Annex D

AOP Form 1. SUMMARY OF INVESTMENT COST BY BUILDING BLOCK AND FUND SOURCE

REGION: VI
PROVINCE/HUC/ICC: NEGROS OCCIDENTAL
AOP CY: 2022

Fund Source (PhP)

(2) % of Building
Building Block Grand Total
(1) Block to Remarks
DOH LGU (PhP)
Grand Total
Central Others
CHD Sub-Total PLGU C/MLGU BLGU Sub-Total
Office
1. LEADERSHIP and GOVERNANCE * 0 0 4,000.00 926,140.00 0.00 930,140.00 10,000.00 940,140.00
2. FINANCING 40,320,000 0 40,320,000 0 0 40,320,000
3. HEALTH WORKFORCE 548,367 0 548,367 0 0 548,367.00
4. INFORMATION 0 0 0 513,800 536,000 0 1,049,800.00 1,049,800.00
5. MEDICAL PRODUCTS, VACCINES &
80,770,678 0 80,770,678 100,000 0 100,000.00 80,870,678.00
TECHNOLOGY
6. SERVICE DELIVERY
*Health Facility Development 36,000,000 0 36,000,000 50,000 50,000 0 100,000.00 36,100,000.00
*Commodities 11,240,390 4,432,000 15,672,390 3,400,000 11,128,500 0 14,528,500.00 30,200,890.00
*Others- MOOE 750,000 683,600 1,433,600 170,803 2,386,150 173,000 2,729,953.00 4,163,553.00
Total 169,629,435 5115600 174,745,035.00 4,138,603.00 15,126,790 173,000 19,438,393.00 10,000.00 194,193,428.00
Grand Total 174,745,035.00 19,438,393.00 10,000.00 194,193,428.00
As a Percentage of Grand Total
*Includes Performance Accountability
Annex D
AOP Form 2. COST ASSUMPTIONS BY BUILDING BLOCK, PPAs, QUARTER AND FUND SOURCE (AOP MOTHER PLAN)

REGION: _____________
VI

PROVINCE/HUC/ICC: __________ ILOG, NEGROS OCCIDENTAL

AOP CY: 2022 2023

Target
Building Block: SERVICE DELIVERY Resource Requirements (4) Fund Source (5)
(3)
PPA Performance DOH LGU
Indicator (2) Expense Remarks
Program/Project/ Activities Item Description/ Quantity/ Total Cost
Q1 Q2 Q3 Q4 Total Categor Others
(PPA) (1) Unit Cost CO CHD PLGU C/MLGU BLGU
y

RMNCHN
Goal 1 Improve Maternal health outcomes
Objective 1 To increase/sustain quality antepartum, perinatal and postpartum care.
1. Make accessible all prenatal, perinatal and prenatal package, Mother & Child
postnatal care services MOOE 36,792,000
299 299 299 299 1198 booklet
# of women with atleast
a.Advocacy campaign ( Usapan, PMC) mother & child booklet
4ANC visits
b. Pregnancy tracking & birth planning birth plan, TCL
c. Routine prenatal exam. & care
i. physical exam BP apparatus,
* weight & height taking, BP taking, weighing scale,
* fundal height, Leopolds maneuver, Doppler,
*FHB determination Stethoscope, tape measure
ii. Immunization 299 299 299 299 1198 Td vaccine, syringes
iii. Laboratory exams # of pregnant examined Alcohol., cotton
(CBC, U/A, blod typing, HIV testing, UTZ, for high risk Reagents, slides strips MOOE
HBSAg, blood sugar determination pregnancies pregnancy test kit
iv. Deworming mebendazole tablet
2. Provide Nutritional services to
pregnant clients. MOOE 900,000.00
Ferrous Sulfate w/ FA
i. Iron & Calcium supplementation 299 299 299 299 1198 Calcium Carbonate
ii. Feeding supplementation for NAR % of prenant women 30 30 30 Food commodities,
pregnant women at risk Multivitamins
d. dental care services 299 299 299 299 1198 tooth brush, toothpaste
e. Delivery tracking
i. Follow up of pregnant due for the mo. TCL, tracking form MOOE
f. Intrapartum Care 299 299 299 299 1198 OB package
a. Labor watch # of women w/at gloves, OS, dextrose bots.
g. Delivery least 2pp visits. cord clamps, KY jelly, syringes
h. Newborn Care oxytocin, antibiotics, scissors
*EINC sutures, anesthesia, forceps
* Eye prophylaxis terramycin eye ointment
*NB measurements tape measure
* Immunization Vit. K, Hepa B vaccines
i. Newborn Screening NBS kit
 j.Post Partum Care w/in 24 hrs. 299 299 299 299 1198 mefenamic, antibiotics
& w/in 1 wk. after delivery Multivitamins w/ iron
f. Capability Building
i. BEMONC Trng. (11 days) 3 1 team
ii. BEMONC for RHM (7 days) 3 3 3 9
iii. BEMONC Post Training
Evaluation
iv. Refresher Course for HP 50 50
on Pregnancy Related (2 days)
v. Maternal Death Review (1 day) 1 1 1 1
3. Maintain a PHIC accredited Birthing Facility
and a dedicated Birthing Facility Team 1 1 50,000
% FBD and SBA
a. Annual renewal of License to Operate 1
b. Annual renewal of MCP accreditation 1
c. Continuous operation of IclinicSys
4. Sustain an effective health care provider network/
as need arises 2,750,000.00
referral system.
a. Referrals of high risk pregnancies
deliveries and newborns
Construction oftemporary shelter for 1
pregnant a wk before birth

vaccines, ancillaries & equipment MOOE

deworming drugs, STI packae MOOE

3. establish a program on TB in children. TB in children package MOOE
4. Establish a referral system to manage
OHC, Ambulance CO
complications in childhood illnesses.

Objectives 3 To enhance nutritional support

1. to track and identify malnuorished % of children
weigh scale, ht.board,MUAC MOOE
children ( 0-59 mos) malnourished
2. to make available of micronutrients % of children 0-59 mos
Iron, Vit.A, salt iodize MOOE
supplementations availed
3. to promote healthy eating habits in the % of children
advocacy, ordinances, EO MOOE
community. malnourished

4. to maintain supplemental feeding % of children

RUTF,RUSF,MNP, hot meals MOOE
program to identified malnuorished children. malnourished
5. to make available oral health care dental package
services. # children availed MOOE
% of children
6. Capability building of Health Personnel Per diems & TE
malnourished MOOE

Goal 3: To Improve adolescent Health Outcomes

Objective 1: To provide support in order to address various health needs
1. Establish and upgrading adolescent # of adolescent friendly dedicated room w/ complete MOOE,
friendly facilities. facilities amenities CO
# of HYO and p2p
3. Promote participations of adolescents in Advocacy, snacks & transport,
couselling trained MOOE
various health programs. AHDP,
adolescents

Objective 2: To reduce incidence of teenage pregnancies.

1. Establish program on mental health and decrease % of teeange Advocacy campaign, ADEPT,
MOOE
psychosocial support. suicides HYO, ISDN
2. Make available and accessible
# of teenage availed ADEPT, HYO HEEADS MOOE
reproductive health services.
# of teenage availed, Advocacy campaign, capability
3. Provide educational and awareness
decrease of teenage building of personnel, Per diems MOOE
program. TE
suicides

Goal 4 To reduce prevalence of noncommunicable diseases and their complications.

Objective 1. To provide quality preventive, promotive and curative health services for noncommunicable diseases
prevelance of
Hataw Activities/ Sweetheats
1. Promotion of healthy Lifestyle. noncommunicable
diseases Club

Amlodipine 5mg
Amlodipine 10mg
Losartan 50mg
Losartan 100mg
2. Available and accessible medicines. # of clients availed
Metformin 500mg
Metropolol 100mg
Insulin
Etoricoxib

Glucometer w/ Strip
3. available and accessible screening tests. # of clients screened BP Apparatus Detecto
Weighing Scale
prevelance of
4. Establish referral system. noncommunicable Forms
diseases
5. Idetify at risk individuals # of clients profiled Forms
6
Objective 2 Decrease incidence of lifestyle related diseases through behavior change.
1. establish smoking cessation program/ # of established
services. programs
2. Maintain community based rehabilitation
# of PWUDS served
programs.
3. Establish mental health program/ services # of client served
4. Maintain community based campaigns # of advocacies
and advocacies. conducted

Goal 5 To reduce prevalence of communicable, emerging and re-emerging diseases and their complications.
Objective 1 Establish disease free zones
functional disease
1. maintain disease surveillance system
surveillance system
zero mortality on rabies,
2. maintain zero mortality on rabies, dengue,
dengue, malaria,
malaria, leprosy.
leprosy.
3. achieve high case detection rate and cure
% CDR , % CR
rate of TB.
4. make availble HIV/ AIDS related
# of clients screened
services.

5. Maintain referral system to manage

complications of communicable diseases. reduce mortality rate
6. conduct disease prevention and control
reduce morbidity and mortality
interventions.
7. Maintain functional PHIC Accredited TB
DOTS Center
8. Establish Animal Bite Treatment Center
at the RHU
9. Strenghten COVID-19 Vaccination
# of client vaccinated
Rollout on all ages.

Objective 2 modify environmental factors

1.educate community on proper hygiene and
# of activities conducted
sanitation practice.
2. achieve zero open defecation. % zero open defecation.
3. uprading of level 1 to level 2 potable % of level 2 water
water sources. source
% of HH practicing
4. maintain and improve solid waste
proper solid waste
management.
management.

Objective 3 Increase community and intersectoral participation

1. improve voluntary blood donation drive
2. Maintain and sustain MNC, HIV/AIDS # of Municipal council
Council, TB task force, IATF functional
3. create brgy. anti-dengue brigade, brgy # of Brgy. Council
nutrition council. functional
DRRMH
4. Institutionalization of DRRM-H
institutionalized
5. Health Facility Enhancement (Dancalan
& Ilog RHU Facilities enhanced

Building Block: HEALTH Target

Resource Requirements (4) Fund Source (5)
WORKFORCE (3)
PPA Performance DOH LGU
Expense Remarks
Program/Project/ Activities Indicator (2) Item Description/ Quantity/ Total Cost
Q1 Q2 Q3 Q4 Total Categor Others
(PPA) (1) Unit Cost CO CHD PLGU C/MLGU BLGU
y

Goal 1 Responsive and efficient management of health workforce

Objective 1 To augment health workforce capacity to meet DOH standards
1. Hire and train additional Health workers for
# of BEMONC team hired
Birthing facility

# of health stations fully

2. Achieve an adequate health personnel
manned, Healthworker to
workforce.
population ratio

3. Establish 1 fully staffed RHU in every 20,000

population
RHU to population ratio

OBJECTIVE 2 To improve physical, mental and social well being of health workers

1. Promotion of physical and mental health

# activities conducted
activites in the workplace

2. Provide necessary trainings per program for all

# of trainings
health workers
1. Maintain the full implementation of the magna
# of health workers
carta benefits of health workers as stated in RA
availed
7305
OBJECTIVE 3 Improve community based health care workers skills and knowledge regarding basic health services
1. Provide access on skills training and capacity
# OF TRAININGS
building for all health are workers
2. Provide access to Post-graduate courses/ # OF POST-GRAD
executive courses to all health care workers. COURSES OFFERED

Building Block: HEALTH Target

Resource Requirements (4) Fund Source (5)
INFORMATION SYSTEM (3)
PPA Performance
DOH LGU Remarks
Indicator (2) Expense
Program/Project/ Activities Item Description/ Quantity/ Total Cost
Q1 Q2 Q3 Q4 Total Categor Others
 PPA Performance
Remarks
Indicator (2) Expense
Program/Project/ Activities Item Description/ Quantity/ Total Cost
Q1 Q2 Q3 Q4 Total Categor Others
(PPA) (1) Unit Cost CO CHD PLGU C/MLGU BLGU
y

Goal 1 Enhanced and interoperable health information system among health facilities
Objective 1 To establish ICT system in all Health Facilities
1. Upgrading of eHealth information system # Functional eHealth
facility Information Sytem
2. Establishment of ICT architecture
( procurement of IT equipment, strong # of IT equipment
interconnectivity and manpower)
Objective 2 To ensure complete, timely and reliable health data for decision making.
1. Conduct of regular validation and
# of validators
reconcilation of health data.
2. Training of dedicated encoders for FHSIS, iCli # of encoders trained
#of social media platforms
3. Creation and maintenance of Public website/ So
account
Objective 3 Establish and utilize an electronic medical record system

1. Establish and secure private data base system

# of Servers
pursuant to RA 10173 data privacy act of 2012.

2. Undergo training on data handling,

# of personnel trained
management and data privacy
3. Utilize existing digital platforms for data
management of major Health programs e.g. NIP, # of Computer Devices
NTP, NNP, RMNCAHN
Annex D
AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

Region: VI
Province/HUC/ICC: NEGROS OCCIDENTAL
AOP Year: 2022

Cost per Fund Source (PhP)

(2)
Categories of Investment Needs
DOH LGU
(1) OTHERS TOTAL REMARKS
Central Office CHD PLGU MLGU

1. Health Facility Development

New Construction
a. LGU Hospital
b. RHU
c. BHS
1. Construction of Km. 110, Brgy. Dancalan Sattelite BHS 5,000,000.00
d. Other facilities (please specify)
1. Construction of Half Way house in brgy. Pinggot GIDA brgy. 2,000,000 2,000,000
2. Construction of Community Based Rehab. Center w/ equipment 5,000,000 5,000,000
Repair/ Improvement/ Upgrading
b. RHU
Upgrading of ILOG RHU & Birthing Facility (Construction of 2nd floor) for: 6,000,000 50,000 50,000 6,100,000
1. Adolescent Friendly room w/ complete furniture & fixtures
2. DRRM-H office w/ complete furnitures & fixtures
3. Nutrition Office

c. BHS
Upgrading of Brgy. Dancalan BHS as birthing facility 5,000,000 5,000,000
Upgrading of Pinggot and Balicotoc BHS (as birthing facility. 10,000, 000
d. Other facilities (please specify)
Equipment
A. RHU
Equipment and supplies 4,000,000 4,000,000
B. BHS
Equiping Brgy. Pinggot BHS, Brgy. Balicotoc BHS, Dancalan BHS 6,000,000 6,000,000
Motor Vehicle
b. RHU
Transport Vehicle (4 wheel drive) 3,000,000 3,000,000
Information & Communication Technology
b. RHU
Computer w/ printer & UPS, internet connection 510,000 526,000 1036000
MOOE
b. RHU and BHS
 Trainings, seminars and conferences: per diems, food & accommodation 550,000 398,800 322,210 1,517,000 2,788,010
Fuels 114,000 114000
Medico Legal fees, court appearances 70,000 264,000 334000
IEC Materials, forms 20,000 284,800 120,200 337,150 762,150
BHW honorarium, quarterly meeting & year end evaluation (meals & incentives 79,000 148,000 227000
Mobile blood donation meals & donors incentives 75,000 25,000 100000

Sub Total 36,570,000 683,600 1,072,410 2,962,150 173,000 41,461,160

2. Human Resource for Health

Please indicate the quantity and amount per cadre
Physician MHO - 1 - 1,020,888.00 1 - 1,000,872
Nurse II 7 - 3,948,140 2 - 830,328
Midwife permanent - 1 - 397,812.00 16 - 4,574,268
Midwife Contractual 2 - 204,000
Medical Technologist 1 -564,020.00 1 - 384,636
Dentist 1 - 483,948
Pharmacist
Nutritionist-Dieticien
Physical Therapist
Sanitary Inspector 1 - 186,288
PHA 2 - 384,684.00
Encoder 1 - 102,000
Supply Officer 1 - 90,000
Disease Surveillance Officer 1 -267792
Sub-Total 6,583,336.00 7,856,340.00
Annex D
AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Cost per Fund Source (PhP)

Categories of Investment Needs (2)
(1) DOH LGU Others TOTAL REMARKS
Central Office CHD PLGU MLGU
3. Commodities (Drugs/ Vaccines/Med. Supplies)

Please indicate all the commodities/ drugs/ vaccine under each program as
requested by the LGU. Commodities cited in this template are EXAMPLES only.
Family Health, Nutrition and Responsible Parenting
Family Planning & Reproductive Health
a. DMPA 92,154.00
b. Pills 686,400.00
c. Condoms 63,360
d. Sub-dermal Implant 214,500.00
f. IUD 183,536.00
g. Cycle beads 440.00
Maternal Health

Laboratory supplies & reagents for CBC,Platelet, RBS, Urinalysis,

Fecalysis, blood typing, HBSAg,etc HIV/AIDS & Syphilis supplies 4,272,000.00
BP apparatus, weighing scale, doppler, stethoscope, tape measure,
glaucometer 712,000 (MLGU)
TD vaccine, cotton, syringes, alcohol,FeSo4 w/ folic acid, Calcium
carbonate, mebendazole tabs. 2,136,000.00

OB packs, anesthesia, suturing kits, forceps, scissors, gauze, gloves,

Oxygen tank & gauge, betadine, drapes, oxytocin, antiseptics and other
essential drugs 1,072,000 700,000 2,500,000 -MLGU

Dental anesthesia, toothbrush, toothpaste, calcium carbonate 236,000

Nutritionally at risk pregnant - Hot meals & Nutribun 750,000
Newborn Care
Terramycin eye ointment, ENBS Filter card, cord clamp, Newborn
weighing scale, Infantometer 1,000,000 1,000,000 1,484,000 -MLGU
NBHearing test machine, portable DR light 500,000
Post partum care

FeSO4 w/ FA, Antibiotics, Vit. A, Mefenamic Acid, Dextrose bot. w/ 2,136,000.00 1,000,000
complete set 2,000,000- MLGU\
Emergency drugs for maternal and newborn complications 200,000 307,500
Transport Vehicle (4 Wheel drive ) 3,000,000

Equipment & supplies for BHS LTO accreditation & RHU renewal 50,000 200,000
National Immunization Program (routine)
Availability of vaccines: BCG 14,393.00
Hepa-B 9,000.00
OPV 48,360.00
Pentavalent 292,632.00
PCV 13 3,503,040.00
IPV 271,500.00
MMR 712,500.00
HPV 2,837,250.00
alcohol, cotton, safety collector box, paracetamol drops, AD
syringes w/ needle, Mixing syringes, 300,000 100,000 100,000
*electric bill 40,000
vaccine refregirator, vaccine carrier, generator 150,000
IMCI
Amoxicillin, Ciprofloxacin, Metronidazole, Zinc sulfate, paracetamol
syrup & drops, ORS, salbutamol syrup, salbutamol nebule 500,000 500,000 500,000
Water dispenser at RHU and per BHS 200,000
Nutrition
RUTF,supplemental feeding, nutribun, hot meal 200,000 130,000 300,000
Vitamin A, Mebendazole tablet 430,000
Adolescent Health
Dedicated room, furnitures and fixtures, IEC materials, forms, and other
related supplies 50,000 50,000
CVD
Medicines, supplies, equipment etc. 50,000 150,000
Antihypertensive, antidiabetic, ECG machine 23,400,000
BP apparatus with stethoscope, Glaucometer w/ strip 265,000
Health & well being of older person
Pneumo 23 and Flu vaccine, drugs & medicines 24,412,000
Mental Health
Anti psychotic, anti depressants, sedatives 400,000 400,000
Communicable diseases - TB Control
TB treatment card, TB ID, TB drugs, face masks, PPD solution, sputum cups,
reagents, slides 3,500,000
GenExpert machine 2,000,000
Leprosy control
forms, slides, scalpel, gloves, leprosy drugs. 30,000
HIV/ AIDS control
ARV and other STI drugs and medicines, HIV kits & supplies 295,000 10,000
Dengue control
Resigen, sprayer, mask, gloves etc 200,000 100,000 100,000
Rabies control
Verorab, ATS, TT, syringes, cotton, alcohol, etc. 50,000 50,000 50,000 50,000
Malaria control
medicated mosquito nets 250,000
Environmental sanitation
chlorine granules, bottles & reagents for water sampling 50,000 50,000
toilet bowls 150,000 150,000

Supplies & materials (Upgrading of Level I to level 2 water system) 500,000

Health Emergency Management Staff
PPE, gloves,mask, face shield, boots, cap,lysol, alcohol etc. 5,000,000 100,000 2,000,000
Blood Program
laboratory supplies, blood bags, cotton, alcohol etc. 200,000 25,000
 AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Cost per Fund Source (PhP)

(2)
Categories of Investment Needs
DOH REMARKS
(1)
LGU Others Total
Central Office CHD

4. Others
-Leadership and Governance 940,000 926,140
-Financing 40,320,000
-Health Workforce
-Information
-Medical Products, Vaccines and Technology

-Service Delivery (Programs indicated are not exhaustive)

Family Health, Nutririon and Responsible Parenting

National Immunization
Elimination of Infectious Diseases
Rabies Prevention and Control

Prevention and control of infectious Diseases

TB
Dengue Prevention and Control
HIV/STI Prevention and Control
Other Infectious Diseases
Non-communicable Diseases
Environmental and Occupational Health
Health Emergency Management
Other (specify)

Sub-total 41,260,000 926,140 42,186,140

Grand Total 42,186,140

Annex D
AOP Form 3.1. LGU INVESTMENT NEEDS FOR HEALTH FACILITY DEVELOPMENT AND INFORMATION & COMMUNICATION TECHNOLOGY

Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Facility Investment Needs (PhP) Cost per Fund Source (PhP)

Municipality/ (6) (7)
Component Name of Project DOH
District Category ICT
(1)
City/
(3)
Facility Description Remarks
Barangay (4) (5) Medical Motor ( Information & Total Cost/
Infrastructure LGU Others
(2) Equipment Vehicle Communication Facility Central Office CHD
Tech)

I. Construction/ Completion/ repair/ Upgrading/ Equipping

Half way construction

Brgy. Construction materials
6 house as 2,000,000
Pinggot, Ilog of halfway
dwelling of
house in
pregnant
Brgy. Pinggot
about to give
GIDA area
birth

6
Brgy. 1, Ilog Community Construction
based Rehab of
Center Community
Based Rehab
Center

Sub-Total
II. Maintenance and Other Operating Expenses

Sub Total
Total
Annex D
AOP Form 3.2 LGU INVESTMENT NEEDS FOR HUMAN RESOURCE FOR HEALTH

Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Cost per Fund Source (PhP)

(8)
Municipality/ Name of Salaries and
Salary DOH
District Component Health HRH/Cadre Number Benefits Remarks
Grade
(1) City Facility (4) (5) (PhP)
(2) (6) Central LGU Others Total
(3) (7) CHD
Office

I. HRH Deployment

VI ILOG Ilog Rural Doctor 1 21 1-1020888 1,020,888.00

Health Unit Nurse 7 15 7- 3948140 3,948,140.00

and Birthing Medtech 1 15 1- 564020 564,020.00

Facility Midwife 1 11 1- 397812 397,812.00

PHA 2 2- 384684 384,684.00

DSO 1 1- 267792 267,792.00

6,583,336.00

Total
II. LGU Health Personnel

a. Need for New Items* (summary per facility)

b. Existing Plantilla Items* (summary per facility)

Doctor 1 21 1 - 1,000,872 1,000,872.00

Dentist 1 1 - 483,948 483,948.00

Nurse 2 15 2 - 830,328 830328.00

Medtech 1 15 1 - 384,636 384,636.00

Midwife 16 11 16 - 4,574,268 4,574,268.00

RSI 1 1 - 186,288 186,288.00
IT Encoder 1 4 1 - 102,000 102,000.00
Supply Officer 1 4 1 - 90,000 90,000.00
Total 6,583,336.00 7,652,340.00
Annex D
AOP Form 3.3. LGU INVESTMENT NEEDS FOR COMMODITIES
Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Target Population Cost per Fund Source (PhP)

(5) Items / Description (10)
Name of Estimated Unit
Commodities District Municipality (6) Quantity Total (PhP)
(1) (2) (3)
Health Facility
(Dosage, Units, (7)
Cost (PhP)
(9) DOH
Remarks
(4) (# of infants, SC, (8)
adolescents, pregnant, Form) LGU Others
WRA etc) Central Office CHD

A. National Tuberculosis
Program
1. Drug 1 VI ILOG Ilog RHU & TB drugs 350 7,000/box 3,500,000.00 3,500,000.00
2. Drug 2 Birthing TB Rx card 75,000.00 50,000.00 25,000.00
3. Commodity 3 Facility TB ID/ream 75,000.00 50,000.00 25,000.00
face mask 100,000.00 50,000.00 25,000.00 25,000.00
PPD sol./vial 150,000.00 50,000.00 100,000.00
sputum cups 150,000.00 100,000.00 50,000.00
reagents 200,000.00 150,000.00 50,000.00
slides/box 100,000.00 100,000.00
x-ray film 200,000.00 100,000.00 100,000.00
Laboratory
2,500.00 2,500.00
Registry
NTP Registry 2,500.00 2,500.00

Logbook 1,000.00 1,000.00

Microscope/
100,000 100,000.00
unit 1 100,000

Sub-total NTP 4,656,000 4,250,000 350,000 56,000

B. Family Planning
Pills VI Ilog WRA Pills 28,886cycles 686,400 686,400.00
DMPA WRA DMPA 2710 vials 92,154.00 92,154.00
IUD WRA IUD 110 pcs 183,535.00 183,535.00
Condom WRA Condom 15850 pcs. 63,400 63,400
PSI WRA PSI 400 kits 214,500.00 214,500.00
Cycle beads WRA Cycle beads 22 pcs 440 440
TOTAL FOR FP 1,240,429.00 1,240,429.00

NIP - VACCINES
BCG Infant- 1455 vial 100 143.93 14,393.00 14,393.00
Hepa-B Infant- 1455 vial 100 90.00 9,000.00 9,000.00
OPV Infant- 1455 vial 300 161.20 48,360.00 48,360.00
 Pentavalent Infant- 1455 vial 3726 68.55 292,632.00 292,632.00
PCV 13 Infant- 1455 vial 3726 820.00 3,503,040.00 3,503,040.00
IPV Infant- 1455 vial 180 1510.00 271,500.00 271,500.00
MMR Infant- 1455 vial 1500 475.00 712,500.00 712,500.00
HPV 9-13 yo- 4365 vial 4365 650.00 2,837,250.00 2,837,250.00
Td AP's - 1,424 vial 280 93.40 26,152 26,152
Pneumo 23 SC- 1,200 vial 1,200 600.00 720,000 720,000
Flu vaccine Senior Citizen vial 100 1540.00 154,000 154,000
2. Anti-Rabies Vaccine- Verorab, ATS Verorab,ATS 150,000 100,000 50,000
Other Commoditites

Other Commoditites
C. AD Syringes pcs 33,025 2.60 85,865.00 85,865.00
Urine Dip Stick pcs. 500 500.00 250,000.00 250,000.00
Glucose Strips pcs. 500 800.00 400,000.00 400,000.00
Mixing Syringe pcs 8,760 1.50 13,140.00 13,140.00
Safety Collection Box pcs 330 75.00 24,750.00 24,750.00
Vaccine refrigerator unit 1 40,000.00 40,000.00 40,000.00
Sub-total 813,755.00 813,755.00

D. Maternal Care
Ferrous Sulfare Tablet Pregnant Tablet 386,202 55.00 212,411.10 212,411.10
Calcium Carbonate Pregnant Tablet 643,669 4.00 2,574,676.80 2,574,676.80
Needle w/ Syringe Pregnant pcs. 4,291 7.00 30,037.89 30,037.89
Cotton Balls Pregnant packs 100 100.00 10,000.00 10,000
Alcohol Pregnant bot. 100 110.00 11,000.00 11,000
Mebendazole Tablet Pregnant Tablet 1,295 50.00 64,750.00 64,750.00
Lab. Exam (CBC, U/A, blood
Laboratory
typing, HBSAg, blood sugar Pregnant package/UTZ
1,295 3000.00 3,885,000.00 3,885,000.00
determinatin, UTZ)

Dental examination Pregnant Dental Package 1,295 1,500.00 1,942,500.00 1,942,500.00

Delivery Pregnant OB Packs 1,295 3,000.00 3,885,000.00 3,885,000.00 PLGU
antibiotic,FeS
Post Partum care Postpartum 1,295 1,500.00 1,942,500.00 1,942,500.00
o4
Sub-total 14,557,875.79 10,587,125.79 64,750.00 3,906,000.00

E. IMCI
Amoxicillin Susp. bot 5,000 30.00 150,000 150,000
Ciprofloxacin Susp.
Metronidazole bot. 2,500 35.00 87,500 87,500
Zinc Sulfate Syrup 0.5 Syrup 5,000 17.00 281,350.00 140,675.00 70,337.50 70,337.50
Paracetamol bot. 20,000 25.00 500,000.00 250,000.00 250,000
ORS pack 20,000 5.00 100,000 50,000 50,000.00

Sub-total 1,118,850 628,175.00 120,337.50 370,337.50

G. Newborn Screening
NBS Kit newborn Filter Card 1,189 1,750.00 2,080,750 1,000,000.00 1,080,750.00

newborn
H. Newborn Hearing Test population hearing 1 400,000.00 400,000.00 400,000.00
Machine

I. Nutrition
weighing
weighing scale, height board 0-5 45 150,000.00 150,000.00
scale
feeding for malnourish 12-59 mos. RUTF 442 276.00 121,992.00 121,992.00
Sub-total 2,752,742.00 1,550,000.00 121,992.00 1,080,750.00

J. Non-com
Amlodipine Tablet hypertensive tablet 4,500 5.00 5,850,000.00 5,850,000.00
Losartan Tablet hypertensive tablet 4,500 5.00 5,850,000.00 5,850,000.00
Simvastatine Tablet hypertensive tablet 4,500 5.00 5,850,000.00 5,850,000.00
Metformin Tablet diabetic client tablet 4,500 5.00 5,850,000.00 5,850,000.00
BP apparatus w/ stethoscope hypertensive apparatus 50 1,500.00 75,000.00 75,000.00
ECG machine 1 90,000.00 90,000.00 90,000.00
Glucometer with strips 20 5,000.00 100,000.00 100,000.00
Annex D
AOP Form 3.4. LGU INVESTMENT NEEDS FOR OTHER TECHNICAL ASSISTANCE
Region: VI
Province/HUC/ICC: Negros Occidental
AOP Year: 2022

Cost per Fund Source (PhP)

Municipality/ Target (3) Resource Requirements (PhP) (3)
DOH
Activities Component
Total Cost Remarks
(1) City/Barangay Total Item Central LGU Others Total
(2) Q1 Q2 Q3 Q4 Unit Cost Quantity (Unit Cost x CHD
target Description
Quantity) Office

Leadership &
Governance
a.
b.
Sub-total Leaderrship
& Governance

Financing
a.
b.
Sub-total Financing

Health Workforce
a. 6,583,336
b.
Sub-total Health
Workforce

Information
a.
b.

Sub-total Information
Medical Products,
Vaccines and
Technology
a.
b.

Sub-total Medical
Products, Vaccines and
Technology

Service Delivery
a.

b.

Sub-total Service
Delivery

Total
 Building Block: Resource Requirements
Target (3) Fund Source (5)
GOVERNANCE (4)
PPA Performance
Program/Project/ Indicator (2)
Item DOH LGU Remarks
Description/ Expense Total Cost
Activities Q1 Q2 Q3 Q4 Total Others
Quantity/ Unit Category CO CHD PLGU C/MLGU BLGU
(PPA) (1)
Cost

IV. GOVERNANCE (Local Health Board, ILHZ)

GOAL: Enhanced health governance with sufficient, competent and motivated health personnel in all health facilities.
Objectives:
1. Local leader empowered for health decision making
2. Established and maintained functional SDN and Referral System
3. All LHB and ILHB functional
4. Established planning system with all LGUs and hospitals with plans (AOP and AIP)
5. Linkages with other agencies such as DSWD, NGOs and other stakeholders established.
6. To meet the ideal health personnel to population ratio based on the WHO standard
7. To ensure that health service providers can access benefits provided for in the Magna Carta for Public Health Workers
8. To implement personnel development program, for example the Award System.

1. Expansion of the membership of

LHB
Expanded LHB 1 1 meals MOOE 20,000
20,000

2. Creation/Strengthening of Barangay health board 5 5 5 15 20,000

meals MOOE
barangay health board created/strengthened
20,000

meals, support needs

3. Strengthen ILHZ ILHZ strengthened 1 of the RHU
MOOE

4. Creation of SNILHZ monitoring

team Monitoring team created

5. Hiring of personnel
i. IT Encoder (SG 4 - 13,214 # of personnel hired 1 1 PS 258,866.00 258,866.00
salaries,subsistence,
6. Upgrade of Nurse II to Nurse II position 1 1 hazard, bonus, PS 620,274 620,274
ACA/PERA etc
Nurse III upgraded to III

V. PERFORMANCE ACCOUNTABILITY
GOAL: Better health attained through transparent, responsive and responsible health sector management.
Objectives:
 1. Transparency and accountability measures at all level instituted.
2. Outcome-based management approach used.

1. Conduct Zonal Program 1 1 meals, LGU and 5,000 5,000 snilhz

Implementation Review Zonal PIR done hospital scorecards MOOE
1
2. Zonal Budget Utilization Review
Zonal Budget Utilization Review done 1 1 meals MOOE 5,000 5,000 snilhz
done

Community Health
3. Establish Community Health Buletin Boards
1 1
tarps, IEC materials,
5,000 2,000
Buletin Boards established statistical reports MOOE 3,000

4. Instituttionalize Client Satisfact

Client Satisfaction Survey institutionalized 1 ehealth MOOE 6,000 2,000 4,000
940,140 4000 926,140 10,000
 Resource Requirements
Building Block: FINANCING Target (3) Fund Source (5)
(4)
PPA Performance
Indicator (2)
Item DOH LGU Remarks
Program/Project/ Activities Description Expense Total Cost
Q1 Q2 Q3 Q4 Total Others
(PPA) (1) / Quantity/ Category CO CHD PLGU C/MLGU BLGU
Unit Cost

Goal: More equitable health care financing

II. HEALTH FINANCING

GOAL: Increase financial risk protection.
Objectives:
1. To maximize local health financing
2. To reduce Out of Pocket expenditure
a. Information campaign to NHTS
b. Sustain availability of supplies, drugs, medicine in all health facilities
3. To increase LGU budgetary allocation for health
4. To ensure access to other fund sources (GAD, PDRRM Fund, MAIP, etc)
5. To improve No Balance Billing
6. To strengthen Local Health Accounts and its utilization
7. To maximize utilization of PHIC benefit packages

A. PHIC

12600
1. Enlisting and profiling of NHTS/4Ps/LGU
sponsored/DepEd
# of clients enrolled 6,300 6,300 4P's & premium MOOE 40,320,000 40,320,000
NHTS

B. LGU INVESTMENT

LGU with maintained and

1. Maintain and sustainTrust fund for health sustainned Trust Fund for 1 1
Health
 Building Block: Target Resource Requirements Fund Source
SERVICE DELIVERY (3) (4) (5)
PPA Performance
Indicator (2)
Item DOH LGU Remarks
Program/Project/ Activities Description Expense Total Cost
Q1 Q2 Q3 Q4 Total Others
(PPA) (1) / Quantity/ Category CO CHD PLGU C/MLGU BLGU
Unit Cost
III. HEALTH REGULATIONS
GOAL: Health facilities complying with quality standards
Objectives:
1. All facilities are licensed and accredited by regulatory bodies.
2. To adopt national laws at the local level
A. ACCREDITATION/LICENSING

1. Renewal of Facility accreditation # of accredited LGU

1 1 15,000
license/accreditation (PHIC & DOH) facilities accredita
tion fee MOOE 15,000
B. ORDINANCE AND POLICIES
Passage of the following ordinances:
1. RHMNCAHN ordinance snacks MOOE 10,000 10,000
2. Health revenue ordinance forms
3. FBD/SBA ordinance
4. IYCF ordinance
5. Milk Code
6. Smoking ordinance
7. Responsible pet ownership
8. MDR
9. STI/HIV/AIDS
10. MIT Resolution
C. CREATION OF TECHNICAL WORKING GROUP/COUNCIL
1. MDR Council
2. Zonal HIV/AIDS Council
3. Local HIV/AIDS Council
D. FORMULATION OF POLICIES AND GUIDELINES FOR ALL HEALTH PROGRAMS