Community health centers are composed of a nurse, midwife and barangay health workers (BHW). But unlike the nurse and midwife who are salaried employees of the local government, BHWs are classified as volunteers.
Hard work, too little payFor almost two decades, BHWs, many of whom were full-time volunteers, rendered service without any form of compensation. It was only in the mid-1990s when a law was enacted mandating benefits and incentives for these volunteer workers.
Still, they remained volunteers and had no security of tenure in spite their dedication and commitment. BHW often go above and beyond their duties, and a meager allowance notwithstanding,
Health volunteers play a huge role in maternal, infant, and child health care at the community level. It is not uncommon for BHWs to go house-to-house to ensure pregnant women come in for regular prenatal check-ups or to remind mothers to bring in their kids for vaccination.
They assist midwives and nurses for wellness, treatment and emergency cases. Because they are members of the community themselves, BHWs are trusted by families, making their participation in healthcare delivery invaluable.
Factors behind inequityEducating families on family planning, vaccination,
Considering their contribution to health care delivery, BHWs should be properly rewarded for their service. Unfortunately, this is not the case.
While they are entitled to a subsistence allowance and hazard pay under the Barangay Health Workers Benefits and Incentives Act of 1995, the amounts are not equal for every BHW. Instead, they are dependent on how much local government units - where they are directly under - will allocate for them. The amounts range from as low as Php500 to a high of Php6,000, still far lower than the mandated minimum wage.
To address this injustice, lawmakers have been proposing measures but have yet to be successful.
The most recent proposal was House Bill No 125, or an Act Authorizing the Grant of Compensation in the Form of Additional Honorarium to Barangay Health Workers, has been endorsed for plenary debates.
Additional incentivesUnder the bill, BHWs would be granted an honorarium of Php 4,000 on top of the incentives and allowances they are currently entitled to.
According to its author, South Cotabato Rep. Pedro Acharon Jr, the bill will secure the welfare of the BHWs and of the state in general.
However, for the measure to be signed into law, a counterpart bill must be approved by the Senate. Congress, however, is due to adjourn its first regular session on the first week of June.
Based on the data from the Department of Health, there are presently 196,562
Taking actionMeanwhile, in the absence of a law, DOH-MIMAROPA regional office has vowed to fill in this gap for the 13,000 BHWs in the region. MIMAROPA is composed of the provinces of Oriental and Occidental Mindoro, Marinduque, Romblon, and Palawan.
Regional Director Eduardo Janairo recently made the announcement during a gathering of 200 municipal presidents of BHW organizations in the region.
“It is about time to give our BHWs what is due them: their benefits, incentives and more support from the government,” Director Janairo said. “Being the real national heroes who voluntarily dedicate their life in the pursuit of providing primary health care in their community without expecting anything in return.”
Operational supportThe additional incentives include Php 500,000 for each BHW
The regional chief likewise announced that BHWs will be enrolled under Philhealth’s Point of Care
Further, the regional office will implement a one-child full scholarship policy for all children of BHWs who want to pursue a college degree.
The volunteer health workers will now be equipped their own health apparatus like a stethoscope and blood pressure measuring device. They will also undergo basic computer literacy training.
While the incentives are already stipulated under the BHW law, they are hardly implemented equally. After five years of service, BHWs are supposedly civil service eligible and can avail of free legal services.
To further augment the income of BHWs, they have been encouraged to draw up income-generating proposals for their respective provinces, and approved proposals will be funded by the regional health office for up to Php 1 million.
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