Welfare and Development Office in close coordination with an NGO child focused program.

Section 22. Implementing guidelines for this provision shall be formulated by the Council and the City Social Welfare and Development Office in close coordination with the Office of the Civil Registrar.

Article 7

Comprehensive Training Course on Child Health

Section 23. All health practitioners employed in government, non-government organizations, private institutions, or other institutions shall be required to complete a Comprehensive Training Course on Child Health which shall be designed by a task force headed by the City Health Officer and whose members shall be determined by the local chief executive. No one shall be allowed to practice her or his protection without the updated certificate of completion of the training. Violation of this provision constitutes a penalty of cancellation of the license to practice their profession in Naga City.

Article 8

Declaration of Child Friendly Hospital

Section 24. The local government of Naga City shall declare all hospitals here as a child friendly hospital, as such, all hospitals in this city are required to set-up child-friendly units to include rooming-in facilities and pediatric-appropriate gadgets.

Article 9

Creation of a Children’s Concern Unit at the Naga City Hospital

Section 25. A children’s concern unit at the Naga City Hospital which shall especially attend to children of poor and indigent families shall be created. The children’s concern unit shall ensure pediatric assistance and facilities for the treatment of illness and physical rehabilitation. Such protective and physical placement shall be evaluated regularly by a competent team composed of multi-disciplinal professionals. This multi-disciplinal special hospital shall not, however, assume the function of the primary health care available at the barangay level. The Naga City Pediatric Society shall be involved in the final promulgation of program of the Naga City Hospital under a task force which shall be formed by the City Health Office and the Council within one year from the effectivity of this ordinance.

As part of the support system for child’s health, government health practitioners are required to undertake special training on pediatric care through the Naga City Child Health Institute, which shall be established by the local government of Naga City within two years from the effectivity of this ordinance.

The Naga City Child Health Institute shall monitor the operations of all private and government-owned hospitals’ pediatric units to ensure the implementation of child-friendly measures.

Article 10

Maternal New-Born Child Health and Nutrition (MNCHN)

Section 26. Policy. It shall be the policy of this LGU to fully support and ensure effective implementation of the MNCHN and CSR strategy as part of its strong commitment to local health sector reform implementation. It shall support the engagement of all concerned health care facilities to form a coordinated MNCHN service delivery network, mobilize the participation of the community to be covered and served, and strengthen collaboration with other groups of stakeholders within and outside the health sector and also beyond its administrative jurisdiction.

Section 27. Definition of terms. For purposes of this Article, the following terms and phrases are hereby defined:

(A) “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;

(B) “MNCHN Service Delivery and Network” refers to the network of facilities and providers within the 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:

(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) 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.

(2) Facilities both public and private with Skilled-Birth Attendants are capable of attending to uncomplicated deliveries. These shall be appropriately linked to the nearest BEMONC- or CEMONC-capable facilities.

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

(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: newborn resuscitation treatment of neonatal sepsis/infection; oxygen support for neonates; management of low birth weight or premature newborn; and other specialized neonatal services. 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.

(5) “Service Coverage Indicators” refers to parameters which reflect coverage or utilization of services. For MNCHN Strategy, the following indicators are monitored:

(a) “Antenatal care (ANC) coverage” 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);

(b) “Contraceptive Prevalence Rate (CPR)” is the proportion of married women aged 15-49 reporting current use of any method, i.e. pill, IUD, injectable, male condom, mucus/Billings/ovulation, Standard Days Method (SDM), and Lactational Amenorrhea Method (LAM);

(c) “Facility-Based Deliveries (FBD)” is the proportion of deliveries in a health facility to the total number of deliveries;

(d) “Fully Immunized Children (FIC)” is the ratio of children under 1 year of age who have been given BCG, 3 doses of DPT/Pentavalent and OPV and measles vaccine to the total number of 0-11 month-old children;

(e) “Skilled-Birth Attendant Deliveries (SBA)” is the proportion of deliveries attended by skilled health personnel to the total number of deliveries. Skilled health professionals refer 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.

(f) “Vitamin A supplementation coverage (VAS)” is the proportion of 6-59 month-old preschoolers given Vitamin A capsules twice a year.

(6) “Contraceptives” pertains to the modern methods of family planning, such as, but not limited to, pills, condoms, and injectable.

(7) “Commodity Self-Reliance” is a multi-sectoral effort which seeks to ensure the self-sufficiency in MNCHN services and commodities in its ability to sustain the provisions of affordable quality health services to eliminate unmet needs. It requires the capacity to forecast, finance, procure, and deliver MNCHN services and commodities to all men and women who need them, when they need them.

(8) “LGUS” refers to the Provincial Government and its component cities and municipalities.

(9) “Commodities” refers to the supplies to be used such as TB drugs, Vitamin A, zinc supplements, ferrous sulfate with folic acid, contraceptives, syringes and needles, STI screening supplies, and medicines.

(10) “NHTS families” refers to individuals as determined and defined by the DSWD’s NHTS-PR as the poorest of the poor and priority for the distribution of MNCHN commodities.

(11) “National Household Targeting System for Poverty Reduction (NHTS-PR)” is a data management system that identifies who and where the poor are in the country. Specifically, the system aims to: formulate a unified criteria for the selection of the poorest population, facilitate the sharing of solid database for public and private social protection stakeholders; and reduce leakages (exclusion and under-coverage of poor, as well as inclusion of non-poor).

(12) “Pantawid Pamilyang Pilipino Program (4Ps)” is a poverty reduction strategy that provides grants to extremely poor households to improve their health, nutrition, and education particularly of children aged 0-14. It provides cash assistance to the poor to alleviate their needs (short-term poverty alleviation) and invests in human capital to break the intergenerational poverty cycle.

(13) Kalusugan Pangkalahatan (KP) Universal Health Care (UHC); continuing health sector reform program which primarily aims to improve financial risk protection of the poor, upgrade and modernize health facilities, and implement key interventions to achieve health-related Millennium Development Goals.

Section 28. MNCHN/CSR framework. The City of Naga 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. MNCHN reforms, improvement, and changes in local health systems shall, among other results, create the following intermediate results that can significantly lower the risk of dying secondary to pregnancy and child birth: Every pregnancy is wanted, planned, and supported; Every pregnancy is adequately managed throughout its course; Every delivery is facility-based and managed by skilled birth attendants; Every mother and newborn are provided with safe, effective, affordable post-partum and post-natal services.

The City of Naga likewise believes that the Commodity Self-Reliance (CSR) Strategy shall create the following supply conditions necessary to eliminate the unmet needs and ensure the availability of MNCHN packages of interventions: The phasing up of domestically provided supplies to replace those quantities of foreign-donated commodities; The increase in levels of domestic supplies of commodities made available to meet the needs of additional future users of commodities; The increase in levels of other commodities such as TB drugs, Vitamin A capsules, zinc supplements, ferrous sulfate with folic acid, syringes and needles, STI screening supplies, and medicines to meet the needs of mothers and children;

Section 29. MNCHN/CSR program implementation. The City of Naga shall institute measures towards establishing systems and mechanisms for an effective implementation of MNCHN strategy province-wide. The City of Naga encourages facility-based deliveries either public or private, attended by skilled birth professionals. Community Health Teams (CHT) shall advocate for birth spacing and counseling on responsible parenthood; refer pregnant women to facilities; track and master list pregnant women; assist pregnant women and their families in formulating a birthing plan, early detection, and referral of high-risk pregnancies; report maternal and infant deaths to the CHO; and participate in regular maternal and neonatal death review and discussions of relevant community health issues.

The City of Naga recognizes the great contribution of private professional health providers and private health facilities in meeting the MNCHN needs of local communities. These professionals are part of the referral and service delivery network for MNCHN. They are likewise expected to advocate birth spacing and counseling on responsible parenthood; refer pregnant women in facilities; track and master list pregnant women; assist pregnant women and their families in formulating a birthing plan, early detection, and referral of high-risk pregnancies; report maternal and infant deaths to the CHO; and participate in regular maternal and neonatal death review and discussions of relevant community health issues.

The City of Naga realizes the need to support all efforts including: public-private partnership for MNCHN towards ensuring quality in the process of generating, maintaining, and reporting of all MNCHN indicators and validity and utilization for LGU planning, financing, and policy decision making the engagement of all concerned health care facilities and providers, both public and private, to a coordinated MNCHN service delivery network; mobilization and participation of the community to be covered and served; and strengthening connections with other groups/stakeholders within and outside the health sector also beyond its administrative jurisdiction.

The City of Naga fully supports the implementation of the MNCHN/CSR Strategy that includes, among others, the implementation of the following interventions:

MNCHN. This LGU 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/CSR Strategy:

(A) This LGU shall organize the City-KP MNCHN Coordinating Council. Building the MNCHNICSR 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, nongovernment 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.

(B) This LGU shall know the MNCHN/CSR Situation. The MNCHN/CSR 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 city 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 Naga recognizes that these health indicators either (1) reflect impact or outcomes or (2) cover utilization of services. For MNCHN, health outcome indicators are Maternal Mortality Ratio (MMR), Neonatal Mortality Rate (NMR), Infant Mortality Rate (IMR), Under-five 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), Fully Immunized Children (FIC), and Vitamin A supplementation coverage.

This LGU shall likewise validate the data or report received from local health sources (both private and public). If the health information system has not been revisited or revised to comply with standards, available data may not reflect an accurate health situation of the locality.

(C) This LGU shall prioritize population groups and areas. This LGU shall compare performance of the city with national targets using MNCHN/CSR Health Outcome or Service Coverage Indicators.

(D) This LGU shall designate facilities in the Service Delivery Network through public private partnerships:

(1) This LGU shall organize the Community Health Team (CHT) and its Facility;

(2) This LGU shall designate the CEmoNC-capable Facility:

(3) This LGU shall designate the BEMONC-capable Facility;

(4) This LGU shall designate the community-based BEMONC Facility (i.e. lying in);

(5) This LGU shall identify Skilled-birth Attendant Facilities.

(E) This LGU shall install mechanisms to ensure access to MNCHN Services. Aside from providing the MNCHN Core Package of services, this LGU shall ensure presence of support services that would ensure access by priority populations and a source of safe blood supply and health promotion activities to increase demand for services.

(F) This LGU shall plan appropriate interventions for service delivery, governance, regulations, and financing (as shall be reflected in the MNCHN/CSR Ordinance).

(G) This LGU shall take the lead in implementing strategies and activities meant to improve health-seeking behavior among communities that will result in women and families seeking health care providers for their MNCHN needs.

(H) This LGU shall determine and manage funding sources for planned interventions.

(I) This LGU likewise supports the implementation of key activities for MNCHN/CSR implementation covering key interventions in the areas of:

(1) Policy;

(2) Financing;

(3) Service Delivery;

(4) Governance and Systems Development for Sustainability;

(5) Monitoring and Evaluation.

(J) To focus on key MNCHN/CSR interventions, among others, this LGU shall:

(1) Organize, train, and deploy community health teams (CHT) to transform needs to effective demand, specifically help family members assess health risk, deliver key messages, and formulate health implementation plan, as well as guide these families navigate through the health system and provide adequate information to families on PhilHealth.

(2) Build capacities of health staff for effective MNCHN/CSR service provision (FPCBT1, FPCBT2, AMSTL, LAPM, EINC, BEMONC, QAP).

(3) Implement MNCHN integration to reduce unmet needs for and deliver key messages for mothers.

(4) Provide orientation/information to LGUs on the DOH AO on ICV compliance, including the roles and key activities on ICV compliance.

(5) Formulate the local NHIP plan that includes key interventions such as increasing coverage/enrollment, accreditation of health facilities, provision of information to members and providers on benefits/access to PhilHealth benefits, improving claims management, and effective implementation of “no-balance billing scheme”.

(6) Allocate funds and procure MNCHN/CSR commodities and ensure free access of CCT and NHTS families.

(7) Conduct regular data quality check (DOC) and generate reliable data on CPR as bases for planning, financing, and policy development, and ensure sustained DQC activities and support through dedicated personnel and availability of forms.

(8) Establish and implement the stock and inventory management system (SIMS) to build LGU capacities in tracking MNCHN/CSR commodities in health facilities, including related medical supplies.

Section 30. Financing of the MNCHN/CSR program.

(A) Funding. Funding will be on the following sources:

(1) Regular Budget of the City Health Office: The City Health Office shall allocate fund in their annual budget for the purpose;

(2) Lump Sums and other trust funds: The Program shall be included as a priority to be funded from the 2Aolo Development Fund, Gender and Development (GAD) Fund, and PHILHEALTH capitation and reimbursement; (3) MNCHN Grants, aids, donations, and other forms of assistance from the National Government and the private sector.

Furthermore, for the funding for subsequent years The City Health Office shall integrate the Program as part of the regular services being delivered by local health facilities. As such it will continue to identify funding sources including but not limited to those identified above to be confirmed by the Local Finance Committee during the preparation of the LDP/AIP.

(B) Cost recovery scheme. Within one (1) year from its implementation, the City Health Office in coordination with Local Finance Committee shall prepare and submit for consideration of the Sangguniang Panlungsod a scheme of cost recovery consisting of charges for services rendered and cost of supplies, provided that safety nets for the poor are properly observed. Proceeds of cost recovery schemes shall accrue to the MNCHNICSR Special Account under the General Fund which shall automatically appropriated for the Program in the subsequent year.

(C) Reporting. To ensure monitoring and proper management of the funds, the City Accounting Office shall prepare a Program Report (preferably quarterly) detailing actual expenses for personnel, supplies, training, and other related activities.

Section 31. Program management.

(A) Creation and composition. There shall be created a MNCHN/CSR Coordinating Council, hereinafter referred to as “Council”, which shall be composed of the following:

Chairman: Mayor

Co-Chairman: SP Chairman, Committee on Health

Members:

– City Health Officer

– Naga City Hospital

– City Budget Office

– City Planning Office

– City Population and Nutrition Office

– City Social Welfare and Dev’t. Officer

– General Services Officer

– City DepEd

– Local PhilHealth

– Local PNP

– Liga ng mga Barangay

– Sanggunian Kabataan

– DOH- Center for Health Development Bicol

– Civil Society Organization/Academe (Naga City People’s Council; Naga College Foundation; University of Nueva Caceres; CamSur Medical Society; IMAP Naga; FPOP Naga/CamSur Chapter Naga City Council for Women; Isarog Family Health and Training, Inc.; HELP Learning Center)

(B) Duties and Functions. The Council shall be the over-all coordinating and implementing body for the implementation of the

MNCHN/CSR Strategy and Plan in the City of Naga. In addition, the Council shall perform and exercise the following duties and responsibilities:

(1) Formulate and recommend to the Sanggunian the full implementation of a comprehensive MNCHNICSR plan for the entire city in consultation with other stakeholders and oversee its implementation;

(2) Undertake program monitoring and evaluation and provide a program feedback mechanism;

(3) In close coordination with the barangay governments and other agencies concerned, conduct and update data on MNCHN;

(4) Provide support in strengthening capacities for MNCHN/CSR service provision through the conduct of training courses and other capacity building activities

(5) Provide support in the conduct of activities related to MNCHN education and counseling of clients about spacing and limiting and safe motherhood;

(6) Perform such other duties and function as it may deem fit for the efficient and effective implementation of the program;

(7) Establish and maintain linkages with local, national or even international population-serving organizations or institutions;

(C) Meeting and Quorum. The Council shall meet at least once in every quarter or as often as necessary at an expressed call of the chairman or at least fifty percent one (50% +1) members of the Council. Provided, that a notice shall be sent to the members at least twenty-four (24) hours before the meeting will be held. The Council shall decide by a majority vote of all the members present during a meeting, with the existence of a quorum, on any matter before it.

Fifty percent + one (50% + 1) of its members present shall constitute a quorum.

(D) Program Secretariat and MNCHN/CSR Focal Person. There shall be constituted, within thirty (30) days from the approval of this Ordinance, a program secretariat to be headed by the MNCHN/CSR Focal Person. The Focal Person shall be designated by the Mayor upon recommendation of the Council. The Focal Person shall provide technical and administrative support, consolidating and documenting proceedings, and manage overall implementation of the MNCHN/CSR plans and complementary actions, and providing for such other assistance as may be required by the Council. Submit an annual report on all activities regarding the status of the program and its finances to the Mayor and to the Sangguniang Panlungsod.

Section 32. Procurement and distribution procedure and program beneficiaries’ qualifications and disqualifications.

(A) Procurement Requirement. In the procurement of MNCHN commodities by the LGU, the policies, rules and regulations of R.A. No. 9184 or the Government Procurement Reform Act and that of the Commission on Audit (COA) shall strictly be observed.

(B) Identification of MNCHN Commodity Requirements. The City Health Officer shall identify the MNCHN commodity requirements using the forecast of commodities based on validated/verified current users data, as well as other related materials necessary in the implementation of the program.

(C) Priority Beneficiary for the Program. The priority beneficiary of the Program shall be women and children who belong to the poorest of the poor. For this purpose, the Council shall utilize the DSWD list of NHTS-PR families and CCT/4Ps Families for identifying the poor.

The Council may employ other means-testing instruments or procedures to ascertain the qualifications of the program applicant.

(D) Distribution of MNCHN Commodities. To ensure constant availability of commodities to the poor, a workable system of distribution and dispensing of MNCHN commodities shall be adopted. Midwives and other authorized dispensers through the City Health Office shall be issued commodities and recorded accordingly through the LGU’s Stock and Inventory Management System (SIMS).

A report on utilization, balances of stocks and monthly collections shall be submitted regularly to the City Health Office as a pre-requisite for subsequent issuance of commodities.

Section 33. Implementing rules and regulations. The Council shall, within a period of six (6) month/s after the approval of this Ordinance, formulate the Implementing Rules and Regulations and likewise shall form an integral part of this ordinance and the same shall take effect after proper dissemination and publication in the offices concerned and after posting at two (2) conspicuous places in the City.

Article 11

Comprehensive Newborn Screening System in the City of Naga and Enhancing the Implementation of Expanded Newborn Screening Program

Section 34. Declaration of Policy. It is hereby declared as the policy of the City Government of Naga to adopt adequate measures to promote the Newborn Screening System within its jurisdiction and to ensure the right of the newborn baby to have an opportunity to undergo newborn screening and thus be spared from the heritable conditions that can lead to mental retardation and death if undetected and untreated.

Section 35. Objectives. This Article is enacted with the following objectives:

(A) To ensure the people with proper information on the nature and benefits of Newborn Screening in the life of every newborn baby;

(B) To ensure that parents recognize the rights of every children to survival and full and healthy development as individual;

(C) To protect every newborn baby from certain heritable conditions that can result in mental retardation and death if left undetected and untreated through Newborn Screening.

Section 36. Definition of Terms. For the purpose of this Article, the following terms shall mean:

(A) Comprehensive Newborn Screening is a newborn screening system that includes, but is not limited to education of relevant stakeholders; collection and biochemical screening of blood samples taken from newborn; tracking and confirmatory testing to ensure the accuracy of the screening results, drugs and medical/surgical management and dietary supplementation to address the heritable condition and evaluation activities to assess long term outcome, patient compliance and quality assurance.

(B) Recall means a procedure for locating a newborn with a heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment.

(C) Treatment means provision of prompt, appropriate and adequate medicines, medical, surgical management or dietary prescription to a newborn for the purposes of treating or mitigating the adverse health consequences of the heritable condition.

(D) Follow-up means the monitoring of a newborn with a heritable condition for the purpose of ensuring that newborn patient complies fully with the medicines and dietary prescriptions.

(E) Health institutions refers to hospitals, infirmaries, health centers, lying-in centers or puericulture center with obstetrical and pediatric services whether public or private.

(F) Health practitioners refers to physicians, nurse, midwives, nursing aides, medical technologist and traditional birth attendants.

(G) Heritable conditions means any condition that result in mental retardation, physical deformity or death if left undetected and untreated and which is usually inherited from the genes of either both biological parents of the newborn.

(H) UP Manila NIH refers to the University of the Philippines Manila National Institute of Health.

(I) Newborn means a child from the time of complete delivery to 30 days old.

(J) Newborn Screening is the process of collecting a few drops of blood from the newborn onto an appropriate collection card and performing biochemical testing for the determining if the newborn has heritable conditions.

(K) Expanded Newborn Screening means expanded screening which will include 22 more disorders from the six disorders, such as Hemoglobinopathies and additional metabolic disorders.

(L) Newborn Screening Center refers to a facility equipped with a newborn screening laboratory that complies with the standards established by the NIH and provides all required laboratory test and recall/follow up programs for newborn with heritable conditions.

(M) Newborn Screening Reference Center refers to the central facility at the NIH that defines testing and follow up protocols, maintains an external laboratory proficiency testing program, oversees the national testing database and case registries, assists in training in all aspects of the program, oversees content of educational materials, and acts as secretariat of the Advisory Committee on Newborn Screening.

(N) Parent Education refers to various means of providing parents/legal guardians information about newborn screening.

Section 37. Scope. This ordinance shall cover all hospitals, health infirmaries, health centers, lying-in centers or puericulture centers and pediatric services within the jurisdiction of the City of Naga except to private hospitals, health infirmaries, health centers, lying-in centers, puericulture centers which is directly monitored by the Department of Health.

Section 38. Performance of Newborn Screening. Newborn Screening shall be performed immediately after 24 hours from birth but not later than due after delivery. A newborn placed in an intensive care in order to ensure survival may be exempted from the 3 days requirement but must be tested within 7 days of age. It shall be the joint responsibility of the parent(s) and the practitioner or other person delivering the newborn to ensure that Newborn Screening is performed.

Section 39. Quality Samples. Health institutions must maintain an acceptable number of unfit and unsatisfactory samples (less than 0.05% of the total samples) to maximize the use of available resources and prevent the prolonging of screening time, thereby, putting the newborn at risk from the effects of the NBS disorders if present.

Section 40. Refusal to be Tested. A parent or legal guardian may refuse testing on the grounds of religious beliefs, but shall acknowledge in writing their understanding that refusal for testing places their newborn at risk for undiagnosed heritable conditions. A copy of this refusal shall be made part of newborn’s medical record and refusal shall indicated in the National Screening Database.

Section 41. Program Management. The office of the City Mayor through the City Health Office headed by the City Health Officer shall be the lead agencies for the effective implementation of this Ordinance.

Section 42. Duties and Functions of the City Health Officer. Unless otherwise provided by law, the City Health Officer have the following functions:

(A) To implement, monitor, supervise, and evaluate the newborn screening implementation in all hospitals situated within the jurisdiction of the City of Naga.

(B) To establish a functional Case Management Referral System with strategically National Comprehensive Newborn Screening System Treatment Network (NCNBSS).

(C) To create a program for purposes of information, education, communication, screening and recall on the Newborn Screening System; and

(D) Establish rules and regulations related to the implementation of this ordinance.

Section 43. The City Mayor. It shall be the responsibility of the City Mayor, through the City Health Officer to monitor and evaluate the implementation of the Newborn Screening System and to perform other roles and responsibilities as may deem necessary for the effective implementation of this ordinance.

Section 44. The Sangguniang Panlungsod. The office of the Sangguniang Panlungsod shall enact local ordinances and resolutions integrating Newborn Screening System in the health delivery and shall encourage creative financial packages to make Newborn Screening accessible to the most economically-deprived populace. Unless otherwise provided by law, no collection of Newborn Screening Test shall be collected more than the maximum standard imposed by the Department of Health.

Section 45. Birth Deliveries. All birth deliveries within the jurisdiction of the City of Naga shall be required to perform newborn screening test in every newborn baby without prejudice to the provision of Section 7, Chapter 1 of this Ordinance.

Section 46. Recall. Birthing facilities situated within the city shall establish a recall system for purposes of locating a newborn with possible heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment. The City NBS Recall Team shall be created through this ordinance and will be composed of:

(A) Office of the Mayor through the City Health Officer

(B) NBS Coordinator

(C) Health Worker (Midwife/Nurse) assigned to the area where the patient resides

(D) City Social Welfare and Development Officer

(E) Bgy. Official of the area where the patient resides

Section 47. Functions. The NBS Recall Team shall have the following functions:

(A) Facilitate/assist in the coordination of the recall of the screened positive newborn;

(B) Provide assistance (financial/logistics) for laboratory, transportation and other expenses incurred in the confirmatory testing of the patient;

(C) Referral to social institutions of indigent client;

(D) Maintain close coordination with the Newborn Screening Center and DOH Regional Office for the recall of screened positive newborns;

(E) Assist in the referral to specialist or if not feasible co-management with specialist via phone or electronic mail (email);

(F) Help in the transport of client to higher level facility (specialty hospitals/tertiary hospitals) for appropriate management. Patient should be accompanied by licensed health professional during the transport period;

(G) Ensure that patient being recalled have given information about the disorder, undergone confirmatory testing and received appropriate management;

(H) Provide report about the results of the recall including actions taken to Newborn Screening Center;

(I) Assistance to newborn screening patient includes but is not limited to transportation expenses, meals, laboratory fees, medicines, and nutritional supplementation.

Section 48. Monitoring of Confirmed NBS Patient. Monitoring and follow up of patients confirmed to have the disorders shall be done regularly by the attending physician, appropriate subspecialist or the City Health Office. Report forms about the status of the patients shall be accomplished by the attending physicians to be submitted to the NSCs.

Section 49. Newborn Screening Fee. Government health facilities such as hospitals and lying-in centers are authorized to collect fee/cost for the performance of the Newborn Screening Test, which shall not be more than the prescribed amount imposed by the Department of Health.

Section 50. Appropriation. The cost for the purchase of the newborn screening kits and other related expenses for the newborn screening services shall be charged against the City Health Office and the City Hospital, chargeable against the 20% City Development Fund, PhilHealth Capitation Fund, and other existing appropriation which can be aligned for this purpose.

The City Health Office shall integrate the Newborn Screening Program as part of the regular services being delivered.

As such it will continue to identify funding sources during the succeeding years after the approval of this ordinance.

Section 51. Sanction. Except in private hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services where the management and monitoring is under the Department of Health, refusal to provide the Newborn Screening services to the newborn babies in City Hospital, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services within the jurisdiction of this city shall be dealt administratively.

Article 12

First 1,000 Days Nutrition and Health Program

Section 52. Objectives. The First 1,000 Days Nutrition and Health Program have the following objectives:

a. Provide comprehensive, sustainable, multi-sectoral strategies and approaches to address health and nutrition problems of newborns, infants and young children, pregnant and lactating women and adolescent females, as well as multi-factorial issues that negatively affect the development of newborns, infants and young children, integrating the short, medium and long-term plans of the government to end hunger, improve health and nutrition, and reduce malnutrition;

b. Provide a policy environment conducive to nutrition improvement;

c. Provide evidence-based nutrition interventions and actions which integrate responsive caregiving and early stimulation in a safe and protective environment over the first one thousand (1,000) days as recommended by the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO), as well as nutrition-specific and nutrition-sensitive mechanisms, strategies, programs and approaches in implementing programs and projects to improve nutritional status, and to eradicate malnutrition and hunger;

d. Strengthen nutrition program and services to women and children with special health and nutrition need;

e. Institutionalize and scale up nutrition in the first one thousand (1,000) days in the local plan for nutrition and in the city development plan particularly the development plan for children;

f. Ensure the meaningful, active and sustained participation, partnership and cooperation of Naga City Nutrition Council-member offices, other government agencies, civil society organizations (CSOs), people’s organization (POs) and the private sector, in an integrated and holistic manner, for the promotion of the health and nutritional well-being of the population, prioritizing interventions in areas with high incidence and magnitude of poverty, Geographically Isolated and Disadvantaged Areas (GIDA), and in hazard zones;

g. Strengthen enforcement of Executive Order No. 51, otherwise known as the “National Code of Marketing of Breastmilk Substitutes, Breastmilk Supplements and Other Related Products” or the “Milk Code”, and Republic Act No. 10028, otherwise known as the “Expanded Breastfeeding Promotion Act of 2009”, to protect, promote, and support optimal infant and young child feeding and maternity protection, and in consultation with the stakeholders in the public and private sectors, consider the new recommendations from the World Health Assembly (WHA) Resolution 69.9 to end the inappropriate promotion of food for infants and young children;

h. Strengthen the implementation of other nutrition related laws, programs, policies and guidelines including multi-sectoral integration, gender equality and promotion of the United Nations Convention on the Rights of the Child (UNCRC); and

i. Strengthen the family community support systems with the active engagement of parents and caregivers, with support from LGUs, the NGAs, CSOs, and other stakeholders.

SECTION 53. COVERAGE. The program shall cover those who are nutritionally-at-risk, especially pregnant and lactating women particularly adolescent mothers, women of reproductive age, adolescent females and all children who are newly born up to age twenty-four months residing in Naga City. Provided, that priority shall be given to children and marginalized women who have special nutrition and healthcare needs as defined in this Ordinance. Provided, further, that the programs and services mentioned herein shall cover all pregnant and lactating mothers deprived of liberty and housed in the Naga City District Jail, regardless of their place of residence, until they are released from detention and in charitable institutions in Naga City as well as children who are newly born up to age twenty-four months.

Section 53. Programs and Services for the F1KD. The program shall include health and nutrition services and interventions provided at the different life stages. The LGUs, NGAs, concerned CSOs, and other stakeholders shall work together to ensure the delivery of these services and interventions.

(a) Prenatal Period (First Two Hundred Seventy (270) Days). Prenatal care services at the facility and community level shall include, but not be limited to, the following:

1. Pregnancy tracking and enrollment to antenatal care services (ANC);

2. Regular follow up to complete the recommended minimum number of quality ANC care visits with proper referral for high-risk pregnancies;

3. Provision of maternal immunizations including tetanus and diphtheria toxoid vaccine, and other vaccines as appropriate;

4. Empowering women on the preparation of birth and emergency plans, and appropriate plans for breastfeeding and rooming-in, including counselling;

5. Counselling on maternal nutrition, appropriate infant and young child feeding practices;

6. Early identification and management of nutritionally at-risk pregnant women and pregnant adolescent females and provision of ready-to-use supplementary food (RUSF) in addition to dietary supplementation;

7. Provision of micronutrient supplements such as iron, folic acid, calcium, iodine and other micronutrients deemed necessary:

8. Promotion of the consumption of iodized salt and foods fortified with micronutrients deemed necessary;

9. Assessment of risk for parasitism and provision of anti-helminthic medicines;

10. Provision of oral health services including oral health assessment;

11. Counselling on proper hand-washing, environmental sanitation, and personal hygiene;

12. Counselling on, and utilization of, responsible parenthood and family health services;

13. Counselling on nutrition, smoking cessation, and adoption of healthy lifestyle practices;

14. Philippine Health Insurance Corporation (PhilHealth) enrollment and linkages to facility and community-based health and nutrition workers and volunteers;

15. Social welfare support to improve access to health and nutrition services, such as, but not limited to, dietary supplementation, healthy food products and commodities for nutritionally-at-risk pregnant women belonging to poorest of the poor families, including those with disabilities;

16. Maternity protection during pregnancy:

17. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care and early stimulation for early childhood development;

18. Provision of counselling and psychosocial support to parents and caregivers with priority to high-risk pregnant women and adolescent females belonging to poorest of the poor families; and

19. Others as may be determined based on international and national guidelines and evidence generated locally.

(b) Women About to Give Birth and Immediate Postpartum Period. Health and nutrition services at the facility and community level shall include, but not be limited to, the following:

1. Adherence to the couple’s birth, breast feeding, and rooming-in plans;

2. Provision of mother-friendly practices during labor and delivery in line with, and in compliance with, Mother and Baby-Friendly Health Facility Initiative (MBFHFI), Republic Act No. 10028, otherwise known as the “Expanded Breastfeeding Promotion Act of 2009”, Executive Order No. 51 or the “Milk Code”, and other related administrative issuances of the DOH on maternal and newborn care;

3. Monitoring of the progress of labor and the well-being of both the mother and the fetus, and provision of interventions to any health issue that may arise;

4. Identification of high-risk newborns that will be delivered; the premature, small for gestational age (SGA), and/or low birth weight infants; and the provision of preventive interventions to reduce complications of prematurity or low birth weight;

5. Coverage and utilization of PhilHealth benefit packages for maternal care;

6. Nutrition counselling and provision of nutritious food and meals at the facility, most especially for women who gave birth to babies who are preterm, SGA, or low birth weight, until discharged;

7. Provision of lactation management services to support breastfeeding initiation and exclusive breastfeeding for six (6) months, most especially for caesarean deliveries, and thereafter until discharged;

8. Counselling on proper hand-washing, environmental sanitation, and personal hygiene;

9. Counselling on, and utilization of, modern methods of family planning and access to reproductive health care services, as defined in Republic Act No. 10354, otherwise known as “The Responsible Parenthood and Reproductive Health Act of 2012”;

10. Maintenance of non-separation of the mother and her newborn and rooming-in for early breastfeeding initiation;

11. Assurance of women and child-friendly spaces during calamities, disasters, or other emergencies;

12. Provision of support to fathers and caregivers to ensure their commitment to support the mother and the child on proper health and nutrition care and provide necessary counselling and positive parenting support interventions;

13. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care and early stimulation for early childhood development; and

14. Others as may be determined based on international and national guidelines and evidence generated locally.

(c) Postpartum and Lactating Women. Health and nutrition services at the facility and community level shall include, but not be limited to, the following:

1. Follow-up visits to health facilities where they gave birth;

2. Home visits for women in difficult-to-reach communities especially if located in a GIDA;

3. Lactation support and counselling from birth up to two (2) years and beyond, including those women who will return to work and for women in the informal economies, and those with breastfeeding difficulties;

4. Nutrition assessment and counselling to meet the demands of lactation in health facilities and workplaces;

5. Identification and management of malnutrition of chronically energy deficient (CED) and nutritionally-at-risk postpartum and lactating women, including adolescent mothers, and provision of RUSF in addition to dietary supplementation, as appropriate;

6. Organization of community-based mother support groups and peer counsellors for breastfeeding in cooperation with other health and nutrition workers;

7. Lactation breaks for women in the workplaces including micro, small and medium enterprises;

8. Availability of lactation stations in the workplaces, both in government and in the private sector, informal economy workplaces, and in public places and public means of transportation as stipulated in Republic Act No. 10028, otherwise known as the “Expanded Breastfeeding Promotion Act of 2009” and its implementing rules and regulations;

9. Organization of breastfeeding support groups in workplaces, in cooperation with occupational health workers and human resource managers trained in lactation management for the workplace;

10. Provision of micronutrient supplements including iron, folic acid, Vitamin A and other micronutrients deemed necessary:

11. Promotion of the consumption of iodized salt and foods fortified with micronutrients deemed necessary;

12. Provision of oral health services;

13. Counselling on, and utilization of, modern methods of family planning, and access to reproductive health care services, as defined in Republic Act No. 10354, otherwise known as “The Responsible Parenthood and Reproductive Health Act of 2012”;

14. Social welfare support to improve access to health and nutrition services, such as, but not limited to, dietary supplementation, healthy food products and commodities for CED and nutritionally-at-risk postpartum and/or lactating women belonging to poorest of the poor families;

15. Assurance of women-friendly and child-friendly spaces where mothers and their infants will be able to continue breastfeeding during calamities, disasters, or other emergencies;

16. Provision of support to fathers and caregivers to ensure their commitment to support the mother and the child on proper health and nutrition care and provide necessary counselling and positive parenting support intervention;

17. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care, and early stimulation for early childhood development; and

18. Others as may be determined based on international and national guidelines and evidence generated locally.

(c) Birth and Newborn Period (Twenty-eight (28) Days). Health and nutrition services at the facility and community level shall include, but not be limited to, the following:

1. Provision of baby-friendly practices during delivery in line, and in compliance, with the MBFHFI and essential newborn care protocol of the DOH in all facilities providing birthing services;

2. Provision of early and continuous skin-to-skin contact to all full-term babies and continuous kangaroo mother care for small babies born preterm and low birth weight, in compliance with the newborn protocol of the DOH in all facilities providing birthing services;

3. Maintenance of non-separation of the mother and her newborn from birth for early breastfeeding initiation and exclusive breastfeeding;

4. Provision of routine newborn care services such as eye prophylaxis, Vitamin K supplementation, and immunizations;

5. Administration of newborn screening and newborn hearing screening;

6. Availment and utilization of appropriate PhilHealth benefit packages for the newborn including the preterm, low birth weight and small babies;

7. Provision of early referral to higher level facilities to manage illness and/or other complications;

8. Availability of human milk pasteurizer for strategic level two (2) and level three (3) facilities with neonatal intensive care units to ensure breastmilk supply for small babies born preterm and low birth weight within its facility, the service delivery network it serves, and for use of infants and young children during emergencies and disasters;

9. Assurance of a child-friendly space where exclusively breastfed infants will be able to continue breastfeeding during calamities, disasters or other emergencies;

10. Social welfare support to improve access to health and nutrition services for newborns belonging to poorest of the poor families;

11. Facilitate the prompt birth and death registration, including fetal deaths, including restoration and reconstruction of birth and death registration documents destroyed during disasters;

12. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care and early stimulation for early childhood development;

13. Provision of support to parents and caregivers on early stimulation and responsive care for infants; and

14. Others as may be determined based on international and national guidelines and evidence generated locally.

(e) First Six (6) Months of Infancy (One Hundred Eighty (180) Days). Health and nutrition services at the facility and community level shall include, but not be limited to, the following:

1. Provision of continuous support to mother and her infant for exclusive breastfeeding, including referral to trained health workers on lactation management and treatment of breast conditions;

2. Provision of appropriate and timely immunization services integrated with assessment of breastfeeding, early child development, growth monitoring and promotion, and Infant and Young Child Feeding (IYCF) counselling;

3. Growth and development monitoring and promotion of all infants less than six (6) months old especially those who had low birth weight, are stunted, or had acute malnutrition;

4. Counselling household members on hand-washing, environmental sanitation, and personal hygiene;

5. Provision of early referral to higher level health facilities to manage common childhood illnesses including acute malnutrition;

6. Identification and management of moderate or severe acute malnutrition among infants less than six (6) months old and provision of lactation management services and management of medical conditions contributing to malnutrition:

7. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care and early stimulation for early childhood development;

8. Social welfare support to improve access to health and nutrition services for newborns belonging to poorest of the poor families;

9. Provision of support to fathers and caregivers to ensure their commitment to support the mother and the child on proper health and nutrition care and provide necessary counselling and positive parenting support interventions;

10. Assurance of women and child-friendly spaces during calamities, disasters, or other emergencies where health and nutrition services for women and children shall be provided; and

11. Others as may be determined based on international and national guidelines and evidence generated locally.

(f) Infants Six (6) Months up to Two (2) Years of Age. Health and nutrition services at the community level shall include, but not be limited to, the following:

1. Timely introduction of safe, appropriate, and nutrient-dense quality complementary food with continued and sustained breastfeeding for all infants from six (6) months up to two (2) years of age, with emphasis on the use of suitable, nutrient-rich, home-prepared, and locally available foods that are prepared and fed safely;

2. Provision of nutrition counselling on complementary food preparation and feeding to mothers and caregivers;

3. Dietary supplementation of age-appropriate and nutrient-dense quality complementary food;

4. Growth and development monitoring and promotion in health facilities and at home;

5. Provision of routine immunizations based on the latest DOH guidelines;

6. Provision of micronutrient supplements deemed necessary;

7. Management of common childhood illnesses based on WHO and DOH guidelines;

8. Management of moderate and severe acute malnutrition using national guidelines and proper referral to higher level health facilities as appropriate, for treatment and management, especially those with serious medical complications;

9. Provision of oral health services including application of fluoride varnish to prevent dental caries;

10. Provision of anti-helmintic tablets for children one (1) to two (2) years old as appropriate;

11. Availability of potable source of water, counselling of household members on hand-washing, environmental sanitation, and personal hygiene, and support for sanitation needs of households to reduce food, water, and vector-borne diseases;

12. Counselling and support to parents and caregivers on parent/caregiver-infant/child interaction for responsive care, and early stimulation for early childhood development, and referral for development delays and other disabilities for early prevention, treatment and rehabilitation;

13. Social welfare support to improve access to health and nutrition services such as, but not limited to, dietary supplementation, complementary food, other healthy food products and commodities, assessment and referral for development delays and other disabilities for early prevention, treatment and rehabilitation for infants six (6) months and above who belong to poorest of the poor families;  

14. Support for home kitchen gardens wherever feasible;

15. Provision of locally available grown crops, vegetables and fruits in addition to other agricultural products to be used in complementary feeding and dietary supplementation;

16. Protection against child abuse, injuries and accidents including the provision of first aid, counselling and proper referrals; and

17. Others as may be determined based on international and national guidelines and evidence generated locally.

SECTION 54. Institutionalization of the existing F1KD Nutrition and Health Program. The following health and nutrition projects, services, and interventions of the following offices/departments:

A. City Population and Nutrition Office (CPNO):

(a) Food Assistance

(i) Nutri-Nanay Project: This project seeks to rehabilitate malnourished pregnant mothers by providing them regular supply of free Anmum milk and iron supplements and free pre-natal check-up until such time that they are considered fully rehabilitated and ready to give birth. Under this project, lactating mothers are also given free milk and are closely monitored by Barangay Nutrition Scholars (BNS) and nutritionists from the CPNO;

(ii) Nutri-Ataman Project: This project seeks to reduce malnutrition among underweight preschoolers through the provision of free medical consultation to treat existing complications and illnesses and the provision of free medicines, multivitamins, and supplemental feeding commodities to hasten recovery and rehabilitation;

(iii) Complementary (“Nutri-Mix”) Feeding: This intervention seeks to provide complementary foods to infants aged 6 to 23 months regardless of their nutritional status in addition to their daily intake at home. Supervised by nutritionists, the BNS and the Supplemental Feeding Volunteers (SFVs) are the prime movers in the processing of “nutri-mix” at the Nutrition Center. The different “nutri-mix” recipes are rice-mongo blend, “nutri-champ”, and rice-soya-mongo blend with appropriate milk and sugar;

(iv) Center-Based Feeding: This refers to the rehabilitation program for toddlers aged 6 to 24 months and preschool children who are undernourished based on the Operation Timbang (OPT) Plus 1st and 2nd quarter. Chosen caterers prepare and deliver the hot lunch feeding to the 27 barangays of Naga. The feeding is conducted every Monday to Friday as supervised by the BNS and assisted by SFVs:

(b) Nutrition Education

(i) Family Health Classes: Organized by BNS and Barangay Service Point Officers, these classes are attended by mothers with severe underweight children, mothers with underweight preschool children, mothers with stunted and severely stunted preschool children, and other household members;

(ii) One-on-One Counseling Sessions: These are conducted for mothers of preschool children as well as for pregnant and lactating mothers;

(iii) Dietary Consultation: This can be availed of by pregnant and lactating mothers and by any interested adult from the 27 barangays of Naga:

(iv) Growth Monitoring and Promotion activities: These are regularly done for underweight preschoolers and infants aged 0-23 months;

(v) Pabasa sa Nutrisyon: This is a special Nutrition Information and Education Program which seeks to improve the nutritional status of family members and is attended by mothers with malnourished children and pregnant and lactating mothers;

(vi) Breastfeeding Classes: Attended by pregnant and lactating mothers, these classes seek to promote and improve infant feeding practices;

(vii) Breastfeeding Peer Counselors Group: This is composed of breastfeeding advocates in each of the city’s 27 barangays who regularly undergo activities to further enhance their knowledge on breastfeeding;

(c) Growth Monitoring and Promotion: This refers to the annual weighing and height measurement of preschool children aged 0-59 months conducted every first quarter of the year to identify and locate malnourished children. It also refers to the monthly follow-up weighing of children aged 0-24 months and of underweight, stunted, and wasted pre-school children;

(d) Manpower Development: This refers to the annual trainings/seminars/workshops conducted by the CPNO for the Barangay Nutrition Committees (BNC), BNS, SFVs, and Breastfeeding Peer Counselors to enhance their knowledge, skills, and abilities in the promotion of nutrition programs in the 27 barangays;

(e) Maintenance of BNS and SFVs: The BNS are the able arm of the CPNO in the implementation of the Philippine Food and Nutrition Program at the barangay level. Meanwhile, the SFVs assist the BNS in the implementation of the Supplemental Feeding Program and other health and nutrition programs of the city.

B. City Health Office (CHO):

(a) Pre-Natal Care

(b) Birth Delivery

(c) Immunization for New Born & Infant

(d) Postnatal Follow-up Check-up for mother and child

(e) Postpartum & New Born Care

(f) Nutrition Services for Infant and Children

(g) Deworming Services for Infant and Children

(h) Management of Sick Infant and Children (i) Oral Health Care and Services

(j) Maintenance of Barangay Midwife and Barangay Health Worker

C. Naga City Hospital (NCH):

1. In-Hospital Pre-natal, Intra-partal, and Post-natal Care. The goals of pre-natal, intra-partal and post-natal care is to ensure that all pregnancies are carried to term with minimal to no complications, as well as to ensure the health and well-being of both mother and baby post-partum. This includes the following components:

a. Pre-natal Consultation with OB-Gynecologist

b. Fetal Monitoring:

• Ultrasound
• Non-Stress Test

c. Provision of Pregnancy Vitamins

d. Post-partum Consultation with OB-Gynecologist

e. Mother’s Class on the following topics:

• Executive Order No. 51 – Milk Code of the Philippines which mandates exclusive breastfeeding from 0 to 2 years and beyond

• Responsive Feeding

• Nutrition during and after pregnancy

f. Labor and Delivery

2. Diagnostic Tests

a. Clinical Laboratory (HBSAg, RPR, OGTT, CBC, Urinalysis, etc.)

b. X-Ray

c. Ultrasound (Pelvic, Fetal Biometry)

d. Fetal Non-Stress Test

D. Our Lady of Lourdes Infirmary (OLLI):

(a) Pre-Natal Care

(b) Birth Delivery

(c) Immunization for New Born Child

(d) Postnatal Follow-up Check-up for mother and child

(e) Postpartum Care

(f) New Born Screening

(g) New Born Hearing referral to NCH

(h) Referral to Barangay for Immunization

E. City Social Welfare and Development Office (CSWD):

(a) Enrollment to Philhealth/Point of Care Program

(b) Aid in Crisis Situation (AICS)

(c) Medical and Hospitalization Assistance

(d) Relief Operations

Section 55. Nutrition Programs and Services for Children and Women with Special Nutrition and Health Care Needs. The following programs and services shall be offered to children and women with special nutrition and health care needs:

55.1. SERVICES AND PROGRAM FOR CHILDREN WITH SPECIAL NUTRITION AND HEALTH CARE NEEDS. Children with special nutrition and health care needs are at risk for health problems that can impair their ability to function at home and in school. To address this, the city government of Naga undertakes, in addition to the programs mentioned in Section 7 of this Ordinance, to perform the following thru the City Population and Nutrition Office, City Health Office and in partnership with the twenty-seven barangays and HELP Learning Center.

55.1.1. Develop a program that will provide an early intervention and referral system to children with physical, behavioral and mental disabilities and those with health and nutritional problems. The early intervention shall include diagnostic and laboratory tests to assess nutrition and health status of children of indigent family, including children of solo parent, persons with disability/ies and those belonging to the urban poor and peasant sector, including programs and services that will address such needs. Provided, that the early intervention to and referral of these children shall be provided by the city government directly and through a referral system to other agencies, private organizations and institutions for specialty services and intervention. Provided, further, that said referral system shall be created and convened by the City Nutrition Committee within ninety (90) days after the approval of this ordinance;

55.1.2. Barangay-based tracking, early identification and monitoring of children with special nutrition and health care needs. Provided, that each barangay shall maintain an updated database indicating therein the child’s health and nutritional status, intervention provided and the progress of the child’s condition;

55.1.3. Individualized intervention for every child shall be provided taking into consideration various elements that may be affecting the child’s health and nutritional status, such as the child’s physical characteristics, interaction between the child and the parent or guardian and how this affect the child’s behavior. Provided, that a qualified professional shall prepare the individualize intervention;

55.1.4. Strengthen the school-based nutrition services by taking into account the elements mentioned in the immediately preceding section;

55.1.5 Training of BHW, CBRS and BNS by HELP Learning Center in the administration of the ECCD Checklist Form 1A, a standard tool in measuring the developmental milestone of Filipino Children zero (0) to less than 3 years old.

55.2. NUTRITION PROGRAMS AND SERVICES FOR MARGINALIZED WOMEN WITH SPECIAL NUTRITION AND HEALTH CARE NEEDS. It shall be the policy of the city government of Naga to ensure that pregnant and lactating women in the poorer and marginalized sector shall have access to good quality nutrition and health-care throughout the periods of pre-natal, specialized obstetrical services and post-partum, thus the following programs, in addition to those mentioned in Section 7 of this Ordinance, shall be undertaken thru the City Population and Nutrition Office (CPNO) in partnership with the Naga City Council for Women (NCCW):

55.2.1. Develop a mechanism that will prioritize the delivery of timely and appropriate pre-natal, child-birth and post-natal services, such as medical examination, laboratory and diagnostic tests, including HIV testing and prophylaxis, nutritional guidance and counselling, obstetrical services and provision for supplements and medicines to marginalized women with special nutrition and health care needs. Provided, that the program and services enumerated under Section 7 for the child/children of the marginalized women shall, likewise, be given priority;

55.2.2. For pregnant and lactating women deprived of liberty who have experienced sexual abuse, provide appropriate mental health care and support;

55.2.3. For rural women, urban poor women and women living in danger-prone areas, develop a livelihood assistance and nutrition education program that will enhance economic independence, increase nutrition knowledge and skills and reduce a risk factor to the woman and the child

Section 56. Services and Programs in the Aftermath of Disaster. In disasters, calamities, and other crisis, the city government of Naga, thru the Naga City Disaster Risk Reduction and Management Council (NDRRMC), and other concerned agencies in all phases of relief, recovery, rehabilitation and reconstruction efforts shall develop and implement a gender-responsive and age-appropriate delivery of nutrition program and services. To be specific, the following shall be undertaken:

(a) The participation of women and children representative in the NCDRRMC that will help ensure a more coordinated and gender-sensitive response in all stages of emergency;

(a) Improved collection and use of age and sex-disaggregated data and reproductive health indicators in rapid and comprehensive assessments for strategic gender analysis and programming in humanitarian response;

(b) Timely, adequate and culturally-appropriate provision of relief goods and services such as food, water, sanitary packs, psychosocial support, livelihood, education and comprehensive health services including the implementation of the Minimum Initial Service Package (MISP) for the sexual and reproductive health at the early stage of the crisis;

(c) Proactive adoption of measures by camp managers to prevent violence in evacuation centers and relocation sites which include:

(i) Security and safety of women and children as key criteria for the selection of evacuation sites;

(ii) Separate functional and well-lit latrines for men and women with locks;

(iii) Bathing facilities with privacy;

(iv) Regular security patrols preferably by female police officers;

(v) Prohibition of alcohol, drugs, and gambling among others; and

(vi) Active involvement of women in the various camp and communities organized for food and water distribution, nutrition, sanitation, and hygiene, shelter, health, education, protection and security and safety especially in the decision-making processes.

SECTION 57. IMPLEMENTING MECHANISMS

57.1. CREATION OF THE F1KD TECHNICAL WORKING GROUP (TWG). There is hereby created a TWG for the F1KD Implementation which shall be under the direct supervision of the Naga City Nutrition Committee. The F1KD TWG shall have the primary responsibility of ensuring that the City’s policies, plans, strategies and approaches for nutrition improvement for pregnant and lactating women, infant and young child are efficiently and effectively carried out in the community.

57.1.1. COMPOSITION. The F1KD TWG shall be composed of the following:

• Chairman: City Population and Nutrition Officer

• Vice Chairman: City Health Officer or his representative

• Members:

  • Representative from Naga City Hospital

  • Representative from Our Lady ofLourdes Infirmary

  • Head, Disaster Risk and Management Office

  • Representative from City Social Welfare & Development Office

  • Representative from Children Affairs Office

  • Liga ng mga Barangay President

57.1.2. ROLES AND FUNCTIONS. The F1KD TWG shall have the following roles and functions:

a. Within 45 days after the effectivity of this Ordinance, the F1KD TWG shall conduct an initial evaluation and analysis of existing policies, programs, services, including data and reports relevant to the nutrition from all concerned offices and the barangays. The result of the audit and review shall serve as the baseline for all the implementation of the programs under this Ordinance. The baseline will be updated every year thereafter;

b. Coordinate all nutrition programs and services of various departments/offices of the LGU to ensure that the same contribute to the attainment of the nutritional well-being of pregnant and lactating mothers, new born, infant and young child;

c. Regularly monitor and evaluate the nutrition programs and services and ensure that the same are in accordance with the objectives of this Ordinance and the City Nutrition Action Plan. Further, the evaluation will be conducted using an assessment tool that will be developed by the F1KD TWG;

d. Collect and consolidate all data, information and reports relevant to the nutritional status of women, infants and young children of the 27 barangays and the status of implementation of the nutrition programs and services mentioned herein;

e. Based on the gathered data and information, facilitate the formulation of nutrition policies, plans, strategies and approaches for nutrition improvement, including strategies on women, infant and young child, and adolescent nutrition among members of the NC Nutrition Committee and recommend the adoption thereof by the latter;

f. Facilitate the capacity building of the barangay health workers, nutrition scholars and other community volunteers, including all household members in the community preferably the mothers and their husbands or partners. Provided, that, age appropriate learning process shall be used when conducting learning sessions with children; and

g. Review funding requirements and sources for the formulation and implementation of the nutrition programs and services by relevant offices and department of the City Government;

57.2. CAPACITY BUILDING OF NUTRITION AND HEALTHCARE WORKERS IN THE CITY AND BARANGAY. The City Government of Naga shall provide practical and effective training courses to Barangay Health Workers, Barangay Nutrition Scholars, other community volunteers and nutrition and health service providers to upgrade their skills and competencies in the implementation of the services and interventions for the health and nutrition of women and children. Toward this end, the city government undertakes to perform the following:

57.2.1. The City Population and Nutrition Office, the City Health Office and selected members of the NC Nutrition Committee shall develop a training module on basic and advanced nutrition concepts and theories, practical skills and capacities to carry out their work under this Ordinance and relevant training such as gender and child-sensitive way of delivering services;

57.2.2. Formation of training team tasked to cascade the capacity building to all communities and sectors, particularly those living in rural and upland areas. Provided, that the training team shall undergo a continuing education and updating session of their knowledge and skills in line with the implementation of the nutrition and health program; and

57.2.3. The F1KD TWG shall be in charge of facilitating the capacity building and formation of training teams mentioned above, including re-orientation of concerned barangay workers. Provided, that members of the F1KD TWG shall be provided with the needed theoretical and practical capacities needed to effectively perform their functions under Sections 11.1. and 11.2.

57.3. INTENSIVE AWARENESS RAISING IN THE COMMUNITY AND SCHOOLS.

57.3.1. Development of module that is culture-sensitive, rights-based, and age-appropriate;

57.3.2. Engaging all forms of media to raise awareness to the community;

57.3.3. Entering into partnership with academic institutions, civil society organizations and other private organizations in conducting education and information campaign; and

57.3.4. Community-based leaders, such as parent leaders or youth leaders, shall be formed and trained on nutrition education and programming.

57.4. DATA-BANKING. The Naga City Nutrition and Population Office shall be the repository of all data, information and reports relevant to the nutrition status of women, infants and young adolescents in Naga City, including status of the implementation of nutrition programs and services. Provided that, the said database shall identify women and children who have special nutrition and health care needs to facilitate the appropriate health and nutrition intervention that will be extended to them. Provided, further, that the database will be used to inform policy-making and programming by the City.

57.5. HIRING OF NUTRITIONIST IN THE CITY NUTRITION AND POPULATION OFFICE (Subject to availability of funds)

57.6. REGULAR MONITORING AND EVALUATION OF THE F1KD NUTRITION PROGRAMS AND SERVICES

57.6.1. Inclusion of this program in the criteria of the Search for Most Outstanding Barangay Nutrition Council and Most Child Friendly Barangay Awards.

57.6.2. Compliance report by the 27 barangays and the different offices mandated under this ordinance.

57.6.3. Mid-Year and Year End Assessment and Evaluation of the program.

57.7. INCORPORATION OF THE F1KD PROGRAMS AND SERVICES IN THE LOCAL DEVELOPMENT PLAN. To ensure the sustained implementation of the nutrition and health programs and services mentioned in this Ordinance, it shall form part of the City Nutrition Action Plan and will be incorporated in the City Development Plan.

Article 13

Supporting the Full Implementation of the National Immunization Program (NIP) of the Department of Health (DOH) in the City of Naga

Section 58. Purpose. The primary purpose of this Article is to safeguard the health and wellbeing of children from all forms of vaccine preventable diseases through the full implementation of the National Immunization Program (NIP) in the City of Naga and to ensure that parents recognize the rights of every children to survival and full and health development as individual through the full implementation of the immunization program.

Section 59. Definition of Terms. For purposes of this Article, the following terms are hereby defined, based on the World Health Organization and the Department of Health, such as:

(A) National Immunization Program (NIP) an organizational component of the centers for disease control and prevention, charged with preventing disease, disability, and death from vaccine-preventable diseases in children and adults;

(B) Vaccine Preventable Diseases vaccination against a range of bacterial and viral diseases is an integral part of communicable disease control world-wide. Vaccination against a specific disease not only reduces the incidence of that disease, it reduces the social and economic burden of the disease on communities. Very high immunization coverage can lead to complete blocking of transmission for many vaccine preventable diseases (VPDs). The world-wide eradication of small pox and the near eradication of polio from many countries provide excellent examples of the role of immunization in disease control;

(C) Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body’s own immune system to protect the person against subsequent infection or disease.

(D) Epidemic Outbreak is the sudden occurrence of a disease in a community, which has never experienced the disease before or when cases of that disease occur in numbers greater than expected in a defined area.

(E) Vaccines is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism, and is often made from weakened or killed forms of the microbe, its toxins or one of its surface proteins.

(F) Morbidity the rate of disease in a population

(G) Mortality the proportion of deaths to population

(H) Tuberculosis An infection caused by Mycobacterium tuberculosis. It usually attacks the lungs, but other parts of the body can also be affected, including the bones, joints and brain.

(I) Diphtheria A bacterial infection cause by Corynebacterium diphtheria. The infection can involve almost any mucous membrane, but the most common sites of infection are the tonsils and pharynx,

(J) Tetanus A common cause of neonatal and maternal mortality whenever maternal protection with tetanus toxoid is low and proper umbilical cord care practices are not followed. Tetanus, also known as lockjaw, is caused by a bacillus (Clostridium tetani) that is present in the soil and in the animal and human feces.

(K) Pertussis also called whooping cough, is a highly contagious, acute bacterial disease affecting the respiratory tract.

(L) Poliomyelitis a disease of the central nervous system caused by three closely related polio viruses: type 1, 2 and 3.

(M) Measles is characterized by a variety of symptoms, including 3C’s cough, coryza (runny nose), conjunctivitis, fever, rash, ear infections, and brain inflammation.

(N) Mumps sometimes called infectious parotitis, is an infection caused by a virus affecting primarily the salivary glands. Mumps is mostly a mild childhood disease, often affecting children between 5-9 years old.

(O) Rubella an infection caused by a virus. Congenital rubella syndrome (CR’s) is an important cause of severe birth defects.

(P) Hepatitis B is a viral infection of the liver. Acute infection either resolves or progresses or chronic infection, which may lead to cirrhosis or liver cancer several decades later.

(Q) Influenza is caused by a virus that attacks mainly the upper respiratory tract the nose, throat and rarely also the lungs. The infection usually lasts for about a week.

(C) Tertiary Intervention, which includes needs of children who have committed
them from reoffending and to avoid unnecessary contact formal justice reoffending. measures to address the an offense to prevent with the system, and other measures to prevent reoffending.

Section 191. Mobilization of concerned sectora/inatitutions. The City Mayor, through the Naga City Council for the Welfare and Protection of Children, shall mobilize or call upon the participation of all sectors concerned, particularly the child-focused institutions and government agencies involved in delinquency prevention, in the planning process and implementation of juvenile intervention and
diversion programs.

Section 192. Implementation of intervention and diversion programs.

(A) The City Mayor through the CSWDO and NCCWPC shall provide:

(1) intervention programs for children 15 years old and below who have committed an offense;

(2) intervention programs for children more than 15 years old but less than 18 years old who acted without discernment;

(3) diversion programs for children more than 15 years old but less than 18 years old who acted with discernment and who have committed an offense with an imposable penalty of not more than 6 years;

(B) The CSWDO shall ensure that the intervention programs shall address the causes of juvenile delinquency. Intervention programs shall include any or a combination of but not limited to the following: (Part VII IRR of RA 9344)

(1) Guidance and counseling i.e., family counseling, regular home visitation;
(2) Spiritual formation;
(3) Education and skills development;
(4) Provision of support services to the education, health, skills training, etc.;
family, e.g.
(5) Referral to other agencies for appropriate services, e.g., education, health, skills training; and
(6) Access to child and youth organizations in the community, such as, but not limited to, the Sangguniang Kabataan.

(C) The CSWDO shall provide assistance in the conduct of diversion programs at the barangay, law enforcement, and prosecution levels.

(D) The CSWDO shall also:

(1) develop policies and programs to ensure that children in conflict with the law are not subjected to discrimination in schools, both private and public;

(2) coordinate with appropriate agencies such as TESDA, DepEd, DOH, and CHED in the formulation of intervention and diversion programs;
(3) find ways to promote and replicate good practices intervention and diversion programs;
(4) monitor compliance of CICL to intervention or diversion programs;

Section 193. Children Reintegration Board. A Children Reintegration Board (CRB) shall be created in the City of Naga to monitor the development and successful reentry of children in conflict with the law, abused, neglected, and abandoned, into society when they (1) become 18 years old – as such in the case of abandoned, neglected, and abused children currently staying in children’s homes – and/or (2) go out of youth rehabilitation centers – as such in the ease of juvenile delinquents.

The Board shall be composed of the following:

Chairman: City Social Welfare and Development Officer
Members:
The Chairman, SP Committee on Children
The Chairman, SP Committee on Youth
The Chairman, SP Committee on Education
Head, Children Affairs Office
Liga ng mga Barangay President
Head, Metro PESO
Head, Education, Sports and Scholarships Office
Head, Naga City Children’s Home
Head, Naga City Women’s Home
Head, CEPPIO
NGO Representative

The CRB shall have the following duties and functions:
(a) To oversee the implementation of this ordinance;
(b) To mobilize a group of personnel who will be able to spearhead the activities relative to this ordinance.
This group of personnel shall include but shall not be limited to:
(i)Personnel from private, government, and nongovernment agencies/organizations affiliated with this ordinance;
(ii) Psychological support personnel;
(iii) Personnel for child rights;
(c) To assist other concerned agencies in the review and redrafting of policies/regulations included in this ordinance;

(d) To formulate plan of actions and/or guidelines in coordination with concerned government agencies and/or affiliated organizations for the effectiveness of the
implementation of this ordinance;

(e) To coordinate with concerned private and government agencies, including barangays, in the implementation of the activities, as well as the monitoring of the
reintegration of the children concerned;

(f) To provide enough and just assistance to children in conflict with the law, abused, neglected, and abandoned, in terms of individual choices and decisions, morality, rights, and deterrence;

(g) To constantly conduct analysis for the effectiveness of the ordinance, and identify problems that lead to its ineffectiveness, and act upon the identified loopholes;
(h) To recommend and draft additional measures that will ensure the welfare and protection, especially of the rights of children in conflict with the law, neglected, and abandoned, and
(i) To conduct series of seiainars/workshops/lectures/symposia/trainings regarding juvenile welfare and protection, as well as rehabilitation guidelines, to people who are tasked to handle the children of the matter.

SECTION 194. Enhanced Reintegration Mechanism. To improve the likelihood of success for the reentry of children into the community, the CRB, with partnerships from affiliated government and nongovernment agencies/departments/organizations, shall implement the following plans relative to this ordinance:
SECTION 194.1.1. EXIT PROGRAMS These programs shall be done before the transitional phase of children and youthful offenders:

SECTION 194.1.1. EDUCATION OPPORTUNITIES AND PREPARATION – Education programs have been proven to reduce recidivism and improve the way of living of children. Therefore, for the purpose of this Act, the CRB shall, before the transitional phase of the children and youthful offenders.
(a) Provide high, quality, appropriate education in youth rehabilitation centers that parallels that of mainstream public schools to uphold the same academic standards;
(b) Create a non-formal education curriculum that would eater to the individual choices and skills of the children involved. This shall include inculcating the children’s competency and talent in the following but not limited to:
(i) Art
(ii) Business and/or Financial Literacy
(iii) Livelihood
(iv) Sports
(c) Make sure that upon release, the children and the youth concerned shall be eligible to return to school with a preparation that would help them persist and succeed in a community setting.

SECTION 194.1.2. EMPLOYMENT OPPORTUNITIES AND
PREPARATION – As research consistently shows that individuals who have jobs are less likely to commit an offense, then as a form of deterrent, the scope of assistance being offered shall be broadened, as such, include employment assistance programs to of-age children in conflict with the law, abused, abandoned, and neglected, for their reintegration, broadening as well the role of Metro PESO.

Prior to the transition affiliated agencies/departments tasked to look after the children concerned in youth rehabilitation centers and children’s homes shall adopt the following initiatives:

(a) Offer high-quality vocational training;
(b) Provide helpful employment supports including broadening the knowledge and giving adequate information to children and youthful offenders about what to do during job interviews, how to behave properly in the workplace, and other job
employment necessities;
(c) Ensure that they are fit to apply in any employment program of the city; and
(d) Supply sufficient details to children to make sure that in their transitional phase, they already have even an inkling of idea where to apply and how to be accepted for the job.

SECTION 194.1.3. HEALTH SUPPORT – Children and youthful offenders in youth rehabilitation centers shall be given adequate mental, psychological, and physical health assistance, with regular check-ups and consultations.

SECTION 194.2. AFTER-CARE PROGRAMS – These programs shall be regularly implemented and made available to children in conflict with the law, as well as, neglected, abused, and/or abandoned children, after the transitional phase:

SECTION 194.2.1. HEALTH SUPPORT – To further ensure that the CICLs and abandoned, neglected, and abused children are still cared for after the transitional phase, there has to be the implementation of the following:

(a) Children who are found out to be sick, physically, mentally, and/or others, upon
transitional phase shall still be given assistance by the Body or the group of personnel that the Body created. They shall be referred to proper institutions that would help them recover fast and effectively; and
(b) Reintegrated children shall still have the privilege to access health supports for free from the onset of the transitional phase until their 120th day in society, to account for possible physical and mental health issues that may arise upon reintegration, i.e. physical abuse and mental trauma.

SECTION 194.2.2. UPHOLDING RIGHTS – There shall be a monitoring and support mechanism for the enhanced protection and assurance of the rights of children and youth in conflict with the law who are already out into the society as they are more subjected to discrimination in employment and in school, as well as abuse, domestic and all other forms, in cooperation with CSWDO, CAO, and NCCWPC. This shall be pursuant to JJWC Resolution No. 2 and all such cases shall be referred to their rightful offices.

Section 195. Respecting Individual Choices And Decisions Of The Child And Youth. The implementation of this ordinance would open a lot of opportunity to the children and youth concerned. Therefore, their dignity and right to choose whichever program/initiative/activity they choose to focus on, considering their skill set and life needs, shall be respected. Provided that, they shall have a consultation first with the implementing personnel, just to make sure that the observations of another party coincide with the choice of the children and the youth. The implementing personnel shall also give constructive suggestions and feedback to the decision but not, in any way, belittle and disregard them.

Section 196. Personnel Traininff. There shall be regular training for necessary personnel affiliated with the program, i.e. barangay tanods, for the proper handling of children, as well as for the referring and recording of child-related cases, especially those concerning children and youthful offenders. This training shall be
led and organized by CRB with the help of other affiliated offices.

Section 197. Establishment of a youth facility. The City Government of Naga shall establish a Youth Facility for CICL in the following situations:
(A) CICL with pending trial and commitment order;
(B) CICL with voluntary commitment;
(C) CICL with involuntary commitment.

The Youth Facility to be established for CICL shall be a gender-fair delivery care facility.

Provided that the City shall provide appropriate programs for CICL and the CSWDO shall treat each category of CICL differently.

Section 201. After care support services. The City Government of Naga, through the CSWDO, shall provide after care services for a period of six (6) months to the CICL who have been dismissed by the proper court because of good behavior as per recommendation by the DSWD Social Worker and/or any accredited NGO Youth Rehabilitation Center.

Section 202. Appropriation of funds. The Sangguniang Panlungsod shall incorporate in its Annual Appropriation Ordinance funds for the immediate development of Information and Education Campaign materials (lEC) on the procedures and levels of intervention, implementation of intervention programs and conduct of diversion programs in accordance with Sections 24, 26, 27, 30, 31, and 50 of the law. In addition, the City Government of Naga shall appropriate 1% of its annual IRA share per approved Ordinance No. 2008-077 for the strengthening and implementation of the programs of the Naga City Council for the Welfare and Protection of Children as provided for in Section 15 of RA No. 9344. The above appropriations shall be subject to the usual accounting and auditing rules and regulations.

Section 203. Monitoring, reporting, and evaluation system. The City Government of Naga, through the Naga City Council Welfare and Protection of Children, shall monitor the implementation of the Comprehensive City Juvenile Intervention Programs and submit report to the Juvenile Justice and Welfare Council through the DILG for the and Diversion not later than March 30 of every year.

Article 39
Safer Internet Day for Children Philippines

Section 204. Basis. Presidential Proclamation No. 417 declares every second Tuesday of February every year as “Safer Internet Day for Children Philippines” which is celebrated as a call to action to promote better and safer internet use for everyone. It was first introduced in 2004 in various countries in Europe and is currently being observed by more than 100 countries in the world to raise awareness on online issues faced by children.

Consequently the Department of Interior and Local Government issued Memorandum Circular No. 2020-013 enjoining all local government units to support the observance of the Safer Internet Day for Children Philippines.

Section 205. It is hereby declared the second week of February of every year as “Safer Internet Day for Children Philippines” in the City of Naga.

Section 206. The Children’s Affairs Office, through the Naga City Council for the Welfare and Protection of Children and the Naga City Social Welfare and Development Office, shall conduct activities such as, but not limited to, the following:

(A) Consultation with children and youth leaders, representatives, and organizations on the ASEAN Declaration on the Protection of Children from Online Abuse and
Exploitation;
(B)Announcement of Safer Internet Day for Children Philippines;
(C) Orientation on preventing online child pornography.

13.6 Undertake an information campaign against OSAEC through the establishment of an Information and Education Team;

13.7 Recommend the services for the prevention, rescue, recovery, rehabilitation and reintegration support to victims of OSAEC;

13.8 Strengthen, activate and mobilize committees and organizations and special bodies in the barangay level to prevent and suppress OSAEC;

13.9 Recommend the utilization of funds appropriated under this ordinance to the City Budget Office;

13.10 Conduct information campaign and capacity building;

13.11 Establish international linkages and develop proper foreign coordination;

13.12 Exercise all the powers and perform such other functions necessary to attain the purpose and objectives of this Ordinance.

SECTION 219. Secretariat. The City Social Welfare and Development Office (CSWDO) shall serve as the Secretariat of the Council and for this purpose shall assign a permanent/detailed social worker, particularly assigned to OSAEC concerns, to perform the following functions;

14.1 Facilitate the regular and special meetings of the Council in the performance of its mandate under this Ordinance;

14.2 Receive communication, concerns and complaints and coordinate with the Council members or pertinent local agencies to address the same;

14.3 Coordinate with agencies in the performance of the Council’s functions;

14.4 Consolidate and submit regular reports to the Council in relation to its functions;

14.5 Perform such other functions as the Council will assign.

SECTION 220. Programs for Victims of Child Sexual Abuse or Exploitation. The Council shall develop and implement the necessary programs that will prevent any form of child sexual abuse or exploitation, as well as protect, heal and reintegrate the child into the mainstream of society. Such programs shall include but not limited
to the following:

SECTION 226. Funding. The expenses for the implementation of this Ordinance but limited to trainings, rescue and surveillance operations, advocacy programs, transportation, legal and medical expenses of rescued victims shall be appropriated in the General Budget.

The operation and activities of the Council shall be considered as related to both gender and development and children’s of the City and the funding therefore shall be part of the 5% gender and development fund and 1% children’s for every year.

The funding, however, shall not be limited to the abovementioned source for so long as other sources may be available as permitted by law.

Article 41
Safety of Children Aboard Motorcycles

Section 227. In accordance with Republic Act No. 10666 or Children’s Safety on Motorcycles Act of 2015″, the operations of motor vehicles is hereby controlled and regulated in order to ensure the safety of children.

Section 228. Prohibition. It shall be unlawful for any person to drive a two (2)-wheeled motorcycle with a child on board on public roads where there is heavy volume of vehicles, there is a high density of fast moving vehicles or where a speed limit of more than 60/kph is imposed, unless:

a. The child passenger can comfortably reach his/her feet on the standard foot peg of the motorcycle;

b. The child’s arms can reach around and grasp the waist of the motorcycle rider; and

c. The child is wearing a standard protective helmet referred to under Republic Act No. 10054, otherwise known as the “Motorcycle Helmet Act of 2009.”

Section 229. Penalties. Any person or persons found guilty of violating any of the provisions of this Ordinance shall be penalized as follows:

1st Offense: a fine of P 1, 000.00 or Blood Donation at the Bicol Medical Center.
2nd Offense: a fine of P 3, 000.00 or a fine of P 1, 000.00 plus Blood Donation to the Bicol Medical Center.
3rd Offense: a fine of P5, 000.00 or P 2, 000.00 plus Blood Donation to the Bicol Medical Center.

Violations of these provisions beyond the third time shall result in the recommendation for the revocation of the offender’s Driver’s License at Land Transportation Office (LTO).

Section 230. Implementing Body. The Public Safety office (PSO) will be in-charge of the overall implementation and monitoring of the ordinance together w-ith Philippine National Police (PNP), Barangay Public Safety Officers or Barangay Tanods and other volunteer traffic group/organizations.

Article 42
Prohibiting the Conduct of Caroling along City Streets, Roads, and on board any Kind of Vehicle

(A) First Offense: Reprimand;
(B) Second Offense: Four Hours of Community Service to be rendered by the parent in his/her barangay;
(C) Third and Succeeding Offense: A fine of PI,000.00 or eight hours of community service to be rendered by the parent in his/her barangay.

Article 43
Upholding the Rights of Children in all Phases of Disaster Risk Reduction and Management in Naga City

Section 233. Applicability. All the other protection and welfare rights of children in this ordinance are deemed supplemented by this Ordinance and made applicable in situations of disaster and/or emergency.

Section 234. Definition of Terms.

(A) Best Interest – The concept of child’s best interest is complex and its content must be determined on a case-to-case basis. In application, the best interest of the child must be a “primary consideration” in all actions and decisions concerning a child, and must be used to resolve conflicts between different rights.

(B) Child – As defined in R.A. No. 7610, it refers to person below eighteen (188) years of age or those over but are unable to fully take care of themselves or protect themselves from abuse, neglect, cruelty, exploitation or discrimination because of a physical or mental disability or condition.

(K) Hazard – as defined in R.A. No. 10121, it refers to a dangerous phenomenon, substance, human activity or condition that may cause loss of life, injury or other health impacts, property damage, loss of livelihood and services, social and economic disruption, or environmental damage.

(L) Non-discrimination – Proactive measures taken to ensure effective equal opportunities for all children, without distinction, exclusion, restriction or preference which is based on any ground such colour, as race, sex, language, religion, political or other opinion, national or social origin, property, birth or other status, to enjoy the rights.

(M) Risk – as defined in R.A. No. 10121, the combination of the probability of an even and its negative consequences.

(N) Separated Children – refer to children who are unaccompanied and/or separated from both parents, or from their previous legal or usual primary caregiver or other relatives because of the happening of the disaster and/or emergency.

(0) Vulnerability as defined in R.A. No. 10121, it is the characteristics and circumstances of a community, system or asset that make it susceptible to the damaging effects of a hazard. Vulnerability may arise from various physical, social, economic, and environmental factors such as poor design and construction of buildings, inadequate protection of assets, lack of public information and awareness, limited official recognition of risks and preparedness measures, and disregard for wise environmental management.