DRRM-H SYSTEM INSTITUTIONALIZATION

BASELINE /ASSESSMENT AND SITUATIONAL ANALYSIS REPORT FOR UHC-IS

HEALTH EMERGENCY MANAGEMENT BUREAU
Yr. 2021-2022

Date and Time: / / | AM PM

Region:

LOCAL GOVERNMENT UNIT Mark if: Province City (HUCC, ICC) [LIST of MEMBER CITIES/MUNICIPALITIES THAT
[NAME OF PROVINCE/CITY] INTEGRATED IN THE P/CWHS]

LOCAL HEAD [NAME OF HEAD: GOVERNOR/MAYOR]

P/C HEALTH OFFICER [NAME OF P/C HEALTH OFFICER]
DRRM-H MANAGER / FOCAL [NAMES OF DRRM-H MANAGER AND FOCAL STAFF]
STAFF

I. OBJECTIVE/S OF THE REPORT:

• To conduct a baseline or assessment of PROVINCE/CITY institutionalization of DRRM-H System for the P/CWHS
• To perform situational analysis in the context of DRRM-H institutionalization;
• To assess the current investment/budget needs or gaps in institutionalization; and
• To provide recommendations on strategies and measures to ensure DRRM-H institutionalization.

II. BASELINE / ASSESSMENT

PERFORMANCE INDICATOR FOCUS [Local Government Units (P/HUCC/ICC) with institutionalized DRRM-
[OUTCOME INDICATOR) H System]
BASELINE YEAR: [indicate year]
RESULT: [indicate result per KRA]

A. DRRM-H INSTITUTIONALIZATION MONITORING MATRIX

Kindly accomplish the matrix on the compliance to the minimum requirements of a DRRM-H System. The column on DRRM-H
System requirements contains the different KRAs that are to be assessed. The next columns are to be filled up based on the latest
official result of Local Health System (LHS) Maturity Level (ML) DRRM-H System assessment. Please indicate the date of
assessment. In the last column, tick the box if based on current self-assessment the said requirements are
accomplished/achieved. You may refer to Annex A. Local Health Systems Maturity Level Monitoring Tool for details.

Status as of
IF LHS ML ON DRRM-H SYSTEM
ASSESSMENT WAS ALREADY DONE,
(AS PER AO NO. 2020-0036)

Self-Assessment
PLEASE ANSWER THESE COLUMNS
DRRM-H SYSTEM REQUIREMENTS Tick if all MOVs of the KRA were
BASED ON OFFICIAL RESULT. accomplished; Leave unmarked if
LHS ML

absent
Tick if present; leave unmarked if absent
NOT YET
ACHIEVED ONGOING STARTED
PREPARATORY
KRA 1.1:
Baseline/ Assessment and Gaps Analysis on the
Implementation of the DRRM-H System
 ORGANIZATIONAL
KRA 2.1:
Organized Province-Wide/ City-Wide DRRM-H
System

KRA 2.2:
Monitoring of Province/ City-Wide Health System
(P/CWHS) Performance on DRRM-H System

FUNCTIONAL
KRA 3.1:
Advanced Province-Wide/ City-Wide DRRM-H
System

KRA 3.2:
Monitoring of P/CWHS Performance on DRRM-H
System

B. ESSENTIAL HEALTH SERVICES MATRIX

Kindly tick the appropriate boxes as to what health services under each sub-cluster are provided by the UHC-IS during
emergencies and disasters

Public Health and Medical Services Mental Health and Psychosocial

Nutrition in Emergencies (NIE) Water Sanitation and Hygiene in Support
in E/D
Including MISP-SRH Emergencies (MHPSS)
(WiE)
❑ Maternal, Newborn and ❑ Nutritional Assessment, ❑ Water Supply ❑ Psychosocial considerations
Child Health Counseling and Promotion given in all relief efforts
❑ Minimum Initial Service ❑ Infant and Young Child ❑ Excreta Management ❑ Psychological First Aid
Package – Sexual and Feeding
Reproductive Health
❑ Prevention and Control of ❑ Management of Acute ❑ Solid Waste Management ❑ Gradated Psychosocial and
Communicable Diseases Malnutrition mental health Interventions
❑ Control of Non- ❑ Micronutrient ❑ Vector Control
communicable Diseases Supplementation
❑ Management of Injuries ❑ Hygiene Promotion

III. SITUATIONAL ANALYSIS

A. FACTORS AFFECTING INSTITUTIONALIZATION OF DRRM-H SYSTEM IN P/CWHS

For each KRA (Column 1), list down the facilitating factors (Column 2) and hindering factors (Column 3) to achieve an
institutionalized DRRM-H system based on inputs from Baseline/Assessment A and B. In the column on Strategy or Action
Points (Column 4), please indicate those that could be continued/sustained (refer to the facilitating) & those that should be
corrected/improved (refer to hindering). Examples of strategies are indicated in the rightmost column (Column 5).

OUTPUTS FACILITATING HINDERING STRATEGY or EXAMPLES OF

FACTORS FACTORS ACTION POINTS STRATEGIES
(1) (2) (3) (4) (5)

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PREPARATORY ▪ Policy
KRA 1.1. Development
Accomplished ▪ Plans
Baseline/ Development
Assessment and ▪ Program
Situational Analysis
Development
(BASA) Report or
other baseline/ • Capacity
assessment and Development
situational analysis (Human
report Resource and
Trainings)
ORGANIZATIONAL • Package of
KRA 2.1: Organized Services
Province-Wide/ City- • Financing
Wide DRRM-H • Logistics
System
• Promotion and
KRA 2.2: Monitoring Advocacy
of Province/ City-Wide
Health System • Monitoring and
(P/CWHS) Research
Performance on • Infrastructure
DRRM-H System Development
and Upgrading
• Partnership
FUNCTIONAL Building
KRA 3.1 Advanced Others
Province-Wide/ City-
Wide DRRM-H
System

KRA 3.2 Monitoring

of P/CWHS
Performance on
DRRM-H System

B. INVESTMENT/BUDGET NEEDS AND GAPS

Determine whether these strategies were proposed on the following investment/operational plans.
Are the strategies proposed on the Already in the
Annual
STRATEGIES/ACTION POINT following investment plans? Operational
Please indicate one strategy per row NOT LIPH CHD DOH DRRM OTHER Plan (AOP)
PARTNER/S
PROPOSED for the Year:
YET
e.g. [Place legend for referencing] Specify:
1
Priority (P) 1, Strategy (S) 1
2 (P)1,(S)2
3 (P)1,(S)3
4 [Answer here]
5 [Answer here]
6 [Answer here]

C. PRIORITY STRATEGY ANALYSIS (YEAR: )

1. Given your answers to the previous matrices, place the identified strategies/action points in the quadrants below as to importance
(important, less important) and urgency (urgent, not urgent)

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 Based on the EISENHOWER MATRIX

Definition:

IMPORTANCE Requires initiative and proactiveness; Dedicated focused hours to do quality work; Long term strategic thinking aligned with
mission and goals; Large impact on success

URGENCY Requires immediate attention; time sensitive usually small duration; involves short term thinking and sub-optimal decision
making; less significant compared to long term goals

Quadrant 1 – Priority 1 [Important and urgent]

(REDUCE) Reduce time spent in this quadrant by doing more work in Quadrant 2.

Quadrant 2 – Priority 2 [Important but not urgent]

(SCHEDULE) Involves future planning through strategic thinking. Requires initiative. Spend more time here.

Quadrant 3 – Priority 3 [Less important and urgent]

(DELEGATE) Empower team by assigning tasks in this quadrant. Enable your team to do independent decision making.

Quadrant 4 – Priority 4 [Less important and not urgent]

(DECLUTTER) Eliminate tasks that do not align with mission and goals.

<important strategies / <important strategies /

action point but are not action point that are
urgent> urgent>

Quadrant 2: PRIORITY 2 Quadrant 1:PRIORITY 1

URGENCY
(X axis)

<less important <less important

strategies / action point strategies / action point
that are not urgent> that are urgent>

Quadrant 4: PRIORITY 4 Quadrant 3 : PRIORITY 3

IMPORTANCE
(Y axis)

2. After placing them in the respective quadrants, those strategies in Priority 1 (Quadrant 1) and Priority 2 (Quadrant 2) shall be
prioritized for technical assistance (TA).

IV. TECHNICAL ASSISTANCE (TA) NEEDS

Determine the TA needs to be provided by the Centers for Health Development (CHDs). Input them in the matrix below and
categorize accordingly following the Menu of Technical Assistance cited in DM 2020-0212 as follows (1) Policy, standards and
technical guidelines; (2) Toolkits/Templates/guides; (3) Funding/logistic support; (4) Orientations/capacity-
building/learning development interventions, and (5) Baseline assessment/performance monitoring tools and other
technical output.

PRIORITY STRATEGIES TA NEEDS FROM CHDs Category No.

A strategy may have several TA request to CHDs
e.g. [Use the legend for referencing] Technical Assistance 1
1
(P)1,(S)1 Technical Assistance 2
2 (P)1,(S)2 Technical Assistance 1

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 Technical Assistance 2
Technical Assistance 3
3 (P)1,(S)3 Technical Assistance 1

V. RECOMMENDATION/S
Input your answers in the box.
[Answer here]
Input recommendations for important strategies/action points.
Input recommendations for investments/technical assistance needed.
Other recommendations as appropriate.

SUBMITTED BY:
[NAME]
[POSITION]
[DATE]

REVIEWED BY: APPROVED BY:

[NAME] [NAME OF HEAD]
[POSITION] [POSITION]

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ANNEX A. LOCAL HEALTH SYSTEMS MATURITY LEVEL MONITORING TOOL
Local Health Systems Maturity Levels Monitoring Tool
Building Block: Service Delivery
SD 2 Characteristic: Disaster Risk Reduction Management in Health (DRRM-H) System Version 2

Instructions:
1. Under the Status column, indicate the status of the means of verification (MOVs):
a. Achieved – with approved document or the target indicated was met
b. On-going – with an available draft document or target was not met but with existing initiatives already
c. Not yet started – no existing initiatives yet to achieve the Key Result Areas (KRAs)
2. Under the Remarks column, fill in the required fields, as applicable. May also include other monitoring notes.
3. Under the Summary of Progress table, indicate the status of each KRA based on the status of its MOV. If a KRA has multiple MOVs:
a. All MOVs have the same status - include the KRA in the appropriate column
b. MOVs have different status - include the KRA under the On-going column
4. MOVs tagged as needed shall only be provided with a status if applicable. Otherwise, please indicate “not applicable”.
5. Reports and Lists submitted as MOVs should be duly signed by the Provincial/ City Health Officer or authorized representative.
6. In the Recommended Interventions/ Assistance Needed table, indicate the specific interventions that should be carried out and/or technical
assistance needed to facilitate the attainment of the KRAs.
7. Sign the tool and indicate the date.
Status
(Achieved/ On-
Means of Verification Remarks
going/ Not yet
started)
I. Preparatory Level
KRA 1: Baseline Assessment and Gaps Analysis on the Implementation of the DRRM-H System
1. Accomplished Baseline/ Assessment and Situational Analysis (BASA) Report
or other baseline/ assessment and situational analysis report

Notes:
1. Report done by the LGUs, the Center for Health Development or the Central
Office not earlier than 2019 may be presented
2. Any form of preliminary report that shows the current status and identified
gaps and needs for DRRM-H System institutionalization
II. Organizational Level
KRA 2.1: Organized Province-Wide/ City-Wide DRRM-H System

1. Ordinance or P/CHB Resolution on the organization of DRRM-H System in Ordinance No. or P/CHB Resolution No:
P/CWHS
Office Order No:
2. Office Order designating or appointing the DRRM-H Manager

3. P/CWHS DRRM-H Plan is approved and disseminated as evidenced by:

a. Approved and signed DRRM-H Plan
b. Documentation of planning activities and dissemination activities on
the DRRM-H Plan
4. Health Emergency Response Teams (HERT) organized and trained on
Office Order No:
minimum trainings for the P/CWHS as evidenced by:
a. Office Order organizing the HERT for Public Health and Hospital
b. Certificate of Completion/Participation (COC/COP) of HERTs on Training Public Hospital
DRRM-H Trainings Health Team
Note: Team Members
1. Threshold on the number of HERT members required to attend the following Members
trainings. For the UHC IS to have an “Achieved” status for this MOV at this BLS %
level, ALL requirements must be met:
SFA %
Training Public Health Team Hospital Team
Members Members HERO %
BLS (Basic Life Support) At least 40% Sub-national % -
PHEMAP
SFA (Standard First Aid) At least 15%
MCIM - %
HERO (Health Emergency At least 5%
Response Operations) HSFD - %
 Sub-national PHEMAP(Public At least 5% -
Health Emergency
Management in Asia and the
Pacific)
MCIM ( Mass Casualty - At least 5%
Incident Management)
HSFD (Hospital Safe from - At least 5%
Disaster)
2. Basic Trainings required of the Public Health and Hospital HERTs
▪ Public Health and Hospital Training: BLS SFA, Health Emergency
Response Operations
▪ Public Health Training: Sub-national PHEMAP
▪ Hospital Training: MCIM, HSFD
3. CHD through the DRRM-H Manager shall only submit the list of HERT
members verified with COC/COP on Public Health and Hospital Trainings upon
monitoring to the Central Office.
5. Essential health emergency commodities (HECs) available and accessible as .
evidenced by inventory of HECs and/or other supporting documents
Note: The inventory may include the following:
▪ Assorted Drugs/Medicine (any medicine that are anti-infective,
analgesic, antipyretic, fluids/electrolytes, respiratory, and other
dietary/nutritional products)
▪ First Aid Kit
▪ Hygiene Kit
▪ WASH Kit (water drinking container and disinfectant)
Checklist on the Inventory of essential health
▪ WASH Equipment (portable water testing)
emergency commodities filled up
▪ Nutrition in Emergencies Supplies
▪ Medical Supplies and Equipment
▪ Personnel Protective Equipment
▪ Emergency Go Bag
▪ Dedicated ambulance or patient transport vehicle for mass casualty
incidents and during emergencies/disasters
▪ Generator set/s
▪ Handheld radios
▪ Tents
Indicate if the P/CWHS encountered an
emergency/disaster (Yes or No):

Within the FY:

6. Functional Emergency Operations Center (EOC) as evidenced by:
a. Office Order on activating an EOC with functional command and control, Raised Code Alert Level (Yes or No):
coordination and communication based on Code Alert level, as needed
Please specify the Code Alert Level:

Office Order No:

b. Emergency Operations Center Report, as needed

7. Local government investment plan earmarking budget for the DRRM-H
System and its operations
Note: May include Local Development Investment Plan (LDIP), Local
Investment Plan for Health (LIPH), Annual Operational Plan (AOP), etc.
KRA 2.2: Monitoring of Province/ City-Wide Health System (P/CWHS) Performance on DRRM-H System
1. Program Implementation Review (PIR) Reports issued annually reflecting the
recommendations/ concerns raised during the previous PIR, as well as actions
taken
III. Functional Level
KRA 3.1: Advanced Province-Wide/ City-Wide DRRM-H System
1. P/CWHS DRRM-H Plan is updated and tested as evidenced by: Record Revision Year and No:
a. Updated and tested DRRM-H Plan
b. Documentation of drills and exercises (i.e. PIE) applied in updating Post-Activity Report/ Minutes of Meetings, photo
of DRRM-H Plan documentation preferably
2. HERT sustained for the P/CWHS as evidenced by: Training Public Hospital

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 a. Certificate of Completion/Participation of HERTs on DRRM-H Health Team
Trainings Team Members
Note: Members
1. Threshold on the number of HERT members required to attend the following BLS %
trainings. For the UHC IS to have an “Achieved” status for this MOV at this
level, ALL requirements must be met: SFA %

Training Public Health Team Hospital Team HERO %

Members Members
Sub-national % -
BLS At least 80% PHEMAP

SFA At least 20% MCIM - %

HERO At least 20% HSFD - %

Sub-national At least 20% -

PHEMAP
MCIM - At least 20%
HSFD - At least 20%
2. Basic Trainings required of the Public Health and Hospital HERTs
▪ Public Health and Hospital Training: BLS SFA, Health Emergency
Response Operations
▪ Public Health Training: Sub-national PHEMAP
▪ Hospital Training: MCIM, HSFD
3. CHD through the DRRM-H Manager shall only submit the list of HERT
members verified with COC/COP on Public Health and Hospital Trainings upon
monitoring to the Central Office.
b. Deployment/ Mission Order on HERT mobilization including “report Indicate if the P/CWHS encountered an
from the field by the HERTs”, as needed emergency/disaster (Yes or No):

Within the FY:

Office Order No:

3. Executive Order/ Office Order on the organization of the following Health

Clusters with members/ representatives, identified roles and responsibilities, and
rules of engagements, including accomplishment reports from each cluster as
needed:
▪ Public Health/ Medical including Minimum Initial Service Package Executive Order No. or Office No:
for Sexual Reproductive Health
▪ Nutrition in Emergencies
▪ Water, Sanitation, and Hygiene in Emergencies; and
▪ Mental Health and Psychosocial Support
4. MOA/MOU specifying resource sharing and/or mobilization for service
delivery in emergencies/disasters
Note: Resource sharing and/or mobilization for Service Delivery in
emergencies/disaster may include the following health services, among others:
▪ pre-hospital care (triage; treatment- first aid & management of
injuries, medical emergencies and trauma care among others;
including packaging of patients for transport to health facilities);
▪ field management (arrangements for field implementation facility);
▪ management of victims in temporary shelters or evacuation centers;
and
▪ management of hospital surge

Indicate if the P/CWHS encountered an

emergency/disaster (Yes or No):
5. Approved final report on major emergencies and disasters, as needed
Within the FY:

6. Office Order authorizing members of DRRM-H Program Management Team

with defined roles and responsibilities Office Order No:

7. Appropriation ordinance or approved work and financial plan reflecting budget

allocation for the sustainable implementation of DRRM-H System and its
operations
KRA 3.2: Monitoring of P/CWHS Performance on DRRM-H System

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1. Budget Utilization Reports on the implementation of the DRRM-H System and
its operations
2. Documentation of lessons learned, best practices and innovations on DRRM-
H institutionalization

Summary of Progress

Achieved On-Going Not yet started

Level of Progress Total No. of KRAs (cite specific KRA no.) (cite specific KRA no.) (cite specific KRA no.)
Preparatory Level 1
Organizational Level 2
Functional Level 2
Total No. of KRAs 5

Technical Assistance Needed by the LGUs

KRA Technical Assistance Needed Timeframe Expected Output Person/ Unit Responsible

KRA 1.1

KRA 2.1

KRA 2.2

KRA 3.1

KRA 3.2

Assessed by: <PRINT NAME AND SIGNATURE>

<Designation> Name of Office/ Unit

Date:

Validated by: <PRINT NAME AND SIGNATURE>

<Designation> Name of Office/ Unit

Date:

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