PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

INTEGRATED MONITORING TOOL FOR LOCAL HEALTH PROGRAM IMPLEMENTATION

(1st Semester, CY 2023)

Objective: To monitor implementation of health program performance, and

To take appropriate actions where issues and concerns are raised.

Name of Local Government Unit: Name of Local Health Officer:

Date of Visit Total Number of RHU Total Number of BHS

I. Governance Yes No MOV

1. Budget and Plan
a. CY 2023 Approved Budget
b. CY 2023 AIP Approved
c. CY 2023 Annual Procurement Plan
d. Appraised LIPH 2023-2025
e. CY 2023 AOP
f. Encoder (AOP LIPH-IS)
2. BHW Management YES NO MOV
a. Master list of BHW’s
PHO Payroll & DOH Database
b. Incentives for BHW’s Amount Per year
Month Quarter
b.1 Barangay
b.2 Municipal
b.3 Provincial
c. Average households assigned to
each BHW’s
d. Trainings conducted by: Number of Times
d.1 LGU
d.2 Provincial
d.3 National
II-Governance
a. Presence of Policies/EO’s/Ordinances
( Program )
b. Presence /functional Local Health

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

Committees/Councils /Clubs
(identify-attached another sheet)
c. Certified/Accredited Facilities Expired Renewal Re accreditation
• TB DOTS
• HIV Hub
• ABTC
• AFHF
• MBFHF
• PCF (E-Konsulta )
• MCP
• NCP
• Birthing Facility
• Breast Feeding Station
• LTO (Certified)
II-Health Human Resource
a. Human resources for Health-Adequate
Human Resource for health
a.1 Total # of Health Personnel
Category Permanent Casual JO
Doctors
Nurses
MT
RSI
RHM
Dentist
IT/Encoder
DRO
HEPO
designate
a.2 Dedicated/designated Point Person Program Point Person
on specific Health Programs
(Infectious Diseases Program, NCD,
EVS, FP, Maternal, NIP, Nutrition,
AHDP, Vector Control
Program, NTP Lab)

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

II. Service Delivery

1. NTP Control Program Yes No Remarks
a. Dedicated Room for DOTS Facility
b. Genexpert
c. Microscopy Laboratory
d. Presence of trained staff : List of trained staff Date Attended
• NTP MOP 6th edition
• DSSM
• Genexpert
e. With updated inventory of TB
Meds
• Adult ______Balance
• Pedia ______Balance
f. Presence of Laboratory Supplies
• AFB Stain
• Cartridges
g. Reporting
• With Updated IT IS Report
• Presence of TB registry
• Target Achieved
CNR ___% Accomplishment
TSR ___% Accomplishment
1. A. NTP Laboratory
a. All GX modules are functional. GX Machine:
Type:
Ownership:
Module
b. Schedule of GX testing operations
(days/week)
c. Recording and reporting
• All the columns of Lab registry
completely and properly filled
out
• All GX results are encoded in
IT IS
• Turn-around time for the
release of GX results is 1-3
days

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

2. HIV/AIDs/SY and Viral Hepatitis Yes No Remarks

Prevention and Control Program
a. Presence of trained staff in relevant
trainings: List of trained staff Date attended
• HIV Counselling
• PICT
• HIV Proficiency
b. Physical set up
• HIV Testing lab/area
• Genexpert machine for
viral load
c. Conduct community outreach
program and HIV Testing
3. Maternal Care Program
a. Facility Based Deliveries Total #:
b. Skilled Health Professionals Category Total number
Physicians
Nurses
Midwives
4. National Immunization Program
a. TCL updated and complete?
b. TCL showing immunized gaps
c. Monitoring chart
• Chart up to date
• Magnitude of drop outs
displayed
d. Cold chain, logistics and supply
• Refrigerators functioning? If
not has report been made
and follow up
• Temperature record twice
per day?
• Any stock out/over stock?
e. Reports of suspected VPDs
reported and investigated on time?
f. Immunization schedule poster
displayed?
g. Micro plan available shows

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

activities for high risk puroks?

5. Nutrition Specific Program Yes No Remarks
Presence of Nutritional Council
a. Infant & Young Child Feeding
Program
• Presence of BF and
Lactation Station
• Presence of EO 51
(known as Phil Milk Code)
•Trained on BF and
Complementary Feeding
b. PIMAM
• Trained on Community
Mobilization for BHW(opt)
• Trained on OTC
• Trained on ITC
• Presence of PIMAM Vitamin A, MNP, RUSF, RUTF, F75,F100
Commodities
c. Micronutrient Supplementation
• Procurement of
Micronutrient Commodities
d. NIEM (Nutrition in Emergencies Mgt)
• Presence of NIEM plan
integration in local DRRM-
Plan
• Trained staff on NIEM
• Key supplies stockpiled and
prepositioned
e. National Nutrition Promotion
Program for behavioural change
• Presence of HEPO and IEC
and other promotional
strategies
• Presence of LNAP
(Local Nutrition Action Plan)
6. NCD Program Yes No Remarks
a. Presence of TCL for NCD
b. Trained on Philpen (Philipine List of trained staff Date attended

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

Package of Essential NCD

Interventions Protocol

c. With available CVD/NCD Risk

Assessment Form for adults 20 y/o
and above
d. With active/functional
Hypertension and Diabetes Club
e. Presence of promoting activities to
prevent and control lifestyle
related diseases
A. Mental Health Program Yes No Remarks
a. Does facility Mental Access Site
and provide health services for
mental health clients
b. Trained on MHGAP (Mental Name Date attended
Health Gap Action Program)

c. Availability of essential
medicines and supplies for
mental health clients
d. Referral system for mental
health related services
7. Environmental and Sanitation Program
1. Safely Manage Drinking Water Yes No Remarks
a. Presence of Local Drinking Water
Quality Monitoring Committee
(LDWQMC)
b. Proportion of households using 2022: 62.5%
safely managed drinking-water 2023:64.5%
services target achieved?
c. Master list of HHs connected with
Level 1 basic Safe Water Supply
2. Safely Manage Sanitation Facility
a. Presence of EO for the
implementation of Phil approach
to sustainable Sanitation?
b. Proportion of HH using safely 2022: 53.0%
managed sanitation facility target 2023:58.0%

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

achieved?
c. With Master list of HHs with Basic
Sanitation service?
Level 1
Level 3
d. Zero Open Defecation Committee
(ZOD)
e. Total number of barangays with
ZOD
8. Blood Program Yes No Remarks
a. Presence of Local Blood Council
b. Trained DRO to conduct advocacy
on voluntary blood donation
c. Presence of MBD Activities
( indicate partners on MBD)
III. ESU Functionality Yes No MOV
a. Policy
b. Dedicated Staff
c. Distinct Organogram
d. Work and Financial Plan
e. Report Generation
IV. DRRM-H Institutionalization Yes No MOV
a. Updated and Approved Plan
b. Organized Health Emergency
Response Teams
c. Available Health Emergency
Commodities
d. Functional Health Operation Center

Strengths/ Positive Findings

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]
 PROVINCIAL HEALTH OFFICE – PUBLIC HEALTH

Areas for Improvement Recommendations

Areas for Technical Assistance Agreements

Monitored by:

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

Conforme:

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

(Signature over Printed Name and Designation) (Signature over Printed Name and Designation)

Mariano Ponce Hall, HBCC, Antonio S. Bautista Bulacan Provincial

Capitol Compound, City of Malolos, Bulacan 3000
Tel: +(63)44 791-8169 Email: [email protected] & [email protected]