TWENTIETH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
S. No.
SENATE
355
*. i 
'tawWwfrj ■ I ^ T|' ^ J ■
m i'!* i-
25 JULIO PI 57
RECEIVED Bi;
Introduced by Senator Ronald "Bato" Dela Rosa
AN ACT
PROVIDING FOR THE MAGNA CARTA OF BARANGAY HEALTH WORKERS
EXPLANATORY NOTE
Barangay Health Workers (BHWs) are the unsung heroes of our public health 
system. As volunteer frontliners, they served as the vital bridge between government 
health institutions and the most vulnerable and underserved communities. 
Notwithstanding the many far-flung and hard-to-reach barangays, our dear BHWs 
literally went the distance and spelled the essence oV'maiasakit".
This proposed legislation seeks to institutionalize the rights, incentives, and 
welfare benefits of BHWs by enacting a Magna Carta for their protection and 
empowerment. While their work has long been acknowledged in spirit, it is high time 
that their sacrifices be recognized through concrete legislative support. The 
institutionalization of their benefits is our small but meaningful way of honoring their 
devotion to public service.
We can never replace the time that was taken away from them in the 
performance of their volunteer work but we can recognize and acknowledge their 
dedication and commitment to service. This bill is a monument in honor of our BHWs— 
we always think of them and thank them.
Patterned after Senate Bill No. 2838, under Committee Report No. 332 of the 
19th Congress, Third Regular Session, this bill envisions to empower our BHWs not 
just to continue serving, but to find fulfillment in that service, knowing that the nation


stands with them. After all, the work they do is, in itself, a vocation of love for our 
fellow " kababayans".
For these reasons, the immediate passage of this bill is earnestly sought.
RONALD "BAtOCSELA ROSA


TWENTIETH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
S. No.
SENATE
355
25 JULtO PI 57 
\
RECEiVED 8'f;
Introduced by Senator Ronald "Bato" Dela Rosa
AN ACT
PROVIDING FOR THE MAGNA CARTA OF BARANGAY HEALTH WORKERS
Be it enacted by the Senate and the House of Representatives of the Philippines in 
Congress assembled:
1 
CHAPTER I
2 
GENERAL PROVISIONS
3 
Section 1. Short Title. - This Act shall be known as the "Magna Carta of
4 
Barangay Health Workers".
5 
Sec. 2. Declaration of Policy. - It is the declared policy of the State to protect
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and promote the right to health of the people and still health consciousness among
7 
them. It is also the policy of the State to adopt an integrated and comprehensive
8 
approach to health development, which shall endeavor to make essential goods,
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health and other social services available to the communities.
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The State acknowledges that primary health care is a key component in
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attaining universal health care and, with the support of local government units (LGUs),
12 
the participation of communities, and volunteerism of the population, is an effective
13 
strategy towards realizing health empowerment and delivering effective health care
14 
programs and services.


1 
The State values the indispensable role of barangay health workers (BHWs) as
2 
the frontliners in providing primary health care services and, therefore, shall adopt
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policies that will harness their potential as partners in national development.
4 
Pursuant thereto, the State shall define their roles and responsibilities,
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prescribe the methods for their recruitment and retention, identify programs for
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capability-building and career advancement, and provide avenues to ventilate and
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resolve issues concerning them.
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The State shall also, in recognition of the spirit of volunteerism and concern for
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the upliftment of the health status of communities, promote the welfare and well-
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being of volunteer BHWs and provide them with incentives and benefits through the
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collaborative efforts of LCDs and the national government.
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Sec. 3. Coverage. - This Act shall cover all BHWs, whether as volunteers or
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employees of government, and all LCDs and national government agencies that
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mobilize BHWs to expand the delivery of primary health care services to communities,
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families, and individuals.
16 
CHAPTER II
17 
THE BARANGAY HEALTH WORKERS IN PRIMARY HEALTH CARE DELIVERY
18 
Sec. 4. The Role of BHWs in Providing Primary Health Care. - BHWs shall serve
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as the frontliners in supporting the delivery of primary health care in the community.
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They shall form part of the community health teams of the barangay health station,
21 
health center, or any other primary health care facility of the municipal/city health
22 
office established to provide primary health care services to a barangay or a part of
23 
it, or a cluster of barangays. For this purpose, BHWs are hereby declared as members
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of the cadre of community health care workers.
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The head of the barangay health station, health center, or any other primary
26 
health care facility, of the municipal/city health office, shall exercise day-to-day direct
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control and supervision over the BHWs. The BHW shall perform the following roles:
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(a) As a Primary Health Care Service Provider -to assist in the health facilities
29 
1 in providing primary health care services to the members of the community;


1 
(b) As a Health Educator - to provide knowledge and skills to community
2 
members in the prevention and management of simple illnesses;
3 
(c) As a Community Organizer - to organize and mobilize the community
4 
towards self-reliance; and
5 
(d) Record Keeper - to assist in the development and maintenance of a
6 
community health profile, and collect and collate health data and information of
7 
families and individuals in the community.
8 
Pursuant to Republic Act No. 11223, or the "Universal Health Care Act", certified
9 
BHWs, who have undergone certification process under Section 10 of this Act, shall
10 
serve as primary care workers and shall act as the navigator, initial and continuing
11 
point of contact in the health care delivery system. They shall endorse patients to the
12 
next higher level of health care provider within the health care provider network to
13 
which the barangay health station, health center, or any other primary health care
14 
unit, belongs: Provided, That except in emergency or serious cases and when
15 
proximity is a concern, access to higher levels of care shall be coordinated by the
16 
certified BHWs.
17 
To effectively and efficiently perform these roles and expectations, the BHWs
18 
to be assigned in a barangay should be residents of the community.
19 
The Department of Health (DOH) shall promulgate the policies, guidelines, and
20 
the specific duties and responsibilities of registered and certified BHWs, for the
21 
effective implementation of this Section.
22 
Sec. 5. Coordination Between the Heaith Station/Health Center/Heaith Care
23 
Facility of the Municipai/City Health Office with the Barangay - The head of the
24 
barangay health station, health center, or any other primary health care facility, of the
25 
municipal/city health office shall coordinate and collaborate with the punong
26 
barangay, or with several punong barangay in the case of health centers providing
27 
services to a cluster of barangays, in the implementation of programs and activities to
28 
address the primary health care needs of the communities.


1 
Pursuant to Section 17 (b) (ii) of the Local Government Code, the punong
2 
barangay shdW support the delivery of health services in the community by ensuring
3 
the maintenance of the health station/center, particularly in providing the necessary
4 
additional logistical support, supplies and services needed by BHWs.
5 
Sec. 6. Number of Barangay Health Workers. — The determination of the
6 
number of BHWs who can serve a barangay or a cluster thereof shall be guided by
7 
and based on, among others, the catchment population, the community health profile,
8 
and the need for different primary health care services.
9 
The DOH, in consultation with local government units, shali determine the ideal
10 
ratio of BHWs with the required competencies to households and shall issue an
11 
updated policy on this ratio every five years.
12 
CHAPTER III
13 
REGISTRATION, CAPABILITY-BUILDING AND RETENTION
14 
Sec. 7. Registration. - In order to qualify as a BHW, in addition to qualifications
15 
to be set by the municipal or city health board, an applicant must meet the following
16 
requirements:
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(a) Be at least eighteen (18) years of age at the date of the filing of the
18 
application for registration;
19 
(b) Be physically and mentally fit; and
20 
(c) Have completed in the same year of application for registration the basic
21 
orientation and training for BHWs as prescribed by the DOH.
22 
Eligible applicants shali register with the local health board in the municipality
23 
or city where they reside and intend to render service and shall be given appropriate
24 
proof of said registration. It shall be the duty of the municipal and city health offices,
25 
in cooperation with the provincial health offices and the DOH, to provide interested
26 
applicants as BHWs with basic orientation and training.
27 
Sec. 8. Roie of the Municipal And City Local Health Boards. -In addition to their
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functions under Section 102, Title V of the Local Government Code, as amended, the


1 
municipal and city health boards shall prescribe the policies and guidelines and be
2 
responsible for the recruitment, selection, registration, certification, retention and
3 
removal of, and the resolution of complaints and grievances involving, BHWs in their
4 
jurisdictions,
5 
The decisions of the municipal/city health board with regard to the revocation
6 
of registration of a BHW or on the resolution of complaints and grievances of and
7 
against BHWs may be appealed to the provincial health board and, thereafter, to the
8 
Department of the Interior and Local Government (DILG).
9 
The DILG, in collaboration with the DOH, shall provide the general guidelines
10 
in setting up the grievance and appeal mechanism.
11 
Sec. 9. National BHW Information System. -There shall be established and
12 
maintained by the DOH, in partnership with the Department of Information and
13 
Communications Technology (DICT), a National BHW Information System, to assist
14 
the national government and local government units in formulating and implementing
15 
policies and programs for the organization and development of the cadre of BHWs.
16 
The Information System shall be the sole source of real-time data and
17 
information on BHWs nationwide. It shall contain the list of all BHWs at the barangay,
18 
municipal, city and provincial levels, their socio-demographic profiles, qualifications,
19 
areas of assignment, and other information that the DOH may deem necessary.
20 
The municipal and city health boards shall be responsible for registering and
21 
continuously updating the records of BHWs in their jurisdictions.
22 
The provincial health boards, with the assistance of the DOH, shall provide
23 
training to municipal and city health boards within the province on the use of the
24 
Information System and ensure that the local health boards regularly submit accurate
25 
data and information on their BHWs.
26 
Sec. 10. Certification of BHWs. - To ensure the health and welfare of the
27 
community and further professionalize the cadre of BHWs in rendering primary health
28 
care services, a duly registered BHW shall undergo certification by the municipal/city
29 
health board.


1 
The DOH, in consultation with the Technical Education and Skills Development
2 
Authority (TESDA), the Commission on Higher Education (CHED) and the Civil Service
3 
Commission (CSC), shall promulgate the policies, standards and guidelines for the
4 
certification of competency of BHWs.
5 
To qualify for certification, a registered BHW must:
6 
(a) Have completed in the locality at least two (2) years of continuous service;
7 
(b) Have completed the training on the roles, duties, and responsibilities as a
8 
BHW, as prescribed by the DOH;
9 
(c) Have been evaluated to have provided satisfactory performance by the
10 
health care professional supervising the concerned BHW immediately prior to the filing
11 
of application for certification; and
12 
(d) Have completed the courses of the certification component of the Education
13 
and Training Program, provided in Section 11 of this Act.
14 
The municipal and city health boards shall act on the applications for
15 
certification of BHWs not later than thirty (30) days from the date of application and
16 
shall issue the certificate of competency to qualified BHWs upon inspection,
17 
verification, or testing of their conformance to policies, standards and guidelines
18 
issued by the DOH.
19 
It shall be the duty of the municipal and city LCDs, in cooperation with the
20 
provincial government and the DOH, to provide the applicant BHWs the necessary
21 
support and opportunities for certification.
22 
Sec. 11. Education and Training Program for BHWs. - The DOH and the TESDA,
23 
in collaboration with the CSC, the CHED, relevant government agencies, local
24 
government units, education institutions, and stakeholders, shall develop and
25 
institutionalize a continuing competency-based education and training curriculum for
26 
all BHWs.
27 
The curriculum shall train the BHWs as primary health care service provider,
28 
health educator, community organizer, and record keeper. It shall prescribe the


1 
courses for the certification component and the courses for continuing health
2 
education and capacity-building for all BHWs.
3 
The DOH and TESDA shall complement the competency-based education and
4 
training curriculum by making available web-based and mobile applications for
5 
purposes of:
6 
(a) Providing training materials to enhance the knowledge and skills of BHWs;
7 
(b) Offering forums for BHWs to communicate, share experiences and seek
8 
advice from peers and health professionals;
9 
(c) Disseminating new policies, programs and guidelines pertaining to their
10 
roles and responsibilities;
11 
(d) Facilitating reporting and feedback mechanisms to improve service delivery
12 
and address challenges faced in the field; and
13 
(e) Offering resources for personal and professional development, including
14 
health and wellness programs.
15 
Sec. 12. Inclusion of the BHW Positions in the Government PiantiHa. - The
16 
Department of Budget and Management (DBM), in consultation with the CSC, the DOH
17 
and LGUs, shall establish the position classification and the corresponding salary
18 
grades for BHWs in the Index of Occupational Standards. Municipalities and cities may
19 
employ BHWs in their respective LGUs.
20 
SEC. 13. Retention and Continuous Service of BHWs. - Registered and certified
21 
BHW shall continue to perform their roles, duties, and responsibilities except due to
22 
the withdrawal of an individual as a BHW or removal for cause by the municipal or city
23 
health board after due process. The continuity of services of BHWs, including issues
24 
on the revocation of the registration of a BHW, or the removal of a BHW from the
25 
cadre of BHWs, shall follow the policies and guidelines promulgated by the DILG and
26 
the DOH.
27 
CHAPTER IV
28 
INCENTIVES AND BENEFITS, RIGHTS AND OBLIGATIONS, OF BHWS


1 
Sec. 14. Incentives and Benefits of BHWs. -(a) In recognition of the time,
2 
services and resources they contribute, volunteer registered and certified BHWs shall
3 
receive, or be provided with, the following:
4 
i. Monthly Honoraria. - A monthly honorarium of not less than Three thousand
5 
pesos (P3,000.00) for registered BHWs and not less than Five thousand pesos
6 
(P5,000.00) for certified BHWs: Provided, That no diminution of monthly honoraria
7 
can be made on BHWs already receiving more than the herein prescribed minimum
8 
amounts: Provided, further. That the DOH, in coordination with the DILG and the
9 
DBM, shall review and adjust the minimum honoraria every three years;
10 
ii. Transportation Allowance/Expense Reimbursements. - Registered and
11 
certified BHWs shall be provided by the barangay with transportation allowance or
12 
entitlement to reimbursement of actual transportation expense for the performance
13 
of their functions, as may be authorized by law or regulation: Provided, That the
14 
barangay may, instead, provide applicable forms of transportation to enable the BHWs
15 
provide the needed primary health care service: Provided, further. That the
16 
municipality or city, through their health offices, may shoulder such allowance or 3
17 
expense: Provided, finaiiy, That official travels, such as seminars, conferences and
18 
transport of patients outside of the barangay or locality, shall be shouldered by the
19 
barangay, municipality, city or province that authorized such official travel and shall
20 
not be deducted from the honoraria of the BHWs;
21 
i. Subsistence Allowance. -The concerned municipality or city shall provide
22 
BHWs who render service in other barangays where they are not residents and
23 
considered as unserved or underserved areas, to make their services available at any
24 
and ali times, with subsistence allowance equivalent to the meals they take during
25 
their duty, which shall be computed following prevailing circumstances. In no case
26 
such subsistence allowance be less than One hundred pesos (PIOO.OO) per day;
27 
ii. Hazard Allowance. - BHWs who are exposed to situations, conditions, or
28 
factors in the work environment or place where foreseeable but unavoidable danger
29 
or risks exist which adversely endanger their health or life and/or increase the risk of
30 
producing adverse effects on their person in the exercise of their duties, including


1 
assignment to communities in or recovering from situation of armed conflict, to be
2 
validated by the proper authorities, shall be paid a hazard allowance by the
3 
municipality or city concerned in an amount to be determined by its local health board
4 
and the local peace and order council unit concerned, which in no case shall be less
5 
than One thousand pesos per month, subject to existing laws, rules and regulations;
6 
iii. Insurance Coverage. -Insurance coverage and benefit packages from the
7 
Government Service Insurance System, suited to their needs and unique
8 
circumstances, which shall be borne by the municipality or city concerned. For this
9 
purpose, the GSIS shall design such appropriate insurance packages;
10 
iv. Health Emergency Allowance During Public Health Emergency. - The Health
11 
Emergency Allowance and other benefits prescribed in Republic Act No. 11712, on the
12 
conditions that the volunteer BHWs are part of the National BHW Information System
13 
and are assigned in health facilities and barangay health emergency response teams
14 
during public health emergencies. The national government shall provide funds for the
15 
payment of the HEA and other benefits mandated under R.A. No. 11712;
16 
V. Cash Gift. - A Cash Gift not less than the minimum monthly honoraria to be
17 
given every December;
18 
vi. One-time Dedicated Service Recognition Incentive. - A BHW who withdraws
19 
as a registered or certified BHW, but had continuously and satisfactorily served for at
20 
least fifteen (15) years, shall be entitled to a one-time incentive of not less than Ten
21 
Thousand Pesos (P10,000.00), in recognition of their loyalty, dedication and service,
22 
which shall be borne by the municipality or city concerned. The national and provincial
23 
government shall assist in case of non-availability of funds from the municipality or
24 
component city concerned;
25 
vii. Education and Career Advancement. — The DOH, in coordination with the
26 
Department of Education, CHED, TESDA, CSC, other concerned national government
27 
agencies, non-government organizations, and LGUs, shall provide information on, and
28 
opportunities for, education and career advancement for BHWs, such as:
29 
(1) Educational programs that credit the years of primary health care service
30 
of the BHW and the number of training hours gained during attendance to courses


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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 
BMW 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 BMW in cases of coercion, 
interference, and in other civil and criminal cases filed by or against the BMW 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
10


1 
additional monetary and non-monetary benefits to BHWs to supplement those given
2 
by another concerned LGU within the province: Provided^ finally, That these honoraria
3 
shall be given starting January of the ensuing fiscal year unless the local government
4 
unit/s, singly or collectively, immediately provide the needed funding.
5 
(b) Certified BHWs shall be granted sub-professional eligibility if they have
6 
rendered at least five (5) years of continuous service as such: Provided, should
7 
a BHW become a regular employee of the government, the total numbers of years
8 
served as such shall be credited to the BMW's service in the computation of retirement
9 
benefits.
10 
The emoluments, incentives, benefits, honoraria, allowances and
11 
reimbursements of BHWs employed by the municipality, city, province, or nationai
12 
government agencies on a regular, contractual, casual or job order basis shall be
13 
governed by laws applicable to the civil service and the policies issued by the Civil
14 
Service Commission, the Office of the President, the Department of Budget and
15 
Management, and the LGU under which they are employed.
16 
Sec. 15. BHW Deployment Subsidy to Low-Income Municipalities. -
17 
There is hereby mandated a BHW Deployment Subsidy to Low-Income
18 
Municipalities in order to provide financial assistance to third, fourth, and fifth class
19 
municipalities and enable them to deploy a sufficient number of volunteer BHWs in
20 
their communities, particularly to unserved or underserved areas in their jurisdictions,
21 
and in providing incentives to dedicated volunteer BHWs. Priority shall be given to
22 
municipalities with no or less capacity to give regular and adequate monthly honoraria
23 
and other incentives to its BHWs, as determined by the DOH and the DILG.
24 
Sec. 16. Discrimination Prohibited. - Discrimination against any BHW by reasons
25 
of gender, civil status, creed, religious or political beliefs and ethnic groupings in the
26 
exercise of their functions and responsibilities is hereby prohibited.
27 
Sec. 17. Prohibition on Participation In Political Activities. - To maintain their
28 
integrity and impartiality, and eliminate the possibility of conflicts with their catchment
29 
households, BHWs are prohibited from participating in partisan political activities. Any
30 
BHW who files an application as a candidate in any political position is hereby deemed
11


1 
removed from the list of registered BHWs or resigned from government service, as
2 
the case may be. Participation in political activities shall serve as the basis of the local
3 
health board to remove BHWs in the list of registered BHWs.
4 
CHAPTER V
5 
ASSOCIATIONS AND FEDERATIONS OF BARANGAY HEALTH WORKERS
6 
Sec. 18. Associations and Federations of BHWs. - There shall be organized
7 
associations of BHWs at the municipal and city levels and federations at the provincial,
8 
regional, sub-national and national levels. BHW associations of highly urbanized cities
9 
that are independent from provinces where they are located, and LCDs in the National
10 
Capital Region, shall directly become members of regional and sub-national
11 
federations and the national federation.
12 
These associations and federations shall serve as the venues in order to
13 
ventilate issues and formulate and communicate policy proposals concerning BHWs,
14 
particularly on their roles and duties as the frontliners, as well as their welfare and
15 
well-being, in supporting the delivery of primary health care services in the
16 
community.
17 
The municipal and city associations and the provincial, regional, and sub
18 
national federations shall elect their respective president, vice-president, secretary,
19 
treasurer, and other officers as they may deem necessary.
20 
The national federation shall elect a board of directors headed by a chairperson
21 
and a set of national officers headed by a national president, as prescribed in their
22 
constitution and by-laws. A secretary-general shall be chosen from among the national
23 
federation members to manage the day-to-day operations and activities of the
24 
federation. The board of directors may create such other positions as may be
25 
necessary for the management of the affairs of the national federation.
26 
Sec. 19. Consuitation with Locai Heaith Boards. - The different local health
27 
boards shall consult the associations and federations under their jurisdictions on,
28 
among others, the roles and responsibilities of BHWs for the effective delivery of
29 
primary health care services.
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CHAPTER VI
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MISCELLANEOUS PROVISIONS
Sec. 20. Observance of BHW Day. - Every barangay shall commemorate BHW 
Day during April 7 of every year in recognition of the service of BHWs, their heroic 
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.
Sec. 22. Annual Accomplishment Reports. -The DOH and the DILG shall submit 
to the Office of the President, the Senate of the Philippines and the House of 
Representatives an annual report on the accomplishments and challenges with regard 
to the implementation of this Act.
Sec. 23. Appropriations. — The amounts necessary for the implementation of 
this Act shall be charged against the funds of LGUs and the appropriations of the DOH.
The amount necessary for the initial implementation of the BHW Deployment 
Subsidy to Low-Income Municipalities shall be charged against the current 
appropriations of the DOH and, thereafter, shall be included in the annual general 
appropriations act.
Sec. 24. Implementing Rules and Regulations. -The DOH and the DILG shall, 
in consultation with local government units, the national federation of BHWs, the CSC, 
the DBM, the TESDA, the CHED, the GSIS, other concerned government agencies, 
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.
13


1 
Sec. 26. Repealing Clause. — Republic Act No. 7883, otherwise known as the
2 
"Barangay Health Workers' Benefits and Incentives Act of 1995" is hereby repealed.
3 
All other laws, decrees, executive orders, rules and regulations which are inconsistent
4 
with this Act are hereby repealed or modified accordingly.
5 
Sec. 27. Effectivity. - This Act shall take effect after fifteen (15) days from its
6 
publication in the Official Gazette or in a national newspaper of general circulation.
Approved,
14