of ■■■■■'*
TWENTIETH CONGRESS 
)
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
)
SENATE 
S. No. 412
25 JULIO P4 'A2
Rf.CBVfcD bY;
Introduced by Senator Christopher Lawrence "Bong" T. Go
AN ACT
PROVIDING FOR THE MAGNA CARTA OF BARANGAY HEALTH WORKERS
EXPLANATORY NOTE
The national health policy of our country is clearly articulated in Article XIII, 
Section 11 of the 1987 Constitution: "The State shall adopt an integrated and 
comprehensive approach to health development which shall endeavor to make 
essential goods, health and other social services available to all the people at 
affordable cost." By virtue of Section 17 of Title I of the 1991 Local Government Code, 
the delivery of basic services and facilities such as health and social welfare services 
were devolved to the local government units down to the barangay level. Thus, the 
barangay health centers are maintained with the help of barangay health workers who 
voluntarily render primary health care services to the community.
Barangay Health Workers serve as the frontliners in the barangay in providing 
basic health services. They play a vital role in accomplishing the primary health care 
approach towards health empowerment by providing accessible and acceptable health 
services in the barangay level.


Despite their essential role and function, they are only considered as volunteers 
in the community. As such, they are only entitled to meager incentives and benefits. 
Moreover, they are not given the security of tenure that befits the level of commitment 
necessitated by the role that BHWs play.
To address the existing policy shortfall, and to give due recognition to the role 
and services of BHWs in the delivery of our primary health care services in the 
community, this measure proposes to grant BHWs the compensation and benefits 
package, including security of tenure, of public health workers. This bill also mandates
the Department of Health (DOH) to determine and recommend the number of needed 
BHWs in each barangay.
In view of the foregoing, approval of this bill is earnestly sought.
SENATOR CHRISTOPHER mWRENCE "BONG" T. GO


'<BiUv o( !;:-=■ >■
TWENTIETH CONGRESS 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
S. No.
)
SENATE
412
25 JUL 10 P4 :43
RLCEIVED BV:
Introduced by Senator Christopher Lawrence "Bong" T. Go
AN ACT
PROVIDING FOR THE MAGNA CARTA OF BARANGAY HEALTH WORKERS
Se it enacted by the Senate and the House of Representatives of the Philippines, in 
Congress assembled:
CHAPTER I
GENERAL PROVISIONS
SECTION 1. Short Title. - This Act shall be known as the "Magna Carta of 
Barangay Health Workers".
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SEC. 2. Declaration of Policy. - It is the declared policy of the State to protect 
and promote the right to health of the people and still health consciousness among 
them. It is also the policy of the State to adopt an integrated and comprehensive 
approach to health development, which shall endeavor to make essential goods, 
health and other social services available to the communities.
The State acknowledges that primary health care is a key component in 
attaining universal health care and, with the support of local government units (LGUs), 
the participation of communities, and volunteerism of the population, is an effective 
strategy towards realizing health empowerment and delivering effective health care 
programs and services.


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The State values the indispensable role of barangay health workers (BHWs) as 
the frontliners in providing primary health care services and, therefore, shall adopt 
policies that will harness their potential as partners in national development.
Pursuant thereto, the State shall define their roles and responsibilities, 
prescribe the methods for their recruitment and retention, identify programs for 
capability-building and career advancement, and provide avenues to ventilate and 
resolve issues concerning them.
The State shall also, in recognition of the spirit of volunteerism and concern for 
the upliftment of the health status of communities, promote the welfare and well­
being of volunteer BHWs and provide them with incentives and benefits through the 
collaborative efforts of LGUs and the national government.
SEC. 3. Coverage. — This Act shall cover all BHWs, whether as volunteers or 
employees of government, and all LGUs and national government agencies that 
mobilize BHWs to expand the delivery of primary health care services to communities, 
families, and individuals.
CHAPTER II
THE BARANGAY HEALTH WORKERS IN 
PRIMARY HEALTH CARE DELIVERY
SEC. 4. The Role of BHWs in Providing Primary Health Care. -BHWs shall serve 
as the frontliners in supporting the delivery of primary health care in the community. 
They shall form part of the community health teams of the barangay health station, 
health center, or any other primary health care facility of the municipal/city health 
office established to provide primary health care services to a barangay or a part of 
it, or a cluster of barangays. For this purpose, BHWs are hereby declared as members 
of the cadre of community health care workers.
The head of the barangay health station, health center, or any other primary 
health care facility, of the municipal/city health office, shall exercise day-to-day direct 
control and supervision over the BHWs.
The BHW shall perform the following roles:
(a) As a Primary Health Care Service Provider - to assist in the health facilities


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in providing primary health care services to the members of the community;
(b) As a Health Educator - to provide knowledge and skills to community 
members in the prevention and management of simple illnesses;
(c) As a Community Organizer - to organize and mobilize the community 
towards self-reliance; and
(d) Record Keeper - to assist in the development and maintenance of a 
community health profile, and collect and collate health data and information of
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Pursuant to Republic Act No. 11223, or the "Universal Health Care Act", certified 
BHWs, who have undergone certification process under Section 10 of this Act, shall 
serve as primary care workers and shall act as the navigator, initial and continuing 
point of contact in the health care delivery system. They shall endorse patients to the 
next higher level of health care provider within the health care provider network to
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which the barangay health station, health center, or any other primary health care
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unit, belongs: Provided, That except in emergency or serious cases and when
proximity is a concern, access to higher levels of care shall be coordinated by the 
certified BHWs.
To effectively and efficiently perform these roles and expectations, the BHWs 
to be assigned in a barangay should be residents of the community.
The Department of Health (DOH) shall promulgate the policies, guidelines, and 
the specific duties and responsibilities of registered and certified BHWs, for the 
effective implementation of this Section.
SEC. 5. Coordination Between the Heaith Station/Heaith Center/Heaith Care 
Faciiity of the Municipai/City Heaith Office with the Barangay. - The head of the 
barangay health station, health center, or any other primary health care facility, of the 
municipal/city health office shall coordinate and collaborate with the punong 
barangay, or with several punong barangay in the case of health centers providing 
services to a cluster of barangays, in the implementation of programs and activities to 
address the primary health care needs of the communities.
Pursuant to Section 17 (b) (ii) of the Local Government Code, the punong 
barangay shall support the delivery of health services in the community by ensuring


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the maintenance of the health station/center, particularly in providing the necessary 
additional logistical support, supplies and services needed by BHWs.
SEC. 6. Number of Barangay Health Workers. - The determination of the 
number of BHWs who can serve a barangay or a cluster thereof shall be guided by 
and based on, among others, the catchment population, the community health profile, 
and the need for different primary health care services.
The DOH, in consultation with local government units, shall determine the ideal 
ratio of BHWs with the required competencies to households and shall issue an 
updated policy on this ratio every five years.
CHAPTER III
REGISTRATION, CAPABILITY-BUILDING AND RETENTION
SEC. 7. Registration. -In order to qualify as a BHW, in addition to qualifications 
to be set by the municipal or city health board, an applicant must meet the following 
requirements:
(a) Be at least eighteen (18) years of age at the date of the filing of the 
application for registration;
(b) Be physically and mentally fit; and
(c) Have completed in the same year of application for registration the basic 
orientation and training for BHWs as prescribed by the DOH.
Eligible applicants shall register with the local health board in the municipality 
or city where they reside and intend to render sen/ice and shall be given appropriate 
proof of said registration.
It shall be the duty of the municipal and city health offices, in cooperation with
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the provincial health offices and the DOH, to provide interested applicants as BHWs
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with basic orientation and training.
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SEC. 8. Roie of the Municipal and City Local Health Boards. - In addition to
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their functions under Section 102, Title V of the Local Government Code, as amended,
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the municipal and city health boards shall prescribe the policies and guidelines and be


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responsible for the recruitment, selection, registration, certification, retention and 
removal of, and the resolution of complaints and grievances involving, BHWs in their 
jurisdictions.
The decisions of the municipal/city health board with regard to the revocation 
of registration of a BHW or on the resolution of complaints and grievances of and 
against BHWs may be appealed to the provincial health board and, thereafter, to the 
Department of the Interior and Local Government (DILG).
The DILG, in collaboration with the DOH, shall provide the general guidelines 
in setting up the grievance and appeal mechanism.
SEC. 9. National BHW Information System. -There shall be established and 
maintained by the DOH, in partnership with the Department of Information and 
Communications Technology (DICT), a National BHW Information System, to assist 
the national government and local government units in formulating and implementing 
policies and programs for the organization and development of the cadre of BHWs.
The Information System shall be the sole source of real-time data and 
information on BHWs nationwide. It shall contain the list of all BHWs at the barangay, 
municipal, city and provincial levels, their socio-demographic profiles, qualifications, 
areas of assignment, and other information that the DOH may deem necessary.
The municipal and city health boards shall be responsible for registering and 
continuously updating the records of BHWs in their jurisdictions.
The provincial health boards, with the assistance of the DOH, shall provide 
training to municipal and city health boards within the province on the use of the 
Information System and ensure that the local health boards regularly submit accurate 
data and information on their BHWs.
SEC. 10. Certification of BHWs. -To ensure the health and welfare of the 
community and further professionalize the cadre of BHWs in rendering primary health
care services, a duly registered BHW shall undergo certification by the municipal/city 
health board.
The DOH, in consultation with the Technical Education and Skills Development 
Authority (TESDA), the Commission on Higher Education (CHED) and the Civil Service


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Commission (CSC), shall promulgate the policies, standards and guidelines for the 
certification of competency of BHWs.
To qualify for certification, a registered BHW must:
(a) Have completed in the locality at least two (2) years of continuous service;
(b) Have completed the training on the roles, duties, and responsibilities as a 
BHW, as prescribed by the DOH;
(c) Have been evaluated to have provided satisfactory performance by the
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health care professional supervising the concerned BHW immediately prior to the filing
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of application for certification; and
(d) Have completed the courses of the certification component of the Education 
and Training Program, provided in Section 11 of this Act.
The municipal and city health boards shall act on the applications for 
certification of BHWs not later than thirty (30) days from the date of application and
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shall issue the certificate of competency to qualified BHWs upon inspection,
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verification, or testing of their conformance to policies, standards and guidelines 
issued by the DOH.
It shall be the duty of the municipal and city LGUs, in cooperation with the 
provincial government and the DOH, to provide the applicant BHWs the necessary 
support and opportunities for certification.
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SEC. 11. Education and Training Program for BHWs. - The DOH and the
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TESDA, in collaboration with the CSC, the CHED, relevant government agencies, local
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government units, education institutions, and stakeholders, shall develop and
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institutionalize a continuing competency-based education and training curriculum for
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all BHWs.
The curriculum shall train the BHWs as primary health care service provider, 
health educator, community organizer, and record keeper. It shall prescribe the 
courses for the certification component and the courses for continuing health 
education and capacity-building for all BHWs.
The DOH and TESDA shall complement the competency-based education and 
training curriculum by making available web-based and mobile applications for 
purposes of:
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(a) Providing training materials to enhance the knowledge and skills of BHWs;
(b) Offering forums for BHWs to communicate, share experiences and seek 
advice from peers and health professionals;
(c) Disseminating new policies, programs and guidelines pertaining to their 
roles and responsibilities;
(d) Facilitating reporting and feedback mechanisms to improve service delivery 
and address challenges faced in the field; and
(e) Offering resources for personal and professional development, including 
health and wellness programs.
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SEC. 12. Inclusion of the BHW Positions in the Government PiantiHa. -The 
Department of Budget and Management (DBM), in consultation with the CSC, the DOH 
and LGUs, shall establish the position classification and the corresponding salary 
grades for BHWs in the Index of Occupational Standards. Municipalities and cities may 
employ BHWs in their respective LGUs.
SEC. 13. Retention and Continuous Service of BHWs. - Registered and certified 
BHW shall continue to perform their roles, duties, and responsibilities except due to 
the withdrawal of an individual as a BHW or removal for cause by the municipal or city 
health board after due process. The continuity of services of BHWs, including issues 
on the revocation of the registration of a BHW, or the removal of a BHW from the
cadre of BHWs, shall follow the policies and guidelines promulgated by the DILG and 
the DOH.
CHAPTER IV
INCENTIVES AND BENEFITS, RIGHTS AND OBLIGATIONS, OF BHWS
SEC. 14. Incentives and Benefits of BHWs. - (a) In recognition of the time,
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services and resources they contribute, volunteer registered and certified BHWs shall
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receive, or be provided with, the following:
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'■ Monthly Honoraria. - A monthly honorarium of not less than Three
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thousand pesos (P3,000.00) for registered BHWs and not less than Five thousand


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pesos (P5,000.00) for certified BHWs: Provided, That no diminution of monthly 
honoraria can be made on BHWs already receiving more than the herein prescribed 
minimum amounts: Provided, further. That the DOH, in coordination with the DILG 
and the DBM, shall review and adjust the minimum honoraria every three years;
ii. Transportation Aiio\wanee/Expense Reimbursements. - Registered and 
certified BHWs shall be provided by the barangay with transportation allowance or 
entitlement to reimbursement of actual transportation expense for the performance 
of their functions, as may be authorized by law or regulation: Provided, That the 
barangay may, instead, provide applicable forms of transportation to enable the BHWs 
provide the needed primary health care service: Provided, further. That the 
municipality or city, through their health offices, may shoulder such allowance or 
expense. Provided, finaiiy. That official travels, such as seminars, conferences and 
transport of patients outside of the barangay or locality, shall be shouldered by the 
barangay, municipality, city or province that authorized such official travel and shall 
not be deducted from the honoraria of the BHWs;
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Subsistence Aiiowance. - The concerned municipality or city shall provide 
BHWs who render service in other barangays where they are not residents and 
considered as unserved or underserved areas, to make their services available at any 
and all times, with subsistence allowance equivalent to the meals they take during 
their duty, which shall be computed following prevailing circumstances. In no case 
such subsistence allowance be less than One hundred pesos (PIOO.OO) per day;
ii. 
Hazard Aiiowance. - BHWs who are exposed to situations, conditions, or 
factors in the work environment or place where foreseeable but unavoidable danger 
or risks exist which adversely endanger their health or life and/or increase the risk of 
producing adverse effects on their person in the exercise of their duties, including 
assignment to communities in or recovering from situation of armed conflict, to be 
validated by the proper authorities, shall be paid a hazard allowance by the 
municipality or city concerned in an amount to be determined by its local health board 
and the local peace and order council unit concerned, which in no case shall be less 
than One thousand pesos per month, subject to existing laws, rules and regulations;
iii. Insurance Coverage. - Insurance coverage and benefit packages from the 
Government Service Insurance System, suited to their needs and unique


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circumstances, which shall be borne by the municipality or city concerned. For this 
purpose, the GSIS shall design such appropriate insurance packages;
iv. Health Emergency Allowance During Public Health Emergency. - The Hea Ith 
Emergency Allowance and other benefits prescribed in Republic Act No. 11712, on the 
conditions that the volunteer BHWs are part of the National BMW Information System 
and are assigned in health facilities and barangay health emergency response teams 
during public health emergencies. The national government shall provide funds for the 
payment of the HEA and other benefits mandated under R. A. No. 11712;
V. Cash Gift. - A Cash Gift not less than the minimum monthly honoraria to 
be given every December;
Vi. One-time Dedicated Service Recognition Incentive. - A BHW who 
withdraws as a registered or certified BHW, but had continuously and satisfactorily 
served for at least fifteen (15) years, shall be entitled to a one-time incentive of not 
less than Ten Thousand Pesos (P10,000.00), in recognition of their loyalty, dedication 
and service, which shall be borne by the municipality or city concerned. The national 
and provincial government shall assist in case of non-availability of funds from the 
municipality or component city concerned;
vii. Education and Career Advancement. —The DOH, in coordination with the 
Department of Education, CHED, TESDA, CSC, other concerned national government 
agencies, non-government organizations, and LGUs, shall provide information on, and 
opportunities for, education and career advancement for BHWs, such as:
(1) Educational programs that credit the years of primary health care service 
of the BHW and the number of training hours gained during attendance to courses 
covered by the Education and Training Program under Section 11 of this Act towards 
higher education completion in institutions with step-ladder curricula, as provided 
under Republic Act No. 10968, otherwise known as the "PQF Act," and Republic Act 
No. 10647, otherwise known as the "Ladderized Education Act of 2014," thus allowing 
them to upgrade their skills and knowledge for community work or to pursue further 
training as health care professionals;
(2) Continuing education, study and exposure tours, field immersion, and 
scholarship and financial grants, among others;


(3) Scholarship grant or financial assistance to be granted to one (1) child of a 
BHW who will not be able to take advantage of the programs described in paragraphs 
(1) and (2) hereof; and
(4) Special training programs, such as traditional medicine, disaster
preparedness and other programs that address emergent community health problems 
and issues;
viii. Free Legal Services. - Legal representation and consultation services shall 
be immediately provided by the Public Attorney's Office to a BHW in cases of coercion, 
interference, and in other civil and criminal cases filed by or against the BHW arising 
out of or in connection with the performance of their duties as such; and
ix. Preferential Access to Government Livelihood Programs. - Government 
agencies providing livelihood programs shall provide organized BHWs preferential 
access to loan services.
Provided, That in the provision of the Monthly Honoraria and the Cash Gift, and 
in consideration of the financial assistance of the national government to third, fourth 
and fifth class municipalities, provided under Section 15 of this Act, the provinces, in 
consultation with component cities, municipalities and barangays within their 
jurisdiction, shall determine the actual amount or percentage share of the amount that 
each and every LGU will give to BHWs: Provided, further. That nothing herein limits 
the barangays, or the municipality, or the city, or the province, from fully shouldering 
the provision of the Monthly Honoraria and the Cash Gift: Provided, furthermore. That 
nothing herein prevents the barangay, municipality, city, and province from providing 
additional monetary and non-monetary benefits to BHWs to supplement those given 
by another concerned LGU within the province: Provided, finally. That these honoraria 
shall be given starting January of the ensuing fiscal year unless the local government 
unit/s, singly or collectively, immediately provide the needed funding.
(b) Certified BHWs shall be granted sub-professional eligibility if they have
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rendered at least five (5) years of continuous service as such: Provided, That should
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a BHW become a regular employee of the government, the total number of years
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served as such shall be credited to the BHW's service in the computation of retirement
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benefits.
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The emoluments, incentives, benefits, honoraria, allowances and 
reimbursements of BHWs employed by the municipality, city, province, or national 
government agencies on a regular, contractual, casual or job order basis shall be 
governed by laws applicable to the civil service and the policies issued by the Civil 
Service Commission, the Office of the President, the Department of Budget and 
Management, and the LGU under which they are employed.
SEC. 15. BHW Deployment Subsidy to Low-Income Municipalities. — There is 
hereby mandated a BHW Deployment Subsidy to Low-Income Municipalities in order 
to provide financial assistance to third, fourth, and fifth class municipalities and enable 
them to deploy a sufficient number of volunteer BHWs in their communities, 
particularly to unserved or underserved areas in their jurisdictions, and in providing 
incentives to dedicated volunteer BHWs. Priority shall be given to municipalities with 
no or less capacity to give regular and adequate monthly honoraria and other 
incentives to its BHWs, as determined by the DOH and the DILG.
SEC. 16. Discrimination Prohibited. - Discrimination against any BHW by reason 
of gender, civil status, creed, religious or political beliefs and ethnic groupings in the 
exercise of their functions and responsibilities is hereby prohibited.
SEC. 17. Prohibition on Participation in Political Activities. -To maintain their 
integrity and impartiality, and eliminate the possibility of conflicts with their catchment 
households, BHWs are prohibited from participating in partisan political activities. Any 
BHW who files an application as a candidate in any political position is hereby deemed 
removed from the list of registered BHWs or resigned from government service, as 
the case may be. Participation in political activities shall serve as basis of the local 
health board to remove BHWs in the list of registered BHWs.
CHAPTER V
ASSOCIATIONS AND FEDERATIONS OF BARANGAY HEALTH WORKERS
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SEC. 18. Associations and Federations of BHWs. —There shall be organized 
associations of BHWs at the municipal and city levels and federations at the provincial, 
regional, sub-national and national levels. BHW associations of highly urbanized cities 
that are independent from provinces where they are located, and LGUs in the National 
Capital Region, shall directly become members of regional and sub-national 
federations and the national federation.
These associations and federations shall serve as the venues in order to
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ventilate issues and formulate and communicate policy proposals concerning BHWs,
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particularly on their roles and duties as the frontliners, as well as their welfare and
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well-being, in supporting the delivery of primary health care services in the
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community,
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The municipal and city associations and the provincial, regional, and sub-
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national federations shall elect their respective president, vice-president, secretary,
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treasurer, and other officers as they may deem necessary.
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The national federation shall elect a board of directors headed by a chairperson
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and a set of national officers headed by a national president, as prescribed in their
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constitution and by-laws. A secretary-general shall be chosen from among the national
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federation members to manage the day-to-day operations and activities of the
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federation. The board of directors may create such other positions as may be 
necessary for the management of the affairs of the national federation.
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SEC. 19. Consuitation with Locai Heaith Boards. - The different local health 
boards shall consult the associations and federations under their jurisdictions on,
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among others, the roles and responsibilities of BHWs for the effective delivery of
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primary health care services.
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CHAPTER VI
MISCELLANEOUS PROVISIONS
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SEC. 20. Observance of BHW Day. - Every barangay shall commemorate BHW 
31 Day during April 7 of every year in recognition of the service of BHWs, their heroic
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services in times of crisis, and their indispensable role in promoting health and 
wellness among the citizenry.
The DOH, in cooperation with the DILG and all LGUs, shall hold simple 
ceremonies or activities to highlight the indispensable role of BHWs in nation-building.
SEC. 21. Penalty Clause. - Any local government official who violates any 
provision of this Act shall be administratively and criminally charged in accordance 
with law.
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SEC. 22. Annual Accomplishment Reports. - The DOH and the DILG shall
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submit to the Office of the President, the Senate of the Philippines and the House of
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Representatives an annual report on the accomplishments and challenges with regard
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the implementation of this Act.
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SEC. 23. Appropriations. —The amounts necessary for the implementation of
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this Act shall be charged against the funds of LGUs and the appropriations of the DOH.
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The amount necessary for the initial implementation of the BHW Deployment
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Subsidy to Low-Income Municipalities shall be charged against the current
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appropriations of the DOH and, thereafter, shall be included in the annual general
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appropriations act.
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SEC. 24. Implementing Rules and Regulations. -The DOH and the DILG shall,
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in consultation with local government units, the national federation of BHWs, the CSC,
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the DBM, the TESDA, the CHED, the GSIS, other concerned government agencies,
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non-government organizations, and academic and training institutions, promulgate 
the rules and regulations to implement this Act not later than one hundred eighty 
(180) days from the start of the effectivity of this Act.
SEC. 25. Separability Clause. - If any portion or provision of this Act is declared 
invalid or unconstitutional, other provisions hereof shall remain in full force and effect.
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SEC. 26. Repealing Clause. - Republic Act No. 7883, othen/vise known as the 
"Barangay Health Workers' Benefits and Incentives Act of 1995" is hereby repealed. 
All other laws, decrees, executive orders, rules and regulations which are inconsistent 
with this Act are hereby repealed or modified accordingly.
SEC. 27. Effectivity. -This Act shall take effect after fifteen (15) days from its 
publication in the Official Gazette ox in a national newspaper of general circulation.
Approved,
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