NINETEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
SENATE
S. B. No. 919
o( tljf ^rrxt\arj>
72 JUL27 P4 54
RUCEIVcDBV:
Introduced by SENATOR SONNY ANGARA
AN ACT
STRENGTHENING AND INSTITUTIONALIZING THE BARANGAY PRIMARY 
HEALTH CARE PROGRAM, PROVIDING SECURITY OF TENURE, BENEFITS 
AND INCENTIVES TO BARANGAY HEALTH WORKERS, AMENDING FOR THE 
PURPOSE REPUBLIC ACT NO. 7883 ALSO KNOWN AS THE "BARANGAY 
HEALTH WORKERS' BENEFITS AND INCENTIVES ACT OF 1995" AND FOR 
OTHER PURPOSES
EXPLANATORY NOTE
Recognizing the heroic role of barangay health workers (BHWs) at the 
forefront of health care delivery to the communities, Congress enacted Republic Act 
No. 7883, or the Barangay Health Workers Benefits and Incentives Act of 1995. The 
enactment of the law paved the way for boosting the local health systems and 
introduced developmental and support programs for our BHWs. However, the noble 
provisions of the law have not been realized due to reported ineffective support 
mechanisms and insufficient funding. In fact, the Department of Health (DOH) 
issued Department Memorandum No. 2009-0302 reiterating the guidelines and 
support of the DOH for the development of BHWs in support of our BHWs. Sadly, 
although more than a decade has passed, our BHWs remain to face the same 
concerns.
To address these challenges, this bill seeks to institutionalize and strengthen 
primary health care at the barangay level by establishing the necessary support 
mechanisms, upgrading the incentives and benefits of our BHWs, providing them 
security of tenure, and ensuring the necessary funding for its effective 
implementation.
According to the World Health Organization, for universal health coverage 
(UHC) to be truly universal, a shift is needed from health systems designed around 
diseases and institutions towards health systems designed for people, with people - 
this is where primary health care and our BHWs come in.


As our stalwart partners in delivering primary health care in the grassroots 
level, investing in our BHWs and ensuring that they receive the appropriate benefits 
is of paramount importance, hence, the passage of this bill is earnestly sought.
SONNY ANGARA
¥


NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
SENATE- ^
S. B. NO. 919
peltate
r0mtf ef the
72 JH27 P4 54
RECEIVED fW:
%
Introduced by SENATOR SONNY ANGARA
AN ACT
STRENGTHENING AND INSTITUTIONALIZING THE BARANGAY PRIMARY 
HEALTH CARE PROGRAM, PROVIDING SECURITY OF TENURE, BENEFITS 
AND INCENTIVES TO BARANGAY HEALTH WORKERS, AMENDING FOR THE 
PURPOSE REPUBLIC ACT NO. 7883 ALSO KNOWN AS THE "BARANGAY 
HEALTH WORKERS' BENEFITS AND INCENTIVES ACT OF 1995" AND FOR 
OTHER PURPOSES
Be it enacted by the Senate and the House of Representatives of the Philippines in 
Congress assembled:
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SECTION. 1. Short Title. — This Act shall be known as the "Barangay
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Health and Wellness Reform Act of2021"
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SEC. 2. Section 2 of Republic Act No. 7883 is hereby amended to read as
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follows:
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"SEC. 2. Statement of Policy. — The State shall protect and promote
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the right to health of the people and to provide conditions for health
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empowerment, where each Individual has access to information and
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services that will bring about health and well-being. The Primary
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Health Care Approach is recognized as the major strategy towards
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health empowerment, emphasizing the need to provide accessible and
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acceptable health services through participatory strategies such as
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health education, training of barangay health workers, community
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building and organizing. Towards this end, this Act SHALL
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STRENGTHEN AND INSTITUTIONALIZE PRIMARY HEALTH
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CARE PROGRAMS AT THE BARANGAY LEVEL BY PROVIDING
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AND UPGRADING VITAL AND ESSENTIAL HEALTH


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FACILITIES, HUMAN RESOURCE DEVELOPMENT AND FISCAL 
SUPPORT.
The government and all its instrumentalities shall [else] 
recognize the rights AND VITAL ROLE of barangay health workers
(BHWS) WHO ARE AT THE FRONTLINE OF PRIMARY HEALTH 
CARE to organize themselves, to strengthen and systematize their 
services for their community[7-af3d] to make a venue for sharing their 
experiences and recommending policies and guidelines for the 
promotion, maintenance and advancement of their activities and 
services, TO SECURITY OF TENURE, TO DECENT LIVING 
ALLOWANCES AND OTHER SUPPORT MECHANISMS TO 
ENABLE THEM TO PERFORM THEIR DUTIES AND 
RESPONSIBILITIES EFFECTIVELY AND EFFICIENTLY TO 
PROMOTE BARANGAY HEALTH AND WELL-BEING."
SEC. 3. Section 3 of Republic Act No. 7883 is hereby amended to read as
16 follows:
"SEC. 3. [Definition]. BARANGAY HEALTH WORKER - [The tcr-m 
"barangay health worker" refers to] a person who [has undergone 
training—programs—under any accredited—government and—nen-
government organization] IS DULY REGISTERED WITH THE 
MUNICIPAL OR CITY HEALTH BOARD and who voluntarily 
renders primary health care services in the community [after having 
been accredited to function as such-by the local health board in
accordance-with- the guidelines promulgated -by-the Department-of
Health (DOH)]."
SEC. 4. Section 4 of Republic Act No. 7883 is hereby amended to read as
27 follows:
" SEC. 4. Registration. - In order for barangay health worker to be 
entitled to benefits and incentives provided under this Act, they shall 
register with the local health board IN THE CITY OR 
MUNICIPALITY IN WHICH THEY RENDER SERVICE, through 
the provincial health boards in the case of municipalities, shall furnish


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a copy-of such registry to the BOH, which is hereby maFidatGd-te
maintam—a—national—register of barangay health workers. The
accredited-barangay health workers -shall be given appropriate proef
of said - accreditation] THE LOCAL HEALTH BOARD, THROUGH 
THE PROVINCIAL HEALTH BOARDS IN THE CASE OF 
MUNICIPALITIES, SHALL FURNISH A COPY OF SUCH 
REGISTRY TO THE DEPARTMENT OF HEALTH (DOH), WHICH 
IS HEREBY MANDATED TO MAINTAIN A NATIONAL REGISTER 
OF BARANGAY HEALTH WORKERS. THE REGISTERED HEALTH 
WORKERS SHALL BE GIVEN APPROPRIATE PROOF OF SAID 
REGISTRATION.
THE MUNICIPAL OR CITY LOCAL HEALTH BOARD SHALL 
REGULARLY UPDATE THE REGISTRY WHICH SHALL INCLUDE, 
AMONG OTHERS, THE NUMBER OF YEARS OF SERVICE OF 
EACH BARANGAY HEALTH WORKER; TRAININGS AND 
SEMINARS ATTENDED; AND ACCREDITATION AS PROVIDED 
IN SECTION 5 HEREOF.
THE MUNICIPAL OR CITY LOCAL HEALTH BOARD SHALL 
SUBMIT A COPY OF THE UPDATED REGISTRY TO THE 
PROVINCIAL HEALTH BOARD AND THE DOH CENTRAL OFFICE 
ANNUALLY, AND POST IT IN THE MUNICIPAL/CITY BULLETIN 
BOARD AND BARANGAY HEALTH CENTERS."
SEC. 5. A new Section 5 of RA 7883 is hereby inserted and the succeeding
24 sections shall be renumbered accordingly. The new Section 5 shall read as follows:
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"SEC. 5. ACCREDITATION, - THE MUNICIPAL OR CITY 
HEALTH BOARD SHALL ACCREDIT BARANGAY HEALTH 
WORKERS IN ACCORDANCE WITH THE GUIDELINES 
PROMULGATED BY THE DOH. IT SHALL BE THE DUTY OF THE 
MUNICIPAL OR CITY HEALTH BOARD TO ENSURE THAT ALL 
REGISTERED BARANGAY HEALTH WORKERS SHALL UNDERGO 
TRAINING PROGRAMS UNDER ANY ACCREDITED 
GOVERNMENT AND NON-GOVERNMENT ORGANIZATIONS


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AND/OR THE DOH: PROVIDED, THAT THE DOH SHALL 
DEVELOP A BASIC TRAINING COURSE FOR NEWLY 
RECRUITED BARANGAY HEALTH WORKERS THAT CAN BE 
COMPLETED WITHIN A PERIOD NOT LATER THAN ONE (1) 
YEAR UPON THEIR ASSUMPTION OF WORK.
TO BE ACCREDITED, A NEWLY RECRUITED BARANGAY 
HEALTH WORKER MUST HAVE COMPLETED SATISFACTORILY 
THE BASIC TRAINING COURSE WHICH WILL BE CERTIFIED 
BY THE MUNICIPAL OR CITY HEALTH OFFICER CONCERNED. 
UNLESS THIS REQUIREMENT IS FULFILLED, THE RECRUITED 
BARANGAY HEALTH WORKER SHALL BE CONSIDERED AS A 
BARANGAY HEALTH TRAINEE."
SEC. 6. Section 6 of RA No. 7883 is hereby amended to read as
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"SEC. [€}t7. Incentives and Benefits. - In recognition of their 
services, all accredited barangay health workers who are [actively 
and] regularly performing their duties shall be entitled to the following 
incentives and benefits
A) A MONTHLY HONORARIA OF NOT LESS THAN THREE 
THOUSAND PESOS (P3,000.00);
B) Hazard Allowance - [- Volunteer barangay health-workcrs-ln 
rural and urban areas, exposed--to situations, conditions, or
factors-in-the-work environment or place where forcseeable-but
unavoidable-danger or risks exist-which adversely endanger his
health or life and/or increase the risk of producing adverse effect
on-his person-in the exercise of his duties, to be-validated by the
proper authorities, shall be entitled to hazard allowance in-af3
amount to be-determined by the-local health-board and the local
peace-and order council of the local government unit concerned.]
IN AN AMOUNT TO BE DETERMINED BY THE LOCAL 
HEALTH BOARD OF THE LOCAL GOVERNMENT UNIT


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CONCERNED, BUT IN NO CASE LESS THAN ONE 
THOUSAND PESOS (P1,000.00) PER MONTH;
te) C) Subsistence Allowance - Barangay health workers [who render 
service within the premises of isolated barangay health stations
in order-to- make their -services available at any and all timesj]
shall be entitled to subsistence allowance equivalent to the meals 
they take in the course of their duty, which shall NOT BE LESS 
THAN ONE HUNDRED PESOS (PIOO.OO) PER DAY, TO be 
computed in accordance with prevailing circumstances as 
determined by the local government unit concerned;
D) TRAVEL REIMBURSEMENTS - BARANGAY HEALTH 
WORKERS SHALL BE ENTITLED TO ACTUAL TRAVELLING 
REIMBURSEMENTS AS MAY BE AUTHORIZED BY LAW, 
AND SUBJECT TO THE AVAILABILITY OF FUNDS: 
PROVIDED, THAT OFFICIAL TRAVELS LIKE SEMINARS, 
CONFERENCES AND TRANSPORT OF PATIENTS OUTSIDE 
OF THE BARANGAY, SHALL BE SHOULDERED BY THE 
BARANGAY CONCERNED AND SHALL NOT BE DEDUCTED 
FROM THE TRAVEL ALLOWANCE OF THE BARANGAY 
HEALTH WORKERS.
BARANGAY HEALTH WORKERS SHALL BE ENTITLED TO 
TEN PERCENT (10%) DISCOUNT IN TRANSPORTATION 
FARE DURING THEIR INCUMBENCY;
E) MEMBERSHIP IN THE GOVERNMENT SERVICE 
INSURANCE SYSTEM (GSIS) - THE GSIS SHALL 
ESTABLISH A SOCIAL INSURANCE PROGRAM TO PROVIDE 
LIFE INSURANCE AND SOCIAL PROTECTION TO BHWS. IT 
SHALL BE MANDATORY FOR BARANGAY GOVERNMENTS 
TO PAY THE MONTHLY CONTRIBUTIONS TO LIFE 
INSURANCE, RETIREMENT, AND SOCIAL PROTECTION 
COVERAGE OF THEIR RESPECTIVE BHWS. BARANGAY 
GOVERNMENTS SHALL INCLUDE IN ITS ANNUAL


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APPROPRIATIONS THE AMOUNTS NECESSARY FOR ITS 
SHARE OF CONTRIBUTIONS;
F) SICK, VACATION AND MATERNITY OR PATERNITY LEAVE: 
PROVIDED THAT, THE BHWS SHALL CONTINUE TO 
RECEIVE THEIR MONTHLY HONORARIA, HAZARD, TRAVEL 
AND SUBSISTENCE ALLOWANCES WHILE ON LEAVE, FOR 
SUCH PERIOD SIMILAR TO EXISTING LAWS AND 
PRACTICES.
G) CASH GIFT - BHWS ARE ENTITLED TO CASH GIFT NOT 
LESS THAN THE MINIMUM MONTHLY HONORARIA TO BE 
GIVEN EVERY DECEMBER FROM THE GENERAL FUND OF 
THE BARANGAY OR FROM SUCH FUNDS APPROPRIATED 
BY THE NATIONAL GOVERNMENT FOR THE PURPOSE;
[e] H) Training, Education and Career Enrichment Programs. - The 
DOH, in accordance with the Department of Education, Cdifafe 
and Sports (DEPED), THE COMMISSION ON HIGHER 
EDUCATION (CHED) TECHNICAL EDUCATION AND 
SKILLS DEVELOPMENT AUTHORITY (TESDA), and other 
concerned government agencies and non-governmental 
organizations, shall provide opportunities [for the following:-] 
FOR TRAINING, EDUCATION AND CAREER ENRICHMENT 
PROGRAMS, SUCH AS:
1) educational programs which shall recognize years of 
primary health care service as credits to higher education in 
institutions with stepladder curricular that will entitle 
barangay health workers to upgrade their skills and 
knowledge for community work or to pursue further 
training as midwives, pharmacists, nurses or doctors;
2) continuing education, study and exposure tours, training, 
grants, field immersion, scholarships, etc.;
3) scholarship benefits in the form of tuition fees in state 
colleges, to be granted to one child of every barangay


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health worker who will not be able to take advantage of the
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above programs; and
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4) special training programs such as those on traditionai
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medicine, disaster preparedness and other programs that
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address emergent community heaith problems and issues.
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fdr] I) CIVIL SERVICE ELIGIBILITY - A [second] FIRST grade
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Civil Service Eligibility which shall be granted to BHWs who have
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rendered five (5) years of service. Provided, that should the
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barangay health worker become a regular employee of the
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government, the total number of years served as barangay
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health worker shall be credited to his or her service in computing
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retirement benefits.
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fer] 3) Free Legal Servicesv - LEGAL representation and consultation
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services [for barangay health workers] shall be immediately
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provided by the Public Attorneys Office in cases of coercion,
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interference, and in other civil and criminal cases filed by or
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against barangay health workers arising out of or in connection
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with the performance of their duties [as such].
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{#7] K) Preferential Access to Loans. - The DOH in coordination with
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other concerned government agencies shall provide, within one
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hundred eighty (180) days after the effectivity of this Act, a
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mechanism for access to loan services by organized barangay
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heaith workers. The agencies providing loan services will set
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aside one percent (1%) of their loanable funds for organized
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barangay health worker groups that have community based
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income generating projects in support of health programs or
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activities.
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SEC.7. A new Section 8 of R.A. No. 7883 is hereby inserted and shall read as
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follows:
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"SEC. 8. SECURITY OF TENURE, - THE SERVICES OF
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ACCREDITED BARANGAY HEALTH WORKERS SHALL NOT BE
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TERMINATED EVEN AFTER THE TERM OF THE PUNONG


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BARANGAY AND SANGGUNIANG BARANGAY MEMBERS, 
EXCEPT FOR CAUSE AS PROVIDED BY LAW AND AFTER DUE 
PROCESS. PROVIDED, THAT IF A BHW, UPON APPEAL, IS 
FOUND BY THE CIVIL SERVICE COMMISSION (CSC) TO BE 
UNJUSTLY DISMISSED FROM SERVICE, HE OR SHE SHALL BE 
ENTITLED TO REINSTATEMENT WITHOUT LOSS OF BENEFITS 
AND INCENTIVES FROM THE TIME OF HIS OR HER 
TERMINATION UP TO THE TIME OF HIS OR HER 
REINSTATEMENT. THE CSC SHALL RESOLVE TERMINATION 
CASES AGAINST BHWS JUDICIOUSLY NOT LATER THAT 
NINETY (90) DAYS FROM THE RECEIPT OF A COMPLAINT."
SEC.8. A new Section 9 of R.A. No. 7883 is hereby inserted and shall read as
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"SEC. 9. DISCRIMINATION PROHIBITED. - A BARANGAY 
HEALTH WORKER SHALL NOT BE DISCRIMINATED AGAINST 
WITH REGARD TO GENDER, CIVIL STATUS, CREED, 
RELIGIOUS OR POLITICAL BELIEFS AND ETHNIC GROUPINGS 
IN THE EXERCISE OF THEIR FUNCTIONS."
SEC.9. A new Section 10 of R.A. No. 7883 is hereby inserted and shall read
20 as follows:
"SEC. 10. RIGHT TO SELF-ORGANIZATION - BARANGAY 
HEALTH WORKERS HAVE THE RIGHT TO FREELY FORM, JOIN 
OR ASSIST ORGANIZATIONS TO OBTAIN REDRESS OF THEIR 
GRIEVANCES THROUGH PEACEFUL CONCERTED ACTIVITIES 
FOR PURPOSES NOT CONTRARY TO LAW, AND WITH UTMOST 
REGARD TO SERVICE TO PATIENTS AND THE CONTINUOUS 
OPERATION OF BARANGAY HEALTH SERVICES IN THE 
INTEREST OF PUBLIC HEALTH, SAFETY OR SURVIVAL OF 
PATIENTS."
SEC.IO. A new Section 11 of R.A. No. 7883 is hereby inserted and shall read
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"SEC. 11. ROLE OF BARANGAY HEALTH WORKERS-AS ONE 
OF THE KEY PARTNERS IN A REFORMED LOCAL HEALTH CARE 
DELIVERY SYSTEM, THE DOH AND LGUS SHALL SUPPORT THE 
EVOLVING ROLES OF BHWS IN A REFORMED HEALTH SYSTEM 
AS:
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ADVOCATE - TO SUPPORT, PROMOTE AND/OR 
CHAMPION CURRENT HEALTH PROGRAMS, PROJECT, 
AND ACTIVITIES (PPAS) TO IMPROVE ACCESS TO AND 
QUALITY HEALTH SERVICES TOWARDS THE IMPROVED 
HEALTH STATUS OF THE COMMUNITY;
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EDUCATOR - TO GUIDE, ADVISE, COUNSEL THE 
COMMUNITY ON THE CURRENT DOH AND LGU HEALTH 
PRIORITIES AS IMPORTANCE OF BIRTH PLAN AND 
FACILITY-BASED DELIVERY IN REDUCING MATERNAL 
AND INFANT DEATHS; NEWBORN SCREENING FOR THE 
EARLY DETECTION OF CONGENITAL METABOLIC 
DISORDERS WHICH MAY LEADS TO MENTAL 
RETARDATION AND EVEN DEATH, AMONG OTHERS;
3. 
DISSEMINATOR - TO REMAIN REGULAR 
COMMUNICATION WITH LOCAL PROFESSIONAL 
HEALTH WORKERS (E.G. MHO, PHN, RHM, DOH REP, 
HOSPITAL STAFF) ON HEALTH EVENTS AND UPDATES 
AND CONCERNS RELEVANT TO THE COMMUNITY AND 
INFORM THE SAME TO CATCHMENT HH/COMMUNITY 
FOR APPROPRIATE ACTION, IF NECESSARY;
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LINKER - TO FACILITATE ACCESS TO OR 
ASSOCIATION OF THE COMMUNITY WITH A RELEVANT 
NETWORK OF OR SPECIFIC HEALTH AND NON-HEALTH 
SERVICE PROVIDERS WITHIN OR EVEN OUTSIDE THE 
BHE CATCHMENT, FOR INSTANCE: REFERRAL OF 
PREGNANT WOMEN TO A HEALTH FACILITY WHICH 
BASIC/ COMPREHENSIVE EMERGENCY OBSTETRIC


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NEWBORN CARE (BEMMONC/CEMONC) CAPACITY; 
NETWORK WITH TESDA FOR TRAINING;
5. RECORD KEEPER - TO MAINTAIN UPDATED 
LISTS/RECORDS OF HEALTH DATA, HEALTH 
ACTIVITIES/EVENTS IN THE COMMUNITY, SUCH AS 
BUY NOT LIMITED TO DATA/RECORDS ON FULLY 
IMMUNIZED CHILD (FIC), OPERATION TIMBANG (OPT) 
RESULT, GARANTISADONG PAMBATA (GP) , 
PREGNANCY TRACKING, PRE-NATAL AND POST-NATAL 
WOMEN ; EXCLUSIVE BREASTFEEDING MOTHERS, 
BLOOD-LETTING ACTIVITIES.
NO BHW SHALL BE UTILIZED OR SUBJECTED TO ANY 
PARTISAN POLITICAL ACTIVITY.
SEC.11. A new Section 12 of R.A. No. 7883 is hereby inserted and shall read
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"SEC. 12. REPRESENTATION IN THE LOCAL HEALTH BOARD 
AND HEALTH CARE PROVIDER NETWORK. - THE PRESIDENT 
OF THE MUNICIPAL OR CITY ASSOCIATION OF BHWS SHALL 
BE A MEMBER OF THE MUNICIPAL OR CITY LOCAL HEALTH 
BOARD. THE PRESIDENTS OF EACH COMPONENT CITY AND 
MUNICIPALITY OF A PROVINCE SHALL ELECT AMONG 
THEMSELVES THE BHW REPRESENTATIVE TO THE 
PROVINCIAL HEALTH BOARD.
THE BHWS SHALL ALSO FORM PART OF THE HEALTH 
CARE PROVIDER NETWORK AS MAY BE DETERMINED BY THE 
DOH AND LGUS CONCERNED IN THE IMPLEMENTATION OF 
PRIMARY HEALTH CARE PROGRAMS AND SERVICES. "
SEC. 12. Section 19 of RA No. 7883 is hereby amended to read as
29 follows:
"SEC. 19. Rules and Regulation. - The DEPARTMENT OF 
BUDGET AND MANAGEMENT, Department of Health, in 
CONSULTATION [cooperation] with the Department of Education,
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[Culture and Sports], CHED, TESDA, the Department of the Interior
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and Local Government, the Department of Justice, the Civil Service
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Commission, GOVERNMENT SERVICE INSURANCE SYSTEM,
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LIGA NG MGA BARANGAY and other concerned government
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agencies and non-governmental organizations, shail formulate, not
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later than one hundred eighty days (180) from the effectivity of this
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Act, the ruies and reguiations necessary for its effective
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implementation."
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SEC. 13. Separability Clause. - If any provision of this Act is declared
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invalid, the remainder of any provision hereof not affected thereby shall remain in
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force and effect.
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SEC. 14. Repealing Clause. - Ail laws, decrees, executive orders, and
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other presidential issuances which are inconsistent with this Act are hereby repealed,
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amended or modified accordingly.
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SEC. 15. Effectivity. - This Act shail take effect fifteen days (15) after its
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pubiication in the Official Gazette or at least in two (2) nationai newspapers of
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general circulation.
Approved,
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