ESU Functionality Levels

Name of DRU:
Address:
In using this form: Kindly check the requirements actually present in the province being assessed
0 1 2 3
Presence of Ordinance or Executive Order
□ NO □ YES
Manpower Present
□One Designated □Two Designated □ Three Designated □ More Than Three Designated
Personnel Personnel Personnel Personnel and an Epidemiologist
Presence of Office
□NO □SHARED □ DEDICATED
Presence of Computer
□ NO □ SHARED □ DEDICATED □ DEDICATED with
WORKSTATION
Access to Transportation Facilities
□ NO □ SHARED □DEDICATED
Access to Communication Facilities
□ NO FAX NO □SHARED FAX OR □DEDICATED FAX □ DEDICATED FAX AND
INTERNET INTERNET OR INTERNET INTERNET
Presence of Allocated Budget
□ NO □ EXTRACTED □LINED UNDER □ DIRECT FROM LGU BUDGET
FROM OTHER NON- HEALTH SEPARATE FROM HEALTH
HEALTH OFFICE/UNIT UNIT/OFFICE
OFFICE/UNIT OF THE
LGU
Presence of Work and Financial Plan
□ NO □ YES
Presence of Surveillance Activities
□ NO □ Collects data from □ Collects, analyzes □ Collects, analyzes, interprets and
designated sentinel sites and interprets and disseminates data from sentinel
disseminates data from sites and provides feedback to
sentinel sites stakeholders
Access to Availability of Laboratory Services
□ NO □ Sends lab specimens □ Sends lab specimens □ Sends lab specimens to labs
to reference labs (i.e. to labs (i.e. RITM) within the province for
RITM) for confirmation within the region for confirmation
confirmation
Presence of Training Activities Pertaining to Surveillance and Response Activities
□ NO □ YES but limited to □ YES and extended to □ YES and integrated to activities
activities focused on activities involving the involving the national programs’
surveillance and region thrusts
response developed for
local wide use only
Ability to Conduct Outbreak Investigations
□ NO □ YES but with the □ YES but with the □ YES and does investigations
help of the national help of the regional involving local experts only
experts experts

Signature over Printed Name

ESU Staff
Scale: Add the scores of the checked boxes to get the functionality score of the RESU. The
corresponding scores (0,1,2,3) are at the heads of the columns.

Example: If the RESU has an ordinance, you will check YES and the corresponding score is 1.

0: Your local health office doesn’t have an ESU. All you have is a designated employee equivalent to a
Disease Surveillance Coordinator under the PIDSR framework.

1 to 11: Your Local Health Office is pursuing efforts to build an ESU through shared resources and
capacities with the other units in your office. Try to maximize all your efforts to achieve the category
of Level 1 ESU.

12: Your ESU can be categorized as Level 1. Your ESU exists through shared resources and capacities.
Try to maximize all your efforts to achieve the category of Level 2 ESU.

13 to 21: Your Level 1 ESU is already achieving resources and capacities necessary to reach the category
of Level 2 ESU. Continue with your work to achieve the category of Level 2 ESU.

22: Your ESU can be categorized as Level 2. Your ESU exists through dedicated resources and
capacities. Try to maximize all your efforts to achieve the category of Level 3.

23 to 29: Your Level 2 ESU is already achieving resources and capacities necessary to reach the category
of Level 3 ESU. Continue with your work to achieve the category of Level 3 ESU.

30: Your ESU is now Level 3. Your local health office had achieved the ideal qualities of a functional
ESU fit for your office. Kindly maintain the functionality for the benefit of your local government unit
and the PIDSR system.

Definitions:

1. Presence of Ordinance or Executive Order: When a personnel of a province being monitored can
show to the monitoring team a tangible proof of the presence of ordinance or executive order (printed
document) pertaining to the creation of a functional ESU in their province, check the YES cell.
Otherwise, check the No cell.

2. Designated Personnel: Refers to the personnel assigned FULL TIME in ESU doing FULL TIME
ESU work

3. Shared Office, Computer, Transportation or Communication Facilities: Refers to the status of the said
equipment or facilities when their use is SOLELY of for the ESU alone

4. Dedicated Office, Computer, Transportation or Communication Facilities: Refers to the status of the
said equipment or facilities when their use is SOLELY or for the ESU alone

5. Presence of Work and Financial Plan: When a personnel of a province being monitored can show to
the monitoring team a tangible proof of the presence of work and financial plan (printed document)
pertaining to the functional ESU in their province, check the YES cell. Otherwise, check the No cell.