Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

11 October 2021
DEPARTMENT MEMORANDUM
No. 2021 - 04:38

FOR: ALL UNDERSECRETARIES, ASSISTANT SECRETARIES,

DIRECTORS OF BUREAUS AND SERVICES, DIRECTORS OF
CENTERS FOR HEALTH DEVELOPMENT, AND OTHERS
CONCERNED

SUBJECT: Directions for the Development of 2023-2025 Local Investment Plans for
Health and 2023 Annual Operational Plans

The Year 2022 and the 2022 Annual Operational Plan (AOP) mark the end of the 2020-2022
Local Investment Planning for Health period. It is expected to be a milestone
year as it ushers in
a new era in health sector development, with the implementation of Executive Order No. 138
on
full devolution. The EO particularly calls the Department of Health
(DOH) and other national
agencies toreview their respective mandates and to develop and implement Devolution Transition
Plans (DTPs) for the next 3 years, in pursuit of full devolution of functions to the
LGU, as
enshrined in Sections 3 and 17 of Republic Act 7160 or the Local Government Code
(LGC) of
1991.

The implementation of the adjusted national tax allocations of LGUs also

starts in Fiscal Year
2022, in the light of the Supreme Court Ruling on the Mandanas-Garcia
ruling on the just share
of LGUs in the national taxes. This increase will empower LGUs to provide and
effectively
discharge devolved duties and functions under RA 7160.

Alongside this are the continuing efforts on COVID-19 response and

management, the many
health policy changes with the RA11223 or the Universal Health Care
(UHC) Act, and the initial
progress of the UHC Integration Sites.

It is in the above context that LGUs, Provinces,

Highly Urbanized Cities (HUC), Independent
Component Cities (ICC), Municipalities and Component Cities (CC) will
develop their respective
Local Investment Plans for Health for 2023-2025.

Administrative Order (AO) 2020-0022 on Guidelines on the Development of Local

Investment
Plans for Health and AO 2020-0018 on Guidelines on Contracting Province-wide
and City-wide
Health Systems shall guide the LIPH and AQP
processes. AO 2020-0022 prescribes that the LIPH
serve as the Strategic Plan for the implementation of UHC Act and the integration of Province-
wide and City-wide health systems. It calls for Provinces, HUCs, ICCs,
Municipalities and CCs
to formulate their respective investment plans for health. It also
recommends that the LIPH,
through the AOPs, shall be the basis of financial and non-financial
grants from the DOH per
Section 22 of the UHC Act. AO 2020-0018, on the other hand, gives
guidance on the execution
of Terms of Partnership to engage Local Government Units for UHC implementation.

The directions for the development of LGU 2023-2025 LIPH and 2023 AOP
shall adopt the
guidelines, provisions, procedures and processes as outlined in AO 2020-0022 and AO 2020-

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e-mail: [email protected]
0018, with this Department Memorandum providing additional details for specific processes
and procedures.

A. Directions for the development of the 2023-2025 LIPH

Processes Additional provisions to AO 2020-0022
1. Call to plan a. The Center for Health Development (CHD) shall initiate the call
for LGUs to formulate their LIPH.
b. The Provinces/HUCs/ICCs may initiate the call for their
respective component LGUs
CHD call.
to formulate their LIPHs before the

c. Starting with the 2023-2025 LIPH period, municipalities and CCs

shall develop their respective Investment Plans for Health.
2. Levelsofhealth |a. Barangay planning;
planning * The significance of the role of Barangays in the local health
system was highlighted during the COVID pandemic.
o Municipalities and Component Cities planning;
Health facility planning;
peo
Sub-provincial health system planning;
Province/HUC/ICC- wide planning.
3. Organization of A Barangay Planning Team shall also be organized and be
LGU Planning composed of, but not limited to:
Teams *
Barangay Kagawad for Health, Barangay Health Worker;
Barangay Nutrition Scholar, CSO/PO representative,
Barangay Captain
»
Midwife, NDP (as applicable)
b. Prescribed composition of Province/HUC/ICC/Municipality/CC

4. Local health
Planning Teams
Participation in
is in AO 2020-0022 (VLA).
local consultations and planning workshops and
planning consultation with key stakeholders shall be encouraged throughout
a. Consultations the LIPH/AOP processes,
i.
in particular:
DOH Representatives, CHD Program Managers, CHD and LGU
Budget Officers and Accountants, Chiefs of LGU and DOH-
retained hospitals, PhilHealth representatives, among others;
ii. Representatives from other
government agencies, representatives
of legislators, 1P Mandatory
Representatives (IPMR)/IP CSOs,
development partners, representative of the private sector, other
champions in health development work
b. Situational The following shall be used as additional inputs to the Situational
analysis Analysis:
i. AO 2020-0037: Guidelines on Implementation of the Local
Health Systems Maturity Levels as reference document, among
others;
ii. Human Resource for Health (HRH) Plan, Information,
Communication and Technology (ICT) Plan, Health Promotion
Framework, Local Health Facility Development Plan (HFDP),
Province Physical Framework Development Plan (PPFDP);
iii. Program/disease-specific strategic plans;
iv. Gender and Development (GAD) Plan.
v. Description and analysis of health, and health-related threats and
situations, and health systems problems/concerns, shall make use
of the 6 building blocks of health systems;
 Processes Additional provisions to AO 2020-0022
vi. For UHC Integration Sites (UHC-IS), this shall include analysis
of the
results of the Local Health System Maturity Level (LHS
ML) National Baseline Assessment or Monitoring Report.
c. Identification of The DOH DTPs from the National Program Managers (NPMs)
gaps, LGU shall serve as the DOH Menu of Assistance to be used as key
investment reference/basis for LGU planning.
needs, strategies ii. NPMs shall provide these through their CHD counterparts prior to
and cost the start of the LGU planning. CHDs shall also provide their
requirements respective Menu of Assistance.
iii. The LIPH shall list 3-year strategies instead of Programs, Projects
and Activities (PPAs). These strategies are to be detailed into
specific PPAs in the AOPs.
iv. The process of costing identifies and estimates resource
requirements needed to produce the expected output/outcome.
These include infrastructure and equipment, personnel,
technologies, training needs, medicines, supplies, among others.
For UHC-IS, the LHS ML Technical Assistance Plan shall serve
as an additional reference.
vi. Tools developed/to be developed by other DOH offices for
planning, calculation of needs and projections may be used, such
as:
* Commodities calculator of the Disease Prevention and
Control Bureau;
=
Philippine Health Facility Development Plan (PHFDP)-LIPH
calculator of the Health Facility Development Bureau;
= Human Resource for Health (HRH) Masterplan;
= Others
vii. Barangays shall submit and endorse their health plansto
Mun/CC/HUC/ICC Health Office. Mun/CC Health Offices shall
the

5. Review and
submit and endorse their LIPHsto the PHO.
Development Partners, working in the regions, may be invited to
appraisal be members of the CHD Appraisal Committee.
Review of Municipality/Component City (Mun/CC) Investment
Plans for Health:
= Review shall be done by the Mun/CC Health Office and the
DOH Representative.
i. Barangays shall submit Barangay Plans to Mun/CC Health
Office. Barangays may opt to use other planning forms and
not the LIPH Forms.
ii. Mun/CC Health Office shall review the barangay health plans
with the DOH Representative and identify strategies/PPAs
from the barangay plans to incorporate in the Mun/CC IPH;
the process of review is done during the consolidation and/or
planning meetings. The Mun/CC may use the LIPH Appraisal
Checklist as a guide in the review of the barangay plans.
iti. Mun/CC shall use the LIPH Forms. The Mun/CC Health
Officer shall endorse the Mun/CC IPH to the PHO.
 Processes Additional provisions to AO 2020-0022
5. Review and iv. Province Planning Team shall review the Mun/CC IPHs with
appraisal the PDOHO and identify strategies/PPAs, from the Mun/CC
IPHs, which may be included in the Province-wide IPH. The
process of review is done during the consolidation and/or
planning activities. The Province Planning Team may use the
LIPH Appraisal Checklist as a review tool for the Mun/CC
IPHs.
The Province Planning Team and Program Managers together
with the PDOHO shall review the consolidated Province-wide
plan.
Review of HUC/ICC Barangay Plans:
1. Barangays shall submit Barangay Health Plans to the
HUC/ICC Health Office. The Barangay may opt to use other
planning forms and not the LIPH Forms.
ii. HUC/ICC Team shall review the Barangay health plans with
the CDOHO/DOH Representative and identify
strategies/PPAs from the Barangay health plans to be included
in the HUC/ICC-wide IPH. The process of review is done
during the consolidation and/or planning activities. The
HUC/ICC Planning Team may use the LIPH Appraisal
Checklist as a guide to review barangay plans.
iii. The HUC/ICC Planning Team and Program Managers
together with the CDOHO shall review the consolidated city-
wide plan.
. P/CDOHO:s shall submit to CHD the result of their review,
together with the LIPHs of Provinces/HUCs/ICCs, which have
reached the passing score for CHD appraisal.
. The review and appraisal process of Province/HUC/ICC-wide
IPHs described in the AO 2020-0022 (VI.B.3) shall apply.
6. Concurrence of Following the process in AO 2020-0022 (VI1.B.4), the
the LIPH Province/HUC/ICC incorporates the recommendations of the
CHD Appraisal Team, finalizes the LIPH and submits to the
Provincial/City Health Board (P/CHB) for approval.
. The P/CHB shall endorse the approved LIPH to the CHD for
concurrence.
. The accomplished LIPH Appraisal Checklist with the CHD
Director's signature shall be the key evidence/document for the
concurrence of the LIPH.
. CHDs shall submit to BLHSD, through the Field Implementation
and Coordination Team (FICT), a copy of the approved and
concurred Province/HUC/ICC-wide LIPHs, consisting of the
following:
i Narrative section,
ii. Cost matrices,
ii, Annexes
iv. Accomplished appraisal checklist duly signed by the CHD
Director.
The LIPH Forms are contained in Annex B.
B. Directions for the development of 2023 AOP
Processes Particulars
1. Translation of The 2023 AOP shall be formulated at the same time as the 2023-
the LIPH into the 2025 LIPH and shall follow the same process of development.
AQP Strategies in the Year 1 of the LIPH are translated into specific
PPAs in the 2023 AQP.
LGUs are strongly enjoined to encode the 2023 AOP into the
LIPH Information System (LIPH-IS) to facilitate the review and
consolidation at the Province/HUC/ICC-wide level. Directions for
the LIPH-IS shall be contained in a separate issuance.
Aligning DOH LGU AOPs shall be considered in the DOH and CHD budget
plans and proposals through the submission of advanced copies during
budgets to the DOH and CHD budget preparation. Advanced copies of AOPs
AOPs are termed as LGU investment needs.
a. LGU ii. Timelines and details on submission of LGU investment needs
submission are in Annex A.
of investment iii. LGU investment needs shall follow categories listed in AO 2020-
needs to 0022 (VLE.1) but may be revised/updated as deemed necessary.
CHDs iv. Review process of LGU investment needs:
= The LIPH-IS may be used for the review of LGU investment
needs.
* The PHO first reviews the investment needs of Mun/CC.
= In the same manner, the HUC/ICC Health Office first reviews
the investment needs of Barangays.
®
LGUs and health facilities concerned are notified by the
system of comments received and are able to revise their
respective investment needs accordingly.
Province/HUC/ICC Health Offices submit to CHDs the
consolidated and validated Province/HUC/ICC-wide investment
needs generated by the LIPH-IS.
vi, Province/HUC/ICC Health Offices shall be responsible to submit
and endorse the Province/HUC/ICC-wide investment needs,
along with the AOP Situational and Gap Analysis Summary, to
the CHD. (See Annex C.1)
CHD review Timelines and details on the CHD review of LGU investment
of LGU needs are in Annex A.
investment ii. The CHD Program Managers shall review the LGU investment
needs needs, validated by the Province/HUC/ICC Health Office, of their
respective programs;
ii. CHD PMs shall check the investment needs against the
DTPs/DOH Menu of Assistance and note items which are not
provided by the DOH and those with possible duplication of
funding; CHD PMs are enjoined to coordinate with their NPMs
for priority directions and updates on the DTPs/DOH Menu of
Assistance.
iv. CHD PMs shall incorporate prioritized and validated LGU
investment needs in the CHD Budget Proposal, and present to the
Regional Development Council.
CHDs shall ensure that Regional Development Council (RDC)-
endorsed proposal is consistent/aligned with LGU investment
needs in LIPH/AOP.
 Processes Particulars
vi. CHD:s shall submit the validated LGU investment needs
consisting of the following to BLHSD, through the FICT:
a. Endorsement from CHD Director
b. AOP Situational and Gap Analysis Summary
c. Forms 3, 3.1, 3.2, 3.3 and 3.4 for all LGUs
d. Regional Summary of LGU investment needs
b. Central Timelines and details on CO review of LGU investment needs are
Office review in Annex A.
of LGU ii. BLHSD shall share the link to the submitted LGU investment
investment needs and Regional Summaries to NPMs.
needs iii. NPMs shall be given access to the LIPH-IS, and may give
it
remarks on what can/cannot cover. The LGU and CHD
concerned are notified of NPM comments, and LGU or health
facility concerned may revise accordingly.
iv. The NPMs shall review the Regional Summaries of LGU
investment needs submitted and validated by CHDs;
NPMs shall consider the LGU investment needs as input to
program planning and budgeting. NPMs shall incorporate
prioritized and validated LGU investment needs in their
respective Budget Proposals.
3. Feedback to Feedback for LGUs from CHD and NPMs shall be organized by
Provinces/HUCs/ the Planning Officer together with the CHD PMs.
ICCs Feedback may be provided through the following means:
i. Through the remarks feature of the LIPH-IS;
ii. After the review of the LGU investment needs;
iii. After the CHD appraisal.
It is recommended that feedback include:
i. Appropriateness of interventions/PPAs based on the LGU’s
situational analysis/current situation;
ii. LGU investment needs incorporated in the DOH budget
proposal;
iti. Dis-aggregation of assistance by LGU based on the approved
NEP or GAA, which may be provided by the CHD PMs,
not furnished by the NPMs.
if
4. Review and Submission of the 2023 AOP shall consist of the following:
Appraisal i. AOP Situational Gap Analysis Summary
ii. AOP Cost matrices
iii. The narrative section of the 2023-2025 LIPH shall likewise
serve as the narrative section for the 2023 AOP.
AOP Forms are contained in Annex C.
The AOP Cost matrices shall be generated from the LIPH IS.
Appraisal of Year 1 AOP (2023)
the LIPH.
is carried with the appraisal of

Separate narrative sections of the AOP shall be required for Year

2 AOP (2024) and Year 3 AOP (2025).
5. Concurrence of Concurrence of the Year 1 AOP (2023) is carried with the
the AOP concurrence of the LIPH.
The accomplished AOP Appraisal Checklist with the CHD
Director's signature shall be the key evidence/document for the
concurrence of the AOP.
 Processes Particulars
6. Execution of a. The TOP shall be executed between the DOH and the
Terms of Province/HUC/ICC only.
Partnership b. Please refer to AO 2020-0018 for the details.
(TOP) c. A separate 2023 TOP template shall be issued.
7. Monitoring a. Regional Monitoring Team:
* Monitoring i. Role: Monitor the Province/HUC/ICC LIPH and AOP plan
Teams development process and plan implementation
ii. Composition:
* LIPH Coordinator, Planning Office representative, CHD
Program representative/s, CHD Finance representative,
DOH Rep Coordinator, CHD Hospital Point-person, invite
DPs working in the region and Other stakeholders; opt for
inter-LGU monitoring;
Province//HUC/ICC Monitoring Team:
i. Role: Monitor LIPH and AOP plan development process and
plan implementation of the Province/HUC/ICC and
component LGUs
ii. Composition:
= Health Officer, PDOHO/CDOHO (DMO V), AMHOP
Rep, Program Manager representative/s, LGU Planning
Office representative, LGU Finance representative, LGU
Hospital representative, invite DP and other stakeholders
C. Monitoring shall follow AO 2020-0022 (VLD).

C. Roles of key stakeholders

Players Additional Roles
1. BLHSD a. Develop and update the LIPH-IS according to planning
requirements of the DOH, CHD and Province/HUC/ICC
b. Incorporate the use of the LIPH-IS in the LIPH/AOP process flow
c. Provide access to LIPH-IS to key stakeholders
d. Develop the LIPH Handbook as guide for the LGUs in LIPH
development
HPDPB Provide directions, updates and feedback to CHDs on the
following:
i. Development, use and implementation of DTPs, further
implementation of the EO 138 on full devolution, and health
financing;
ii. Budget proposal submitted to the DBM, NEP, budget
allocation
Provide copy of the above and other relevant documents to CHDs
in a timely manner.
National Provide program directions and DOH DTPs/Menu of Assistance
Program to CHD PMs prior to the start of LGU planning for LGU
Managers guidance in plan development;
Provide CHD/LGU allocation of assistance, as applicable;
Access the LGU investment needs through the LIPH Information
System to view, review and consider these as bases for allocation
of assistance and preparation of their respective budget proposals

CHD LIPH Convene and coordinate LIPH activities in the region, under the
Coordinators direction of the Assistant CHD Director;
 Players Additional Roles
b. Orient CHD staff, LGUs and key partners in the region on
updates on the LIPH and AOP processes, inparticular, the LIPH-
IS, DTPs, LIPH Handbook and new issuances
5. CHD Planning Work together with the LIPH Coordinator inthe provision of
Officer technical assistance on planning and in the other LIPH and AOP
processes to LGUs, other CHD staff and stakeholders.
6. CHD Program a. Provide technical guidance to LGUs in planning workshops and
Managers appraisal, including program directions, DOH DTPs/Menu of
Assistance, and specific LGU allocation, if available, for LGU
guidance in plan development,
b. Access the LIPH Information System to view, review and
validate the LGU Investment Needs and use as bases for
allocation of assistance and preparation of their respective budget
proposals
c. Access the LIPH Information System and/or use generated forms
from the system for the review and appraisal of LGU
LIPHs/AOPs
d. Coordinate with the LIPH Coordinator and Planning Officer for a
harmonized plan development in the CHD
e. Coordinate with NPMs for directions, specific technical
assistance, CHD and LGU allocations, feedback on LGU
investment needs
5. DOH a. Provide TA to LGUs in the development of LIPHs, AOPs and
Representatives LGU investment needs, with guidance from the LIPH
Coordinator;
b. Review and validate LIPHs, AOPs and LGU investment needs;
c. Participate in appraisal activities;
d. Access the LIPH Information System to view, review and
validate the LGU Investment Needs;
e. Assist the PCHB, through the P/CHO in ensuring the horizontal
alignment of the LIPH/AOP with local development plans, such
as Local Development Investment Program (LDIP)/
Comprehensive Development Plan (CDP)/Annual Investment
Program (AIP), and others.
6. Development Selected Development Partners may be invited to participate in the
Partners appraisal of LIPHs and AOPs as a member of the CHD Appraisal
Team.

D. MOH-BARMM
LIPH and AOP 1. The LIPH/AOP development shall be led by the MOH-
development BARMM Assistant Secretary.
2. The LIPH/AOP of BARMM LGUs shall support the 10-point
Priority Agenda of the BARMM Government.
3. In the light of their devolved set-up, BARMM LGUs may
follow a different process on plan development and review and
appraisal of plans, as the MOH-BARMM see fit, in consultation
with the LGUs.
4. Technically, program plan development and review shall be
done in coordination with NPMs
directions and priority thriists.
to ensure aligned with national
 The MOH-BARMM Appraisal Team shall consist of the Chief
of Technical Services, Planning Officer, LIPH Coordinator,
Cluster Heads
The accomplished LIPH Appraisal Checklist with the signature
of the MOH-BARMM Minister, or his authorized
representative, shall be the key evidence/document for the
concurrence of the LIPH.
MOH-BARMM shall submit to BLHSD, through the Field
Implementation and Coordination Team (FICT), a copy of the
approved and concurred Province/HUC/ICC-wide LIPHs,
consisting of the following:
a. Narrative section,
b. Cost matrices,
c. Annexes
d. Accomplished appraisal checklist duly signed by the MOH-
BARMM Minister or his authorized representative.

E. Priorities and other directions

Priorities Directions
1. Orientation and In light of the continuing COVID-19 pandemic and under the new
planning normal, activities may be conducted through online platforms. Face-
workshops to-face orientation and planning workshops may be conducted,
depending on the existing quarantine status/alert levels of the
LGUs/Region, and with strict adherence to minimum public health
standards.
2. Executive Order a. The LIPH and the AOP shall outline the strategies and activities
No. 138 of the LGU to be undertaken to fully support the objectives and
goals of EO 138, particularly on full devolution of health
services and functions.
b. The LGUs shall use the DOH DTP as a key guide in local health
planning and advocacy for full devolution of health services and
functions.
3. COVID-19 and Inclusion of COVID-19 and Emerging and Re-emerging Infectious
EREID Diseases (EREID) response/control/interventions
4. LIPH Information |a. The LIPH IS was launched in June 2021 to support LGUs in the
System (LIPH IS) development, consolidation, review and appraisal and analysis
of LGU LIPHs and AOPs. Encoding of the 2022 AOP of
Provinces, HUCs, ICCs and health units and facilities into the
system was initiated soon after.
LGUs are strongly enjoined to use the LIPH IS for the
development, encoding, integration and consolidation, review
and appraisal of LIPHs and AOPs:
i. LIPH 2023-2025, AOP 2023 and LGU investment
needs; and
ii. Succeeding LIPHs and AOPs
CHD: in coordination with LGUs shall agree with the level of
users/levels of encoding: (CHD-level; Province/HUC/ICC level;
Municipality/Component City level; Facility level; Others)
Review and vetting/validation in the IS shall follow the
LIPH/AOP process. CHDs in coordination with LGUs shall
agree on how the review and appraisal will be conducted, and
 Priorities Directions
dates/schedules, provided these are within the prescribed
LIPH/AOP process and timelines;
. Generally, the review process follows the process below:
i. The PHO reviews the investment needs/plans of Mun/CC;
ii. In the same manner, the HUC/ICC Health Office reviews the
investment needs/plans of its Barangays;
iii. The CHD review and validate investment needs/plans
reviewed by PPHUC/ICC HO;
iv. In the same manner, NPMs review investment needs/plans
have been reviewed and vetted by CHDs.
v. LGUs and health facilities concerned are notified by the
system of comments received and are able to revise their
respective investment needs/plans accordingly;
. The LIPH IS is a tool to support the LIPH and AOP processes; it
is not designed to replace the key planning activities and key
LIPH principles/ guidelines (consultation, participation,
inclusivity, prioritization, analysis, others);
. Guidelines on the LIPH IS will be issued separately.
5. Seal of Good “Complete and concurred LIPH and AOP” is included as one of
Local Governance the indicators in the DILG’s SGLG. “Complete” means that all
(SGLG) of the LIPH sections as indicated in the LIPH Content Outline are
Department of present. “Concurred” means the LIPH has passed through the
CHD appraisal
Interior and Local process, has been enhanced and finalized, and
Government endorsed by the P/CHB to the CHD. The accomplished
(DILG) LIPH/AOP Appraisal Checklist with the CHD Director's
signature shall be the key evidence/document for the
concurrence of the LIPH/AOP.
. For 2021 SGLG, the results of the 2019 LGU Health Scorecard
shall be used. Hence, all declared concurred plans (with the
corresponding MOV as above) for those years as per LGU Health
Scorecard Results shall be subject to validation of the DILG
SGLG Team.
6. LIPH Handbook The LIPH Handbook edition 2021 shall update the LIPH
edition 2021 Handbook issued in 2015.
. The handbook, along with this DM and the AO 2020-0022 on
development of LIPH, and the AO 2020-0018 on Contracting,
will be the toolkits and guides for the CHDs and LGUs in the
development of LIPHs and AOPs.
The Handbook is generic, i.e. will not apply for a specific LIPH
period but is designed to provide general directions on LGU
strategic investment and operational planning for health.
. The handbook is not designed as an instruction manual/textbook
on basic planning, as these are available through other means.
7. Directions for The LIPHs and AOPs of UHC-IS shall reflect the provision of
UHC-IS TA according to the needs and gaps identified in the LHS ML
Assessment.
. The LIPH and AOP shall be used as a reference by the UHC-IS
in the preparation of Work and Financial Plans for the Special
Health Fund.
Specific directions for UHC-IS are to be issued separately.

10
 Priorities Directions
8. Policy on plan- In the light of the LIPH as basis/reference for technical
sharing assistance from the DOH, development partners and other
stakeholders, copies of LIPHs and AOPs may be shared, upon
request.
. Requests shall specify the reason and the specific use for the
plans.
Requesting parties shall be advised that plans are to be used for
the specific purpose and may not be shared or forwarded to
other partners.
Specific data requests shall be referred to the concerned CHDs
and LGUs.

CHDs and all other concerned offices are directed to provide technical assistance to Provinces/
HUCs, ICCs, Municipalities and Component Cities in the development and submission of their
2023-2025 LIPHs, 2023 AOPs and 2023 LGU investment needs in the prescribed forms and
timelines. (Please see Annexes.)

For compliance.
By Authority of the Secretary

—
of Health:

KENNETH G. , MD, MPHM, CESO III

Assistant Secretary of Health
Health Policy and Systems Development Team

11
LIST OF ANNEXES:
Link: https:/bit.lv/20232025L1PHand2023AOPForms

Annex A LIPH and AOP Development Timelines, Roles and Responsibilities

Annex B LIPH Forms

1. LIPH Content Outline
2. LIPH Form 1: 2023-2025 LIPH summary of investment cost by building
block, fund source and year
3. LIPH Form 2: Cost assumptions by building block, strategies, resource
requirements and fund source (LIPH Mother Plan)
4. LIPH Appraisal Checklist
5. List of Strategies

Annex C AOP Forms for Year 1 (2023)

1. AOP Situational and Gap Analysis Summary
2. AOP Form 1: Summary of Investment Cost by Health Systems Building
Block and Fund Source
3. AOP Form 2: Cost Assumptions by HS Building Block, PPAs, Quarter and
Fund Source (Mother Plan)
AOP Form 3: Summary of LGU Investment Needs
wo AOP Form 3.1: LGU Investment Needs for Health Facility Development.
Information Communication and Technology and Operations
Cost
AOP Form 3.2: LGU Investment Needs for Human Resources for Health
AOP Form 3.3: LGU Investment Needs for Commodities
soeNe AOP Form 3.4:
LGU Investment Needs for Other Technical Assistance
AOP Form 4: Regional Summary of LGU Investment Needs
0. LGU Investment Needs
Categories
 ANNEX A
LIPH 2023-2025 and 2023 AOP Development Process, Timelines and Responsibilities

Reference Documents/
Timeline to AO Activity Materials needed Output Responsible Office/Person
2020-0022
Department
October Orientation of CHD LIPH Coordinators and Memorandum Orientation and Planning Bureau of Local Health Systems Development
2021 Planning Team Other relevant Workshop Schedules (BLHSD)
documents
=
CHD Director
Department =
CHDLIPH Coordinator
Call to plan: ] ] ]
October Memorandum Orientation and Planning =
CHD Planning Officer
VLBI. LGU Orientation on 2023-2025 LIPH and
2021 Other relevant Workshop Schedules =
DOH Representatives
2023 AOP development
documents Province/HUC/ICC/Municipal/ CC Health
Officers
V1.B.2. Local Health Planning (at different levels): Previous LIPH,
a. Situational Analysis AOQPs, Other Draft 2023-2025 LIPH » Province/HUC/ICC/Municipal/ CC Health
b. Identification of gaps, LGU investment health-related Draft 2023 LGU investment Officers/Chiefs of Hospital
needs, strategies and cost requirements local plans needs & Situational and Gap =
DOH Representatives
vs. DOH DTP, DOH menu and LGU Health Analysis Summary of =
CHD LIPH Coordinator
program standards, directions (VI.E.1} Scorecard, Province/HUC/ICC/Munici =
CHD Program Managers
i. Invitation to representatives of FHSIS, other pal/ Component City/Health =
CHD Planning Officer
legislators, other champions in program and Units and Facilities
health development works in local health facility
consultation/planning activities statistics and

Lo
LIPH-IS: Start of encoding of AOP Cost updates
October — .
Matrices in into the system Devolution
December Transiti
Transition Plans
2021
(DTP)/DOH
Menu of
Assistance
Other relevant
documents
Barangay/ 2023 Consolidated * Province/HUC/ICC/Municipal/ CC Health
VLE.L. Province/HUC/ICC Planning Team Mun/CC LGU Province/HUC/ ICC-wide Officers
consolidation of 2023 LGU investment investment needs Investment Needs (AOP * Province/HUC/ICC Planning Team
needs DTPs/DOH Menu Forms 3, 3.1, 3.2, 3.3, 3.4) * DOH Representatives
of Assistance & Situational and Gap
Analysis Summary
 ANNEX A
LIPH 2023-2025 and 2023 AOP Development Process, Timelines and Responsibilities

Reference Documents/
Timeline to AO Activity Materials needed Output *
Responsible Office/Person
2020-0022
Dissemination of guidelines for 2023 » HPDPB
January Budget Proposal, BD Forms, and DBM BP
2022 Forms based on DBM National Budget Call
(NOTE: Calendar may vary depending on
the DBM Budget Call) 2023
VLE.l. a. Submission of 2023 Consolidated DOH Rep reviewed and =
Province/HUC/ICC/Municipal/ CC Health
Province/HUC/ICC-wide Investment Province/HUC/ validated 2023 Consolidated Officers
Needs to the Province/HUC/ICC DOH ICC-wide Province/HUC/ICC-wide
Representative Investment Needs Investment Needs =
Province/HUC/ICC DOH Representative
& Situational and
b. Review and validation by Gap Analysis
Province/HUC/ICC DOH Summary
Representative
¢. Submission to CHD
LIPH-IS: System-generated forms
February VLE.2. CHD review of 2023 Province/HUC/1CC- DOH Rep
2022 wide LGU investment needs: reviewed and 2023 Province/HUC/ICC-
a. Distribution to CHD Program validated 2023 wide LGU investment needs CHD LIPH Coordinator
Managers Consolidated (System-generated forms)
Province/ Draft CHD Budget Proposal CHD Program Managers
b. Review, inclusion/consideration in HUC/ICC-wide incorporating LGU CHD Planning Officer
CHD Budget Proposal Investment Needs investment needs
DTPs/DOH Menu CHD LIPH Coordinator
of Assistance CHD Director’s CHD Planning Officer
c. Regional consolidation and submission NPM directions endorsement of 2023 CHD Program Managers
to Central Office (BLHSD) and updates Province/HUC/ICC-wide CHD Director
investment needs &
d. Regional Development Council (RDC) Regional Summary (AQP
Consultation of CHDs per DBM Form 4)
Calendar (on CHD Budget Proposal
with incorporated LGU needs)
 ANNEX A
LIPH 2023-2025 and 2023 AOP Development Process, Timelines and Responsibilities
Reference Documents/
Timeline to AO Activity Materials needed Output »
Responsible Office/Person
2020-0022
February VLE.3. Central Office review of 2023 Regional
2022 Province/HUC/ICC-wide investment needs: Summaries of Bureau of Local Health Systems
a. Distribution to National Program 2023 Development
Managers (NPM) of LGU investment Province/HUC/IC
needs and Regional Summaries (AOP C-wide LGU Draft Budget Proposals National Program Managers
Form 4) investment needs
NPMs review and (System-
(RDC-endorsed CHD
inclusion/consideration of LGU generated forms) Health Policy Development and Planning
budget proposals)
investment needs in the Office/Program Bureau
Budget Proposal
Endorsement of the Regional
Development Council of the CHD
Budget Proposal (incorporating LGU DOH Budget Deliberation CHD Program Managers
Investment Needs) 10 DOH thru HPDPB
(BD) Forms CHD Planning Officer
(Note: Timely submission of RDC-
endorsed Budget Proposals is essential CHD LIPH Coordinator
Jor consideration in the Central Office Health Policy Development and Planning
Budget Proposal timelines and deadline
Bureau
to DBM)
CHDs to incorporate LGU investment
April-May needs in the BD Forms and submit to
National Program Managers
2022
HPDPB and concerned offices
(following the Guidelines on Budget
Proposal Preparation)
HPDPB to forward RDC-endorsed CHD
budget proposals and BD Forms to
National Program Managers for
consideration in the Office/Program
Budget Proposal
NPM review of RDC-endorsed CHD
budget proposals and BD Forms vis-a-
vis Office/Program Budget Proposal
that incorporated the LGU Investment
Needs (as per letter b above)
June-July VLE3. Feedback of National Program
2022 Managers BP Form C
i. To HPDPB of specific items (DBM Budget Preparation National Program Managers
included in the Program Budget Form C: Summary of RDC
 ANNEX A
LIPH 2023-2025 and 2023 AOP Development Process, Timelines and Responsibilities
Reference Documents/
Timeline to AO Activity Materials needed Output =
Responsible Office/Person
2020-0022
Proposal thru accomplishment of Inputs and
BP Form C (Feedback on RDC- Recommendations on
endorsed proposals) Agency New and Expanded
ii. To CHD of the LGU Investment Programs and Projects) National Program Managers
Needs included of the Program Health Policy Development and Planning
Budget Proposal Bureau
h. National Program Managers to submit
BP Form C to HPDPB. HPDPB to
consolidate and submit to DBM
June - July VLE3. Feedback to LGUs:
2022 » Feedback to CHD Program Managers Signed Consolidated BP
of items included in Office/Program Form C & comparative Health Policy Development and Planning
Budget Proposal thru the final Bureau
cousolidated BP Form C along with
comparative of original proposal to
DBM and 2023 NEP
(NOTE: Upon release of 2023 NEP) LGU-dis-aggregated CHD LIPH Coordinator
consolidated feedback from CHD Program Managers
VLEA4. =
Consolidation of feedback from NPMs and CHD PMs to CHD Planning Officer
National and CHD Program Managers LGUs
July 2022 Provision of copy of DOH-endorsed 2023
Budget Proposal and Approved NEP to
HPDPB
CHDs
(NOTE: Upon release of 2023 NEP)
June-July VIEA4. LGU revision and updating of 2023-2025 Review/feedback Local Government Units

hid
.
2023 AOR (ALL
2022 LIPH and 2023 AOPs based on review of NEP CHD LIPH Coordinator
CHD and NPMs, and approved 2023 NEP DOH Representatives (all levels)
July- VLB.3 Review and Appraisal of 2023-2025 LIPH LGU Planning Team
September (and 2023 AOP) Revised 2023 Accomplished 2023-2025 LGU Program Managers
2022 a. Review by the Province/HUC/ICC AOP (ALL forms) LIPH Appraisal Checklist Province/HUC/ICC DOH Representatives
Planning Team and Provincial/City
DOH Representatives CHD Appraisal Team

b. CHD appraisal
NOTE: AOP appraisal is carried with the
LIPH appraisal
 ANNEX A
LIPH 2023-2025 and 2023 AOP Development Process, Timelines and Responsibilities
Reference Documents/
Timeline to AO Activity Materials needed Output *
Responsible Office/Person
2020-0022
October ~ VLBA4. Enhancement and finalization of 2023-2025 Accomplished » Province/HUC/ICC Health Officer
December LIPH and 2023 AOP 2023-2025 LIPH |=
2023-2025 LIPH Final =
Province/HUC/ICC DOH Representative
2022 Appraisal Enhanced version
Concurrence of 2023-2025 LIPH with the Checklist » LIPH Appraisal = CHD Director
2023A0P Checklist signed bythe |» LIPH Coordinator
CHD Director
Submission of concurred copy of 2023-2025 = 2023 AOP Final
LIPH, Appraisal Checklist and 2023 AQP to Enhanced version
BLHSD (December 15)
October VI.C.2. Execution of 2023 TOP between CHD and TOP Template Signed 2023 Terms of =
CHD LIPH Coordinator, Legal Officer, CHD
2022- Province/HUC/1ICC 2023 AOP Final Partnership (TOP) Director
January Enhanced version =
Province/HUC/ICC Local Chief Executive,
2023 Health Officer
October VIB.1. Call to plan for 2024 ADP Department * Bureau of Local dealth Systems
2022 - Orientation Memorandum Development
January Local Health Planning LGU Planning =
Centers for Health Development
2023 documents as = Local Government Units
above =
Stakeholders
2023 VLC. 2023 AOP Implementation Concurred 2023 AOP Monitoring Report
VLD. Monitoring of Plan Implementation AQP Fund Utilization Report
Evidences of
implementation
V-

ANNEX B.1
2023-2025 LIPH CONTENT OUTLINE

Executive Summary

IL Plan development
a, Membership of the LIPH Planning Team (AO 2020-0022 VLA)
b. Plan development process (AO 2020-0022 VIL.B.)
Consideration and consolidation of health situation and needs of different levels, and
different population groups; incorporation of Barangay Health Plans into Municipal
and Component City Investment Plan for Health; incorporation of Municipal and
Component City IPH into the Province-wide IPH; OR barangay health plans into the
HUC/ICC-wide IPH
Where available, consideration of health needs/activities in Ancestral Domain
Sustainable Development and Protection Plan (ADSDPP)/Ancestral Domain
Investment Plan for Health (ADIPH)
Consideration of other plans such as but not limited to: DRRM-H Plan, Health Facility
Development Plan, Human Resources for Health Plan, ICT Development Plan,
Devolution Transition Plan, GAD Plan
Consultation with/involvement of key stakeholders, Civil Society Organizations
(CSOs)/Non-Government Organizations (NGOs), IP Mandatory Representatives,
representatives of legislators, special population groups, others
Review of the LIPH/previous AOPs including monitoring reports; program strategic
plans; and other LGU health or health-related plans

IL Health situation of the Province/City (AO 2020-0022 VL.B.2.a)

a. Description and analysis of health, and health-related threats and situations, and health
systems problems/concerns, according to the WHO building blocks of health systems,
namely: Leadership and Governance; Financing; Health Workforce; Information;
Medical Products, Vaccines and Technology; and Service Delivery
1. Brief discussion on health status of IPs/ICCs, GIDA, Urban Poor and other
vulnerable populations, as applicable
2. Comparison against standards such as NOH, Flplus for Health and LGU Health
Scorecard
3. Gaps/Status of:
¢ Human resources for health, infrastructure and equipment, service capabilities
of health facilities and services, status of licensing (DOH) and accreditation
(PhilHealth) of health facilities and services, and management support systems
such as human resources for health management and development, information
management, procurement and supply chain management, quality
assurance/improvement, referral system, DRRM-H system, epidemiologic
surveillance system, and proactive and effective health promotion programs
4. Status of P/CWHS integration
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 ANNEX 82
UPH Form 1

20732025 LPH SUMMARY OF INVESTMENT COST BY BUILIXNG BLOCK, FUND SOURCE AND YEAR

REGION:
PROVINCEMUCACC:

an
MUNICIPALITY/COMPONENT CITY:
ups CY:

1 HEALTH SERVICE

THEA THIF ORATION.

sisTEN
SLPPLY CRA A.
MAHAGENENT
HEALTHREGULATION

FRANC

VEADERSHP AID

NOTES:
CpHeam
sys wang
§ Health Serva Delivery; Healt Virkkvce, Healt Information Sale: Supsly Chain Logics Ligt nd Health Regulation QAecial products, vacrines
& and lechnokogy: Financing. Leadesshio and Goverance
{2
Fund Sxsces ¥chivha office be sbi 1 und the mvesiment
wh

§ LGU - Local Goverment nis

Province LGU (General Fund ond Trust Fund or WeatSpeci Health Fund), AuriipatyComponent Cay
HUCACC LGLS
(Gensal Fu and Trust Fund or Heal), Sarsooy LGU
§ DOH - Canal Office or Conlrs fr Healt Development;

Otters - Other Fu Sources, sch 85 Oficial Developmen Assistance (63 Ud Agenows, daveepment partners) the nbonal genes; NG OS/CSOs:
§
piv and ater sectors
4 Unfunded No onding
Suc
hs been Kenthed
9 Toll pes Baking Bloc - Sut of a diy
sources for a procul Guidng Bock
41% of Buldng Block oh
Grand Total

5) Remi oes o comments; may specily Ober nd sauces

 LPHFom2
COST ASSUMPTIONS BY BUILDING BLOCK, STRATEGIES, RESOURCE REQUIREMENTS AND FUND SOURCE {LIFH Mi

REGION:
PROVINCEIHUCHCC:
MUNICIPALITYICOMPONENT CITY:
CY:
W220
Building Block: Resource Requirements (PhP) Fund Sources (PhP)

Performance
Municipality!
Name of
on 8
i Component (6 Local Government Units (LGU)
Indicator Health Facility REMARKS
STRATEGIES CityBarangay
ftems Expense Total ESTIMATED
Province/HUCACC LGU MuniCC LGU Others Unfunded
Description Category Cost ©
2024 2025 Barangay CHD
General Trust Fund General Trust Fund|
ul & @ Total Total

PROGRAM 1:

STRATEGY 1:
Procurement of

1. Procurement for Year 1

2. Procurement for Year 2
3. Procurement for Year 3
1

STRATEGY 2:

1.7 for Year 1

Tr for Year 3
2

STRATEGY 3:
I. Advocacy/Awareness/ Health Promotion

1. Advocacy and Health Promotion Year

1
2. Advocacy and Health Promotion Year 2

Advocacy and Health Prometion Year 3

fl

Program 1 Sub-Total Year 1

1 Sub-Total Year 2
Program 1 Sub-Total Year 3 (PhP)
3-year Total for 1

PROGRAM 2:

1
of

1. Procurement for Year 1

Procurement for Year 2

Procurement for Year 3
ANNEX
LIPH Form 2
6.3
TT
COST ASSUMPTIONS BY BUILDING BLOCK, STRATEGIES, RESOURCE

_
-

REQUIREMENTS AND FUND SOURCE

-

(IPH MOTHER
PLAN)
~~
] )

.
]

eeee
lm
Ce ee ] i

C i .

.
.

.
.

.
LL
.

ee
.

.
. .

.
.
.
-

I
_

REGION: Date:
_

a
PROVINCE/HUC/ICC: -

em
_ .
HUNICIPALITYICOMPONENT em
LIN CY:
. )
oo
Building Block: Resource Requirements (PhP) Fund Sources (PhP)
Target
0 ©

a
i 8)

Performance Munilpaliy] Name of

Distr
strict ment

ee eg
Local Government Units (LGU) DOH
Indicator oalth Facility 16] REMARKS
STRATEGIES ciftylBarangay A

lems Unfunded
g
TT
Expense Total ESTIMATED Others
[province UCTOC LGU WenicC LGU
Description Category Cost Barangay CO CHD
223 224 2025 General [TrustFund] General [Trust Fund
a 1."
Tv EE i]
@ @

oT
Fund for Fund for Health

Ee FE TA nh SoA ihe! TERR ERA

’
Sub-fotal Strategy; Es
i Ha

i
STRATEGY 2:

he
|Capacity Bullding/Development
1. Trainings for
Year {

|
2. Trainings for Year 2

forYear 3
Ta EEE
3. Trainings
Sub-total Strategy,
Te IT iL
7
ox

STRATEGY 3:
I.
AdvocacylAwareness! Health Promotion
Campaigns
1. Advocacy campaigns for Year 1

2. Advocacy campaigns for Year 2

fe
Advocacy campaigns for Year 3

, ot [Lr
3.

Sub-total Strategy D
V

ak [5 Ty
[Program 2 Sub-Total Year 1 (PhP)
Program 2 Sub-Tatal Year 2 (PhP)
Program 2 Sub-Total Year 3 (PhP)
3-year Total for Program 2 (PhP)

SD Sub-Total Year 1 (PhP)

[SDSub-Total Year 2 (PhP)
SO Sub-Total Year 3 (PhP)

3-year TOTAL
for Service Delivery (PhP)

Cs SE
NUTE: Please use separate shest for each Building Block.
(1) Health Systems Building Block: Service Delivery: Health Workforce; Health Information Syster

a
- Strategies - identified priority Interventions that address health needs and heallh inéquiiies, such
as;

ee
- Construction; Repairirenovation/expansion of health facilities; Procurémentirepair of eq
romoton I
Suppl - - . . .

J JU
-ai
n

« Estabiisning
systems: Monl(oring; Policy development; Sectoral coflaborationupartnerships; Advocacylawarenessealth campaigns; Research and development; Others '
. |

rT
.
)
3

in
3

« Objective — Desired outcome 3 years for the Strategy

:

(2) Performance Indicator for the Strategy - Measurable valuelperiomance megsurement to evaluate the success of astategyintervénion
. _. Lo . . ~ . © .

=-
Tr
el em
(5) Name of Healin Facility The exact
- name
of the facility where the Strategy will be appliediconducted a oT .
or :

-
~
Co . .

i.
(6) Tanget - Shoukl comespond wilh Performance Indicator for the Strategy output (eg. number, %, rate} for the year indicated

I
_ . .
i ) .

(7) Resource Requirement -

Inputs needed fo conductproduce Strategy the orits output . oo. . In - . .
eee
§ Items Description of the Strategy output | . . . .
| . .

'S, MOOE. CO (Infrastructure. Equipment. Motor Vehicle, Others)

 _ oo I
ANNEX B.3
LIPH Form 2
~

TT ee
COST ASSUMPTIONS BUILDING BLOCK, STRATEGIES, RESOURCE REQUIREMENTS AND FUND SOURCE(LIPH MOTHER PLAN) —__
-
BY
_
-
_ oT
—
REGION:
PROVINCEMUTHC
MUNICIPAL) _— _
oC
oo 5

_ _ Rp
LIPH CY:

Building Block: Resource Requirements (PhP) Fund Sources (PhP)

Target
i
Municipality! @ &
8
Performance Name of
District oneat
STRATEGIES
Indicator Somp
CitylBarangay
ain Facility ® Local Government Units {LGU) DOH REMARKS
Items Expense Total ESTIMATED Unfunded
Province Others
TT
UCICC LGU ManiCC LGU [0
Description Category Cost
023 224 20s Gener [Trustrund] Baengay| CO CHD

-
Ganeral Jirust
- -
@ 8- “- ® Fund
Fund]
for
Tom
Fund for Health
[oo
i
§ Total Estimated Cost Cost of the Strategy output to be producediconducted
(8) Fund ~
rcs Whichiawhat office will be able to fund theStrateg
5 LGU Local Govemment Units: Provinice/HUCACC LGU (General ind and Trust Fund fa
- Central Officeor Centers for Develo;
lpm
§ DOH
ean
-
§ Qihers,
§ Unfunded
(9) Remarks - Noles of comments; may er other fund
sources
of:
the
ANNEX Bd
LIPH APPRAISAL CHECKLIST
Review of LIPH 2023-2025
Province/City:

INSTRUCTIONS:
1, Only plans with COMPLETE contents’ parts shall be reviewed, The Completeness of the Document parameter has no score points. These ave pre-requisites before proceeding to the other parameters,
2. If required data/ information is found in
the expected section’ part of the LIPH, put the score under the Actual Score column based on the maximum score indicated under the Points column.
3. Indicate comments/ revisions needed in the Remarks/ Recommendations column. Shaded areas are not to be filled-up.
4. Indicate the total Score and compute for the Percentage. Check the appropriate Over-all Result af the end of the checklist.

Indicate
3. The LGU and PDOHO review resulvdocument is to be used for the next round’ level of review/ appraisal.
6. The Appraisal Checklist provides the minimum criteria, Additional eriteria/documents/evidences may be required by the Appraisal Team, as deemed necessary.

PARAMETERS FOR EVALUATION

I. COMPLETENESS OF THE DOCUMENT

presence
DETAILS
EE Points
LGUAND PICDONO REVIEW
Actual Score
NO SCORE
Indicate (+)
Remarks/Recommendotions Actual Score
NO SCORE
Indicate (*')
CHD APPRAISAL

Remarks/Recommendations

Executive Summary Executive Summary Section

LPlan development Plan Development Section
IL Health situation of
the
Province/City Health Situation Section
II. Local prionities/Major thrusts of the LIPH Local Priorities Section
LV. Monitoring & Evaluation M&E Section
V. Cost Malrices
A. Coment/Parts
a. LIPH Form 1: Summary of Investment Cost by Health
Systems Building Block and Fund Source Accomplished Form
b. LIPH Form 2: Cost Assumptions by Health Systems Building
Block, Strategies and Fund Source Accomplished Form
VI. Other attachments, specify: Documents Attached
1. Data arc entered in the appropriate columns Form
Accomplished
2. Entries correspond to the appropriate data required
(eg. If the column requires funds, amount in PhP should be Accomplished Form
B. Properly Filled-up Forms
entered; column requires quantity, numbers are entered etc)
if

3. Columns and rows which need data entries are filled up

Accomplished
P Form
(No empty column/rows unless filling-up is not appplicable)
C. Endorsement of
Reviewed LIPH from
1. Endorsement Letter/Email from PHO/CHO Letter
or email
LGU Planning Team to CHD

D. LIPH Information System Encoded LIPH in the LIPH-IS Generated LIPH Form 1
and 2 from the System

IL. PLAN DEVELOPMENT PROCESS 30

A. Organization of Planning Team 1. Organized LGU Planning Team as per AQ 2020-0022

EO7 PRTSONET UTES
2
T. Incorporation of Tower Tevel plans
a. Consulation/workshop/meetings
For the province:
documentation
a. Incorporation of Barangay Heaith Plans into the
Municipal/
b. Elements of lower level plans reflected/
Component City LIPH
B. Consideration of health situation and included in the ProwHUC/ICC plan
needs of different levels
b,
Incorporation of Municipal and Component City Health
Plans into the Province-wide LIPH;
c. Actual Mun/CC IPH. Brgy. Health Plans and
other Plans as bases
the HUCACC:
For
NOTE: These plans do not need to be
Incoporation of Barangay Health Plans into the HUCAICC City-
submitted to DOH BLRSD.
wide AOP
 PARAMETERS FOR EVALUATION DETAILS

Consideration of other plans such as but not limited to:

a) DRRM-H Plan
EE Points
LGU AND PICDOHO REVIEW
Actual Score Remarks/Recommendations Actual Scare
CHD APPRAISAL

Remarks/Recommendations

b) Health Facility Developmeat Plan

Elements of these plans reflected/included in the
¢) Human Resources for Health Plan 6
ProvHUCACC P plan
d) [CT Development Pian
2} Devolution Transition Plan
1) GAD plan

2. When available, consideration of health needs contained in

the Ancestral Domain Investment Plan for Health (ADIPH) /
Ancestral Domain Sustainable Development and Protection Elementsof these plans reflectedfincluded in the
5
=
Plan (ADSDPP) Prov/HUC/ICC plan

I
NOTE: not gvailable, item should not be part of the
denominator.
{- Non-health sector, specify:
Consulation/workshop/meetings documentation
)
2. Special poputation groups. cg. GIDA, Indigenous Peoples,

C. Consultation with/ involvement

stakeholders
of key UrbanPoor,
TOPS, ok
Spectly:
seniors, other vulnerable/marginalized
Consulation/workshop/meetings documentation 2

3. Plan harmonization, integration, and synchronization by

documentation
. . .

Consulation/workshop/meetings 2
LGU, DOH-CHD and olher partners

4. Office of the District Represenative/Legislator/s Consulation/workshop/meetings documentation 1

1. Revisi/Review of processes, outputs and outcomes of the a. Planning workshops, PIR documentation
4
D. Review of previous LIPH/AOP period [previous LIPH/AOP period lb. AOP monitoring Report

and other LGU plans 5 Fy

2. Other LGU plans reviewed,
5

specify:
Planning workshops, PIR documentation 2

IIL TECHNICAL CONTENT

With reference to LIPH Content Outline
Part IL. Health Situation of the Province/City Cited/indicated: 50
A. Description and analysis of health and (1.Health, health systems and health-related threats/concerns [Citation of latest status, reports, records, sex-
health-related threats and situations. and and situations backed up by appropriate data/evidence disaggregated data with verifiable & validated
health sources such as FHSIS, LGU scorecard,
surveillance unit reports, annual statistical
6
reports, AOP monitoring report, health indices,
emerging and re-emerging diseases (if any),
hospital reports, equity statistics, best practices,
non-health sources. others
~~
PARAMETERS FOR EVALUATION DETAILS

Citation of latest
EN
status, reports, records, sex-
disaggregated data with verifiable & validated
Points
LGU AND PICDOHO REVIEW
Actual Score Remarks/Recommendations Actual Score
CHD APPRAISAL

Remarks/Recommendations

data sources such as FHSIS, LGU scorecard,

2. Health status of IPs/ICCs, GIDA, Urban Poor and other surveillance unit reports, annual statistical
4
vulnerable populations, as applicable reports, AOP monitoring report, health indices,
emerging and re-emerging diseases (if any),
hospital reports, equity statistics, best practices,
non-health sources, others

3. Status/Gaps on: a. Citation of latest status, reports, records, sex-

5
disaggregated data with verifiable & validated =
2. Human resources for health
b. infrastructure and equipment
c. Service capabilities (status of DOH licensing and PhilHeath
data sources,
if
any, such as LHS ML Monitoring
[results (if applicable), annual statistical reports,
3

2
accreditation) of health facilities and services health indices, non-health sources, others
d. Management suppor! systems: b. Brief narrative on the
status of each
2
1. Human resources for health management and
management system
2. Information managemenEMR 3
3. Procurement and supply chain management 2
4. Referral system 2
5. DRRM-H system 2
6. Epidemiologic surveillance system 2
7. Proactive and effective health promotion programs/ 2

. . |
4. Status of PACWHS integration (as applicable) .
a. Citation of latest report, any if
b. Brief namative on PACWHS integration
5

5. Levels of analysis:
a. Clear and logical description of data/information a. Citation of latest statistics 3

a
b. Comparison against standards, trends, benchmarks, targets
Citation of latest NOL FI plus and LGU HSC
1. National Objectives for Health 3
vis-a-vis latest health situation
. .
targets
2 LGU Health Scorecard 3
Causes/Tactors for the high/low/equal trend
c. Causes and oo
contributing
.
factors identified
compared to standards/benchmarks 3

||V2T2ti¥e on how the

of related gaps identified will affect
4. Linking gaps with health outcomes and indicators 3
the health outcomes nd
indicators

Part I11. Local Prioritics/Major Thrusts of the AQP Cited/indicated: 18

TOCA I TOTTI TOT TITU CUNSTSTCTIT WIT STS
aps T
List of Local Prioritics/Major Thrusts
|2. Integration of Health Systems
as
Lo. 4
- .

A. Goals and objectives, priorities/thrusts, priority (as applicable)

targets and indicators for the three year |3. Aligned with/contribute to Universal Health Care Act, a. Specific contributions cited
period Fourmula One Plus for Health, National Objectives forHealth, |b, Specific provisions of UHC Act, F1 Plus, otc 7
Sustainable Development Goals, Ambisyon Natin 2040 that the priorities/thrusts are aligned with
 PARAMETERS FOR EVALUATION

Part IV Monitoring & Evaluation

DETAILS

Citedfindicated:
EN :
Points

19
LGU AND P/CDOHO REVIEW
Actual Score Remarks/Recommendations Actual Score
CHD APPRAISAL

Remarks/Recommendations

A. M&E Process Ia. Organization of LIPH/AQP Monitoring Tear EQ, Personnel Order, other issuance 3

VIBE sens oe saketolgers

" ’
(non-PHO/CHO staff)
of other stakeholders not included in the
List
Monitoring team that the LGU plans to
invite
2

2.0. M&E process/activities (cy. systems or pragram-based,

PIR, PBUR, quarterly or semi-annual AOP monitoring.
5
=
progress monitoring report), specify:
List of M&E activities and coverage to be
2.b. Coverage of Monitoring activities include: conducted with Larget timelines

Status of physical accomplishment

i.

LGU counterpart in the AIP

.
3
iii. DOH assistance
iv. Other areas, specify:

Part V. Cost Matrices Cited/indicated: 52

Forms reflecting:
1. Address gaps/problems/concerns and priorities based on Strategies addressing gaps/problems/concerns
A. Strategies 6
situational analysis and Baseline Assessments identified from the Situational Analysis are
reflected in the LIPH Forms

LIPH Forms reflecting strategies that are

2. Strategies listed realistic, reasonable and implementable in |-based on SA
6
time frame given doable within three years
-appropriate to the area

3.
Strategies are
aligned with the Devolution Transition -
Accomplished Forms. o
°
Plan/DOH Menu of Assistance

1.

Strategies are costed

LIPH Forms indicating that all strategies have
4
corressponding costs
LiPH based on
2. Costing of strategies are realistic, reasonable, and Froms indicating strategies cos ted
Menu of Assistance, population projection, 4
appropriate to locality
previous year’s allocation, site of PPA
B. Costing of interventions LIPH Forms indicating that all strategies have
corresponding fund source as follows:
DOH fund source based on menu
3.
. Fund sourcing of activiics realistic, ’
reasonable and
-Outside the menu to be funded by LGU or other 4
:

appropriate
sources
-Strategies with no specific source will fall under
Unfunded
4. Strategics/activities for GIDA barangays costed
NOTE:
denominator.
If
not applicable, item should not be part of the LIPH Forms reflecting strategies for GIDA 2
 et
PARAMETERS FOR EVALUATION DETAILS
RE v

Poiats
LGU AND PICDOHO REVIEW
VIEW ¢ HD APPRAISAL

py
Actual Score.
!

Actual Score _Remaorks/Recommendations Remarks/Recommendations

Stiraiegies/activities from ADIPH/ADSDPP costed

tng
AOP fecti esiactvitios fifrom
C. Costing of interventions (con) NOTE: If not available, item should not be part of the ADIPH
strategies/actvities 2
denominator.

D. LGU ownership of and accountability

LDIP/ Pp
P P |Cor ae COPofLA Lo
counterpart fund LGU on AOP
3

fe
or healthIth operations
ti and d reforms
for Year
refc

is higher than the previous year's

——
2. Health budget vs.
-
I
Accomplished Forms (LGU Counterpart)
5
AOP LGU share in 2022 AQP

bie Health Fund (SHE), if

Strategies to be funded through SHE
1. M&E strategies costed are consistent with the planned M&E
Accomplished Forms 3

2
AQP Forms reflecting the activities
.
M&E as per
F. M&E component 2. Budget allocation 5
3. Timelmes/schedure Part IV of AQP
3

TOTAL 160
Percentage 100% 100%
1, RESULT OF LGU AND € §5% or Betier PASSED € For CHD Appraisal
PROVINCE/CITY DOH OFFICE € 75-84% PASSED with minor correction, For Enhancement
REVIEW € 75% and Below AOP For Revision, PDOHO/CHD to provide special Technical Assistance

Other Comments:

REVIEW TEAM: Date of Review:

PHO/CHO name, signature DOH Representative name, signature Name, signature, position

Name, signature, position Name, signature, position Name, signature, position

€ 85% or Better PASSED € For CHD Concurrence

1. RESULT OF CHD APPRAISAL € 75-84% PASSED with minor correction, For Enhancement
€ 75% and Below AOP For Revision, PDOHO/CHD 10 provide special Technical Assistance
Other Comments:

CHD APPRAISAL TEAM: Date of Appraisal:

Asst. CHD Director name. signature LHS Division Chief name, signature LIPH Coordinator name, signature

Program Manager name, signature Program Manager name, signature DOH Representative name, signature

Name, signature, position Name, signature, position Name, signature, position

IIT, CHD CONCURRENCE

Name and Signature of Director IV Date
ANNEX B.5

List of Key/Major Generic Strategies to Implement Programs

Construction
PAWN
Repair/ renovation/ expansion of Health Facilities
Procurement/repair of equipment
Hiring of HRH
Retention of HRH (Existing)
PNAN
Capacity Building/ Development
Procurement/provision (commodities, medical supplies)
Establishment and Maintenance of knowledge management/data/information systems
AD
Establishment and Functionality of Management Systems
O°

m=
. Monitoring
—=

. Policy Development
mm WN
. Sectoral Collaboration/ Partnerships
. Advocacy/Awareness/ Health Promotion Campaigns
—_——
Hh
. Research and development
nh
. Others, specify
ANNEX C.1
AOP SITUATIONAL AND GAP ANALYSIS SUMMARY

AOP Year:
Region:
Province/HUC/ICC:
Municipality/Component City:

Identified PRIORITY Health Contributing Factor/s Reference Forms

(Underlying direct or indirect factor/s influencing/affecting {Cite where PPAs that will address the identified

From L
"
Problems/Issues/Concerns
crlarmance ©ss of
a particular health problem that need to be addressed to gaps/problems/issues/concerns WILL be found: AOP Form
2,31,32,33,34)
. .
solve the problem)
# Morbidity and Mortality, gaps in addressing health
probleins of vulnerable groups (GIDA, indigenous Cultural
Conununities/Indigenous Peoples and Urban Poor), and
Qther priority gaps/concerns which have a major impact on
health systems

NOTE:
The Situational and Gap Analysis presents the whole picture of the LGU (Province/Highly Urbanized City/Independent Component City/Component
City/Municipality) health and health system situation. It summarizes the narrative of the Health Situationer, according to the WHO building blocks of health
systems, namely: Leadership and Governance; Financing; Health Workforce; Information; Medical Products, Vaccines and Technology; and Service Delivery.

The purpose of this table is to link the identified PRIORITY gaps/problems/issues/concerns and contributing factors with the appropriate strategies and
corresponding investment needs, strategies/interventions/activities found in AOP Forms 2, 3.1, 3.2, 3.3, 3.4. Per AO 2020-0022, strategies/inferventions/activities
shall be identified based on gaps and priorities. Thus, using a health systems approach, investment needs, strategies/interventions/activities will be more targeted
and responsive.
Annex C.2

AQP Form 1. Summary of Investment Cost by Health Systems Building Block and Fund Source

Region: REGION A
Province/HUCHICC: PROVINCE Y

MunicipalityiCompanent City:
AOP CY: 2023

Fund Sources (PhP)

Health Systems Building Blocks
% of Building
Total per Building
Province/HUC/ICC LGU L Unfunded Block to Grand Remarks
Block (PhP)
General Fund
Trust Fund for
General Fund
Trust Fund for Central Office Total
Health

Health

Supply Chain & Logistics Management

Health Regulation

Total Source
a
Annex C.3

AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source {AOP Mother Plan)

Region: REGION A
Province/HUCACC: PROVINCE Y

Municlpality/Compon
ACP CY: 2023

Fund Source

Municipality!
Program/Project! Name of Total Cost Province/HUCHCC LGU Mun/CC LGU
Performance Component
Activities (PPA) District Health Total ftems Expense (UnitCost x Unfunded Remarks
Indicator City! at @ ou Unit Cost Quantity Trust Fund
BLGU co CHD Others
(Building Block) Facility Target Description Catogory Quantity) General General Trust Fund
Barangay for Total Total
(PhP) Fund Fund for Health
Health/SHF

Major Program 1

3
Sub-total

‘otal for (Building

~~
Annex C.4

AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

Region: REGION A
Province/HUC/ICC: PROVINCE Y

Municipality/Component City:
AOP Year: 2023

Cost per Fund Source (PhP)

LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment
Province/HUC/ICC LGU Mun/CC LGU
Needs
Unfunded Total Remarks
others
Trust Fund for Trust Fund for Barangay Central Office] CHD
General Fund Total General Fund Total
HealthiSHF Health

1. Health Facility Development

New Construction
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities (please specify)

Repait/improvementUpgrading
a. LGU Hospital
b. RHU

¢. BHS
d. Other facilities (please specify)

Equipment |

a, LGU Hospital
b. RHU

c. BHS

d. Other facilities (please specify)

Motor Vehicle |

a. LGU Hospital
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categori
ategories of Investment
ProvincelHUCHICC LGU MuniCC LGU
Needs
Unfunded Total Remarks
General Fund for
Trust Fund
Total General Fund
Trust Fund for
Total
Barangay Central Office CHD
Health/SHF Health

b. RHU

c. BHS
d. Other facilities {please specify)
2. Information & Communication Technology
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities {please specify)

MOOQE

a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities (please specify)

Sub-Total

*Human Resource for Heaith

indicate the quantity

amount per cadre.
Physician (specify)
Nurse
Midwife

Medical Technologist
Dentist
Pharmacist
Nutritionist-Dietician
Physical Therapist
Other HRH, please

Sub-Total
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment
Province/HUC/ICC LGU Mun/CC LGU
Needs
Unfunded Total Remarks
Others
Trust Fund for Trust Fund for Barangay Central Office CHD
General Fund Total General Fund Total
© ithisHE Health

4, Commodities
(Drugs/Vaccines/Med,
Supplies)

Please indicate
commodities/ drugs/
vaccine under each
[program
Commodities cited in this
template are EXAMPLES
only.
Family Health, Nutrition and Responsible Parenting
Family Planning & Reproductive Health
a. DMPA
b. Pills |

¢. Condoms
d. Sub-dermal Implant

Oral Health I

a. Flouride
b. Lidocaine

Nutiion |

a. Micronutrient powder
b. Vitamin A

c. Iron
Others
National Immunization
a. Pv
b. OPV
¢. DPT-HEPB-HIB
d. MR [

Elimination of Infectious Diseases

Malaria Control and Elimination
Schistosomiasis
Leprosy
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS {LGU} DOH
Categories of Investment
ProvincefHUC/ICC LGU Mun/CC LGU
Needs Unfunded Total Remarks
Trust Fund for Trust Fund for Barangay Central Office CHD
General Fund Total General Fund Total
HealthiSHF Health

Filariasis
Rabies Prevention and Control
Prevention and Contro! of infectious Diseases

8
Dengue Prevention and Control
HIV/STI Prevention and Control

Other Infectious Diseases

Non-communicable Diseases
Hypertension
Diabetes
Mental Health
CVD

Cancer
Environmental and Occupational Health
Health Emergency Management
Other Commodities

Sub-total

Other Technical

A. Leadership and Governance

activities

development and
monitoring
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGV) DOH
Categories of Investment
Province/HUC/ICC LGU Mun/CC LGU
Needs Unfunded Total Remarks
Others
Trust Fund for Trust Fund for Barangay |Centra! Office CHD
General Fund Total General Fund Total
Health/SHE Health

activities/projects

Scorecard activities
including advacacy
and recognition of
those with
exemplary practices

Governance
strengthening

health equity
assessment,
measurement and
intervention for
HUCsfICCs

Workers (BHWSs)
activities

Documenlation of bas

Others

B. Financing
C. Health Workforce
D. Information
E. Supply Chain and
Logistics Management &
Health Regulation

Delivery are not

Parenting
Immunization

Control

Diseases
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment
Province/HUC/ICC LGU Mun/CC LGU
Needs Unfunded Total Remarks
Trust Fund for Trust Fund for Barangay Central Office CHD
General Fund Total General Fund Total
HealthiSHE Health

TB

Dengue Prevention and Control

HIVIST! Prevention and Control

Infectious Diseases

Non-communicable Diseases

Emergency Management
per
Annex C.5

AOP Form 3.1. LGU Investment Need for Health Facility Development, Information & Communication
Technology and Operations Cost

Reglon: REGION A
Province/H PROVINCE Y

Municlpalit
AOPCY: 2023

Investment Need (PhP} Cost Fund Sourca (PhP)

UNITS
Municipality/ Name of
District Province MUCACC LeU Mun/Ce LGU
Component City/ Category Health Project u
Medical Motor Tatal Cost! Unfunded Remarks
oy
Barangay Facility
Description Infrastructura
Equipment
auipment Vehicle
er Others
Facility Barangay
Central
CHO
oth ers
General Trust Fund for General Trust Fund for Office
Total Total
Fond HeathiSHF Fund Health

I. Health Facility
Construction! Repair/ Upgrading! Equipping

and Other

Il. Information and Communication T

per
Annex C.6

AQP Form 3.2. LGU Investment Need for Human Resource for Health
Region: REGION A
Province/HUC PROVINCE Y
Municipality!
AOPCY: 2023

Cost Fund Source

LOCAL GOVERNMENT UNITS DOH

Province/HUC/ICC LGU MuniCC LGU

Municipality
Name of Health Salary Salaries and
District {Component City! HRH] Cadre Unfunded Remarks
Facillty Grade Benefits Central
Barangay Trust Fund Barangay CHD
General
for Health! Total
General Trust Fund
To op 0
Fund Fund forHeatth
SHF

Il. LGU
a. Need for New Items*

b. Existing
Plantilla ltems

c. Request for
New Job
Order/Casual

d. Existing
Job
Order/Casual
~~
per
Annex C.7

AQP Form 3.3. LGU Investment Need for Commodities

Region: REGION A
Province/HUC/CC: PROVINCE Y

Municlpatity!
Component City:
AQP CY: 2023

Cost Fund Source (PhP)

Municipality
Name of otal Cost LOCAL GOVERNMENT UNITS DOH
Commodities Component Target Estimated Unit [Unit Cost x
District Health Items Description Quantity ProvinceMHUCACC LGU Mun/CC LGU
City Cost (PhP) Unfunded
Population Quantity)
Facility General Trust Fund for Genesal Barangay Central Office] CHD
Barangay (PhP) Trust Fund for
Total Total
Fund HeahwSHF Fund Health

Sub Program 1
Annex C.8

AUT FUL
Aacletanca
QiLOU HIVSIUBGII IEE 191 JUS TeGivat

Region: REGION A

Provinca/HUCACC: PROVINCE ¥

a
Municlpality/
Component City: -
ACPCY: 2023

sid EE
Resource Requirements Fund Source (PhP)

Activities

Barangay
City)
ot
Items
Description
.
Unit Cost :
Quanlity
total Cost
{Unit Costx
Quantity)
Prov
roving
General
Trust Fund
for Total
General
rs
ui

Trust Fund
LGU

10%
Barangay
Central
Office
T
CHD
Others
Unfunded Total Remarks

(PhP) Fund Fund forbeamn

E.Supply Chaln & Loglstics

Management (Health
Regulation)
Annex C.9

Form 4. REGIONAL SUMMARY OF LGU INVESTMENT NEEDS

idation of AOP Form 3 of Provinces, HUC, ICC In

the Region.
For details, please refer to Form 3 of Provinces, HUCs, ICCs.

Region: REGION A
Year: 2023

Cost
per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU

Provinces/HUCs/ICCs LGU Mun/CC LGU

Categories of Investment Needs
Unfunded GRAND TOTAL REMARKS
Trust Fund ers
Trust Fund Barangay Centra) Office| CHD
General Fund for Total General Fund Total
Heath for Health

Health Facility Development

New Construction
a. LGU Hospital
b. RHU

c. BHS

d. Other facilities {please specify)

Repair/improvement/Upgrading
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities {please specify)

Equipment
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities {please specify)

Motor Vehicle
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities {please specify)

 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS {Lf

Provinces/HUCs/ICCs LGU Mun/CC LGU

Categories of Investment Needs
Unfunded GRAND TOTAL REMARKS
Trust Fund
General Fund Trust Fund Barangay Central Office] CHD
for Total General Fund Total
heath for Health

Total

ICT Equipment
a. LGU Hospital
b. RHU

c. BHS

d. Other facilities {please specify)

MOQE
a. LGU Hospital
b. RHU

¢. BHS

d. Other facilities (please specify)

Sub-Total

Human Resource for Health

Physician (specify)

Nurse
Midwife

Medical Technologist
Dentist
Pharmacist
Nutritionist-Dietician
Physical Therapist
Other HRH, please specify

Sub-Total
 Categories
ategories of of

Commodities (Drugs/Vaccines/Med.
Supplies)
Invest
Investment Need

Family Health, Nutrition and Responsible Parenting

Family Planning

a. DMPA
b. Pills

¢. Condoms

Oral Health
a. flouride
b. Lidocaine

Nutrition
&

d. Sub-dermal Implant
Reproductive Health

a. Micronutrient powder
b. Vitamin A
Needs
Provinces/HUCs/ICCs

General Fund
Trust Fund
for Health!
SHF
LOCAL GOVERNMENT UNITS
LGU

Total General Fund

Cost per Fund Source (PhP}
(LGU

Mun/CC LGU

Trust
ust Fund
Fun

for Health
Total
Barangay Central Office CHD

I i
c. Iron

Others

National Immunization

a Pv
b. OPV

c. DPT-HEPB-HIB

d MR

¢. Others

ination of Infectious Diseases

Malaria Control and Elimination
Schistosomiasis
Leprosy
Filariasis
Prevention and Control
and of
TB
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS
Provinces/HUCs/ICCs LGU MuniCC LGU
Categories of Investment Needs
Trust Fund Unfunded GRAND TOTAL REMARKS
Trust Fund re
General Fund for Total General Fund
Barangay |Central Office] CHD
Total
peat for Health

Dengue Prevention and Control

HIV/ST| Prevention and Control

Infectious Diseases
Non-communicable Diseases
Hypertension
Diabetes
Mental Health
CVD

Cancer

Environmental and Occupational Health

Health Emergency Management

Commodities

Sub-total

Other Techn

A. Leadership and Governance

Systems

LIPH/AOP development, planning and

monitoring, advocacy to/ consultation with key
stakeholders, program implementation review

GIDA, ICC/PS, Urban Poor activitiesiprojects

LGU Health Scorecard activities including

advocacy and recognition of those with

exemplary practices
 Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS
Provinces/HUCSICCs LGU Mun/CC LGU
Categories of Investment Needs
Unfunded GRAND TOTAL REMARKS
Trust Fund
Trust Fund Barangay Central Office CHD
General Fund for Health/ Total General Fund Total
for Health
SHF

Leadership and Governance strengthening activities

Data collection for health equity assessment,

measurement and intervention for
HUCsfICCs

Barangay Health Workers (BHWs) activities

Documentation of best practices
Others

B. Financing

C. Health Workforce

D. Information

E. Supply Chain and Logistics Management

& Health Regulation

F. Service Delivery
Family Health, Nutrition and Responsible
Parenting
National Immunization
Elimination of Infectious Diseases
Rabies Prevention and Control
Prevention and control of infectious Diseases

8
Dengue Prevention and Control
HIV/ST( Prevention and Contro!
Other Infectious Diseases
Non-communicable Diseases
Environmental and Occupational Health
Health Emergency Management
Others (specify)

Sub-total
TOTAL
ANNEX C.10

LGU Investment Needs Categories

LGU Investment Needs Categories Definition/Inclusion

3.1 Health Facility Development & ICT Needs/requirements for
= Infrastructure — construction, repair, rehab, upgrading
of facilities
= Medical Equipment —specific equipment needed for
the facility
= Motor Vehicle — ambulance, patient transport
®
Information and Communications Technology —
hardware and software
3.2 Human Resource for Health (HRH) Specific HRH cadre needed/requested and existing
3.3 Commodities Various commodities such as drugs, vaccines and their
corresponding medical supplies
3.4 Other Technical Assistance Capacity-building, advocacy and health promotion,
workshops, consultations, monitoring and evaluation,
creating and implementing systems and tools