Rama seeks institutionalization of BHWs accreditation, tenure

CEBU, Philippines — Cebu City Councilor Mikel F. Rama has introduced a proposed ordinance aimed at institutionalizing the welfare, accreditation, and tenure protection of Barangay Health Workers (BHWs).

The measure stands as a direct response to national mandates outlined in Republic Acts 7883 and 11223, and a DOH–DILG Joint Memorandum Circular No. 2023-001, which call upon local governments to establish structured systems for BHW protection and support.

“This measure is about dignity, protection, and structure…Our BHWs deserve more than tokens of appreciation—they deserve systems that safeguard their service,” the neophyte councilor Rama said.

The proposal is expected to position Cebu City as a frontrunner in health governance reform by recognizing the indispensable role of BHWs in grassroots health delivery and the vulnerabilities they face due to inconsistent appointment processes, lack of standard benefits, and absence of tenure safeguards.

Rama’s legislative initiative introduces a city-level registration system designed to masterlist and accredit only certified BHWs, while anchoring service continuity on performance evaluation and mandatory retraining every three years.

Safeguards against arbitrary dismissal are prominently featured, ensuring that due process governs any removal of BHWs from service.

To reinforce these protections, the ordinance mandates the creation of two oversight bodies: the Barangay Health Worker Registration and Accreditation Committee and the Grievance and Tenure Protection Committee.

These entities will not only enforce service standards but also mediate concerns related to BHW’s welfare and employment conditions.

Rama’s proposal further outlined entitlements ranging from honoraria and insurance coverage to psycho-social support services and prioritized training sessions.

In a practical nod to sustainability, the annual city budget allocations for BHW support are to be taken from the Local Development Investment Program and Annual Investment Plan.

A 12-month transition period is also envisioned to ensure current BHWs are not displaced, while enabling a smooth roll-out of the new framework.

Implementation and oversight responsibilities fall to the City Health Office and the Local Health Board, which are tasked with drafting the ordinance’s Implementing Rules and Guidelines within 60 days of its approval.

At its core, the measure reaffirmed that while the BHW role is voluntary, it must be treated with dignity, continuity, and institutional support.

Rama added that this ordinance, once approved, complements the earlier Legal Aid Ordinance he filed—both designed to empower grassroots workers in justice and health sectors, respectively.

“From legal aid to primary care, the goal is the same: build a city where the frontliners are not just used—they’re protected,” Rama said. — JG (FREEMAN)