Professional Documents
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Province Name:
CEBU
Region:
Profile Year:
2014
VII
Please fill-up the form by putting the required data for numerator, denominator and
computed value.
Encircle Not Applicable if the indicator is not applicable to the component city or
municipality, or No Data if applicable but data is not available.
Refer to the given formula per indicator to derive the computed value.
Fill-up the remarks portion of each indicator when the computed value exceeds the
acceptable value.
Only the computed value will be inputted on the online DCF, however, numerator and
denominator data still needs to be supplied in this manual DCF to facilitate data review.
Signing the Certification Page must mean that the data entered herein has been
reviewed and validated by the Municipal Health Oficer.
14,453,617.07
X 100 =
B. Total Municipal Budget
120,000,000.0
0
Notes:
12.04%
Remarks:
2) Percentage of MOOE Allocated to Health
A. Total MOOE in Municipal Health Budget
1,639,343.88
X 100 =
11.34%
Services
Notes:
MOOE for health from the regular funds (IRA + locally-generated sources)
Remarks:
14,156,080.3
4
X 100 =
97.94%
Notes:
Remarks:
65,770
Notes:
Formula: A/B
65,770
X 100 = 1 RHM:2860
B. Number of Rural Health Midwives
23
Notes:
Formula: A/B
Acceptable computed value: between 1 rural health midwife : 500 population and 1
rural health midwife:75,000
Remarks:
65,770
X 100 =
B. No. of Rural Health Nurses
1 PHN :
21,923
Notes:
Formula: A/B
Acceptable computed value: between 1 rural health nurse: 1,000 population and 1 rural
health nurse:75,000 population
DCF for Municipalites Page 3 of 15
Remarks:
B. Essential Drugs/Medicines
7). Percentage of NHTS-PR Members w/ Chronic Hypertension Given Anti-hypertensive
Drugs Listed in the DOH Complete Treatment Pack (ComPack) Program
A. No. of NHTS members w/ chronic
hypertension in the municipality given
antihypertensive drugs listed in the
DOH Compact Program
118
X 100 =
46.64
253
Notes:
DOH Compack Program: This will only include anti-hypertensive & anti-anginal agents
8). Percentage of NHTS-PR Members with Type II Diabetes Mellitus (DM II) Given Antidiabetic Drugs Listed in the DOH Complete Treatment Pack (ComPack) Program
A. No. of NHTS members w/ DM II in the
municipality given anti-diabetic drugs
listed in the DOH Compack Program
15
X 100 =
37.5%
40
Notes:
Remarks:
No
Notes:
65,770
An LGU must meet ALL the 6 criteria of an operational HEPRRP: Plan is available and
signed; complete; revised/updated; tested; integrated into LDRMP; and funded.
Remarks:
Does the LGU provide full hazard pay, subsistence & laundry allowance to its
health workers under the Magna Carta for Public Health Workers?
Yes
Notes:
Data Source: LGU Records
2016 Target: hazard pay, subsistence and laundry allowances are provided in FULL
Remarks:
X 100 =
None
2016 Target: 100% of LGU managed health facilities have a client satisfaction survey
or feedback mechanism installed
Remarks:
0
X 100 =
Only non-remunerated blood donations initiated or assisted by the LGU (communitybased mobile blood donations) will be considered
Remarks:
No Data
Notes:
Reference FHSIS
Remarks:
14.Annual Parasite Incidence for Malaria
A. No. of Malaria Cases in the Population
X 100 =
No Data
Notes:
Reference: FHSIS
Remarks:
104
X 100 =
B. Estimated No. of All Forms of TB
57.46%
181
All Forms of TBrefers to new smear positive, new smear negative, relapse and extra
pulmonary TB
To compute for Estimated number of all forms of TB cases for the year: Total
population X 0.00275
Remarks:
92
X 100 =
B. Total No. of Registered All Forms of
100
Notes:
90.38%
Remarks:
C. Child Health
17.Percentage of Fully Immunized Child
A. No. of Infants Given BCG,OPV3,
DPT3/Penta3,Hep B3 & Measles
Vaccine Before 12 Months of Age
1415
X 100 =
B. Total Population x 2.7%
79.68%
1775
Notes:
Remarks:
18.Percentage of Infants (0-6 months old) Exclusively Breastfed
A. No. of Infants (0-6 months old)
Exclusively Breastfed
1084
X 100 =
B. Infants Age 6 months seen
1282
Notes:
Remarks:
D. Maternal Health
19.Percentage of Facility-Based Deliveries
DCF for Municipalites Page 9 of 15
84.56%
979
337
B1. Home
146
1316
X 100 = 89.46%
B. Total Number of Maternal
1471
Notes:
Other places is defined as non-health facility places like vehicles (tricycle, taxi etc)
and outside of the dwelling place
Remarks:
20) Contraceptive Prevalence Rate for Modern Family Planning Methods*
A. No. of Women of Reproductive Age
Who Are Using (or whose partner is using)
Modern Family Planning Method
1354
X 100 = 16.74%
B. No. of Women of Reproductive Age
(12.3% of total population)
8090
Remarks:
Notes:
Modern family planning methods*: pills, implanon, IUD, condom, injectables, NFP
(cervical mucus,BBT, symptothermal, SDM/cycle beads, LAM), BTL and vasectomy.
Remarks:
21) Percentage of Functional Community Health Teams
A. No. of Functional Community
Health Teams in the LGU*
X 100 =
None
Conditional Cash Transfer National Household Targeting System for Poverty Reduction
Remarks:
Remarks:
23) Proportion of Adults 25 y.o and Above with Condition Managed for Diabetes Mellitus
(DM II)
A. No. of Adults 25 y.o. and Above with
Condition Managed for DM II in the
Municipality
X 100 =
B. Total No. of Adults 25 y.o. and Above
with DM II in the Municipality
Remarks:
Notes:
Remarks:
Remarks:
Notes:
4 HIV & AIDS core criteria set: LGU multi sectoral coordinating body on HIV & AIDS with
representation of Key Afected Populations; LGU HIV & AIDS multi-sectoral work plan to
include Monitoring & Evaluation; Social Hygiene Clinic or Facility Providing STI Services;
and Local HIV & AIDS related policies
G. Environmental Health
25) Percentage of Households with Access to Safe Water
A. Total No.of Households with
Access to SafeWater (Level I, II, III) 12,137
X 100 =
B. Total No. of Households
82%
14,760
Notes:
Reference: FHSIS
Remarks:
13,241
9047
X 100 =
14,760
61%
Notes:
Minimum standard sample of collections is 20% of all drinking water sources. The LGUs
are expected to conduct random testing at least once a year.
Remarks:
27) Percentage of Households with Sanitary Toilet Facilities
A. Total No.of Households with
Sanitary Toilet Facilities
12,137
X 100 =
14,760
Notes:
Reference: FHSIS
Remarks:
82%
Certification Page
(for Component Municipalities)
Part 1. On Accomplishing the DCF (for MuniciplaHealth Officers & Financial Officers)
This is to certify that the data provided in the LGU Scorecard Data Capture Form
are final and correct to the best of our knowledge. We understand that the data we
provided in the LGU Scorecard Data Capture Form will be the basis in producing the
LGU Report Card on Health.
SIGNED:
Note: Affix your signature above printed name. Indicate your office & position
opposite your name.
Name
JOSE EDGAR V. ALONSO M.D. Dalaguete Municipal Health Office-Municipal Health Officer
Part II. On Review of DCF (For the PHO and CHD-PHTL)
This is to certify that the undersigned have reviewed the data provided in this
LGU Scorecard Data Capture Form.
Remarks:
DCF for Municipalites Page 15 of 15
SIGNED
Note: Affix your signature above printed name. Indicate your position opposite
your name.
Name