LGU Scorecard

for Health 2010

 What is the LGU Scorecard for
Health ?

The LGU It is the tool to

Report Card track progress
is part of of health reform
ME3 implementation
Why is there a Need for the
LGU report card?

Measure
performance •Report
of Local to
Health Clients
Systems
LGU REPORT CARD
Action Points

Improving
Internal
Benchmark
Not Improving
Compare
performanceto
Equal to Last
=previous year Year

No Data
LGU REPORT CARD
Action Points

Excellent Maintain Current

Equal To or Higher
Level
External
Than 2010 Target

Benchmark
•Compare performance
Good to Maintain Current
2010 target
Equal To or Higher
Progress
Than 2006 Nat’l. Ave.
•Compare performance to
2006 National Average

Fair Prioritize
Lower Than 2006
Nat’l. Ave.
 Performance Indicators
 Set I Performance Indicators is composed of 29
indicators representing priority Programs, Projects and
Activities of F1. They are mostly intermediate
outcomes and assessed every year. Performance
distribution or equity measures can be gauged.
 Set II Performance Indicators is composed of 19
indicators representing major thrusts and key
interventions for each F1 pillar. They are mostly system
reform outputs and are assessed every 3-5 years. The
equity dimension of these indicators shall not be
measured.
 LGU Scorecard
Set I Performance Indicators
A. SERVICE DELIVERY = 15 INDICATORS
FILARIASIS (1)
TUBERCULOSIS
SCHISTOSOMIASIS MALARIA (1)
(2)
(1)
BREASTFEEDING UNDERWEIGHT
IMMUNIZATION (1)
(1) CHILDREN (1)
FACILITY BASED SAFE WATER
DELIVERIES AND SANITARY HOSPITAL (3)
(1)/CPR (1) TOILETS (2)
B. REGULATION = 4 INDICATORS
RHU ACCREDITATION Botika ng Barangay
Out Patient Benefit (1)
Maternity Care Package
TB DOTS (3)
 C. FINANCING = 5 INDICATORS

PROVINCIAL BUDGET FOR

PHILHEALTH ENROLLMENT (2)
HEALTH (1)

MUNICIPAL BUDGET FOR HEALTH

MOOE FOR HEALTH (1)
(1)

D. GOVERNANCE = 5 INDICATORS

PROCUREMENT
DOCTORS
Annual Financing Utilized AUDIT (1)
MIDWIVES (2)
(2)
 DATA SOURCES
NUMBER OF LGU
DATA SOURCE SCORECARD
INDICATORS
 FHSIS 11
 LGU RECORDS (BUDGET
DOCUMENTS & HOSPITAL) 12

 NATIONAL NUTRITION 1
COUNCIL
 PHIC RECORDS 5
T O T A L 29
 PERFORMANCE GAUGES

Performance Level is measured by the

PWHS Average
 Performance of component municipalities
are averaged out to represent performance
of the PWHS
Performance Distribution is measured by
the distribution of performance in
municipalities
 Performance of Highest and Lowest
Municipality
 Basis for Financial Allocation

 LGU Scorecard Performance Results shall be

the basis for Variable Tranche Allocation to
PWHS

 Internal Benchmark - 40% of the

AOP SLA Variable Tranche

 External Benchmark - 60 % of the

AOP SLA Variable Tranche
I. Municipal Level
Data Process
IV. National Level-BLGS-DILG
Collect
consolidate Data Report
and validate Generation
data &
processing
submit Data and and
to PHO analysis Publication

II. Provincial & Regional Levels V. National Level-

BLHD-DOH
Data
consolidation, Data
review & Encoding
Validation
III. Provincial Level
DILG Encoders
 LGU Scorecard Data Capture Forms

Official Automated Forms used for LGU

Scorecard:
 DatPagea Capture Form for Provinces &
Certificate
 Data Capture Form for Municipalities &
Certificate Page
 Data Capture Form for HUCs and ICCs &
Certificate Page
 Roles and Responsibilities
of Major Stakeholders

A.Municipal Health Offices (MHOs)

 The Municipal Health Officer or the Public
Health Nurse (OIC) shall review, & validate the
consolidated barangay data to ensure quality of
information.
 Facilitate meetings on LGU Scorecard for
barangays under their jurisdiction.
 Submit data to province thru the provincial
health officer
 Roles and Responsibilities
of Major Stakeholders

B.Provincial Health Offices (PHOs)

 The Provincial Health Officer shall review, &
validate the consolidated PWHS data to ensure
quality of information.
 Facilitate meetings/conferences on LGU
Scorecard for municipalities and component
cities under their jurisdiction.
 Sign the conforme form to ensure that both
parties (PHO and CHD authorized
representative) have agreed with the data
reports.
 Roles and Responsibilities

C. Centers for Health Development (CHDs)

 The designated CHD representative shall review,
& validate the consolidated PWHS data to ensure
quality of information.
 Facilitate meetings/conferences on LGU
Scorecard for PWHS.
 Sign the conforme form to ensure that both
parties (PHO and CHD authorized representative)
have agreed with the data reports.
 Roles and Responsibilites
D. BLGS-DILG
C.1 Provincial Level (LGPMS-DILG)
 Data encoding
C.2 National Level (BLGS)
 Processing and analysis of data
 Printing of LGU Report Cards
E. BLHD-DOH
 Analysis of data results
 Provide copies of national, regional and PWHS results to
health managers, LCEs, donors, other health stakeholders
 Provide venue for National ME3 Conference
 Disseminate information thru press releases of results on a
yearly basis in widely circulated newsprints.
F. ME3 Steering Committee
 Provide oversight functions in the implementation of the
LGU Scorecard
The 2010 LGU Report Card
 National Results
LGU Scorecard 2010
 National Averages
 Green Targets
 Peak Performance
 Indicator 2010
2006 2007 2008 2009 2010
Target
Filariasis MDA 68 68 76 69 63.13 85
2010 Schistoso
16 20 35 43 55.27 85
National miasis
Average Malaria API (per
1.42 1.55 1.02 1.67 1.06 <0.1
1000 population)
TB CDR 72 72 70 69 70.75 70
SERVICE TB CR 81 81 78 79 81.04 85
DELIVERY FIC 84 84 86 85 81.33 95

Initial Breast feed 68 72 73 68 65.61 85

PEM 12 10 12 10 7.94 24
FBD 33 38 38 47 57.62 70
CPR 39 39 38 38 37.06 85
 2010
Indicator 2006 2007 2008 2009 2010
Target
2010
Safe Water 85 86 87 82 84.94 94
National
Sanitary
Average Toilet
78 79 78 78 80.01 91

ALOS 3 3 3 3 3.54 5
SERVICE BOR 71 79 78 72 89.19 85
DELIVERY 1.66
GDR 0.68 1.94 0.92 2.55 0.99

4/15 GREENs
 2010
Indicator 2006 2007 2008 2009 2010
2010 Target

National
AverageOPB ACCREDITATION 49 57 56 65 65.69 80

REGULATIONMCP ACCREDITATION 13 14 17 14 23.57 90

TB ACCREDITATION 23 29 34 36 43.32 50

0 GREENs
BOTICA NG BGY 1:49 1:13 1:7 1:7 1:8 1:2
 2010
Indicator 2006 2007 2008 2009 2010 Targe
t
2010 Total Enrolled NO
National (NHIP) 46 47 58 90 85
DATA
Average Sponsored
106 65 85 85 92.81 100
Enrolled (NHIP)

FINANCING Prov. Health

Budget (%)
20 16 17 22 22.86 22
Municipal Health
8 8 9 11 11.57 15
Budget (%)
MOOE for Health
20 22 23 23 25.7 45
(%)
1/5 GREEN
 2010
Indicator 2006 2007 2008 2009 2010
Target
Doctor to
2010 32,63 31,04 30,98 35,09 20,00
Pop. Ratio (1: 31,897
3 9 2 0 0
National )
Midwife to
Average Pop. Ratio (1: 5,134 5,109 5,766 6,605 6,397 5,000
)

GOVERNANCE Public
Bidding 82 92 89 86 86.09 100
Financing
Utilized 79 87 81 84 87.49 100
Audit
Objections 52 54 91 93 28.39 100
0 Cleared
GREEN
2010 Results
Continuing Improvements

SERVICE
DELIVERY
2010 Results
Continuing Improvements

REGULATION
2010 Results
Continuing Improvements

FINANCING
 Nationa
Who Reached 2010 Targets
2010 Results – Cities & PWHS
Service
l (97 F16 F15 F44 ARMM NCR
Delivery
LGUs)
Filariasis MDA 1 1 0 0 0
Schistosomiasis 6 3 2 0 1
Malaria API 21 5 6 10 0
TB CDR 46 10 11 16 0 9
TB CR 41 8 9 17 1 6
FIC 15 4 0 7 0 4
Initial Breast feed 5 1 0 2 0 2
PEM 89 16 15 41 3 17
FBD 26 3 2 9 0 12
Who Reached 2010 Targets
2010 Results – Cities & PWHS
National
Service Delivery (97 F16 F15 F44 ARMM NCR
LGUs)
Safe Water 25 5 0 7 0 13

Sanitary Toilet 19 0 0 5 0 14

ALOS 75 14 14 39 2 8

BOR 45 11 5 21 0 8

GDR 20 4 4 7 0 5
Who Reached 2010 Targets
2010 Results – Cities & PWHS
National
ARM
Regulation (97 F16 F15 F44 NCR
M
LGUs)
OPB
ACCREDITATION 45 12 6 21 2 6

MCP
ACCREDITATION 7 2 0 0 0 5

TB
ACCREDITATION 41 9 11 17 0 4

BOTICA NG
BRGY 82 14 14 40 4 10
Who Reached 2010 Targets
2010 Results – Cities & PWHS
National
ARM
Financing (97 F16 F15 F44 NCR
M
LGUs)
Total Enrolled 0 0 0 0 0 0
Sponsored
Enrolled 31 6 2 19 0 4
Prov. Health
Budget (%) 32 9 7 16 0 0
Municipal Health
Budget (%) 14 1 1 4 1 7
MOOE for Health
(%) 3 0 1 0 0 2
Who Reached 2010 Targets
2010 Results – Cities & PWHS
Nationa
GOVERNANC
l(97 F16 F15 F44 ARMM NCR
E
LGUs)
Doctor to
Population Ratio 21 4 0 9 1 8
Midwife to
Population Ratio 36 10 11 22 1 2

Public Bidding 12 1 1 4 0 6
Financing
Utilized 14 3 1 8 0 2
Audit Objections
Cleared 12 2 2 5 1 2
PPA Performance Targets Reached by
> 50% of Provinces

TB CDR BOR

TB CR OPB

PEM TB DOTS

ALOS BnB
Peak Performance 2010
 Top Performers
TB CDR TB Cure Rate
Bacolod City Siquijor Lucena City Quirino
Ormoc City Occidental Mindoro Iloilo City Kalinga
Navotas City Marinduque Zamboanga City Guimaras
Naga City Negros Occidental Lapu-Lapu City Southern Leyte
Zamboanga City Guimaras Dagupan City Aklan
Taguig City Southern Leyte Butuan City Capiz
Dagupan City Dinagat Island Taguig City Pampanga
Caloocan City South Cotabato Tacloban City Siquijor
Iloilo City Lanao del Norte Naga City Biliran
Lapu-Lapu City Agusan del Norte Cebu City Antique
 Top Performers

FIC PEM
Santiago City Agusan del Sur Makati City Maguindanao
Lapu-Lapu City South Cotabato Marikina City Batanes
Las Piñas City Bukidnon Lapu-Lapu City Bulacan
Quezon City Rizal Mandaluyong City Benguet
Butuan City Agusan del Norte Taguig City Quirino
Olongapo City Quirino Baguio City Ifugao
Zamboanga City North Cotabato Santiago City Pampanga
Bacolod City Sarangani Pasay City Cagayan
Pasay City Maguindanao Muntinlupa City Batangas
Taguig City Tarlac Quezon City Rizal
 Top Performers

FBD CPR
Lapu-Lapu City Biliran Valenzuela City Maguindanao
City of Manila Batanes Puerto Princesa City Davao del Norte
Bacolod City Ilocos Norte Taguig City Compostela Valley
Baguio City Surigao del Norte Davao City Siquijor
San Juan City Romblon Caloocan City South Cotabato
Mandaluyong City La Union Naga City Ilocos Sur
Caloocan City Ilocos Sur Muntinlupa City Occidental Mindoro
Cebu City Pampanga San Juan City Nueva Vizcaya
Marikina City Cebu Gen. Santos City North Cotabato
Pasay City Surigao del Sur Quezon City Sultan Kudarat
 Top Performers
Access to Safe
Water Sanitary Toilet

Las Piñas City Batanes Parañaque City Batanes

Mandaluyong City Mountain Province Quezon City La Union
Marikina City Biliran Pateros Cavite
Quezon City La Union Malabon City Ilocos Sur
San Juan City Siquijor Muntinlupa City Cagayan
Pateros Ilocos Sur Caloocan City Southern Leyte
Naga City Oriental Mindoro Olongapo City Ilocos Norte
Davao City Abra Butuan City Davao del Norte
Iligan City Misamis Oriental Makati City Rizal
Parañaque City Misamis Occidental Marikina City Bulacan
 Top Performers
OPB
Dagupan City Apayao
Makati City Benguet
Marikina City Ifugao
Pasay City Oriental Mindoro
Pateros Sorsogon
Puerto Princesa City Aklan
Iloilo City Capiz
Mandaue City Guimaras
Ormoc City Siquijor
Cagayan de Oro City Biliran
Camiguin
Misamis Oriental
Sultan Kudarat
Surigao del Sur
 Top Performers

TB DOTS BnB
Dagupan City Aklan Pasay City Cagayan
Marikina City Capiz San Juan City Nueva Ecija
Pateros Guimaras Baguio City Laguna
Mandaue City Biliran Pasig City Camarines Norte
Ormoc City Zamboanga Sibugay Santiago City Negros Oriental
Iloilo City South Cotabato Muntinlupa City Northern Samar
Baguio City Sultan Kudarat City of Manila Palawan
Pasay City Eastern Samar Dagupan City Negros Occidental
Zamboanga City Benguet Las Piñas City Leyte
Makati City Iloilo Mandaluyong City Zamboanga del Sur
Consistent Top Performers
(in 3 to 6 indicators)

Pasay City Siquijor

Taguig City Ilocos Sur
Dagupan City Batanes
Quezon City Biliran
Marikina City Aklan
Zamboanga City South Cotabato
Iloilo City Maguindanao
Lapu-Lapu City South Leyte
San Juan City Rizal
Mandaluyong City Pampanga
Pateros Sultan Kudarat
Muntinlupa City Benguet
Baguio City Capiz
La Union
Quirino
Cagayan
Performance 2010
 Low Performers

TB CDR TB Cure Rate

Olongapo City Batanes Makati City Abra

Pateros Ilocos Norte Marikina City Zambales
Marikina City Nueva Vizcaya Las Piñas City Bataan
Makati City Pampanga Mandaluyong City Palawan
Gen. Santos City Bataan Mandaue City Northern Samar
Angeles City Apayao Cagayan de Oro City Sulu
San Juan City Mountain Province Caloocan City Tawi-Tawi
Baguio City Tawi-Tawi Olongapo City Apayao
Lucena City Ifugao Angeles City Aurora
Cotabato City Benguet Cotabato City Batanes
 Low Performers

FIC PEM

Makati City Capiz Cagayan de Oro City Surigao del Sur

Marikina City Siquijor Bacolod City Masbate
Tacloban City Kalinga Tacloban Catanduanes
Mandaue City Bohol Puerto Princesa City Northern Samar
Angeles City Benguet Dagupan City Camarines Sur
Iligan City Samar Lucena City Samar
Malabon City Mountain Province Gen. Santos City Sulu
Parañaque City Batanes Ormoc City Basilan
Gen. Santos City Sulu Butuan City Dinagat Island
Cotabato City Basilan Cotabato City Surigao del Norte
 Low Performers

FBD CPR

Las Piñas City Lanao del Sur Bacolod City Leyte

Puerto Princesa City Zamboanga Sibugay Angeles City Zamboanga Sibugay
Tacloban City Palawan Las Piñas City Albay
Pateros Maguindanao Cagayan de Oro City Iloilo
Dagupan City Masbate Parañaque City Camarines Sur
Lucena City Sulu Pasig City Northern Samar
Naga City Camarines Sur Makati City Cebu
Gen. Santos City Sultan Kudarat City of Manila Samar
Butuan City Tawi-Tawi Mandaue City Tawi-Tawi
Cotabato City Basilan Cotabato City Basilan
 Low Performers
Access to Safe
Sanitary Toilet
Water

City of Manila Palawan Santiago City Ifugao

Butuan City Guimaras Navotas City Kalinga
Olongapo City Lanao del Sur Pasig City Zamboanga Sibugay
Navotas City Iloilo Davao City Samar
Valenzuela City Maguindanao Iloilo City Masbate
Tacloban City Aklan Ormoc City Maguindanao
Cagayan de Oro City Negros Occidental Lapu-Lapu City Basilan
Zamboanga City Capiz Tacloban City Lanao del Sur
Iloilo City Antique Zamboanga City Sulu
Cotabato City Tawi-Tawi Cotabato City Tawi-Tawi
 Low Performers

OPB TB DOTS

Pasig City Abra Puerto Princesa City Tawi-Tawi

Naga City Quezon Naga City Camarines Sur
Lapu-Lapu City Quirino Lapu-Lapu City Bataan
Davao City Rizal Tacloban City Romblon
Gen. Santos City Lanao del Sur Iligan City Palawan
Mandaluyong City Tawi-Tawi Cagayan de Oro City Batanes
Muntinlupa City Bukidnon Mandaluyong City Pampanga
Lucena City Sulu Lucena City Zambales
Cotabato City Batanes Cotabato City Aurora
Butuan City Basilan Butuan City Basilan
Low Performers

BnB

Iligan City Masbate

Butuan City Bohol
Lucena City Cebu
Davao City Ilocos Sur
Gen. Santos City Marinduque
Olongapo City Oriental Mindoro
Ormoc City Romblon
Cotabato City Davao Oriental
Iloilo City Dinagat Island
Makati City Basilan
2012-2016 INDICATORS

- data definition
- formula
- data source
- 2016 target

Bureau of Local Health Development

 PROGRAM PROJECT ACTIVITIES
I. FINANCIAL RISK PROTECTION = 6 INDICATORS

PHIC Enrolment (1) Availment of PHIC Benefit Packages (1) Accred. to PhilHealth for: OPB, MCP & TB DOTS (3)

II. EFFICIENT HEALTH SECTOR SPENDING = 6 INDICATORS

Publications of: Annual Budget , Previous Year Statement of Receipts & Expenditures and Annual Procurement Plan or
Procurement List (3) Prov’l Health Budget, Municipal Health Budget & MOOE allocated to Health (3)

III. HEALTH FACILITY ENHANCEMENT PROGRAM = 7 INDICATORS

Hospital Gross Death (1 Blood Collection in Catchment Areas (1)

Ave Length of Stay in Hosp (1)
Hosp Bed to Pop. Ratio (1)
Bed Occupancy Rate (1)
Client Satisfaction Rate (1)

IV. INTERNAL MANAGEMENT AND SUPPORT = 3 INDICATORS

Doctor to Pop Ratio (1 ) Nurse to Pop Ratio (1) Midwife to Pop Ratio (1) Magna Carta for Health Staff (1)

V, POLICY STANDARDS DEVELOPMENT & REGULATION – SCALE-UP PUBLIC HEALTH

INTERVENTIONS FOR MDGs= 15 INDICATORS

Filariasis (1) Schistosomiasis (1) Malaria (1) Facility Based Deliveries (1) Non-communicable indicator
Tuberculosis (2) Water sources tested(1) (1) (?)
Immunization (1) Exclusive Breastfed (1) Safe Water (1) Patients Served in CCT Areas
Under & severely underweight Children (1) Sanitary Toilet (1) (1)
Vit A Supplementation (1) Deliveries Attended by Skilled Health Essential Drugs in Health
Prev of stunting (1) Professionals (1) Facilities (1)
Contraceptive Prevalence (1)
PPA/Components Performance Definition Standards Data Source
Indicator

I. Financial Risk Protection

A. Increase in 1. Availment Rate of 1st Numerator: Frequency of availment per beneficiary PHIC
Philhealth poorest 20% registered or member of the 5.2 M enrolled Records
Investment members and its Denominator: 5,2, M enrolled by DOH or DBM
& Utilization dependents for Philhealth (members & dependents)
benefit packages Multiplier: 100
A.1 Enrolment of (hospitalization, OPB, MCP Reference: PHIC
the Poor & TB-DOTS, etc.) Target 2016: 20% of members who have a
condition (?) ( to be determined by PHIC)

2. Percent of 2nd poorest Numerator: total no. of 2nd poorest 20% registered PHIC,
20% registered members members enrolled by LGUs in PHIC (those enrolled NHTS-
enrolled by LGUs in PHIC outside of the NHTS-DSWD 1st poorest 20%) DSWD
Denominator: total no. of 2nd poorest 20%
registered members identified by LGUs and PHIC
outside of the NHTS-DSWD 1st poorest 20%
Multiplier: 100
Reference: PHIC , NHTS-DSWD
Target 2016: 85%
PPA/Compone Performance Definition Standards Data
nts Indicator Source
I. Financial Risk Protection

A.2 PHIC 3. Percent of RHUs Numerator: Total no. of RHUs.HCs signing PHIC
Accreditation of that have signed PCCs in PHIC in P/CWHS Records
Health Performance Denominator: Total no. of RHUs/HCs in
Facilities Commitment Contract P/CWHS
with PHIC: Multiplier: 100
3.1 PCB-Primary Care Reference: PHIC
Benefits Target 2016: PCB=100%, MCP=`100%,
 MCP TB-DOTS=100%
 TB DOTS
PPA/Component Performance Definition Standards Data
s Indicator Source
II. Efficient Health Sector Spending
A. Increase 4. Percent of LGUs Numerator: No. of LGUs who published their annual DILG
Inter-LGU publishing annual Budget budget in conspicuous place, print media & website
Coordination in conspicuous place, Denominator: total # of LGUs in P/CWHS
A.1 LGU has print media & website Multiplier: 100
mechanism for Reference: DILG
providing Target 2016: 100%
information

5. Percent of LGUs Numerator: No. of LGUs who published their previous DILG
publishing previous year year statement of receipts & expenditures in
statement of receipts & conspicuous place, print media & website
expenditures in Denominator: total no. of LGUs in P/CWHS
conspicuous place, print Multiplier: 100
media & website Reference: DILG
Target 2016: 100%

6. Percent of LGUs Numerator: No. of LGUs who published their annual DILG
publishing Annual procurement plan or procurement list in conspicuous
procurement plan or place, print media & website
procurement list in Denominator: total no. of LGUs in P/CWHS
conspicuous place, print Multiplier: 100
media & website Reference: DILG
Bureau of Local Health Development
Target 2016: 100%
PPA/Componen Performance Definition Standards Data
ts Indicator Source
II. Efficient Health Sector Spending
B. Increase 7. Percent of Prov’l Numerator: total provincial health budget in + Prov’l
in LGU Budget Allocated for 20% Development funds allocated to health Budget
Investment Health Denominator: total provincial budget + 20% Office
for Health Development funds allocated
Multiplier: 100
Target: 2016: 22%

8. Percent of Numerator: total municipal health budget + Municipal

Municipal Budget 20% Development fund allocated to health Budget
Allocated for Health Denominator: total municipal budget + 20% Office
Development fund
Multiplier: 100
Target: 2016: 15%
9. Percent MOOE Numerator: total MOOE health budget in PWHS Prov’l &
allocated to Health (all municipal health budgets + prov’l health Municipal
budget+ 20% Development fund allocated to Budget
health) Office
Denominator: total health budget in PWHS
Multiplier: 100
Target 2016: 45%
PPA/Componen Performance Definition Standards Data
ts Indicator Source
III. Health Facility Enhancement Program
(National/Local: Public/Private)
A. Rationalize 10. Average Length Numerator: Total Inpatient Days of Care Hospital
Services in of Stay in public In all public hospitals Records or
Local Health hospitals in days Denominator: Total Number of Admissions in all Reports
Facilities public hospitals
Multiplier: 100
Reference: Health Statistics-Tools of the Trade
Target 2016: 5 Days Standard % (no NOH target)
11. Average Numerator: Total Inpatient days of care in all public Hospital
Occupancy Rate for hospitals Records or
1st to 3rd level public Denominator: Authorized bed capacity X 365 Reports
hospitals days/year or Implementing bed capacity X 365
(administered by days/year
LGU/province) Multiplier: 100
Reference: Health Statistics-Tools of the Trade
Target 2016: 85% Standard (WHO Standard)
12. Public Hospital Numerator: Total no. of hospital beds in the Hospital
Bed to Population P/CWHS Records or
Ratio Denominator: Total population of P/CWHS Reports
(primary & secondary catchment areas
Reference: Health Statistics-Tools of the Trade
 PPA/ Performance Indicator Definition Standards Data
Components Source
13. Average Hospital Gross Numerator: Death in all public health Hospital
Death Rate facilities Records or
Denominator: Total Cases Admitted Reports
Reference:
Multiplier: 100
Target 2016: <1% Standard %

14. Blood units collected Numerator: Total no. of blood units NCHFD
in designated catchment collected in designated catchment areas Reports
areas/blood centers to /Blood Centers
In P/CWHS
population ratio (10 units
Denominator: Total population of
per 1000 population) designated catchment area in P/CWHS
Reference: NCHFD –List of Designated
Catchment Areas/ Blood Centers
Target 2016: 90% functional blood
centers in P/CWHS (10 units per 1000
population

Bureau of Local Health Development

PPA/Components Performance Definition Standards Data
Indicator Source
15. Percent of clients For RHUs and OPD in Hospitals: Hospital
satisfied with the Numerator: Total number of clients and RHU
services offered by satisfied (green & yellow) with the Reports
government health services that the facility provide (the
facilities in P/CWHS: survey shall be conducted on a monthly
basis during the 1st, 2nd, 3rd or 4th wk of
the month from Mon-Fri)
Denominator: Total Number of
registered clients during the specified
period surveyed.
Multiplier: 100
For Hospitals In-Patient:
Numerator: Total Number of
discharged in-patient satisfied with the
services (green & yellow)
Denominator: Total Number of
Registered admission (In-Patient)
surveyed
Target 2016: 90%

Bureau of Local Health Development

 Rating
(Smiley)
Questionnaire to Determine Client Satisfaction
 
Please check whether it is smiley or frown opposite the
questions asked if the facility (RHU/Hospital) have complied with
the following requirements. For clients easy understanding, this
survey form can be translated into local dialect.

A. Facility (For all health facilities)

1. Is the health facility generally clean and orderly?
2. Is the health facility well-ventilated and well-lit?
3. Does the health facility have a permanent and adequate potable
water supply?
4. Does the health facility have a functioning and accessible toilet and
sinks for use of patients and staff?
5. Does the facility have enough space to ensure privacy ?
(i.e. clients during physical/internal/counseling)
6. Does the health facility have the basic functioning equipment,
supplies and essential drugs/medicines at all times?

Bureau of Local Health Development

 Rating
(Smiley)
Questionnaire to Determine Client Satisfaction
 
Please check whether it is smiley or frown opposite the
questions asked if the facility (RHU/Hospital) has complied with the
following requirements. For clients’ easy understanding, this survey
form can be translated into local dialects.
Additional questionnaires for in-patients in hospitals
7. Is the food served on time and of quality?
8. Are the beddings and linens clean?
B. Staff (Applicable to all health facilities)
1. Is the actual waiting time reasonable?
2. Are the health staff friendly?
3,. Are the health staff knowledgeable? (maybe if the heath staff
provided counselling)
4. Are the health staff responsive to the needs of the patients?
(naasikaso ba lahat ng pangangailangan mo?)
Note:
This survey questionnaire shall be filled up by the patient/client upon
his/her exit during consultations in RHUs & OPD jn hospitals (out-
patient)and after discharge during hospital confinement (in-patient).
Bureau of Local Health Development
PPA/Components Performanc Definition Standards Data
e Indicator Source
IV. Internal Management and Support
A. Adequate 16. RHU/Health Numerator: Number of RHU/Health Center LGU
Human Center Physician to Physicians in the P/CWHS Records
Resource for population ratio Denominator: Total population in the
Health P/CWHS
Reference:
Multiplier:
Target 2016: 1:20,000
17. RHU/Health Numerator: Number of RHU/Health Center LGU
Center Nurse to Nurse in the P/CWHS Records
population ratio Denominator: Total population in the
P/CWHS
Multiplier:
Reference:
Target 2016: 1:20,000
18. RHU/Health Numerator: Number of RHU/Health Center LGU
Center Midwife to Midwife in the P/CWHS Records
population ratio Denominator: Total population in the
P/CWHS
Multiplier: Bureau of Local Health Development
Reference:
 nts e Indicator Source
IV. Internal Management and Support
B. Human 19. Percent of Numerator: Number of Provincia
Resource permanent permanent health workers who l and
Strengthening health workers in received full benefits of hazard Municipa
the P/CWHS who pay, subsistence & laundry l Budget
received full allowances (greens ) as Office
benefits of mandated in the Magna Carta for
hazard pay , Health Workers (Municipal and
subsistence & provincial permanent health
laundry workers)
allowances under Denominator: Total Number of
the Magna Carta permanent health workers in the
for Public Health PWHS
Workers Reference:
Multiplier: 100
Score: Target 2016: 100%
 Full hazard pay &
subsistence & Regular staff is defined as those
laundry allowance –
green health staff that have permanent
 Partial hazard pay position Bureau of Local Health Development

& partial subsistence

PPA/Comp Performance Definition Standards Data
onents Indicator Source
IV. Policy Standards Development and Regulation
Scale up Public Health Intervention for MDGs
A. Disease 20. Percent Numerator: Number of persons given MDA ELF-
Free coverage of Denominator: Total population in Implicated Units NCDPC/
Zone target population (endemic area)
Initiative in endemic Multiplier: 100
provinces with Reference: ELF-NCDPC
s
mass treatment Target 2016: 85% Annually (NOH 2016)
for Filariasis Equity Dimension: Income Class or Education (ELF
NCDPC)
21. Percent Numerator: Number of persons given mass treatment FHSIS
coverage of Denominator: Total population in endemic
target population units(endemic area)
in endemic Multiplier: 100
provinces with Reference: FHSIS
mass Target 2016: 85% Standard (NOH 2016)
treatment for Equity Dimension: Income Class or Education Level
Schistosomiasis (Special Survey)

22. Annual Numerator: Number of malaria cases in the population FHSIS

Parasite Denominator: At risk Population/general population
Incidence for Multiplier: 1000
Malaria Reference: FHSIS
PPA/Comp Performance Definition Standards Data
onents Indicator Source

B.Intens 23. TB Case Numerator: Number of all forms of TB cases identified NTP
ified Detection Denominator: Estimated number of all formscases for Register
Disease Rate (all the year
Preventi forms of TB) Multiplier: 100
on & Reference: Quarterly Reports (all forms refer to new
Control smear positive, new smear negative, relapse, extra
pulmonary TB)
Reference: Quarterly Reports (all forms refer to new
smear positive, new smear negative, relapse, extra
pulmonary TB)
Target 2016: 85% (NOH 2016)
24, TB Cure Numerator: Number of TB cases new smear positive NTP
Rate cases registered in a specified period that were cured Register
Denominator Total number new smear positive
pulmonary TB cases registered in the same period
Multiplier: 100
Reference: Quarterly reports
Target 2016: 90%
 PPAs Performance Definition Standards Data
Indicator Source
C. Child 25. Percent of Fully Numerator: No. of infants given BCG, OPV3, DPT3, FHSIS
Health Immunized Children Hep B3 and Measles vaccine before 12 months of
age
Denominator: Total Population x 2.7%
Multiplier: 100
Reference: FHSIS
Target 2016: 95% (NOH 2016)
26. Percent of Numerator: No. of infants (0-6 months old) FHSIS
infants exclusively exclusively breastfed
breastfed 0-6 Denominator: Total population x 2.7%
months Reference: FHSIS
Target 2016: 70%

27. Prevalence of Numerator: Number of 0-59 mos. Old children who are NNC
underweight and underweight and severely underweight
severely underweight Denominator: Total number of 0-59 mos. old children
0-59 months old weighed
children Multiplier: 100
Reference: PPAN 2011-2016
Target 2016: 12.7%
 PPAs Performance Definition Standards Data
Indicator Source
28. Percent of Numerator: Number of 12-59 months old children GP
children 12-59 given Vitamin A supplementation (twice a year) Report
months old given Denominator: Total population 12-59 months old
200,000 i.u. Vitamin(10.5% of the population)
A supplementation Multiplier: 100
(twice a year) Reference: NOH 2010
Target 2016:
CHD to disaggregate reports by provs & by muns.
29. Prevalence of Numerator: Number of stunted and severely stunted NNC
stunting among 0- 0-59 months old children
59 months old Denominator: Total number of 0-59 mos. Old
children children measured
Multiplier: 100
Reference: PPAN 2011-2016
Target 2016: 21.5%
D. 30. Percent of Numerator: Total number of live births attended by NNC
Maternal deliveries attended skilled health professionals (doctors, nurses,
by skilled health midwives)
Health
professionals Denominator: Total number of deliveries attended by
skilled health professionals (doctors,nurses and
midwives) in home, hospitals, others
Multiplier: 100 Bureau of Local Health Development
 PPAs Performance Definition Standards Data
Indicator Source
D. Maternal 31. Percent of Numerator: Number of mothers delivering in hospitals FHSIS
Facility Based RHUs, birthing clinic, lying-in)
Health
Deliveries Denominator: Total number of deliveries in the catchment
area (hospital, home, other places)
Multiplier: 100
Reference: Local civil registry
Target 2016: 80 %
Equity Dimension: Income Class or Education Level(Special
Survey)
32. Contraceptive Numerator: Number of women of reproductive age who are FHSIS
using (or whose partner is using) a contraceptive method at
Prevalence Rate
a given point in time
for Denominator: Number of women of reproductive age at risk
Modern FP methods of pregnancy at the same point in time (12.3% of total
population)
Disaggregated by type of contraceptive used.
Multiplier: 100
Reference: FHSIS
Target 2016: 57 % (NOH 2010)
Equity Dimension: Income Class or Education Level (Special
Survey)
33. Percent of Numerator: Number of functional Community Health LGU
Teams in PWHS Records
functional
Denominator: Total number of targeted functional
Community Health Community Health Teams in the PWHS Bureau of Local Health Development
PPA/Compon Performanc Definition Standards Data
ents e Indicator Source
E. Environmental 34. Percent of Numerator : Total no. of HH with access to safe FHSIS
Health HH’s with water (Level I,II, III)
access to safe Denominator : Total No.of HHs
Multiplier: 100
water
Reference: FHSIS
Target 2016: 94 %
35. Percent of Numerator : Total no. of HH with Sanitary Toilet FHSIS
HH’s with Denominator : Total No. of HHs
sanitary toilet Multiplier: 100
Reference: FHSIS
facilities
Target 2016: 91 %
36. Percent of Numerator: Water sources tested negative Data source
drinking water Denominator: All water sources ???
sources Multiplier: 100 2013 or 2014
Reference:
complying w/
Target 2016: ???
microbiological
standards
F. Prevention and 37. To be Numerator: 2013 0r
control of Non- determined by Denominator: 2014???
Communicable the Program Multiplier:
Diseases Reference: Bureau of Local Health Development
Manager
Target 2016:: ???
 PPA/ Performance Definition Standards Data
Component Indicator Source
s
VI. Compliance to National Health Legislation and Standards
A. Improve 38. Percent of Numerator:Total Number of sick PHIC DSWD-
Access to patients served with sponsored program members who were CCT
Safe complete treatment given complerte treatment pack in P/CWHS Program
Affordable Denominator: Total Number of sick PHIC &
pack (communicable
Essential sponsored program members in the NCPAM
Medicines & non-communicable P/CWHS
medicines- Multiplier: 100
maintenance drugs Reference: DSWD List of CCT Program &
for 1 month) per NCPAM
Conditional Cash Target 2016: 80%
Transfer (CCT) Area in
P/CWHS
39. Percent of Numerator: Number of available essential NCPAM
essential medicines medicines per health facilities in Survey
available per health PWHS/CWHS Bureau of Local Health Development
Denominator: Total number of essential
facility (RHUs &
medicines (15 key country list of essential