Professional Documents
Culture Documents
The LGU Health Scorecard is an annual survey being conducted by the Department of Health to monitor the progress of health
reform implementation and to assess the performance of health systems at the local level.
Instructions:
Please fill-up the form by putting the required data for numerator, denominator and computed value.
Refer to the given formula per indicator to derive the computed value.
Encircle “Not Applicable” if the indicator is not applicable to the LGU; or “No Data” if applicable but data is not available.
Fill-up the remarks portion of each indicator for extremely high or low values and include the corresponding explanation.
Also include the sources of initiative/efforts whether from DOH-ARMM or LGU or combination of both.
Signing of the attached Certification Page is a MUST to establish accountability in the provision and review of LGU data
reflected in this manual DCF.
I. Governance for Health – Internal Management Support
A. Adequate Human Resources for Health
Note:
Formula: A/B
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
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[DCF for Component Cities &
2018 Performance Municipalities]
Note:
Formula: A/B
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
4) Operational Disaster Risk Reduction and Management for Health Plan (DRRM-H Plan)
Does the Municipal/Component City DRRM-H Plan meet all the 6 criteria of an operational DRRM-H Plan?
YES NO NO DATA
Benchmark:
o Green: ALL 6 Criteria are met
2012 National Baseline: N.A.
o Red: 5 criteria and below are met
2018 National Target: ALL 6 Criteria are met
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
5) Provision of full hazard pay, subsistence & laundry allowances to health workers under the Magna
Carta for Public Health Workers
Does the LGU provide FULL hazard pay, subsistence&laundry allowancesto its health workers under the
Magna Carta for Public Health Workers?
YES NO NO DATA
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[DCF for Component Cities &
2018 Performance Municipalities]
Note:
An LGU must have provided all 3 incentives in FULL in order to answer YES otherwise the indicator is not met
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
6) Percentage of LGU-managed health facilities in the municipality/component city with client satisfaction
survey or feedback mechanism installed
Note:
Formula: A/B x 100
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 100
Blood unit refers to 450 ml of blood bag extracted from the blood donor
Only community-based voluntary non-remunerated blood donations initiated or assisted by the LGU shall be considered.
Voluntary non-remunerated blood donor means giving of blood freely and voluntarily without receiving money or any form
of payment. Assistance by the LGU must include provision of funds, logistics, facilities, human resource, or technical
assistance.
Source of Data: LGU Records
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[DCF for Component Cities &
2018 Performance Municipalities]
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
8) Percentage Coverage of Target Population in Endemic Area(s) with Mass Treatment for Filariasis
Note:
Formula: A/B x 100
Endemic Area* is a component city/municipality with a prevalence of 1% or higher
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 1,000
Endemic area may be a barangay, municipality or component city. Thus, the population of the implicated barangay,
municipality or component city should be used as denominator.
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
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[DCF for Component Cities &
2018 Performance Municipalities]
Note:
Formula: A/B x 100
*All Forms of TB refer to new smear positive, new smear negative, relapse, and extra pulmonary TB
To compute for “Estimated number of all forms of TB cases for the year”: Total population x 0.00554
Source of Data: Quarterly Reports; NTP Registry
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 100
Source of Data: Quarterly Reports; NTP Registry
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
C. Child Health
Note:
Formula: A/B x 100
Source of Data: FHSIS
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[DCF for Component Cities &
2018 Performance Municipalities]
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
13) Percentage of Infants (0 – 6 months old) Exclusively Breastfed
Note:
Formula: A/B x 100
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
D. Maternal Health
Note:
Formula: A/B x 100
Must be in a health facility with birthing capacity*
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[DCF for Component Cities &
2018 Performance Municipalities]
“Other places” is defined as non-health facility places like vehicles (tricycle, taxi, etc.) and outside of the dwelling place
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 100
*Skilled health professionals are medical doctors, nurses and midwives
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 100
Modern Family Planning methods*: pills (combined oral contraceptives and progestin only contraceptives), IUD, male
condoms, injectables, subdermal implants, bilateral tubal ligation, vasectomy and Natural Family Planning Methods
(Cervical Mucus Method (CCM), Basal Body Temperature (BBT), Symptothermal Method (STM), Standard Days Method
(SDM), Lactational Amenorrhea Method (LAM)
Source of Data: FHSIS
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[DCF for Component Cities &
2018 Performance Municipalities]
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
17) Percentage of HIV & AIDS local response core criteria adopted at the LGU
Note:
Formula: A/B x 100
4 HIV & AIDS core criteria set: (1) LGU multi-sectoral coordinating body on HIV & AIDS with representation of Key
Affected Populations; (2) LGU HIV & AIDS multi-sectoral work plan to include Monitoring &Evaluation; (3) Social Hygiene
Clinic or Facility Providing STI Services; and (4) Local HIV & AIDS related policies
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
F. Environmental Health
Note:
Formula: A/B x 100
To get the number of households, use the estimated target population developed by Epidemiology Bureau for the CY
2018-2022 as per DM No. 2018-0333 then divide it into 6
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Page 8 of 10
[DCF for Component Cities &
2018 Performance Municipalities]
Note:
Formula: A/B x 100
National target is to have 100% of all collected samples tested negative for e-coli. Minimum Standard of sample
collection is 20% of all drinking water sources. The LGUs are expected to conduct random testing at least once a year.
Source of Data: LGU Records
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Note:
Formula: A/B x 100
To get the number of households, use the estimated target population developed by Epidemiology Bureau for the CY
2018-2022 as per DM No. 2018-0333 then divide it into 6
Source of Data: FHSIS
Remarks:
___________________________________________________________________________________________
___________________________________________________________________________________________
Page 9 of 10
[DCF for Component Cities &
2018 Performance Municipalities]
Certification Page
Part I. On Accomplishing the DCF (for City/Municipal Health Officers)
This is to certify that the data provided in the LGU Health Scorecard Data Capture Form
are final and correct to the best of our knowledge. We understand that the data we provided
in the LGU Health Scorecard Data Capture Form will be the bases in producing the LGU Health
Report Card.
SIGNED:
(Note: Affix your signature above printed name. Indicate your office &position opposite your name.)
Name Position
Part II. On Review of DCF (For the PHO and DOH-ARMM Officer)
This is to certify that the undersigned have reviewed the data provided in this LGU Health
Scorecard Data Capture Form.
Remarks: _________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
SIGNED:
(Note: Affix your signature above printed name. Indicate your office &position opposite your name.)
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