03/12/2022
TIPS AND GUIDES for the Doctors in Issuing Certification of Disability:
1. Only Psychiatrist can certify those with Psycho-social disability.
2. The Oncologist can certify those with Cancer.
3. The EENT or the Opthalmologist can certifty those with visual disability NOT the Optomitrist.
4. The EENT can certify those with Hearing Impairment (Deaft/Hard of Hearing) and supported with Audio Test. We require the Audio Test for their need of hearing aid (if needed)
5. For Children with Disability, the parents can consult a Developmental Pedia for proper diagnosis of the child's condition.
Here are the types of Disability:
1. Deaf / Hard of Hearing
2. Intellectual Disability
3. Learning Disability
4. Mental Disability
5. Psychosocial Disability (certified by a Psychiatrist)
6. Speech and Language Impairment
7. Visual Disability (certified by an Opthalmologist)
8. Cancer (R.A. 11215) (certified by an Oncologist)
9. Rare Disease (R.A.10747) (for consultation with DOH. The DOH can only certify on this kind of disability)
10. Physical / Orthopedic Disability
For those with Apparent Disability, we don't require a medical certificate but we take picture of the person with disability as proof of her/his physical condition. Only those with NON-APPARENT disability that we require the medical certificate.
DEPARTMENT OF HEALTH ADMINISTRATIVE ORDER No. 2013-0005-A
Amendment to administrative Order No. 2013-0005 dated February 7, 2013 entitled “National Policy on the Unified Registry Systems of the Department of Health”
DOH A.O. No. 2013-0005, “National Policy on the Unified Registry Systems of the Department of Health” (Chronic Non-Communicable Diseases, Injury Related Cases, Persons with Disability and Violence Against Women and Children Registry System) “which states that the Philippine Registry for Persons with Disability (PRPWD) as a component of this issuance make certain that a recording and reporting system of different types of disabilities shall be established and institutionalized at the national, regional and local levels. With this, the DOH and the National Council on Disability Affairs should make necessary improvements on the PRPWD”.
OBJECTIVES:
1. To provide a revised/modified version of the DOH PRPWD registry
2. Harmonize the registry with R.A. 11228, R.A. 10747 and R.A. 11215
COVERAGE AND SCOPE: This Order shall apply to all DOH Central Office, Centers for Health Development Offices, Philippine Health Insurance Corporation, Provincial/District/City/Municipal Offices, Government and Private Clinics/hospitals, medical professional, societies/associations, and related health care establishments, pharmacies and other establishment dispensing medicines.
DEFINITION OF TERMS: Consistent with the pertinent definitions used in the IRR of R.A. 7277 and R.A. 9442 and World Health Organization, the following terms of Types of Disability shall be defined as follows:
1.DEAF/HARD OF HEARING – refers to people with hearing loss, implies little or no hearing ranging from mild to severe. Hearing loss, also known as hearing impairment means the complete or partial loss of the ability to hear from one or both ears with 26 dB or greater hearing threshold, averaged at frequencies 0.5, 1, 2, 4 kilohertz.
2.INTELLECTUAL DISABILITY – a significantly reduced ability to understand new or complex information and to learn and apply new skills.
3.LEARNING DISABILITY – persons who, although normal in sensory, emotional and intellectual abilities, exhibit disorders in perception, listening, thinking, reading, writing, spelling and arithmetic.
4.MENTAL DISABILITY– disability resulting from organic brain syndrome and or mental illness (psychotic or non-psychotic disorder).
5.PHYSICAL DISABILITY – is a restriction of participation due to any impairment that affects a person’s mobility, endurance or stamina in the safe performance of sustained physical activity, dexterity in accomplishing tasks skilfully and quality of life. Causes may be congenital, hereditary or acquired fro trauma, infection, surgical or medical condition and include the following disorders, namely: (1) Connective tissues, musculoskeletal or orthopaedic disorders (2) Neurological or neuromuscular disorders (3) Cardiopulmonary disorders.
6.PSYCHOSOCIAL DISABILITY – any acquired behavioral, cognitive, emotional or social impairment that limits one or more activities necessary to effective interpersonal transactions and other civilizing process or activities to daily living such as but not limited to deviancy or anti-social behavior. (Medical Certification must be certified by a Psychiatrist)
7.SPEECH AND LANGUAGES IMPAIRMENTS – means one or more speech/language disorders of voice, articulation, rhythm and/or the receptive and expressive processes of language.
8.VISUAL DISABILITY – A person with visual disability is one who has impairment of visual functioning even after treatment and/or standard refractive correction, and has visual acuity in the better eye of less than (6/18 for low vision and 3/60 for blind), or a visual field of less than 10 degrees from the point of fixation. A certain level of visual impairment is defined as legal blindness. One is legally blind when your best corrected central visual acuity in your better eye is 6/60 or worse or your side vision is 20 degrees or less in the better eye. (Medical Certificate must be issued by an Ophthalmologist).
9.CANCER (R.A. 11215) – Cancer refers to a genetic term for a large group of diseases that can affect any part of the body. Other terms used are malignant tumors and neoplasms. One defining feature of cancer is the rapid creation of abnormal cells that grow beyond their usual boundaries, and which can then invade adjoining parts of the body and spread to other organs. (By an Oncologist)
10.RARE DISEASE (R.A. 10747) – refers to disorders such as inherited metabolic disorders and other diseases with similar rare occurrence as recognized by the DOH upon recommendation of the NH but excluding catastrophic (i.e. life threatening, seriously debilitating, or serious and chronic) forms of more frequently occurring diseases.
CAUSES OF DISABILITY:
1. CONGENITAL/INBORN (Autism, ADHD, Cerebral Palsy, Down Syndrome)
2. ACQUIRED (Chronic Illness, Cerebral Palsy, Injury, Rare Disease)
DECLARATION OF POLICIES
1.RA 11228, s. 2019 – An Act Providing for the Mandatory PhilHealth Coverage for all PWD’s amending for the purpose
RA 7277, otherwise known as the Magna Carta for Persons with Disability
2.RA 11215, s. 2019 – An Act Institutionalizing a National Integrated Cancer Control Program and Appropriating Funds
3.RA 10747, s. 2016 – An Act Promulgating a Comprehensive Policy in Addressing the Needs of Persons with Rare Disease
