Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARY

5 March 2019

DEPARTMENT MEMORANDUMNo. 2019 - O14

TO >: ALL REGIONAL DIRECTORS, HUMAN RESOURCEDEVELOPMENT UNIT (HRDU) HEADS, TRAININGSPECIALISTS AND OTHERS CONCERNED

SUBJECT : Acceptance of Scholars and Partner Schools for the DepartmentofHealth Pre-Service Scholarship Program for School Year 2019-2020

Department of Health (DOH) is now accepting applicants for the Pre-ServiceScholarship Program (PSSP) for Medicine and Midwifery for SY 2019-2020. All DOHCenters for Health Development (CHDs)/DOH Bangsamoro Autonomous Region in MuslimMindanao (BARMM)are hereby directed/advised to observe the guidelines detailed inAdministrative Order (AO) No.2018-0022 entitled “Guidelines on the Implementation of theDepartment of Health’s Pre-Service Scholarship Program (PSSP) for Priority allied HealthCourses.”

In addition, please be remindedofthe following:

1. For SY 2019-2020, only incoming 1* year and 3™year students are eligible to apply forthe PSSP for Medicine. Please see Annex A for the Selection Criteria as basis forevaluating scholars. Further, please see Annex B for the updated list of PSSP PartnerSchools.

2. The DOH shall grant to the scholars a package that includes:

a. Tuition fees, laboratory, miscellaneous and other related school fees which shall bepaid directly to the partner school.

b. Subsidy and allowances which shall be paid directly to the scholars:

ALLOWANCES MEDICAL MIDWIFERYBook Allowance Php12,100.00/semester|Php10,000.00/semesterUniform Allowance 3,025.00/semester 2,500.00/semesterMiscellaneous Allowance 5,500.00/semester 5,500.00/semesterLiving Subsidy 4,500.00/month 4,500.00/monthLodging 3,000.00/month 3,000.00/monthTransportation Allowance 880.00/month 880.00/month

jscfcdmd/hhrdb/19-04

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112, 1113Direct Line: 711-9502; 711-9503Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: ftduque@doh.gov.ph

c. Enrolment to Philippine Health Insurance Corporation for 18 years old and abovein the amount of Php200.00 per month.

3. Ali CHDs and DOH BARMMcanaccept and evaluate applications for accreditation asDOH Partner School. Please see Annex C for the Validation Criteria for PartnerSchools.

Minimum qualifications required for partner schools are as follows:

a. Must be recognized by the Commission on Higher Education (CHED);b. Must have a performance ofat least 65% passing average for first time takers in the

licensure examination of the Professional Regulation Commission;c. Must be willing to provide financial counterpart for the balance of tuition,

miscellaneous, laboratory, student and other fees;d. Must be capable to provide facilities / infrastructure to deliver quality education that

is critical to produce competent, committed and community oriented healthworkers;

e. Must have designated Scholarship Coordinator or Focal Person for the DOH Pre-Service Scholarship Program;

f. Must have slots for members of the Tribal Groups and from GIDAs;g. Preferably accessible to DOH CHDs and Affiliating Hospitals / health facilities;h. Must be capable to conduct review classes for graduating scholars.

4. Attached are the updated Scholarship Process Flow (Annex D), Scholarship Contract(Annex E), and Commitment to Render Return Service Obligation (Annex F), forguidance.

For other concerns and inquiries, please contact Career Development and ManagementDivision of Health Human Resource Development Bureau at (02) 6517800 local 4224 / 4227or at (02) 7431776 or through email at cdmd.hhrdb.doh@gmail.com.

By Authority of the Secretary of Health:

MARIO &¢. VIMLAVERDE, MD, MPH, MPM, CESOIUndersecretary of Health

jscicdmd/hhrdb/19-04

Annex B

DOH PRE-SERVICE SCHOLARSHIP PROGRAMLIST OF DOH PARTNER SCHOOLS

FOR MEDICINE:No. NAME OF SCHOOL/ UNIVERSITY iCOLLEGE REGION

1 University of the Philippines College of Medicine National Capital Region (NCR)2 University of Northern Philippines Region I

3 Cagayan State University RegionII4 Angeles University Foundation RegionIII5 Bicol Christian College of Medicine Region V

6 West Visayas State University .R7 Iloilo Doctor's College - College of Medicine egion VI

8 Southwestern University Phinma Region VII9 University of Cebu College of Medicine Foundation, Ine. &

10 University of the Philippines- School of Health Sciences Region VIII11 [Mindanao State University. Region X12 _|Davao Medical School Foundation Region XI13 [Brokenshire College

€

FOR MIDWIFERY: ;

No. NAME OF SCHOOL/ UNIVERSITY /COLLEGE REGION1 Mary Chiles College . : :

2 Dr. Jose Fabella Memorial School of MidwiferyNational Capital Region (NCR)

:' Cordillera Administrative Region

3Cordillera Career Development College (CAR)

4 Union Christian College5 Urdaneta City University6 University of Eastern Pangasinan

,

Region I

7Don Mariano Marcos Memorial State University

8 ‘North Luzon Philippines State College9 Isabela State University Region II10 {Bataan Peninsula State University11 [Gordon College ys12 Good Samaritan Colleges, Inc.

RegionI]13 UP School of Health Sciences-Baler Extension Campus

University of Perpetual Help System (Dr. Jose G. Tamayo Medical CALABARZON14 University)15 |Ago Medical and Educational Center :

16 _[Tanchuling CollegeRegion V

17 Iloilo Doctor's College Region VI18 University of Bohol Region VII19 _|Holy Infant College

20UP School of Health Sciences-Main Campus (Palo, Leyte) Region VIII

1 Franciscan College of Immaculate Conception

22 _|Brent Hospital and Colleges Incorporated Region IX23 [Davao Medical School Foundation, Inc. .

;Region XI

24 _|Brokenshire College25 _‘|St. Alexius College Koronadal City26 |UP School of Health Sciences-Koronadal Extension Campus Region XII27‘ |Sultan Kudarat State University

&

28 MMG College of General Santos City, Inc,29 {Butuan Doctor's College Region XIII

: : ey Autonomous Region of Muslim

30Tawi-Tawi School of Midwifery Mindanao (ARMM)

Annex D

Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARY

PROCESS FLOWDepartment of Health (DOH) Pre- service Scholarship

Ref. No. Key Activities Responsibilities" DOH announcesthe availability of the

scholarship grant through the Centers " DOH-HHRDB

Announcementof for Health Development (CHDs) and " DOH-CHDs1

Scholarship partner schools = Partner Schools

|v DOH partner schools screen and

evaluate interested applicants *" DOH (HHRDB, CHDs)Applicants that are endorsed by the =" DOH scholarship

2 Application and partner schools will undergo evaluation committee

Screening based on the criteria and requirements|= Partner schoolsset by DOH. = Interested applicants

i1 DOH through the scholarship

committee, HHRDB and CHDs shall " DOH Scholarshipvalidate and evaluate the applicants committee

Validation, endorsed by the partner schools « DOH-HHRDB

3 Evaluation and DOH through the scholarship committee|= DOH CHDs

approvalof approves the list of accepted scholarssuccessful scholars *Successful scholars shall be notified

Ithrough the CHD and partner schools

1 DOH HHRDB and CHDs shall facilitatethe signing of MOA with the partner * DOH-HHRDB and

oo schools for the joint implementation of CHDsSigning of MOA, the scholarship program « Partner SchoolsContracts and Signing of scholarship contracts and = Scholars4 Commitment to CRSOs with parents’/guardians asRenderService witness. Submit duly signed documents

Obligation (CRSO) to partner school for processing

1 CHDs shall facilitate the notary ofscholarship contracts and CRSOsas = DOH HHRDB andendorsed by HHRDB CHDs

Notary of Duly Notarize and submit scholarship « Partner Schools5 Signed Scholarship contracts and CRSQsto partner school

Contracts and for endorsement to DOH throughCRSOs concerned CHDs

Partner schools shall submitperformance reports to the CHDs at the|= DOH CHDs

v end of every semester with appropriate|= Partner schoolrecommendations on the scholarship of

Monitoring of the students6 Academic CHDs shall provide updates to HHRDB

Performance and at the end of every semester with

Tracking of appropriate recommendations on thestatus of scholarship and performanceScholars of partner schools

= Schools shall provide DOH the list of

Ref. No. Key Activities Responsibilities

Monitoring of

successful graduates and those whohave failed to finish the course withcomplete contact details of scholars

DOH CHDsPartner Schools

Academic Partner Schools shall provide DOH thePerformance and list of scholars who took the licensure

Tracking of exam and those whodid notScholars Partner Schools shall provide the list of

passers and those who have failed thelicensure examsPartners Schools shall inform thescholars to report to the respectiveRegional Office upon passing the boardexamination

Vv Students shall render (two) 2 years ofservice for every one (1) yearof " DOH-HHRDBscholarship grant " DOH- CHDs

7 Rendering of return « Partner schoolsservice obligations * Scholars

2 of 2

Annex E

Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARYManila, Philippines

SCHOLARSHIP CONTRACT FOR BACHELOROF SCIENCE INMIDWIFERY

This Scholarship Contract entered and executed by and between theGovernment of the Philippines through the Department of Health (DOH)represented by <NAME>, OIC- Director IV of Health Human ResourceDevelopment Bureau (HHRDB), referred to as the “GRANTOR”;

-and-

<NAME OF SCHOLAR>, of legal age, Filipino with residence at, Philippines, herein referred to as the

“GRANTEE”.

WITNESSETH:

Pursuant to the DOH Midwifery Scholarship Program awarded to the GRANTEE,the latter hereby agrees to fulfill the following term and conditions:

1, Meetall the academic requirements of the partner school and finish thecourse within the prescribed period;

Pass the board examination within one (1) year after graduation;

Serve the GRANTOR for two (2) years for every year of scholarship,through the DOH Deployment Program as return service, upon passingthe board examination;

Refund the amount equivalent to the current average tuition fees ofmidwifery schools, and reimburse all other expenses incurred with10% mark-up per year, should he/she fail to comply with the foregoingconditions through his/her fault, willful neglect, or other causes withinhis/her control. Re-computation is based on prevailing inflation rate;

. To behave and conduct himself/herself in such a mannerthat will notbring damage to the Department of Health, the University, itsadministration, faculty and students, and shall neither engage inreprehensive, illegal or subversive and corrupt activities, as defined byexisting laws.

The GRANTORS shall:

1. Provide the GRANTEE allowancesper semester, as follows:1.1 Book Allowance ................4. Php 10,000.001.2 Uniform Allowance ............... Php 2,500.001.3 Miscellaneous Allowance ....... Php 5,500.00

Php 18,000.00

Provide the GRANTEE allowances per month,as follows:1.4 Transportation Allowance ...... Php 880.001.5 Living Subsidy ...................65 Php 4,500.001.6 Lodging Allowance ............... Php 3,000.00

Php 8,380.00

Provide the GRANTEE ofthe Review and Board Examination Fees

2. Ensure timely release of allowances to the GRANTEE;

3. Pay directly to partner school the agreed tuition fee, miscellaneous,laboratory and student fund of the GRANTEE perbilling submitted bythe school;

4. In case ofviolation of the terms of this contract, the DOH hasthe optionto try to reconcile the issues before filing an appropriate action in theproper courts or could go directly to court;

5. Provide items/ employment positions for the licensed graduates underthisprogram, through the Department of Health;

6. Be vested solely with the deployment of GRANTEES to the DOHpriority areas as a return service through the Department of Health.

7. Ensure that the processing of information of the GRANTEE shall beconducted in compliance with the Data Privacy Act of 2012 and otherrelated issuances, including having a Data Sharing Agreement between theGRANTEE and the GRANTOR before the information are released orshared.

IN WITNESS WHEREOF, we have hereunder set our hands this day of2019 at , Philippines.

GRANTORS

<NAME>Director IV, HHRDB

GRANTEE

<NAME OF SCHOLAR>Scholar

Signedin the presence of:

<NAME>Director IV

DOH Regional Office No.

GWYN GRACE M. DACURAWAT, RN, MANChief, Career Development Management Division

<NAME>Dean

<NAME OF SCHOOL>

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)CITY OF _)s.s.

BEFORE ME,a Notary Public for and in City of , Philippines,this day of personally appeared:

<NAME>Director IV, HHRDBGov’t Issued ID:ID No.:Date Issued:

<NAME OF SCHOLAR>Midwifery ScholarGov’t Issued ID:ID No.:Date Issued:

Known to me to be the same persons who executed the foregoinginstrument, consisting of three (3) pages including this page as embodiments oftheir own,true andfree act.

WITNESS MY HAND AND SEAL, | this day of2019 at the City of , Philippines.

NOTARY PUBLIC

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Annex E

Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARYManila, Philippines

SCHOLARSHIP CONTRACT FOR DOCTOR OF MEDICINE

This Scholarship Contract entered and executed by and between theGovernment of the Philippines through the Department of Health (DOH)represented by <NAME>, Director IV, Health Human Resource DevelopmentBureau, herein referred to as the “GRANTOR”;

-and-

<NAME OF SCHOLAR>, of legal age, Filipino with residence at, Philippines, herein referred to as the

“GRANTEE”.

WITNESSETH:

Pursuant to the DOH Medical Scholarship Program and the year scholarshipawarded to the GRANTEE, the latter hereby agrees to fulfill the following termand conditions:

1. Meet all the academic requirements of the partner school and finish the coursewithin the prescribed period;

2. Pass the board examination within one (1) year after internship;

Scholars shall render post- graduate internship in any DOH or Association ofPhilippine Medical Colleges (APMC) accredited base hospital of the partner school.

The scholar shall complete his or her post-graduate internship within one (1) yearupon commencement.

3. Serve the GRANTOR for two (2) years for every year of scholarship, initiallythrough the DOH Doctors to the Barrios Program, upon passing the boardexamination;

4. Refund the amount equivalent to the current average tuition fees of medical schools,and reimburse all other expenses incurred with 10% mark-up per year or renderreturn service, should he/she fail to comply with the foregoing conditions throughhis/her fault, willful neglect, or other causes within his/her control. Re-computationis based on prevailing inflationrate;

5. To behave and conduct himself/herself in such a manner that will not bring damageto the Department of Health, the University, its administration, faculty and students,and shall neither engage in reprehensive, illegal or subversive and corrupt activities,as defined by existing laws.

The GRANTORS shall:

1. Provide the GRANTEE allowances per semester, as follows:1.1 Book Allowance ...............08 Php 12,100.001.2 Uniform Allowance ............... Php 3,025.001.3. Miscellaneous Allowance ...... Php 5,500.00

Php 20,625.00

y

Provide the GRANTEE allowances per month, as follows:1.4 Transportation Allowance ...... Php 880.001.5 Living Subsidy .................0005 Php 4,500.001.6 Lodging Allowance ............... Php 3,000.00

Php 8,380.00

Pay Philhealth Premium per year P 2,400.00

Provide the GRANTEE of the Review and Board Examination Fees

2. Ensure timely release of allowances to the GRANTEE;

3. Pay directly to partner school the agreed tuition fee, miscellaneous, laboratory andstudent fund of the GRANTEE perbilling submitted by the school;

4. In case of violation of the terms of this contract, the DOH has the option to try toreconcile the issues first before filing an appropriate action in the proper courts or couldgo directly to court;

5. Provide items/ employment positions for the licensed medical graduates under thisprogram, through the Departmentof Health;

6. Be vested solely with the deployment of GRANTEESto the DOH priority areas inaccordance with DOH Doctors to the Barrios Program through the Department ofHealth.

7. Ensure that the processing of information of the GRANTEEshall be conducted incompliance with the Data Privacy Act of 2012 and other related issuances, includinghaving a Data Sharing Agreement between the GRANTEEand the GRANTOR beforethe information are released or shared.

IN WITNESS WHEREOF, we have hereunder set our hands this day of2019 at , Philippines.

GRANTORS

<NAME>Director IV, HHRDB

GRANTEE

<NAME OF SCHOLAR>Medical Scholar

Signed in the presenceof:

<NAME>Director [V

DOH Regional Office No.

GWYN GRACE M. DACURAWAT, RN, MANChief, Career Development ManagementDivision

<NAME>Dean of the College

<NAME OF SCHOOL>

2

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)CITY OF ) s.S.

BEFORE ME,a Notary Public for and in City of , Philippines, thisday of personally appeared:

<NAME>Director IV, HHRDBGov’t Issued ID:ID No.:Date Issued:

<NAME OF SCHOLAR>Medical ScholarGov’t Issued ID:ID No.:Date Issued:

Known to me to be the same persons who executed the foregoinginstrument, consisting of three (3) pages including this page as embodiments oftheir own, true and free act.

WITNESS MY HAND AND SEAL, this day of2019 at the City of , Philippines.

NOTARY PUBLIC

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Annex F

Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICEOBLIGATION

I, 5 years old, with permanentaddress at ,do hereby declare that should J be selected as scholar under the DOH Medical ScholarshipProgram, I am willing to render two (2) years of service to the government for every year orfraction of a year of study/scholarship granted. I am willing to render the first three (3) yearsin Public Health Care Services through the DOH- HRH Deployment Program or the DOHDoctors to the Barrios Program.

IN WITNESS WHEREOF,I do hereby affix my signature this at

Nameof Scholar

Name of Parent/Guardian Nameof Parent/Guardian(Witness) (Witness)

SUBSCRIBE AND SWORNto before me this at the

, Affiant exhibited to me his/her Community Tax Certificate No.

issued at on

Doc. No.Page No.Book No.Series

Annex F

Republic of the PhilippinesDepartment of Health

OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICE OBLIGATION

I, , years old, with permanentaddress at 5

do hereby declare that should I be selected as scholar under the DOH Midwifery ScholarshipProgram, I am willing to render two (2) years of service to the government for every year orfraction of a year of study/scholarship granted. I am willing to serve in Public Health CareServices through the DOH- HRH Deployment Program.

IN WITNESS WHEREOPF,I do hereby affix my signature this at

Nameof Scholar

Nameof Parent/Guardian Nameof Parent/Guardian(Witness) (Witness)

SUBSCRIBE AND SWORNto before me this at the

, Affiant exhibited to me his/her Community Tax Certificate No.

issued at on

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