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You are on page 1of 57

Module 1.a MONTHLY Health Sector Performance Monitoring and Evaluation

For the Month of: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : ________________________________________

Performance Indicator Instructions/Guide Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual

Item A. Get the total PSA projected population of your LGU.

Item B. Get the total number of deliveries in your LGU for the given

month. Add cumulatively on an annual basis.

Indicator 1. 1.1 Based on the FHSIS Monthly Report, get the total number

of children fully immunized for the month. Add cumulatively on

an annual basis.

Total Projected

Population

Total Number

Indicator 2. of Deliveries 2.1 Based on the FHSIS Monthly Report, get the total number

of pregnant women who had 4 or more prenatal visits for the

month. Add cumulatively on an annual basis.

children

Indicator 3. 3.1 Based on the FHSIS Monthly Report, get the total number

of SBA deliveries for the month. Add cumulatively on an

Total no. of pregnant annual basis.

women with 4 or more prenatal visits

% FIC

Indicator 4. 4.1 Based on the FHSIS Monthly Report, get the total number

of deliveries in health care facility for the month. Add

cumulatively on an annual basis.

Total no. of deliveries

attended by a skilled health

professional

% with 4

or more prenatal visits

Total no. of

Indicator 5. 5.1 Based on the LGU FHSIS Monthly Report, get the total

number of postpartum women with at least 2 postpartum visits

for the month. Add cumulatively on an annual basis.

Indicator 6. 6.1 Based on the FHSIS Monthly Report, get the total number

of all the current users of modern FP method for the month.

Total no. of postpartum women For the annual total number of all the current users of modern

with at least 2 PP visits FP method, copy the December data and place this under the

"Annual" Column.

Total no. of WRA who are Module 1. Data Collection Form at the RHU/MHC

current users of modern FP method

Module 1.a MONTHLY Health Sector Performance Monitoring and Evaluation

For the Month of: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : ________________________________________

Performance Indicator Instructions/Guide Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual

Indicator 7. a. Modern FP Unmet Need Among Generral Population

7.1 Based on the updated list of the RHU/POPCOM on FP

unmet need, get the total number of WRAs (15 - 49 years old)

% with with unmet need for modern family planning methods for the

at least 2 PPV month. For the annual proportion of FP unmet, copy the

December data and place this under the "Annual" Column.

7.2 Based on the updated list of the RHU/POPCOM on FP

%Total

mCPRno. unmet need, get the total number of WRAs, 15-49 years old

of WRA with unmet need for modern (both NHTS household members plus non-NHTS poor)with

FP methods unmet need for modern family planning methods for the month.

For the annual proportion of FP unmet, copy the December

data and place this under the "Annual" Column.

(IO 1.2.2.5.1)

7.3 Based on the updated list of the RHU/POPCOM on FP

unmet need, get the total number of WRAs, 15-49 years old

(NHTS household members only) with unmet need for modern

family planning methods for the month. For the annual

proportion of FP unmet, copy the December data and place

this under the "Annual" Column.

unmet need

Indicator 8. for modern FP a. NHTS plus other non-NHTS poor

8.1 Based on the updated TSEKAP Report, get the number of

those poor/indigents who are non-NHTS members given

Check-up for the month. Add this cumulatively on an annual

basis (Please do not include follow-up check ups and

returnees).

8.2 Get the total number of NHTS beneficiaries (members)

based on the listahan of DSWD and add the number of non-

NHTS poor members given check-up. Add this cumulatively on

(IO 1.2.1) an annual basis.

% of poor b. NHTS household members

provided with annual health 8.3 Based on the updated TSEKAP Report among NHTS

check-up members, get the total number of NHTS household members

who have undergone check-up for the month. Add this

cumulatively on an annual basis (Please do not include follow-

up check ups and returnees).

8.4 Get the total number of NHTS beneficiaries (members)

based on the listahan of DSWD.

and RELAPSE TB cases on a monthly basis. Add

(IO 2.1) cumulatively on an annual basis.

(PhilMIS), get the total number of OLD and NEW malaria

cases on a monthly basis. Add cumulatively on an annual

basis.

Total no. of new and

relapse TB cases

Total no. of

confirmed malaria cases

Name of DMO : __________________________________

LGU Achievement DMO/RHSPMU Assessment

At the end of the year, PHTL/RHSPMU

assesses if LGU achieved the national program

target

1.2 At the end of the year, compute the % FIC by dividing the total number of fully National Program Target: 95%

immunized children (Item 1.1) by the estimated number of eligible population (2.7 %

of PSA projected population). Multiply this by 100.

P - achieved

% FIC: ______________ X - not

achieved

2.2 At the end of the year, compute the % pregnant women with 4 or more prenatal National Program Target: 86%

visits by dividing the total number of pregnant women who had 4 or more prenatal

visits by the estimated number of pregnant women (2.7 % of PSA projected

population). Multiply this by 100.

Encircle the status

P - achieved

. X - not

achieved

3.2 At the end of the year, compute the % SBA deliveries by dividing the number of National Program Target: 99%

deliveries attended by SBAs (Item 3.1) by the total number of deliveries (Item B).

Multiply this by 100.

% with 4 or more prenatal visits: _____________

Encircle the status

.

P - achieved

X - not

achieved

4.2 At the end of the year, compute the % FBDs by dividing the% SBA: of deliveries National Program Target: 91%

number

_______________

in health facilities (Item 4.1) by the total number of deliveries (Item B). Multiply this

by 100.

.

Encircle the status

P - achieved

X - not

% FBD: _____________ achieved

5.2 At the end of the year, compute for % of women with at least 2 PP visits by National Program Target: 86%

dividing the total number of postpartum women with at least 2 postpartum visits by

the estimated number of postpartum women (2.7 % of PSA projected population).

Multiply this by 100.

Encircle the status

P - achieved

X - not

. achieved

6.2 At the end of the year, compute the % modern CPR by dividing the total number National Program Target: 52%

of all the current users of modern FP method (Item 6.1) by the estimated number of

WRA population (12.325 % of PSA projected population). Multiply this by 100.

% with

at least 2 PP visits: _______________

Encircle the status

. P - achieved

X - not

achieved

% mCPR: ______________

LGU Achievement DMO/RHSPMU Assessment

7.4 At the end of the year, compute the proportion of WRAs (15 - 49 years old) with National Program Target: < 5%

unmet need for modern FP method by dividing the total no. of WRAs (15-49 years

old) with unmet need for modern FP method (item 7.1) by the estimated number of

WRA population (12.325 % of PSA projected population). Multiply this by 100.

Encircle the status

P - achieved

X - not

achieved

7.5 At the end of the .year, compute the proportion of WRAs, 15-49 years old National Target: <5%

(NHTS household members plus non-NHTS poor) with unmet need for modern FP

method by dividing the total no. of WRAs (NHTS household members plus non-

NHTS poor)with unmet need for modern FP method (item 7.2) by the total number of

WRA, 15-49 years old (NHTS household members Proportion of WRApoor). Multiply

plus non-NHTS

this by 100. Encircle the status

/ - achieved

X - not

. achieved

with unmet need for modern FP: _____________

7.6 At the end of the year, compute the proportion of WRAs, 15-49 years old National Program Target: < 5%

(NHTS household members) with unmet need for modern FP method by dividing the

total no. of WRAs, 15-49 years old (NHTS household members) with unmet need

for modern FP method (item 7.3) by the total number of WRA, 15-49 years old

(NHTS household members). Multiply this by 100.

7.6 At the end of the year, compute the proportion of WRAs, 15-49 years old National Program Target: < 5%

(NHTS household members) with unmet need for modern FP method by dividing the

total no. of WRAs, 15-49 years old (NHTS household members) with unmet need

for modern FP method (item 7.3) by the total number of WRA, 15-49 years old

(NHTS household members). Multiply this by 100.

Encircle the status

P - achieved

X - not

. achieved

8.6 At the end of the year, compute the % of poor (NHTS plus non-NHTS poor) who National Target: 100 %

have received check-up by dividing the total number of NHTS household members

plus non-NHTS poor (Item 8.2) over the total number of NHTS beneficiaries (based

on the listahan of DSWD - Item 8.4) plus the total number of non-NHTS poor (item

b. Proportion of WRA, 15-49 years old (NHTS household

8.2). Multiply this by 100.

members).

. with unmet need for modern / - achieved

FP : ________________ X - not

achieved

8.7 At the end of the year, compute the % of poor (NHTS household members) who National Target: 100 %

have received check-up by dividing total number of NHTS household member (Item

8.3) over the total number of NHTS beneficiaries (based on the listahan of DSWD -

Item 8.4). Multiply this by 100.

b. % of poor

(NHTS household members

Encircle the status

/ - achieved

. X - not

9.2 At the end of the year, compute the TB Incidence per 100,000 population by achieved

National Program Target: 225 per 100,000

dividing the total number of new and relapse TB cases (Item 9.1) by the total PSA

+ other

project population (Item A). Multiply this non-NHTS poor)

by 100,000.

.

Encircle the status

a. % of poor (NHTS

P - achieved

household members) provided

X - not

10.2 At the end of the year, compute the malaria prevalence per 100,000Tuberculosis achieved

population National Program Target: 0.05 per 100,000

by dividing the total number of old and new malaria cases (Item 10.1)provided

Incidence by the total

with

PSA

with projected

annual

annual population

checkcheck

up: (Item A). Multiply this by 100,000.

________________

up: ______________________

. Encircle the status

P - achieved

per 100,000 population: __________________ X - not

achieved

Malaria Prevalence

A. Indicator B. Operational Definition

Indicator 1. Proportion of infants who received 1 dose of BCG, 3 doses of OPV, 3 doses of Pentavalent vaccine and 2 doses of

measles containing vaccines at 12 months old

Indicator 2. Proportion of pregnant women visited/ seen by the midwife/ nurse/ doctor at home or at a health facility at least once

during the first and second trimesters and twice during the third trimester during a given period

Indicator 3. Proportion of deliveries attended by skilled health professional who are licensed health professionals such as

midwife, doctor or nurse, during a given period. Skilled health professional has been trained to proficiency to manage

pregnancies, childbirth and the immediate postnatal period and identification, management and/or referral of

complications in women and newborns.

% FIC

Indicator 4. % with at Proportion of deliveries delivered in a health facility such as hospitals, lying-ins, rural health units, barangay health

least 4 ANC stations, private clinics and the like during a given period.

(IO 1.1.4.1)

(IO 1.2.2.4.1)

% SBA

Indicator 5. Proportion of deliveries that received post-partum visits by a midwife/nurse/doctor at home or at a health facility at

least twice after delivery such that the first visit is within 24 hours upon delivery and the second visit within one week

after delivery during a given period.

Indicator 6. Proportion of women aged 15-49 years old who are currently using (or whose partner is using) any modern method

of contraception or family planning, which includes: the pill, female and male sterilization, IUD, injectables, implants,

condom, and natural FP methods such as cervical mucus, basal body temperature, symptothermal method, standard

days method and lactation amenorrhea method during a given period

% with

at least 2 PPV

(IO 1.2.2.5.1)

% using mCPR

(IO 1.2.2.1.1)

A. Indicator B. Operational Definition

Proportion of women (aged 15-49 years old) who are fertile and sexually active but:

1.want to limit number of children but not using any modern method; or

2.want to space/delay the birth of the next child but not using any modern method; or

3.using traditional method during a given period

Proportion of WRA (aged 15-49 Proportion of NHTS and other non-NHTS poor women (aged 15-49 years old) who are fertile and sexually active but:

years old) with unmet need for modern family 1.want to limit number of children but not using any modern method; or

planning 2.want to space/delay the birth of the next child but not using any modern method; or

3.using traditional method during a given period

Proportion of NHTS poor women (aged 15-49 years old) who are fertile and sexually active but:

1.want to limit number of children but not using any modern method; or

(IO 1.2.1)

2.want to space/delay the birth of the next child but not using any modern method; or

3.using traditional method during a given period

Proportion of NHTS households members and non-NHTS poor that were provided with an annual health check-up in

public health facilities (BHS/HC, RHU/MHC, LGU and national-owned hospitals) and through other schemes

facilitated by the public health workers such as home visits, outreach program to GIDA during a given period. The

poor that will be included in the counting were those provided with at least 3 services, with at least 1 of the 3 services

provided by a doctor. This shall exclude follow-up check-ups, and check-ups conducted by other organizations.

b. Proportion of NHTS households members that were provided with an annual health check-up in public health

facilities (BHS/HC, RHU/MHC, LGU and national-owned hospitals) and through other schemes facilitated by the

public health workers such as home visits, outreach program to GIDA during a given period The poor that will be

included in the counting were those provided with at least 3 services, with at least 1 of the 3 services provided by a

doctor. This shall exclude follow-up check-ups, and check-ups conducted by other organizations.

up (PHA)

Indicator 9. Estimated number of new and relapse TB cases (all forms of TB) arising in a given year, expressed as a rate per

100,000 population

Indicator 10. Total number of malaria cases during a given period, expressed as a rate per 100,000 total population

population

(FO 1.6.3)

(FO

1.6.4)

C. Formula

Numerator: Total number of children who received 1 dose of BCG, 3 doses of OPV, 3 doses of Pentavalent

vaccine and 2 doses of measles containing vaccines before reaching 12 months old during a given period

(2.7% of PSA projected population)

Numerator: Total number of pregnant women with 4 or more prenatal visits during a given period

Multiplier: 100

Denominator: Total number of estimated pregnant women (2.7% of PSA projected population)

Multiplier: 100

Numerator: Total number of deliveries attended by a skilled health professional during a given period

Multiplier: 100

Multiplier: 100

Numerator: Total number of deliveries with at least 2 PP visits 4 or more prenatal visits during a given period

Multiplier: 100

Numerator: Total number of WRA who are current users of modern FP method during a given period

Denominator: Total number of estimated WRA population (12.325% of PSA projected population)

Multiplier: 100

C. Formula

Numerator: Total number of women of reproductive age (15 - 49 years old) with unmet need for modern family planning methods

during a given period

Denominator: Total number of estimated WRA population (12.325% of PSA projected population)

Multiplier: 100

Numerator: Total number of women of reproductive age, 15-49 years old (both NHTS household members plus non-NHTS poor) with

unmet need for modern family planning method during a given period

Denominator: Total number of WRA, 15-49 years old (both NHTS household members plus non-NHTS poor)

Multiplier:

100

Numerator: Total number of women of reproductive age, 15-49 years old (NHTS household members only) with unmet need for

modern family planning method during a given period

Denominator: Total number of WRA, 15-49 years old (NHTS household members only)

Multiplier:

100

Numerator: Number of NHTS household members and non-NHTS poor provided with annual health check-up during a given period

Denominator: Total number of NHTS household members based on the listahanan of DSWD and non-NHTS poor during a given

period

Multiplier: 100

Numerator: Number of NHTS households members provided with annual health check-up during a given period

Denominator: Total number of NHTS household members based on the listahanan of DSWD during a given period

Multiplier: 100

Numerator: Total number of new and relapse TB cases arising in a specific period cases during a given period

.

.

Numerator: Total number of malaria cases during a given period

.

Multiplier:

100,000

.

Multiplier:

100,000

Module 1 - Data Collection Form at the RHU/MHC

Module 1.b QUARTERLY Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : ___________________________________________

Performance Instructions/Guide

Indicator Quarter: _________________ Quarter: _________________ Quarter: _________________ Quarter: ________________

Indicator 11. 11.1 Based on the FHSIS Report,

get the total number of leprosy

cases on a quarterly basis. Add

cumulatively on an annual basis.

Indicator 12. 12.1 List the name of your Verify if your RHU/MHC has a functional EMR systems Verify if your RHU/MHC has a functional EMR systems Verify if your RHU/MHC has a functional EMR systems Verify if your RHU/MHC has a functional EMR syste

RHU/MHC on the space

provided

P - if EMR is functional X - if EMR is not P - if EMR is functional X - if EMR is not P - if EMR is functional X - if EMR is not P - if EMR is functional X - if EM

functional functional functional funct

Total:

cases

Indicator 13. 13.1 List the name of all presence of determine the category of Status presence of determine the category of Status presence of determine the category of Status presence of determine the category of

barangays in your public health the personnel public health the personnel public health the personnel public health the personnel

municipality/city and check the worker worker worker worker

succeeding columns

accordingly.

P - if P - if P - if P - if

none fully dedicated none fully dedicated none fully dedicated none fully dedicated

2

10

Total

% of barangays

with at least one

dedicated public

health worker

(midwife, nurse,

doctor)

(OP 3)

Name of DMO : ____________________

_______ Annual

11.2 At the end of the year, compute the leprosy prevalence by

dividing the total number of leprosy cases (Item 11.1) by the total

PSA projected population (Item A). Multiply this by 10,000.

EMR systems 12.2 For the annual, copy the 4th quarter status.

Leprosy Prevalence Rate: __________

X - if EMR is not P - if EMR is functional X - if EMR is not

functional functional

Status 13.2 For the annual, copy the 4th quarter status.

presence of determine the category of Status

public health the personnel

worker

(X) (P) MD RN RM

yes

none P - if

use additional sheet as needed

A. Indicator B. Operational Definition

Indicator 11. Prevalence is the number of leprosy cases registered at a given point in time and the prevalence rate is per 10,000 total population.

A case of leprosy is a person presenting clinical signs of leprosy (with or without bacteriological

examination) who has yet to complete a full course of treatment. A patient who has completed a full course of fixed duration MDT (6 doses for PB and 12

doses for MB) is cured. An MB patient who has not collected treatment for

6 consecutive months and a PB patient who has not collected treatment for 3 consecutive months are considered defaulter and should start retreatment

but not removed from the prevalence.

Includes

Indicator 12. Percentage of public health facilities such as LGU and DOH hospitals, rural health units, urban health centers, health centers and other

health facilities that uses iClinicSys, HOMIS or any other EMR systems. Functionality means that the EMR system can generate timely

report as required by the management

Leprosy EMR

Prevalence

systems

Rate

Indicator 13. Proportion of barangays with at least one dedicated public health worker (doctor, nurse, or midwife). This shall include permanent

personnel, job orders/ contractual, and DOH deployed. If the HRH has been assigned to several barangays, he/she shall choose one

(PR 1) barangay which will be counted as his/her base assignment. This shall be the one reflected in the monitoring tool. Barangays with rotating

health workers only shall not be included in the counting.

(FO 1.6.2)

one dedicated public health worker

(OP 3)

C. Formula

.

.

Multiplier: with functional EMR systems during a given period

Multiplier: 100

Numerator: Number of barangays with at least one dedicated public health worker during a given period

.

Multiplier: 100

Module 1. Data Collection Form at the RHU/MHC

Module 1.c ANNUAL Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : ____________________________________

Performance Indicator Instructions/Guide DMO/RHSPMU Assessment Performance Indicator

LGU

Achievement

Item A. Get the total PSA projected population of your LGU. At the end of the year, Indicator 18.

PHTL/RHSPMU assesses if

LGU achieved the national

program target

Indicator 14. 14.1 Based on the OPT Report (First Round of theYear), get the total number of National Program Target:

overweight children under 5 years of age (0 - 59 months). < 3.9%

14.2 Indicate the total number of children whose weights and heights were measured Indicator 19.

during the OPT.

Total Projected Population Encircle the status

14.3 Compute the proportion of overweight children under 5 years old by dividing the

total number of overweight children (Item 14.1) by the total number of children whose P-

weights and heights were measured during the OPT - Item 14.2). Multiply this by 100. achieved

Indicator 15. 15.1 Based on the OPT Report (First Round of the Year), get the total number of National Program Target: households with

wasted children under 5 years of age (0 - 59 months). < 5% access to improved or

safe water20.

Indicator supply

15.2 Indicate the total number of children whose weights and heights were measured

during the OPT. Encircle the status

15.3 Compute the proportion of wasting among children under 5 years old by dividing

the total number of wasted children (Item 15.1) by the total number of children whose P-

weights and heights were measured during the OPT - Item 15.2). Multiply this by 100. achieved Proportion of

households using

X - not achieved safely managed

Indicator drinking

Indicatorwater

21. services

Proportion16.

of 16.1 Based on the OPT Report (First Round of the Year), get the total number of

stunted children under 5 years of age (0 - 59 months).

National Program Target:

overweight children 21.4%

under 5 years of age (IO 1.5.1)

16.2 Indicate the total number of children under 5 years oldwhose heights were

measured during the OPT. Encircle the status

16.3 Compute the proportion of stunting among children under 5 years old by dividing P-

the total number of stunted children (Item 16.1) by the total number of children under achieved

5 years old whose heights were measured during the OPT - Item 16.2). Multiply this Indicator 22.

by 100.

X - not achieved

Indicator 17. 17.1 Specify if PHO/CHO/MHO has institutionalized DRRM - H

with "Zero Open

Proportion of Defecation" status

stunted children under X - if no institutionalized DRRM - H

5 years of age

% of Local Government

Health Facilities (LGHFs)

with institutionalized %

Disaster Risk Reduction of municipalities/cities

Management for Health

with 1 RHU/MHC to

(DRRM-H) system

20,000 population

(IO 1.5.3)

(IO

1.1.3)

(IO 2.4)

(OP 5)

dule 1. Data Collection Form at the RHU/MHC

h Sector Performance Monitoring and Evaluation

r the Period: __________________________

Name of DMO : _______________________________

Instructions/Guide DMO/RHSPMU

LGU

Assessment

Achievement

18.1 Get the total number of households with access to improved or safe water supply. National Program

Target: 95%

18.2 Indicate the number of households in your municipality/city. Encircle the status

18.3 Compute the proportion of households with access to improved or safe water supply P - achieved

by dividing the number of households with access to improved or safe water supply (Item

19.1) by the total number of households (Item 19.2). Multiply this by 100.

X - not

achieved

19.1 Get the total number of households with access to improved water sources located in

the premises and free from E.coli

19.3 Compute the proportion of households with access to improved water sources

located in premises and free from E.coli by dividing the number of households with

access to improved water sources located in premises and free from E.coli (Item 19.1) by

the total number of households (Item 19.2). Multiply this by 100.

20.1 Get the total number of households using safely managed sanitation services. National Program

Target: 95%

20.2 Indicate the number of households in your municipality/city. Encircle the status

20.3 Compute the % of households using safely managed sanitation services by dividing

the number of households using safely managed sanitation services (Item 20.1) by the P - achieved

total number of households (Item 20.2). Multiply this by 100.

X - not

achieved

21.1 Indicate the total barangays declared with zero open defecation status. National Program

Target: 100%

21.2 Indicate the total number of barangays in your municipality/city .

21.3 Compute the % of barangay with zero open defecation status by dividing the number P - achieved

of barangay with zero open defecation status (Item 21.1) by the total number of barangays

in your municipality/city (Item 21.2). Multiply this by 100.

X - not

achieved

22.1 Indicate the total number of existing RHUs/MHCs in your municipality/city.

22.2 Compute the desired number of RHU/MHC in the LGU by dividing the total population

by 20,000.

22.3 Check if the number of existing RHUs/MHCs (Item 22.1) is equal or higher than the

desired number of RHUs/MHCs needed for the given PSA projected population of your

municipality/city.

(a) Encircle (/) if existing no. of RHU/MHC is equal or

higher than the desired number of RHU/MHC.

(b) Encircle (X) if the existing number of RHU/MHC is lower than the desired number

of RHU/MHC.

A. Indicator B. Operational Definition

Indicator 14. Percentage of children aged 0-59 months old whose weight for height are >+2 standard deviation from the median weight for height of the WHO Child Growth Standards. This shall include mild, moderate

and severe cases.

Indicator 15. Percentage of children aged 0-59 months old whose weight for height are less than 2 standard deviation from the median weight for height of the WHO Child Growth Standards. This shall include mild,

moderate and severe cases.

Indicator 16. Percentage of children aged 0-59 months old whose height for age are less than 2 standard deviation from the median height for age of the WHO Child Growth. This shall include mild, moderate and severe

cases.

Proportion of

overweight children under 5 years of

Indicator

age 17. Percentage of the actual number of targeted LGHFs having institutionalized DRRM-H system.

LGHFs Provincial/ City/ Municipal Health Offices, LGU-owned hospitals/facilities (provincial and district hospitals)

Institutionalized DRRM-H System is the availability of ALL of the following:

1. DRRM-H Plan

2. Trained and equipped health emergency managers and responders

Proportion of stunted children under 5 3. Commodities

years of wasted children under 5 4. Operation center

of age

Proportion

years of age

Indicator (IO

18. 1.1.1) Refers to households covered by or have access to the following improved types of drinking water sources

% of Local Government Health Definition of terms:

Facilities (LGHFs) with institutionalized Level I (Point Source) refers to a protected well (shallow and deep well), improved dug well, developed spring, or rainwater cistern with an outlet but without a distribution system, generally adaptable for

Disaster Risk Reduction Management rural areas where the

for Health (DRRM-H) system houses are thinly scattered. A level I facility normally serves around 15 households.

(IO Level II (Communal Faucet System or Standposts) refers to households covered by or have access to the

1.1.3) following improved types of drinking water sources

(IO 1.1.2) Definition of terms: Level I (Point Source) refers to a protected well (shallow and deep well), improved dug well, developed spring, or rainwater cistern with an outlet but without a distribution system,

generally adaptable for rural areas where the houses are thinly scattered. A level I facility normally serves around 15 households.

Proportion of households with access Level II (Communal Faucet System or Standposts) refers to a system composed of a source, a reservoir, a piped distribution network, and a communal faucet located not more than 25 meters from the

to improved or safe water supply farthest house. It is generally suitable for rural and urban areas where houses are clustered densely enough to justify a simple piped water system. Usually, one faucet serves 4 6 households. Note: For

reporting purposes Level II system may also include a communal faucet connected to Level III where group of households get their water supply.

(IO 2.4) Level III (Waterworks System) a system with a source, transmission pipes, a reservoir, and a piped distribution network for household taps. It is generally suited for densely populated areas. Examples of

these are MWSSand water districts with individual household connections.

(IO 1.5.1)

Indicator 19. Refers to households using an improved drinking water source which is:

-located on premises,

-available when needed, and

-free of fecal and priority chemical contamination

Located in premises - when the water is either piped into household dwelling or yard/plot or a point source located within the household premises

Free of fecal contamination water is free from E. coli.

Water supply found with E.coli should be corrected and conduct resampling.

Indicator 20. Proportion of households using a basic sanitation facility at the household level (flush or pour-flush toilets to sewer systems, septic tanks or pit latrines, ventilated improved pit latrines, pit latrines with a slab,

Proportion of households using safely and composting toilets) which is not shared with other households and where excreta are safely disposed in situ or treated off-site during a given period

managed drinking water services

Indicator 21. Proportion of barangays declared with Zero Open Defecation (ZOD) status during a given period following DOH guidelines.

Zero open defecation is defined as no feces openly visible or exposed to the environment. Achieving ZOD might involve the use of any form of toilets that prevent exposure of feces to the environment with

provision for moving up the sanitation ladder. (DM2015-0021)

(IO 1.5.1.1)

Proportion of households using safely

Indicator 22. Total number of municipalities and cities which meet the desired 1 RHU/MHC to 20,000 population ratio among all municipalities and cities nationwide during a given period

managed sanitation services

% of

barangays with "Zero Open

Defecation" status

(IO 1.5.2)

% of municipalities/cities with 1

RHU/MHC to 20,000 population

(IO 1.5.3)

(OP 5)

C. Formula

Numerator: Total number of overweight children aged 0-59 months old

Denominator: Total number of children whose weights and heights were measured

Multiplier: 100

Denominator: Total number of children whose weights and heights were measured

Multiplier: 100

Denominator: Total number of children heights were measured

Multiplier: 100

hospitals/facilities (provincial and district hospitals)]

with institutionalized DRRM-H system during a given period

Denominator: Total number of LGHFs [Provincial/ City/ Municipal Health Offices, LGU-

owned hospitals/facilities (provincial and district hospitals)] during a given period

Multiplier: 100

Numerator: Number of households using safely managed drinking water services during a

given period

Denominator: Total number of households during a given period

Multiplier: 100

.

Note: For reporting purposes Level III system may also include a Level I system with piped

distribution for household tap serving group of housing dwellings such as apartments or

condominiums

Numerator : Number of households with access to improved water sources located in the

premises and free of E.coli during a given period

Denominator : Total number of households during a given period

Multiplier: 100

Numerator: Number of households using safely managed sanitation services during a given

period

Denominator: Total number of households during a given period

Multiplier: 100

Numerator: Number of barangays declared with ZOD status during a given period

Denominator: Total number of households during a given period

Multiplier: 100

Numerator: Number of municipalities and cities which has at least 1 RHU/MHC to 20,000

population during a given period

Denominator:Total number of municipalities and cities nationwide during a given period

Multiplier: 100

Module 2. Data Collection Form at the Local Civil Registry

Module 2.a MONTHLY Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : _________________________________________________ Name of DMO : _______________________________

Performance Indicator Instructions/Guide Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual LGU Achievement PHTL/RHSPMU Assessment

NOTE: Before filling-up this section, ensure to accomplish first Module 2.a.1 List of Registered Under-Five Deaths and Module 2.a.2 List of Registered At the end of the year,

Maternal Deaths. DMO/RHSPMU assesses if

LGU achieved the national

Item A. Get the total PSA projected population of your LGU. program target

Item C. Get total number of live births from the Local Civil Registry

for the month. Add this cumulatively on an annual basis.

Indicator 23. 23.1 Based on the accomplished Module 2.a.1 List of 23.2 At the end of the year, compute the NMR by dividing the National Program Target:

Registered Under-Five Deaths, get from column A the total no. of neonatal deaths (Item 23.1) by the total no. of live births

no. of neonatal deaths registered for the month. Add this (Item C). Multiply this by 1,000.

cumulatively on an annual basis.

P - achieved

Total X - not

Indicator

Projected24.

Population 24.1 Based on the accomplished Module 2.a.1 List of 24.2 At the end of the year, compute the IMR by dividing the National Program Target:

achieved

Registered Under-Five Deaths, get from column D the total no. of infant deaths (Item 24.1) by the total no. of live births

no. of infant deaths registered for the month. Add this (Item C). Multiply this by 1,000 Neonatal

cumulatively on an annual basis. Mortality Rate: __________________ 10/1,000LB

Encircle the status

.

P - achieved

X - not

Indicator 25. 25.1 Based on the accomplished Module 2.a.1 List of 25.2 At the end of the year compute the UFMR by dividing National Program Target:

achieved

Neonatal

Registered Under-Five Deaths, get from column E the total the no. of under-five deaths (Item 25.1) by the total no. of live

Mortality Rate

no. of under-five deaths registered for the month. Add this births (Item C). Multiply this by 1,000. Infant

cumulatively on an annual basis. Mortality Rate: __________________

Encircle the status

. 15/1,000LB

Total P - achieved

Number of Live Births X - not

Indicator 26. 26.1 Based on the accomplished Module 2.a.2 List of 26.2 At the end of the year, compute the MMR by dividing the National Program Target:

achieved

Registered Maternal Deaths, get the total no. of maternal no. of maternal deaths (Item 26.1) by the total no. of live births

Infant Mortality Rate deaths registered for the month. Add this cumulatively on an (Item C). Multiply this by 100,000. Under-

annual basis. Five Mortality Rate: __________________

Encircle the status

. 22/1,000LB

P - achieved

Under-Five Mortality X - not

achieved

Rate

(FO 1.2.3)

Module 2. Data Collection Form at the Local Civil Registry

Module 2.a MONTHLY Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of PHA : ________________________________________ Name of Municipality/City : _________________________________________________ Name of DMO : _______________________________

Performance Indicator Instructions/Guide Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Annual LGU Achievement PHTL/RHSPMU Assessment

Indicator 27. 27.1 Get from the Local Civil Registry Office the number of 27.2 At the end of the year, compute for the Premature Mortality Rate due National Program Target:

deaths (30 to 70 years old) due to CVD, Cancer (all sites), to NCDs by dividing the number of deaths due to CVD, Cancer (all sites),

DM II and Chronic Respiratory Diseases (Item 27.1) by the total PSA

DM II and Chronic Respiratory Diseases (CRD) registered projected population (Item A). Multiply this by 100,000.

for r the month. Add this cumulatively on an annual basis.

. Encircle the status

P - achieved

X - not

achieved

<122/100,000

Indicator 28. 28.1 Get from the Local Civil Registry Office the number of 28.2 At the end of the year, compute the Premature Mortality Rate due to

Premature

CVD by dividing the number of deaths due to CVD (Item 28.1) by the total

deaths (30 to 70 years old) due to CVD registered for the

Mortality Rate

PSA projected population (Item A). Multiply this by 100,000.

month. Add this cumulatively on an annual basis.

Indicator 29. 29.1 Get from the Local Civil Registry Office the number of 29.2 At the end of the year, compute the Premature Mortality Rate due to

deaths (30 to 70 years old) due to DM II registered for the Premature

DM II by dividing the number of deaths due to DM II (Item 29.1) by the

month. Add this cumulatively on an annual basis. Mortality Rate population (Item A). Multiply this by 100,000.

total PSA projected

.

__________________

Premature Mortality

Rate due to NCDs per

Indicator

100,000 30. 30.1 Get from the Local Civil Registry Office the number of 30.2 At the end of the year, compute the Premature Mortality Rate due to

deaths (30 to 70 years old) due to Chronic Respiratory Chronic Respiratory Diseases by dividing the number of deaths due to

Premature Mortality

Chronic Respiratory Rate (Item 30.1) by the total PSA projected

Diseases

Diseases registered for the month. Add this cumulatively on population (Item A). Multiply this by 100,000.

Premature Mortality an annual basis.

Rate due to CVD due to CVD per 100,000:

.

__________________

Indicator 31. 31.1 Get from the Local Civil Registry Office the number of 31.2 At the end of the year, compute the Premature Mortality Rate due to

Premature

Cancer, all sites by dividing the number of deaths Mortality

due to Cancer, all sites

Premature deaths (30 to 70 years old) due to Cancer, all sites

Rate

(Item 31.1) by the PSA total projected population (Item A). Multiply this by

Mortality Rate due to registered for the month. Add this cumulatively on an annual 100,000. due to DM II per 100,000:

DM II basis. __________________

(FO .

1.4.1)

Premature Mortality

Indicator

Rate due 32.

to Chronic 32.1 Get from the Local Civil Registry Office the number of 32.2 At the end of the year, compute the Mortality Rate due to Road National Program Target:

Premature

Traffic Injuries Mortality

by dividing Rateof deaths due to road traffic injuries

the number

Respiratory Diseases deaths due to road injuries registered for the month. Add

(Item 32.1) by the PSAtotal projected population (Item A). Multiply this by

this cumulatively on an annual basis. 100,000. due to CRD per 100,000: __________________

(FO 1.4.1.1)

.

deaths due to road injuries registered for the month. Add Traffic Injuries by dividing the number of deaths due to road traffic injuries

(Item 32.1) by the PSAtotal projected population (Item A). Multiply this by

this cumulatively on an annual basis. 100,000.

P - achieved

X - not

achieved

Death Rate

Road Traffic Injuries

due to Road Traffic Injuries:

__________________

(FO 1.6.1)

A. Indicator B. Operational Definition

Indicator 23. The number of deaths among neonates (deaths within first 28 days of life), expressed as a rate per 1,000 live births

Indicator 24. The number of deaths among infants (below one year of age), expressed as a rate per 1,000 live births

(FO

1.2.3)

Indicator 25. Infant Mortality Rate The number of deaths among children under five years old, expressed as a rate per 1,000 live births

Indicator 26. The number of maternal (pregnancy, childbirth and puerperium-related) deaths (as confirmed by the MHO/CHO) expressed as a ratio per

100,000 live births.

A. Indicator B. Operational Definition

Indicator 27. The number of deaths among 30 to 70 years old Filipinos attributed to cardiovascular diseases, cancer, diabetes mellitus II and chronic

respiratory diseases, expressed as a rate per 100,000 total population. This shall cover deaths with ICD codes of: I00 I99; C00 C97;

E10 E14; and J40 J47.

Indicator 28. The number of deaths among 30 to 70 years old Filipinos attributed to cardiovascular diseases, expressed as a rate per 100,000 total

Premature Mortality Rate due to NCDs per population. This shall cover deaths with ICD codes of: I00 I99.

100,000

IndicatorPremature

29. Mortality Rate due to

CVD(FO 1.4.1) The number of deaths among 30 to 70 years old Filipinos attributed to diabetes mellitus II, expressed as a rate per 100,000 total

population. This shall cover deaths with ICD codes of: E10 E14.

(FO 1.4.1.1)

Premature Mortality Rate due to DM II

Indicator 30. The number of deaths among 30 to 70 years old Filipinos attributed to chronic respiratory diseases, expressed as a rate per 100,000

total population. This shall cover deaths with ICD codes of: J40 J47.

(FO 1.4.1.3)

Chronic Respiratory Diseases

Indicator 31. The number of deaths among 30 to 70 years old Filipinos attributed to cancer diseases, expressed as a rate per 100,000 total population.

This shall cover deaths with ICD codes of: C00 C97.

Rate due to Cancer, all sites

The number of deaths due to road injuries, expressed as a rate per 100,000 population. This shall cover deaths with ICD codes of: V01

V89.

Injuries (FO 1.4.1.2)

(FO 1.6.1)

C. Formula

Numerator:

Number of deaths of neonates within the first 28 days of life during a given period

Denominator:

Total number of livebirths during a given period

Multiplier: 1,000

Numerator:

Number of infant deaths under 1 year old during a given period

Denominator:

Total number of livebirths during a given period

Multiplier: 1,000

Numerator:

Number of deaths below age 5 during a given period

Denominator:

Total number of livebirths during a given period

Multiplier: 1,000

Numerator:

Number of maternal deaths during a given period

Denominator:

Total number of livebirths during a given period

Multiplier: 100,000

C. Formula

Numerator:

Number of deaths among 30 to 70 years old attributed to cardiovascular

diseases, cancer, diabetes mellitus II and chronic respiratory diseases during a

given period

Denominator:

Total PSA projected population during a given period

Multiplier: 100,000

Numerator:

Number of deaths among 30 to 70 years old attributed to cardiovascular diseases

during a given period

Denominator:

Total number of estimated population during a given period

Multiplier: 100,000

Numerator:

Number of deaths among 30 to 70 years old attributed to diabetes mellitus II

during a given period

Denominator:

Total number of estimated population during a given period

Multiplier: 100,000

Numerator:

Number of deaths among 30 to 70 years old attributed to chronic respiratory

diseases during a given period

Denominator:

Total number of estimated population during a given period

Multiplier: 100,000

Numerator:

Number of deaths among 30 to 70 years old attributed to cancer during a given

period

Denominator:

Total number of estimated population during a given period

Multiplier: 100,000

Numerator:

Number of deaths due to road injuries during a given period

Denominator:

Total number of estimated population during a given period

Multiplier: 100,000

Module 2.a.1 List of Reported Under Five Deaths

Health Sector Performance Monitoring and Evaluation

Name of Municipality/City : ________________________________________________

Name of PHA : ______________________________ Name of DMO : __

Instruction:

1. Go to the Local Civil Registry Office and get the names of underfive deaths registered for the month. Write these below the "CRVS" under Column 1

within the month.

2. Specify the age of underfive deaths by checking the appropriate column (Columns A, B, C).

3. Indicate the sex of the underfive deaths by checking the appropriate column for sex.

4. Go to the "RHU/MHC" and validate if there are other underfive deaths reported outside the CRVS List. Add these names below the RHU/MHC in Co

5. Check the appropriate age group (Column A, B or C ) and specify sex of the underfive death/s

6. Go to the nearby hospitals and validate if there are other underfive deaths reported outside the CRVS and RHU/MHC Lists. Add these below the " H

7. Check the appropriate age group (Column A, B or C ) and specify sex of the underfive death/s

For the Month of ______________________ (A) (B) (C) (D)

Child

CRVS

1

Get the total

2 no. of Infant Deaths by adding

Neonate Deaths (Column A) and

3 Infant Deaths (Column B)

RHU/MHC

1

3

Neonate Infant

Hospitals

1

10. Add all neonatal, infant, child and underfive deaths reported for the

month. Sub total:

Child

CRVS

1

Get the total

2 no. of Infant Deaths by adding

Neonate Deaths (Column A) and

3 Infant Deaths (Column B)

RHU/MHC

1

3

Neonate Infant

Hospitals

1

10. Add all neonatal, infant, child and underfive deaths reported for the

month. Sub total:

For the Month of ______________________ (A) (B) (C) (D)

Child

CRVS

1

Get the total

2 no. of Infant Deaths by adding

Neonate Deaths (Column A) and

3 Infant Deaths (Column B)

RHU/MHC

1

3

Neonate Infant

Hospitals

1

10. Add all neonatal, infant, child and underfive deaths reported for the

month. Sub total:

Total for the Quarter

____

ame of DMO : _______________________________

e RHU/MHC in Column 1.

(E) Sex

M F

Five Deaths by adding Neonate Deaths

(Column A), Infant Deaths (Column B),

and Child Deaths [Column C].

(E) Sex

M F

Five Deaths by adding Neonate Deaths

(Column A), Infant Deaths (Column B),

and Child Deaths [Column C].

(E) Sex

M F

Five Deaths by adding Neonate Deaths

(Column A), Infant Deaths (Column B),

and Child Deaths [Column C].

Module 2.a.2 List of Confirmed Maternal Deaths

Health Sector Performance Monitoring and Evaluation

Name of Municipality/City : ________________________________________________

Name of PHA : ______________________________

Instruction:

1. Go to the Local Civil Registry Office and get the names of the reported maternal deaths on a monthly basis. Write these on the space provided for th

CRVS under the First Column.

2. Go to the RHU/MHC and validate if there are other maternal deaths reported (confirmed by the PHO/CHO) outside the CRVS List. Write these o

space provided for the RHU/MHC.

3. Go to the nearby hospitals and validate if there are other maternal deaths reported outside the CRVS and RHU/MHC List. Write these on the space

provided for the Hospitals.

For the Month of:

CRVS

1

RHU/MHC

1

Hospitals

1

4. Add all maternal deaths reported for the month. Sub total:

CRVS

1

RHU/MHC

1

Hospitals

1

4. Add all maternal deaths reported for the month. Sub total:

CRVS

1

RHU/MHC

1

3

other Hospitals

1

4. Add all maternal deaths reported for the month. Sub total:

Total for the Quarter

List of Confirmed Maternal Deaths

erformance Monitoring and Evaluation

_____________________________________________

Name of DMO : _______________________________

reported maternal deaths on a monthly basis. Write these on the space provided for the

eaths reported (confirmed by the PHO/CHO) outside the CRVS List. Write these on the

rnal deaths reported outside the CRVS and RHU/MHC List. Write these on the space

al:

al:

al:

Module 3. Data Collection Form at the Government Hospitals (Community, District, Provincial, and DOH-Retained Hospital)

Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of PHA : _______________________________ Name of Municipality/City: ________________________

Name of Hospital Indicator 33. Indicator 34. Indicator 35. Indicator 36.

population ratio

% of

1.List the names of all public hospital/s in your 33.1 Get the total number of caesarean deliveries for the % of health facilities government hospitals with Quality

34.1 Verify if your hospital is with functional EMR 35.1 Verify if your provincial and DOH-Retained 36.1 Specify the functional capacity of e

municipality/city quarter. Add this cumulatively on an annual basis. with functional

system Management

hospital is ISOSystem

certified(QMS) hospital

33.2 Get the total number of caesarean deliveries for the year.

(IO 2.2)

No. of Caesarean Deliveries

Q1 Q2 Q3 Q4 Annual Q1 Q2 Q3 is functional

P - if EMR Q4 Q1 P - if Q2

provincial andQ3 DOH-Retained

Q4 Infirmary (P)level 1 level 2

appropriately

EMR (Electronic hospital hospital is ISO certified

Infirmary 1 Medical Records) Systems

(PR 4)

Infirmary 2 QUARTERLY

DOH-Retained hospital hospital is NOT ISO

certified

(PR 1) QUARTERLY

Community Hospital

District Hospital

Provincial Hospital

QUARTERLY

DOH-Retained Hospital

Total

Name of DMO : ____________________________

Hospital bed to

(OP 4)

pacity of each 36.2 Indicate the total number of beds of each

hospital both authorized and implemented

ANNUAL

level 3 Authorized Implemented

use additional sheet as needed

A. Indicator B. Operational Definition

Indicator 33. Proportion of deliveries via cesarean section (C-section) in a specific geographical area and reference period

Indicator 34. Percentage of public health facilities such as LGU and DOH hospitals, rural health units, urban health centers, health centers and other

health facilities that uses iClinicSys, HOMIS or any other EMR systems. Functionality means that the EMR system can generate timely

report as required by the management

Indicator%35.

of health facilities with Percentage of government owned hospitals (DOH and provincial hospitals) with ISO certification

% of government hospitals

with Quality Management System (QMS)

Indicator 36. The ratio of the total government hospital beds (covering all categories of hospitals) vis--vis the total population. HSPMU will collect

authorized and implementing bed capacity of Level 1, 2, and 3 government hospitals, and infirmaries.

C. Formula

Numerator: Number of deliveries via cesarean section during a given period

Multiplier: 100

Numerator:

Number of public health facilities with functional EMR systems during a given

period

Denominator:

Total number of public health facilities during a given period

Multiplier: 100

Numerator:

Number of government hospitals (DOH and provincial hospitals) with ISO

certification during a given period

Denominator:

Total number of government hospitals (DOH and provincial hospitals) during a

given period

Multiplier: 100

Denominator: Total number of beds from all hospitals in various categories within

the LGU

(HSPMU will collect Authorized bed capacity of Level 1,2, and 3 government

hospitals, and infirmaries)

Module 4. Data Collection Form at the Provincial Level

Module 4.b QUARTERLY Health Sector Performance Monitoring and Evaluation

For the Period: __________________________

Name of DMO : ________________________________________ Name of Municipality/City : ____________________________

Performance Indicator Instructions/Guide

Quarter : ____________________ Quarter : ____________________ Quarter : ____________________

Indicator 37. % of 37.1 Indicate the name of your municipality/city: MCP NCP TB-DOTS PCB 1 Accreditation MCP NCP TB-DOTS PCB 1 Accreditation MCP NCP TB-DOTS PCB 1

municipalities/cities with at least status status

one public health facility

accredited by PhilHealth for 37.2 Indicate the name of your RHU/MHC and check the status if: (P) - LGU (P) - LGU

with HFs with HFs

maternity care, newborn care RHU/MHC1 accredited accredited

package, TB-DOTS, and PCB 1 for 4 for 4

packages. PhilHealth PhilHealth

RHU/MHC2 Packages Packages

(OP RHU/MHC3

1)

RHU/MHC4

RHU/MHC5

RHU/MHC6

RHU/MHC7

in your municipality and specify if MCP and NCP Accredited (X) LGU (X) LGU

w/o HFs w/o HFs

accredited accredited

Birthing/lying-in clinic 1 on 4 on 4

PhilHealth PhilHealth

Packages Packages

(X) LGU (X) LGU

w/o HFs w/o HFs

accredited accredited

on 4 on 4

PhilHealth PhilHealth

Packages Packages

Birthing/lying-in clinic 2

Birthing/lying-in clinic 3

TOTAL:

______ Quarter : ____________________

Accreditation MCP NCP TB-DOTS PCB 1 Accreditation

status status

with HFs with HFs

accredited accredited

for 4 for 4

PhilHealth PhilHealth

Packages Packages

w/o HFs w/o HFs

accredited accredited

on 4 on 4

PhilHealth PhilHealth

Packages Packages

(X) LGU (X) LGU

w/o HFs w/o HFs

accredited accredited

on 4 on 4

PhilHealth PhilHealth

Packages Packages

A. Indicator B. Operational Definition

one public health facility accredited by PhilHealth 1.at least 1 public health facility accredited for Maternity Care Package (MCP);

for maternity care, newborn care package, TB- 2.at least 1 public health facility accredited for Newborn Care Package (NCP);

DOTS, and PCB 1 packages. 3.at least 1 public health facility accredited for TB-DOTS; and

4.at least 1 public health facility accredited for PCB package.

The four PhilHealth accreditation packages may not be confined in only one health facility in

(OP 1) the LGU.

MCP-accredited health facility: any hospital/RHU/ MHCs/ birthing/lying-in clinics which meets

PhilHealth accreditation requirements

NCP-accredited health facility: any hospital/RHU/ MHCs/ birthing/lying-in clinics which meets

PhilHealth accreditation requirements

TB-DOTS accredited health facility: any RHU/MHC/ HC/ BHSs which meets PhilHealth

accreditation requirements

requirements

C. Formula

Numerator: Number of municipalities and cities with at least one accredited public health facility for:

1.MCP;

2.NCP;

3.TB-DOTS;

4.PCB during a given period

Multiplier: 100

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