Panamao Rhu 2024 Aop

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Annex C.

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

Region: BARMM
Province/HUC/ICC: SULU
Municipality/Component City: PANAMAO
AOP CY: 2024

Fund Sources (PhP)


Health Systems Building Blocks LOCAL GOVERNMENT UNITS (LGU)
Province/HUC/ICC LGU Mun/CC LGU
Trust Fund for Trust Fund for BLGU
General Fund Total General Fund Total
Health/SHF Health
1. Health Service Delivery
₱81,308.00 ₱0.00 ₱81,308.00 ₱870,970.00 ₱0.00 ₱870,970.00 ₱0.00
2. Health Workforce
₱0.00 ₱0.00 ₱0.00 ₱228,800.00 ₱0.00 ₱228,800.00 ₱0.00
3. Health Information System
₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00
4. Supply Chain & Logistics Management
and Health Regulation ₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00 ₱0.00

5. Financing ₱120,000.00 ₱0.00 ₱120,000.00 ₱306,000.00 ₱2,000.00 ₱308,000.00 ₱0.00

6. Leadership and Governance


₱0.00 ₱0.00 ₱0.00 ₱205,798.00 ₱0.00 ₱205,798.00 ₱0.00
Total per Fund Source (including Unfunded)
(PhP) ₱201,308.00 ₱0.00 ₱201,308.00 ₱1,611,568.00 ₱0.00 ₱1,613,568.00 ₱0.00
As a Percentage of Total

(1) Health Systems Building Blocks:


§ Health Service Delivery; Health Workforce; Health Information System; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership and Governance
(2) Fund Sources – Which/what office will be able to fund the investment:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund); Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LG
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Special Health Fund - pool of financial resources at the P/CWHS intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of addition
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund Sources, such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(3) Unfunded - No funding source has been identified
(4) Total per Building Block - Sum of all funding sources for a particular Building Block including Unfunded
(5) % of Building Block to the Grand Total
(6) Remarks - Notes or comments; may specify Other fund sources
DOH Total per Building Block
Unfunded % of Building Block
(including Unfunded) Remarks
(PhP) to Grand Total
Central Office CHD Others (PhP)

₱141,892,275.81
₱29,149,267.24 ₱111,790,730.57 ₱0.00 ₱0.00 92.26
₱9,658,463.75
₱0.00 ₱9,429,663.75 ₱0.00 ₱0.00 6.28

₱1,035,313.28
₱142,857.14 ₱892,456.14 ₱0.00 ₱0.00 0.67

₱120,000.00
₱120,000.00 ₱0.00 ₱0.00 ₱0.00 0.08

₱860,000.00
₱0.00 ₱0.00 ₱432,000.00 ₱0.00 0.56

₱235,368.00
₱0.00 ₱29,570.00 ₱0.00 ₱0.00 0.15

₱29,412,124.38 ₱122,142,420.46 ₱432,000.00 ₱0.00 ₱153,801,420.84 100.00

ership and Governance

for Health); Barangay LGU

remuneration of additional health workers and incentives for all health workers
Annex C.3
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)

Region: BARMM
Province/HUC/ICC: SULU
Municipality/Component
PANAMAO
City:
AOP CY: 2024
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Health Facilty
Development
Renovation of
Existing HFEP Rural
Upgrading of
Health Unit (4 in 1), No. of bldg District 2 Panamao RHU 1 0 0 0 1 CO-Infra 500,000 1 500,000
Building with
to meet the standard Renovated PANAMAO
equipment
for RLEC and
PhilHEALTH

Staff House/ Guess Staff house District 2 Panamao RHU 0 0 0 1 1 Construction of CO-Infra 700,000.00 1 700,000
House Construction constructed PANAMAO Building

Water
Provision of Water
system District 2 Panamao RHU 1 0 0 0 1 Construction CO-Infra 500,000.00 1 500,000
system (Drilling, Tank
installed and PANAMAO and drilling
and Pipings)
functional

Procurement of Gen # of gen set RHU DIESEL ENGINE CO-


District 2 Panamao 0 1 0 0 1 500,000.00 2 1,000,000
Set procured PANAMAO 20kba equipment

No. of Solar
Procurements of District 2 Panamao RHU 2 0 0 0 2 Construction CO-Infra 100,000 2 200,000
power
Solar energy power PANAMAO
procured

Expansion and
Renovation of SEIT Construction of
# of building District 2 SEIT SEIT BHS 0 0 0 1 1 CO-Infra, CO- 500,000.00 1 500,000
BHS building with Building with
renovated Panamao equipment
provision of equipment
equipment

no of septic
Construction of District 2 SEIT SEIT BHS 1 0 0 0 1 construction CO-Infra 100,000.00 1 100,000
vault
Septic Vault Panamao
constructed

Concreting of path # of path


District 2 Panamao/ Panamao RHU 1 0 0 0 1 concreting 150 CO-infra 1,000,000 1 1,000,000
way from main RHU way
Suuh meters
to Highway concreted

Renovation of BHS # of BHS Tabuh BHS Tabuh 1 CO-infra


District 2 manok manok Upgrading of 500,000 1 500,000
Tabuh manok Renovated
Building with
equipment

BHS Kan
Completion of # BHS BHS Kan
asaali/ 2 CO-infra
unfinished BHS by renovated District 2 asaali/ Upper 1 1 0 0 Improvement 500,000 2 1,000,000
Upper
HFEP and fuctional patibulan
patibulan

Procurement of # of Transport
Panamao Panamao RHU 1 CO
Transport Vehicle (VAN vehicle District 2 1 Motor vehicle eqiupments 3,000,000 1 3,000,000
18 SEATER) Procured

Sub-total 9,000,000.00

HEALT H PROGRAMS

TB PROGRAMS
Procurement of
commodities

Acid Fast
Staining MOOE 4,500.00 1 4,500.00
set( 3x3,500)
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Ethyl alcohol
MOOE 7,800.00 1 7,800.00
500ml(100 x78)

Cotton
400gm(100 MOOE 21,000.00 1 21,000.00
x210)

Digital timer
MOOE 3,500.00 1 3,500.00
(10x350)

Nitrile
MOOE 7,600.00 1 7,600.00
gloves(20x380)

earloop/3ply
disposable MOOE 3,200.00 1 3,200.00
mask(20 x160)
Assorted office
MOOE 3,500.00 1 3,500.00
supplies(3,500)

slides (5x138) MOOE 1,380.00 1 1,380.00

# of
procurement of Reagents& Digital timer MOOE 3,500.00 1 3,500.00
District 2 Panamao RHU 1 1 (10x350)
reagens and supplies supplies for
PANAMAO
for DSSM DSSM
procured

earloop/3ply
disposable MOOE 3,200.00 1 3,200.00
mask(20 x160)

Assorted office
MOOE 3,500.00 1 3,500.00
supplies(3,500)

slides (5x138) MOOE 1,380.00 1 1,380.00

Cargylee
Immersion MOOE 7,000.00 1 7,000.00
oil(2x3.500)

Lens MOOE 7,500.00 1 7,500.00


paper(5x1,500)

denatured
MOOE 750.00 1 750.00
alcohol(750)

Sputum Cups: MOOE 2,500 1 2,500.00


500x5.00

TB PROGRAMS:
Capacity
Building/Developme
nt

# of
MOP Training personnel District 2 Panamao Panamao RHU 1 1 MOP seminar MOOE 176,000 1 176,000.00
trained

# of BHW District 2 Panamao Panamao RHU 30,000.00


smearer Training 2 0 0 2 Training MOOOE 15,000 2
trained
meals &
Training on Direct # of Meca/ accommodation 5,000 20,000.00
Sputum Smear midwivws : 2,500x2
District 2 Panamao Panamao RHU 4 4 0 0 4 MOOE 4
Microscopy for trained on 12,500 50,000.00
Meca/Midwives DSSM TEV: 12,500

TB PROGRAMS:
ADVOCACY

Transfo:250/
head, meals &
Intensify active case # of District 2 Panamao Panamao RHU 0 5 0 0 1 Snacks MOOE 18,445 5 92,225
findings personnel 345/headx 31
barangay
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Sub-total TB PROGRAMS 450,035.00

FAMILY
PLANNING
PROGRAMS:
PROCUREMENT
OF
COMMODITIES

DMPA
1 0 0 0 1 MOOE 34 330 11,220
Injectables

1 0 0 0 1 Pills COC MOOE 30 242 7,260

1 0 0 0 1 IUD MOOE 0 0 0

1 0 0 0 1 Pillls POP MOOE 52 107 5,564

Commoditie 1 0 0 0 1 Pregnancy kit MOOE 75 615 46,125


Provision and
s distirbuted
distribution of FP District 2 Panamao Panamao RHU
and
contraceptives Year 1
allocated 1 0 0 0 1 PSI/implanon MOOE 650 8 5,200

1 0 0 0 1 PSI ancillary kit MOOE 100 0

1 0 0 0 1 BTL MOOE 7000 3 21,000

1 0 1 Condom MOOE 4 2 8

Post partum
1 0 0 0 1 MOOE 3300 3 9,900
IUD Kit

FAMILY
PLANNING
PROGRAMS:
Capacity
Building/Developme
nt

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
1. FP CBT-I # FP CBT-I District 2 Panamao Suuh RHU 2 0 2 1 5 Training MOOE 333 Training 5 30,000.00
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,533

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
FP CBT Level II # FB CBT-II District 2 Panamao Suuh RHU 2 0 2 1 5 Training MOOE 333 Training 5 30,000.00
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,534

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
Training for BHW on # of BHW's
District 2 Panamao Suuh RHU 36 0 0 0 36 Seminar MOOE 333 Training 36 72,000.00
FP IPCC Trained
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,536

FAMILY
PLANNING
PROGRAMS:
ADVOCACY
AWARENESS&
HEALTH
PROMOTION
CAMPAIGN
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Meals/snacks,
Orientation of
# WRA maleDistrict 2 Panamao RHU 15 15 15 15 60 Seminar MOOE transpo, perdiem. 60 30,000.00
FATWA on FP
Etc =500

Meals/snacks,
Conduct FDS # WRA District 3 Panamao RHU 15 15 15 15 60 Session MOOE transpo, perdiem. 60 30,000.00
Etc =501

Meals/snacks,
Conduct Catch &
# WRA District 4 Panamao RHU 15 15 15 15 60 Session MOOE transpo, perdiem. 60 30,000.00
Change
Etc =501

Sub-total FAMILY PLANNING PROGRAMS: 328,277.00

SAFE
MOTHERHOOD
PROGRAM:
PROCUREMENT
OF
COMMODITIES

Procurement of Iron Procurement District 2 Panamao RHU Panamao 7920 0 0 0 7920 Capsule CO-equip 0.70 7,920 5,544.00
and Folic Acid

Procurement of Re- Procurement District 2 Panamao RHU Panamao 883 0 0 0 883 Kit CO-equip 28.00 883 24,724.00
agent for Blood Typing

Procurement of Doppler Procurement District 2 Panamao RHU Panamao 1 1 1 0 3 Set of doppler CO-equip 30,000.00 3 90,000.00

Procurement of Gloves Procurement District 2 Panamao RHU Panamao 50 0 0 0 50 Box CO-equip 171.00 50 8,550.00

Procurement of KY Jelly Procurement District 2 Panamao RHU Panamao 12 0 0 0 12 Tube CO-equip 150.00 12 1,800.00

Procurement of Procurement District 2 Panamao RHU Panamao 5 0 0 0 5 Gallon CO-equip 1,200.00 5 6,000.00
Betadine

Procurement of Cord Procurement District 2 Panamao RHU Panamao 883 0 0 0 883 Pc CO-equip 6.00 883 5,298.00
Clamp

Syringe and needles Cart


Procurement District 2 Panamao RHU Panamao 1 0 0 0 1 CO-equip 25,067.00 1 25,067.00
(3ml and G23) (3000Pcs/Cart)

Syringe and needles Cart


Procurement District 2 Panamao RHU Panamao 1 0 0 0 1 CO-equip 25,067.00 1 25,067.00
(Tuberculine) (3000Pcs/Cart)

Procurement of Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Ampule CO-equip 276.00 442 121,992.00
Oxytocin

Procurement of Vitamin Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Ampule CO-equip 70.00 442 30,940.00
K

Procuremet of ATS Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Ampule CO-equip 119.00 442 52,598.00

Procurement of Booklet Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Pc CO-equip 150.00 442 66,300.00
ni Nanay

Procuremet of
Opthalmic Ointment Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Pc CO-equip 180.00 442 79,560.00
(Teramycin)

Procurement of Oidized Procurement District 2 Panamao RHU Panamao 442 0 0 0 442 Capsule CO-equip 60.50 442 26,741.00
Oil Fluid

SAFE
MOTHERHOOD
PROGRAM:
Capacity Building/
Development

BEMONC Training # of RN's


District 2 Panamao RHU Panamao 1 0 1 1 3 Pax CO 30,353.15 3 91,059.45 273,178.00
RNs Trained
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

BEMONC Training # of RM's


District 2 Panamao RHU Panamao 1 1 1 1 4 Pax MOOE 23,953.15 4 95,812.60 239,531.00
for RMs Trained

Transpo 3000/Pax

Meals&Accommo
Maternal Death # of RM's
District 2 Panamao RHU Panamao 0 0 0 23 23 Pax MOOE dation 5500/pax 23 264,500.00 264,500.00
Review (MDR) Trained
Per diem 3000/Pax
x 19 RHUs =
11,500

Meal/snacks-
400.00
Perdiem-1,600
Training on Caring for
Mothers and # of RM's & Accomodation-333
Newborn in the RN's District 2 Panamao RHU Panamao 2 1 2 2 7 Pax MOOE Training 7 171,731.00 466,127.00
Community (CMNC) Trained kit-1,000
Year 1 Transportation:
(refer to matrix)-
21,200 =
P24,533

Meal/snacks-
400.00
Perdiem-1,600
Training on Mother- # of RM's & Accomodation-333
Baby Friendly Health
Initiatives (MBFHI) RN's District 2 Panamao RHU Panamao 2 2 2 1 7 Pax MOOE Training 7 171,731.00 466,127.00
Year 1 Trained kit-1,000
Transportation:
(refer to matrix)-
21,200 =
P24,533

Meal/snacks-400
Training
kit-1000
Pregnancy Tracking # of BHW's
Orientation for BHW Trained District 2 Panamao RHU Panamao 35 0 0 0 35 Pax MOOE Transportation: 35 791,000.00 791,000.00
(refer to matrix)-
21,200
= 22,600

Meal/snacks-
400.00
Perdiem-1,600

Supportive Accomodation-333
supervision for CMNC # of RN's District 2 Panamao RHU Panamao 2 0 0 0 0 Pax MOOE Training 2 49,066.00 171,731.00
trained midwives Trained
kit-1,000
Transportation:
(refer to
matrix)-21,200 =
P24,533

SAFE
MOTHERHOOD
PROGRAM:
ADVOCACY
AWARENESS &
HEALTH
PROMOTION
CAMPAIGN

# of
meals/ transpo=
Panday Dialogue Traditional District 2 Panamao RHU Panamao 31 Session MOOE 31 ₱21,600.00
700
Hilot

Sub-total SAFE MOTHERHOOD PROGRAM: 2,226,681.05

NATIONAL
IMMUNIZATION
PROGRAM:
PROCUREMENT
OF
COMMODITIES

BCG (1 MOOE1 7.5 7,522.50


dose/child)
1,003

HEP-B (1
MOOE1 11.50 11,534.50
dose/child)

1,003

OPV (3
MOOE1 8.00 8,024.00
dose/child)
1,003

Procurement of
30% of 0-12
Antigens among 0-12 District II Panamao RHU, BHSl 253 250 250 1,003
mos
months
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Procurement of
30% of 0-12 IPV 1
Antigens among 0-12 District II Panamao RHU, BHSl 253 250 250 1,003 MOOE1 125.00 125,375.00
mos dose/childe
months
1,003

DPT: Hib,HepB MOOE 80 80,240.00


(3 dose/child)

1,003

PCV13 (3 MOOE 850 852,550.00


dose/child)
1,003

MMR (2 MOOE 95 197,125.00


dose/child)
2,075

MMR (MCV)
District II Panamao 31 Barangay 254 250 250 250 1004 Vaccine (1 MOOE 95 1,004 95380
Procurement of dose/child)/
Antigens(CATCH UP) # of OPV
follow up defaulters defaulter
in immunization immunized
among 0-59 months

District II Panamao 31 Barangay 10 7 7 7 31 TEV MOOE 500 31 15,500

Procurement regular
Immunization for # of AP
pregnant mother and mothers District II Panamao 31 Barangay 1,541 1,541 1,541 1,541 6,146 Td Vaccine MOOE 10.5 6,146 64,533
adolescent immunized

# of
adolescents District II Panamao 31 Barangay 1,541 1,541 1,541 1,541 6,146 Td Vaccine MOOE 10.5 6,146 64,533
immunized
Conduct of SBIP
( Immunization to District II Panamao MR Vaccine MOOE 49.4 104,036.40
Grade-I and Grade VII # of
students students
enrolled
Schools/ RHU 528 526 526 526 2106 2,106
vaccinated
w/ MR and District II Panamao Td Vaccine MOOE 10.5 -
TD vaccines

# of
Conduct daily Covid
Individual District II Panamao 31 Barangay 5062 5063 5064 5065 20248 PFIZER MOOE 2,379.0 20496 96,339,984.00
19 vaccination
vaccinated

Conduct regular
Immunization of HPV
to Grade IV ( 9-10 yo
Female) schools / # of female
Community HPV Vaccine(2
immunized District II Panamao Schools/RHU 112 110 110 110 442 MOOE 708 442 312,936.00
doses)
w/ HPV

conduct
Immunization for
elderly ( 60 yo & District II Panamao PPV MOOE 505 1291 651,955.00
above)
# of elders 325 322 322 322 322 1291
immunized
District II Panamao Flu vaccine MOOE 185 1291 238,835.00

NATIONAL
IMMUNIZATION
PROGRAM:
CAPACITY
BUILDING &
DEVELOPMENT

# of cold
chain
Inventory of Vaccines District II Panamao RHU 1 0 0 0 1 TEV 2x a year MOOE1 1,000 2 2,000.00
storage
checked

Attendance to TOT
Training of Manual
of Procedures on NIP No . Of
Board and
Trainors District II Panamao RHU 1 0 0 0 1 25,000 1 25,000.00
Lodging and TEV
trained
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Conduct Rool out


Training on Manual
of Procedures ( MOP)
on NIP

Board and
No of
Lodging and TEV
Municipal
District II Panamao RHU 0 1 0 0 1 , meals and 26,000 1 26,000.00
Head of
snacks. Training
units
Kits & Venue

Attendance to EPI
Mid -Level Manager
Course of Program # of
coordinators ( 2) Program Board and
District II Panamao RHU 1 0 0 0 1 26,000 1 26,000.00
coordinators Lodging and TEV
trained

Conduct rollout
training Cold Chain
Management among
RHU Staff # of RHUs
TEV, Meals &
w/ trained 26
District II Panamao RHU 0 0 0 26 snacks, Training 5,000 26 130,000.00
cold chain
Kits & Venue
manger

NATIONAL
IMMUNIZATION
PROGRAM:
ADVOCACY
AWARENESS &
HEALTH
PROMOTION
CAMPAIGN

Door to door Transpo 300,


Meals &
Immunization among # of Staff District II Panamao RHU 8 6 6 6 26 snacks400 / MOOE 21,700 26 564200
missed Children 0-59 Head x 31
mos barangay= 700

Sub-total NATIONAL IMMUNIZATION PROGRAM: 99,943,263.40

NUTRITION
PROGRAM:
PROCUREMENT
OF
COMMODITIES

Proportion
Provision/ issueance of children
of ECCD-Card (Child 0-59 months ECCD-Card
District II Panamao RHUs, BHSs, 883 (Child Growth MOOE 60 883 52980
Growth Card) to 0-59 old 223 220 220 220
HNP
months old assessted assessted by Card)
nutritional
status

Proportion
of children
Conduct MUAC
6-59 months District II Panamao RHUs, BHSs, 25 0 25 0 MUAC TAPE MOOE 50 50 2500
assessment - 6-59
old HNP
months old Children
assessted
using MUAC

Ready to Use
District II Panamao OTC RHU/BHS) 3 3 2 2 10 Therapeutic MOOE 2623 10 26230
RHUs/ OTC Food (RUTF) 1
carton/ child

# of SAM
Identification &
Infants/Chil
treatment of SAM
dren treated
2023 cases enrolled
& cured
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

# of SAM Vitamin A
Identification & Panamao RHUs, BHSs,
treatment of SAM
Infants/Chil District II 220 0 220 0 440 Capsule,100, MOOE 1.80 440 792
dren treated RHUs/ OTC HNP 000 IU (1
2023 cases enrolled cap/infant)
& cured

Vitamin Capsule
District II Panamao RHUs, BHSs, 0 440 200,000 IU (2x a MOOE 2.00 440 880
RHUs/ OTC HNP 220 0 220
year)

MAM Mgt

Vitamin A
Panamao RHUs, BHSs, Capsule 100,000
District II 223 220 220 220 883 MOOE 1.80 883 1589.4
RHUs/ OTC HNP IU,Capsule (3
cap/infant)

Micronutrient
Supplementation
Iron Drops El
Panamao RHUs, BHSs, 15mg/0.6 ml
District II 223 220 220 220 883 MOOE 11.00 883 9713
RHUs/ OTC HNP Bottle (2
bot/Infant)

# of infant Micronutirient
Conduct Vitamin A
given Panamao RHUs, BHSs, powders -MNP
supplementation to District II 221 0 220 0 441 MOOE 1.30 441 573
Vitamin A RHUs/ OTC HNP sachet (90
Infants 6-11 months
Supplement sachet/child)

Conduct Vitamin A
Supplementation to
children 12-59
months
Micronutirient
# of children
powders - MNP
given Panamao RHUs, BHSs,
District II 1425 1425 1425 1425 5700 sachet MOOE 1.30 5700 7410
Vitamin A RHUs/ OTC HNP
(180sachet/child
Supplement
)

Conduct Vitamin A
supp.-High Risk
Infants 6-11 months
Zinc Drops 27.5
# of sick mg/ml ( equiv.
infant given Panamao RHUs, BHSs, to 10 mg
District II 221 0 220 0 441 MOOE 17.00 441 7497
Vitamin A RHUs/ OTC HNP elemental Zinc)
Supplement 15 ml bottle
dropsBottle

Conduct Vitamin A
Supp. -High Risk sick
Chidlren 12-59
months

Zinc Syrup, 55
# of sick
mg/ml ( equiv.
children
Panamao RHU, BHS, to 20 mg
given District II 72 71 71 71 285 MOOE 17.00 285 4845
RHUs/ OTC HNP elemental Zinc)
Vitamin A
60 ml syrup
Supplement
Bottle

Conduct Iron
supplementation to-
LBW infants

Proportion
of Low Birth
.ORS 20.75g
weight and Panamao RHU, BHS,
District II 72 71 71 71 285 Replacement ,sa MOOE 3.29 285 938
Anemic RHUs/ OTC HNP
chet
infants given
iron drops
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Request and release


of micronutirient
Powders (MNP) to Proportion
(Infants 6-11 months) of infants 6- .ORS 20.75g
District II Panamao RHU, BHS, 221 0 220 0 441 Replacement ,sa MOOE 3.29 441 1451
11 months RHUs/ OTC HNP
chet
given MNP

Conduct regular
supplementation of
Zinc Drops - Infants
below 6 months
Proportion
of Infants
below 6
months w/ Panamao RHU, BHS,
District II 25 0 0 0 25 Gloves ( Box) 171.00 25 4,275.00
diarrhea RHUs/ OTC HNP
given Zinc
supplemntat
ion

Conduct regular
supplementation of
Zinc Syrup - Children
6-59 months Proportion
of
Infants/child
ren 6- 59
Panamao RHU, BHS, Surgical Mask
months w/ District II 50 0 0 0 50 57.00 50.00 2850
RHUs/ OTC HNP (box)
diarrhea
given Zinc
supplemntat
ion

OPT forms (sets)


- 11 Reams,
Proportion
MUAC 1 Ream,
Provision of regular of Infants
SAM 5Reams,
supply of ORS 20.75g below 6 Panamao RHU, BHS,
District II 3 0 0 0 3 MAM 5Reams, MOOE 375 3 1,125.00
sachet - Infants months w/ RHUs/ OTC HNP
MSP-5reams ,
below 6 months diarrhea
Deworming 3
given ORS
reams ( Total 25
reams)

Proportion
of
provision of regular
Infants/child
supply of ORS 20.75g Panamao RHU, BHS, Weighing Scales
ren 6- 59 District II 3 0 0 0 3 MOOE 4500 3 13,500.00
sachet - Children 6- RHUs/ OTC HNP (Detecto) Adult
months w/
59 months
diarrhea
given ORS

Request and
distribute of Other
logestics supports for
caring of High Risk/
Sick Children and
SAM Mgt and
Diagnostic Tools Panamao RHU, BHS, MUAC Tape
District II 150 0 150 0 300 MOOE 50 300 15,000.00
RHUs/ OTC HNP Adult

Panamao RHU, BHS, CGS Reference


5.1. Gloves ( Box) District II 300 0 150 0 300 MOOE 100 300 30,000.00
RHUs/ OTC HNP Standard (sets)

Surgical Mask (box) FREIGHT


/handling of
commodities
Panamao RHU, BHS,
District II 1 0 0 0 1 ( Arrival at pier, MOOE 20.00 167.00 3,340.00
RHUs/ OTC HNP at stocks room,
and released
and arrival at
point of origin)
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Request/Production
and distribution of
OPT Forms (WfAge ,
L/Hfage & WfL/H)
And MUAC, SAM &
MAM Forms, and
other Micronutrients
reports

Mobilization
District II Panamao RHU, BHS, 1 0 0 0 1 (TEV) 5 heads MOOE 1,000.00 5.00 5,000.00
RHUs/ OTC HNP (team)x 4
Quarters *3

NUTRITION
PROGRAM:
CAPACITY
BUILDING AND
DEVELOPMENT
a. Per Diem
@1600 x 26 pax

41,600.00 1 41,600.00

b. Meals and
Snacks
@500/pax x
5days x26 Heads 65,000.00 1 65,000.00

Training Kits
@500/pax 13,000.00 1 13000.00

Venue:
3000/days x 5
days 15,000.00 1 15,000.00

e. Training
26 RHU- Materials
based @6000/batch 60,000.00 1 60,000.00
Training of Trainers workers District II Panamao Panamao RHU 26 pax 0 0 - 26 pax MOOE
on Idol Ko Si Nanay trained on Municiaplity and bHS x 5days x 5days
Idol Ko Si
Nanay
Contingency
Fund
@3000/batch
3,000.00 1 3,000.00

Transportation :
800/ pax 20,800.00 1 20,800.00

Printing of
Training
Manuals
(Participatory
Cooking Demo
and Idol Ko Si
Nanay)
@1000/pax 26,000.00 1 26,000.00

b. Meals and
Snacks
@500/pax x
5days x31 Heads 64,000.00 1 64,000.00
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

c. Training Kits
@500/pax 32,000.00 1 32000.00

d. Venue:
3000/days x 2
days 6,000.00 1 6,000.00

e. Training
Materials
@6000/batch 6,000.00 1 6,000.00

31
barangay- f.. Contingency
basedw Fund
Training for Bgry
workers @3000/batch
Implementers on 32pax
trained on Panamao 32pax x 64pax x 3,000.00 1 3,000.00
Child Developmental District II 31barangays 0 x -
Child Municiaplity 2days 2days
Milestone 2days
Developmen
Monitoring
tal
Milestone
Monitoring g.
Transportation :
Panamao @
800/pax 20,800.00 1 20,800.00

h. Printing of
Training
Manuals
(Participatory
Cooking Demo
and Idol Ko Si
Nanay)
@1000/pax 31.00 1 31.00

MOOE

. Per Diem of 5
Facilitators
@1600/Pax 49600.00 1 49600.00

b. Meals and
Snacks
(500./Pax x 3
DaysX 31) 46,500.00 1 46500.00

c meals and
snacks of
Facilitators ( 5
pax 400* 3 days) 6000 1 6000.00

c. Training Kits
@500/pax 15000 1 15000.00
9.6 Barangay BNSs trained
Nutrition Scholar on BNS Basic District II Panamao RHU/ BHS 0 31 0 0 31
(BNS) Training Course
d.Accommodati
on
@1000/Room
for 3 *5 days 33,000 1 33000.00
9.6 Barangay BNSs trained
Nutrition Scholar on BNS Basic District II Panamao RHU/ BHS 0 31 Target
0 0 31 Resource Requirements (PhP)
(BNS) Training Course
Program/Project/ Municipality/ Province/HUC/ICC LGU
Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

e. Training
Materials
@5,000/batch 5000 1 5000.00

f.. Contingency
Fund
(3000/batch)
g. 3000 1 5000
Transportation
(following
metrix: by
municipality) +3
Facilitators
/municipality &
5 TWG
/supervisors) 5000 1 5000

h. Venue
@3000/Day x
3Days 9,000.00 1 9000.00
i. Practicum
2000. x 2
jeep/batch 2000 1 2000.00

Sub-total NUTRITION PROGRAM: 847,219.24

Soil Transmitted
Helminths Control
Program (STHCP)
Procurement of
C0mmodities

Procurement of
#Proportion RHUs and PANAMAO Albendazole
Albendazole for
of Pre- District II all Schools & RHUs, BHSs 1425 1425 1425 1425 5700 400 mg MOOE 1.06 5700 6042.00
School based and
schoolers communitie and all Public chewable Tablet
community to 1-4yo
dewormed s Schools 2 x a year
Preschoolers

Procurement of
#proportion RHUs and PANAMAO
Albendazole for 5- 9 Albendazole 400
of school District II all Schools & RHUs, BHSs 1733 1730 1730 1730 6923 MOOE 1.06 6346 6726.76
yo children in the mg chewable
children communitie and all Public
community and tab 2 x ayear
dewormed s Schools
school based

# of
Procurement of
Secondary
Albendazole for 10- RHUs and PANAMAO
school Albendazole 400
19 yo School all Schools & RHUs, BHSs
student & District II 1357 1354 1354 1354 5419 mg chewable MOOE 1.06 10553 11186.18
Children in school communitie and all Public
out of tab 2 x ayear
based and in the s Schools
school youth
Community
dewormed

Soil Transmitted
Helminths Control
Program (STHCP)
ADVOCACY
AWARENESS &
HEALTH
PROMOTION

Transpo
Conduct of NSDM in RHUs and PANAMAO
250/head, meals
School based and # of Staff District II all Schools & RHUs, BHSs 8 0 7 0 15 & snacks 345/ MOOE 18,445.00 15 276675.00
community to 1-4yo communitie and all Public
Head x 31
Preschoolers s Schools
barangay

Transpo
Conduct Deworming #proportion RHUs and PANAMAO
250/head, meals
to 5- 9 yo children in of school all Schools & RHUs, BHSs
District II 8 0 7 0 15 & snacks 345/ MOOE 18,445.00 15 276675.00
the community and children communitie and all Public
Head x 31
school based dewormed s Schools
barangay
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

# of
Conduct deworming Secondary Transpo
RHUs and PANAMAO
to 10- 19 yo School school 250/head, meals
all Schools & RHUs, BHSs
Children in school student & District II 8 0 7 0 15 & snacks 345/ MOOE 18,445.00 15 276675.00
communitie and all Public
based and in the out of Head x 31
s Schools
Community school youth barangay
dewormed

RHUs and PANAMAO Mobilization


Production and
all Schools & RHUs, BHSs (TEV)
distribution of District II 1 0 0 0 1 MOOE 1,000.00 10 10000.00
communitie and all Public 1000./head x 5
deworming forms
s Schools heads (team)x2

NSDM Monitoring
and Supervision in
school and
community RHUs and PANAMAO
all Schools & RHUs, BHSs
District II 0 0 1 0 1 Travel MOOE 2,500.00 1 2500.00
communitie and all Public
s Schools

Sub-total Soil Transmitted Helminths Control Program (STHCP ₱866,479.94

RABIES PROGRAM:
Procurement of
C0mmodities

IEC
Provision of IEC PANAMAO Posters, leaflets,
materials District II PANAMAO 3 0 0 0 3 MOOE 15,000 3 45000
Materials RHU tarps
provided

PANAMAO Registry,
District II PANAMAO 7 0 0 0 7 MOOE 500 7 3500
RHU Printing & PE
Anti Rabies
Reproduction of Anti
Treatment
Rabies Treatment
Record
Record
reproduced ITRs, Schedule
PANAMAO
District II PANAMAO 1 0 0 0 1 booklet, Printing MOOE 550 1 550
RHU
& PE

# of
Provision of Equine PANAMAO Rabies
Vaccines District II PANAMAO 10 10 10 10 40 MOOE 2000 40 80000
Rabies RHU Immunoglobulin
Provided

Provision of Vero # of
PANAMAO Anti Rabies
Cell Injection plus Vaccines District II PANAMAO 10 10 10 10 40 MOOE 80 40 3200
RHU Vaccines
Diluent Provided

Provision of Purified # of
PANAMAO Anti Rabies
Chick Embryo Cell Vaccines District II PANAMAO 10 10 10 10 40 MOOE 2000 40 80000
RHU Vaccines
Injection plus Diluent Provided

RABIES PROGRAM:
CAPACITY BUILDING
AND DEVELOPMENT

Training
Orientation /Training # of health Materials,
PANAMAO
on rabies personnel District II PANAMAO 3 2 3 2 10 Transpo, per MOOE 15,000 10 150,000
RHU
management oriented diem, board and
lodging

Sub-total RABIES PROGRAM: ₱362,250.00


Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

NON
COMMUNCABLE
DISEASES
PROGRAM:
Procurement of
C0mmodities

MENTAL HEALTH
a. Chlorpomazine 200 PANAMAO
mg District II PANAMAO 316 0 0 0 316 Medicine MOOE 1.2 316 379.20
RHU
b. Diphenhydramine
50mg PANAMAO
District II PANAMAO 316 0 0 0 316 Medicine MOOE 45 316 14,220.00
RHU

c. Haloperidol
5mg/ml PANAMAO
District II PANAMAO 316 0 0 0 316 Medicine MOOE 400 316 126,400.00
RHU

d. Olanzapine 10mg PANAMAO


District II PANAMAO 316 0 0 0 316 Medicine MOOE 36.15 316 11,423.40
RHU
e. Setraline 50mg
PANAMAO
District II PANAMAO 316 0 0 0 316 Medicine MOOE 5 316 1,580.00
RHU

f. Donepezil 10mg PANAMAO


District II PANAMAO 316 0 0 0 316 Medicine MOOE 43.25 316 13,667.00
RHU
C. Provision of
assessment tools for
drug dependents & Number of production and
surrenderies . assesssment PANAMAO
District II PANAMAO 10 0 0 0 10 development of MOOE 380 10 3,800
tools RHU Screening tools
provided

G. Diabetes Mellitus
Medicine Access
Program - -

a. Metformin 500mg
PANAMAO Metformin MOOE
District II PANAMAO 632 0 0 0 632 33.99 632 21,481.68
RHU 1000x12months

b. Biphasic Insulin
100IU mL/10ml vial
PANAMAO Insulin 40x12 MOOE
District II PANAMAO 25 0 0 0 25 176 25 4,400.00
RHU months

c. Gliclazide 30mg
PANAMAO Gliclazide MOOE
District II PANAMAO 632 0 0 0 632 28 632 17,696.00
RHU 1000x12months

H. Hypertension
Medicine Access
Program
a. Losartan 50mg
PANAMAO Losartan 50mg MOOE
District II PANAMAO 947 0 0 0 947 30 947 28,410.00
RHU 1500x12 months

b. Amlodipine 5mg
PANAMAO Amlodipine 5mg MOOE
District II PANAMAO 947 0 0 0 947 12.09 947 11,449.23
RHU 1500x12 months

c. Simvastatin 20mg
Simvastatin
PANAMAO
District II PANAMAO 947 0 0 0 947 20mg 1500x12 MOOE 40 947 37,880.00
RHU
months

NON
COMMUNCABLE
DISEASES
PROGRAM:
CAPACITY BUILDING/
DEVELOPMENT

Training on Health
and wellness
program for Person
with disabilities Hotel
accomodation,
No. of PANAMAO
District II PANAMAO 2 0 0 0 2 meals, MOOE 25000 2 50000
trained RHU transportation,
per diem,
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Training on Blindness
prevention and
Primary eye care
Hotel
RHUs, accomodation,
No. of 2 2 2 1 7 meals, MOOE 25000 7 175000
trained District II PANAMAO hospitals &
DepEd Nurses transportation,
per diem,

Training on Violence
and injury prevention
Hotel
accomodation,
No. of PNP,RHUs,
District II PANAMAO and hospitals 1 0 0 1 2 meals, MOOE 25000 2 50000
trained
transportation,
per diem,

Training on early
detection of breast
cancer
Hotel
accomodation,
No. of RHUs, and
District II PANAMAO hospitals 2 0 0 0 2 meals, MOOE 25000 2 50000
trained
transportation,
per diem,

Orientation/Training
on online Phiippine
registry for PWD Hotel
accomodation,
No. of RHUs, and
District II PANAMAO hospitals 2 0 0 0 2 meals, MOOE 25000 2 50000
trained
transportation,
per diem,

1 doctors, 2
a. Training on MhGap PHN and 2
for doctors , PHN and Other health District II PANAMAO 2 1 1 1 5 training MOOE 11,100.00 5 55500
PANAMAO
other health staff. staff trained RHU
on MhGap

NON
COMMUNCABLE
DISEASES
PROGRAM:
Advocacy Awareness
& Health Promotion
Campaign

Medical supplies
Blood Pressure PANAMAO 1 0 0 0 1 and logistics, MOOE 50000 1 50000 50000
District II PANAMAO meals and
RHU
snacks,

Medical supplies
PANAMAO and logistics,
Blood Sugar District II PANAMAO 1 0 0 0 1 MOOE 50000 1 50000 50000
RHU meals and
snacks,

Medical supplies
PANAMAO and logistics,
Urinalysis District II PANAMAO 1 0 0 0 1 MOOE 50000 1 50000 50000
RHU meals and
snacks,

Tarpaulins,
leaflets,
Materials for
No. of drug
Advocacy on PNP,RHUs, audeo/video
dangerous drug use
dependent District II PANAMAO and hospitals 6 0 0 0 6
making, airtime
MOOE 15000 6 90000
attended
fees, honoraria,
snacks for
speaker
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Advocacy and
Healthy life Tarpaulins,
promotion of Healthy
style, leaflets,
life style, smoking
smoking Materials for
cessation, alcohol use
cessation, PANAMAO audeo/video
and cancer 1 0 0 0 1 MOOE 30,000 1 30,000
alcohol use District II PANAMAO
RHU making, airtime
prevention through
and cancer fees, honoraria,
radio plugging
prevention snacks for
(Amanat
promoted speaker
Kasambuhan)

Awareness/
Advocates
Celebration of PANAMAO
on mental District II PANAMAO 3 0 0 0 3 Tarpaulin MOOE 801 3 2,403
Mental Health month RHU
health
program

Sub-total NON COMMUNCABLE DISEASES PROGRAM: ₱995,689.51

MALARIA
PROGRAM:
Procurement of
C0mmodities

Hospital,
# of IEC IEC
Production of RHU's, BMMC, MOH -
material District II PANAMAO 4(1 ) 0 0 0 4(1 ) materials(Php90 3,600.00 1 3,600.00
Malaria IEC materials RDT site & BARMM
Reproduced 0 x 150pcs)
BHS

Provision of LLIN for LLIN: (Php90.00 MOH -


# of LLIN District II PANAMAO RHU 1974 1973 1973 1973 7893 710,370.00 1 710,370.00
replacement x 7893,000) BARMM

RDT kits@ IPHO


5(1 5(1
Provision of RDT kits # of RDT kits District II PANAMAO RDT sites 0 0 0 Php250x5x12mo MALARIA 15,000.00 1 15,000.00 15,000.00 15,000.00
month) month)
s. FUND

RHU,BMMC 12 (3 12 (3 IPHO
# of Cotton District II PANAMAO AND RDT facilitie 0 0 0 facilitie Cotton@Php30x MALARIA 720.00 1 720.00 720.00 720.00
SITES s) s) 2x12mos. FUND

RHU,BMMC 12 (3 12 (3 alcohol@ IPHO


# of alcohol District II PANAMAO AND RDT facilitie 0 0 0 facilitie Php56x2x12mos MALARIA 1,344.00 1 1,344.00 1,344.00 1,344.00
SITES s) s) . FUND

RHU,BMMC 12 (2 12 (2 IPHO
# of blood
District II PANAMAO AND RDT facilitie 0 0 0 facilitie bloodlancet@Ph MALARIA 14,400.00 1 14,400.00 14,400.00 14,400.00
lancet
SITES s) s) p600x2x12mos. FUND
Provision of
Laboratotry Supplies

RHU,BMMC 12 (2 12 (2 glass slides@ IPHO


# of glass 0 0 0 1,164.00 1 1,164.00 1,164.00 1,164.00
District II PANAMAO AND RDT facilitie facilitie Php48.50xbx.x1 MALARIA
slides
SITES s) s) 2mos. FUND

# of RHU,BMMC 12 (2 12 (2 immersion oil@ IPHO


immersion District II PANAMAO AND RDT facilitie 0 0 0 facilitie Php850x2x12mo MALARIA 20,400.00 1 20,400.00 20,400.00 20,400.00
oil SITES s) s) s. FUND

RHU,BMMC 12 (2 12 (2 lens paper @ IPHO


# of lens
District II PANAMAO AND RDT facilitie 0 0 0 facilitie Php150x2x12mo MALARIA 3,600.00 1 3,600.00 3,600.00 3,600.00
paper
SITES s) s) s FUND
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

RHU,BMMC 12 (2 12 (2 IPHO
# of coartem District II 0 0 0 coartem tabs @ 2,400.00 1 2,400.00 2,400.00 2,400.00
PANAMAO AND RDT facilitie facilitie MALARIA
Php1200.00x2
SITES s) s) FUND

RHU,BMMC 1 (2 1 (2 IPHO
# of primaquine @
District II PANAMAO AND RDT facilitie 0 0 0 facilitie MALARIA 560.00 1 560.00 560.00 560.00
primaquine Php280.00x2
SITES s) s) FUND
Provision of Malarial
Drugs

RHU,BMMC 1 (2 1 (2 IPHO
# of 0 0 0 choloro 400.00 1 400.00 400.00 400.00
District II PANAMAO AND RDT facilitie facilitie MALARIA
chloroquine Php200.00 x2
SITES s) s) FUND

# of RHU,BMMC 1 (2 1 (2 Artesunate IPHO


artesunate District II PANAMAO AND RDT facilitie 0 0 0 facilitie @Php MALARIA 2,600.00 1 2,600.00 2,600.00 2,600.00
suppository SITES s) s) 1300.00x27 FUND

MALARIA
PROGRAM:
CAPACITY BUILDING/
DEVELOPMENT

a. Per Diem
@1600 x 26 pax
41,600.00 1 41,600.00

b. Meals and
Snacks
39,000.00 1 39,000.00
@500/pax x
3days x26 Heads

c. Training Kits
13,000.00 1 13000.00
@500/pax

26 RHU-
based
ONLINE MALARIAL
workers District II Panamao Panamao RHU 26 pax MOOE
INFORMATION
trained on Municiaplity and bHS x 3days
SYSYTEM
Idol Ko Si
Nanay d. Venue:
3000/days x 3 9,000.00 1 9,000.00
days

e. Training
Materials 60,000.00 1 60,000.00
@6000

f.. Contingency
3,000.00 1 3,000.00
Fund @3000/

g.
Transportation : 20,800.00 1 20,800.00
800/ pax

Sub-total MALARIA PROGRAM: ₱962,958.00 ₱62,588.00 ₱62,588.00

FILARIASIS
ELIMINATION
PROGRAM:
Procurement of
C0mmodities

Conduct of # of 1(1328 1(1328


Transmission Transmissio Primary and pupils pupils
Assessment Survey n DISRICT II PANAMAO elementary 0 {all 0 0 {all Lab. Supplies 8.57 1,328 11,380.00
Assessment schools enrollist enrollis
Survey of gr t of gr
conducted 1&2}) 1&2})

Alcohol 70.00 7 490.00

Alohol swab 750.00 7 5,250.00

Freaker 700.00 7 4,900.00


Cotton 175.00 7 1,225.00
BRT 250.00 450 112,500.00

MOOE
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

FTS 250.00 450 112,500.00


Tool box 500.00 2 1,000.00
Marker 50.00 7 350.00
token 25.00 1,350 33,750.00
MOOE
RMT honoraria 600.00 4 2,400.00

RMT transpo 800.00 4 3,200.00

Meals and
345.00 10 3,450.00
Snacks

Ballpen 15.00 10 150.00

Forms 5.00 1,350 6,750.00


Production pf survey
forms
1(500 1(500
# of target DISRICT II PANAMAO RHU 0 respond 0 0 respon Forms 5.00 500 2,500.00
respondent
ents) dents)

FILARIASIS
ELIMINATION
PROGRAM:
CAPACITY BUILDING

Training on
Neglected Tropical # of Staff
DISRICT II PANAMAO RHU 1 0 1 2 training MOOE 75, 000 2 150,000
Disease management Trained
Information System

FILARIASIS
ELIMINATION
PROGRAM:
ADVOCACY
AWARENESS &
HEALTH
PROMOTION
CAMPAIGN

Awareness campaign
on Filariasis to
maintain Zero case.

Municipal 1(2tarp IEC materials


DISRICT II PANAMAO RHU& hosp MOOE 500.00 2 1,000.00
Orientation ) (tarpaulin)

LF Deformity Survey

Transpo/350,
# of
meals and
Deformity
DISRICT II PANAMAO RHU 0 15 0 0 15 Snacks MOOE 21,700.00 15 325,500.00
survey
350=700x31
conducted
barangay

Filariasis Awareness
Month Celebration
# of
Deformity 1(500
DISRICT II PANAMAO RHU Tarp MOOE 500 2 1,000.00
survey tarp)
conducted

Sub-total FILARIASIS ELIMINATION PROGRAM: ₱779,295.00

DENGUE PROGRAM:
Procurement of
C0mmodities

Procurement of NS1 # of NS1 kits


DISRICT II PANAMAO RHU 1(25) 1(26) 1(27) 1(28) 4(25) KIT MOOE 520 100 52,000
kits procured
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Procurement of # IgM/ IgG


IgM/IgG DENGUE kits DISRICT II PANAMAO RHU 1(5) 0 0 0 1(5) KIT MOOE 1000 5 5,000
TEST procured

# of Spray
Procurement of
Can DISRICT II PANAMAO RHU 0 0 1 0 1 Spray Can CO-Equip 14,990 1 14,990
Sparay Can
Procured

Procurement of # of repair
DISRICT II PANAMAO RHU 0 0 2 0 2 Repair Kit CO-Equip 1600 2 3,200
Sparay Can repair kit kit Procured

DENGUE PROGRAM:
Capacity BUILDING/
DEVELOPMENT

# of School
Training in for
to School DISRICT II PANAMAO RHU 2 1 2 0 5 pax Training MOOE 500,000 1 500,000
Targeted Residual
spraying
Spraying
conducted

DENGUE PROGRAM:
ADVOCACY
AWARENESS &
PROMOTION
CAMPAIGN

Dengue awareness
month celebration
through School to # of School
School awareness to School
campaign and DISRICT II PANAMAO RHU 1(5) 0 0 1(5) 2(10) Honoraria MOOE 1000 10 10,000
spraying
spraying conducted

Sub-total DENGUE PROGRAM: ₱585,190.00

ADOLESCENT
HEALTH &
DEVELOPMENT
PROGRAM:
PROCUREMENT
OF
COMMODITIES

Iron supplementation
# of Iron 6026 x 6026 x
to non pregnant DISRICT II PANAMAO RHU 0 0 0
procured 30 Tabs 30 Tabs supplement MOOE 0.7 1 12,655.00
Adolescent

ADOLESCENT
HEALTH &
DEVELOPMENT
PROGRAM:
Capacity Building/
Development

Meals/snacks-
400.00 Perdiem-
1,600
Field health Transpo,
Training on Gender Accommodation-
workers DISRICT II PANAMAO RHU Accomodation,P
and Development for 2 0 0 2 4 MOOE 333 Training 4 98,132.00
tranined on erdiem, Training
field health workers kit- 1,000
GAD kit
Transportation
(refer to matrix)
ADOLESCENT 21,200 = 24,533
HEALTH &
DEVELOPMENT
PROGRAM:ADVO
CACY
AWARENESS &
PROMOTION
CAMPAIGN
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Transpo, Meals/snacks-
30 Parents
Orientation to parents Accomodation,P 400.00 ,
oriented on DISRICT II PANAMAO RHU 31 0 0 0 31 MOOE 31 27,900.00
on VAWC erdiem, Training Transportation 500
VAWC
kit = 900

Transpo, Meals/snacks-
Women's
Celebration of DISRICT II PANAMAO RHU Accomodation,P 400.00 ,
month 0 31 0 0 31 MOOE 31 27,900.00
Women's month erdiem, Training Transportation 500
celebrated
kit = 900

CATCH and Transpo, Meals/snacks-


CATCH and
CHANGE to address Accomodation,P 400.00 ,
CHANGE DISRICT II PANAMAO RHU 0 25 0 0 25 MOOE 25 22,500.00
Gender issues and erdiem, Training Transportation 500
conducted
concerns kit = 900

Meals/snacks-
School to school GAD school Transpo,
400.00 ,
activities on Gender to school DISRICT II PANAMAO RHU Accomodation,P
0 0 25 0 26 MOOE Transportation 500 26 23,400.00
sensitivity and campagin erdiem, Training
= 900x 2 day=
empowerment conducted kit
1800

Out of school youth GAD for out Transpo, Meals/snacks-


activities on Gender of school DISRICT II PANAMAO RHU Accomodation,P 400.00 ,
0 0 0 40 40 MOOE 40 36,000.00
sensitiivty and youth erdiem, Training Transportation 500
empowerment conducted kit = 900

Sub-total ADOLESCENT HEALTH & DEVELOPMENT PROGRAM: ₱248,487.00


SURVEILLANCE:
PROCUREMENS OF
COMMODIIES

Training
-
Materials

Notebook's 10.00 26 260.00 260.00 260.00

Ballpen 10.00 26 260.00 260.00 260.00

AFP 300.00 1 300.00 300.00 300.00

ANTHRAX 300.00 1 300.00 300.00 300.00

MERSCOV 300.00 1 300.00 300.00 300.00

MEASLES 300.00 1 300.00 300.00 300.00

MENINGOCOCC
300.00 1 300.00 300.00 300.00
EMIA

NEONATAL
300.00 1 300.00 300.00 300.00
TETANUS

PSP 300.00 1 300.00 300.00 300.00

RABIES 300.00 1 300.00 300.00 300.00


Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

HAND FOOT
AND MOUTH 300.00 1 300.00 300.00 300.00
DISEASE

ABD 300.00 1 300.00 300.00 300.00

AES 300.00 1 300.00 300.00 300.00

AHF 300.00 1 300.00 300.00 300.00

HEPATITIS 300.00 1 300.00 300.00 300.00

MENINGITIS 300.00 1 300.00 300.00 300.00

CHKUNGUNYA 300.00 1 300.00 300.00 300.00

CHOLERA 300.00 1 300.00 300.00 300.00

DENGUE 300.00 1 300.00 300.00 300.00

DIPTHERIA 300.00 1 300.00 300.00 300.00

INFLUENZA LIKE
300.00 1 300.00 300.00 300.00
ILLNESS

LEPTOSPIROSIS 300.00 1 300.00 300.00 300.00

MALARIA 300.00 1 300.00 300.00 300.00

NON NEONATAL
300.00 1 300.00 300.00 300.00
TETANUS

PERTUSSIS 300.00 1 300.00 300.00 300.00

1 (26 1 (26
Conduct re-echo and
All Staff DISRICT II PANAMAO RHU 0 pax/acti 0 0 pax/act MOOE
orientation for PIDSR
vity) ivity)

ROTA VIRUS 300.00 1 300.00 300.00 300.00

TYPHOID FEVER 300.00 1 300.00 300.00 300.00

AFP 400.00 1 400.00 400.00 400.00

ANTHRAX 400.00 1 400.00 400.00 400.00

MERSCOV 400.00 1 400.00 400.00 400.00

MEASLES 400.00 1 400.00 400.00 400.00

MENINGOCOCC 400.00 1 400.00 400.00 400.00


EMIA

NEONATAL
400.00 1 400.00 400.00 400.00
TETANUS

PSP 400.00 1 400.00 400.00 400.00

RABIES 400.00 1 400.00 400.00 400.00

HAND FOOT
AND MOUTH 400.00 1 400.00 400.00 400.00
DISEASE
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

ABD 400.00 1 400.00 400.00 400.00

AES 400.00 1 400.00 400.00 400.00

AHF 400.00 1 400.00 400.00 400.00

HEPATITIS 400.00 1 400.00 400.00 400.00

MENINGITIS 400.00 1 400.00 400.00 400.00

CHKUNGUNYA 400.00 1 400.00 400.00 400.00

CHOLERA 400.00 1 400.00 400.00 400.00

DENGUE 400.00 1 400.00 400.00 400.00

DIPTHERIA 400.00 1 400.00 400.00 400.00

INFLUENZA LIKE
400.00 1 400.00 400.00 400.00
ILLNESS

LEPTOSPIROSIS 400.00 1 400.00 400.00 400.00

MALARIA 400.00 1 400.00 400.00 400.00

NON NEONATAL 400.00 1 400.00 400.00 400.00


TETANUS

PERTUSSIS 400.00 1 400.00 400.00 400.00

ROTA VIRUS 400.00 1 400.00 400.00 400.00

TYPHOID FEVER 400.00 1 400.00 400.00 400.00

SURVEILLANCE:
CAPACITY BUILDING/
DEVELOPMENT

PIDSR and Event # OF PIDSR 1 (2 1 (2


Surveillance and AND ESR DISRICT II PANAMAO RHU pax/act 0 0 0 pax/act Transpo MOOE 7900.00 2 15,800.00
Response Training TRAINIEE ivity) ivity)

# OF PIDSR 1 (2 1 (2
Training on Basic
AND ESR DISRICT II PANAMAO RHU 0 pax/acti 0 0 pax/act Transpo MOOE 7900.00 2 15,800.00
Epidiomology
TRAINIEE vity) ivity)

(2
Training on Vaccine (2
No. of DISRICT II PANAMAO RHU 0 0 pax/a 0 Transpo/ Meal& 7900.00 2 15,800.00
preventable disease pax/act
Trained ctivity snacks
surveillance ivity)
)

(2
(2
Training on outbreak No. of DISRICT II PANAMAO RHU 0 0 0 pax/a Transpo/ Meal& 7900.00 2 15,800.00
pax/act
response Trained ctivity snacks
ivity)
)

1 (26
1 (26
Conduct re-echo and All Staff DISRICT II PANAMAO RHU 0 0 0 pax/a
pax/act Meals/Transpo MOOE 1000.00 26 26,000.00
orientation for PIDSR ctivity
ivity)
)
₱18,720.00
Sub-total SURVEILLANCE: ₱107,920.00 ₱18,720.00
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Environmental
Health and
Sanitation:
Procurement of
Commodities

Provision of of
Drinking water
Disinfection
( Chlorine Tab NaDCC 15 15
67mg ) 15 tab/
15 tab/ tab/ tab/ 15 tab/
HH/
# of HH/ HH/ HH/ HH/
DISRICT II PANAMAO RHU Month 6.00/ tab MOOE 4,262,670 1 4,262,670
aquatabs MonthX Mont Mont Month
X
purchased 1973/ hX hX X 7894/
1975/
50% 1973/ 1973/ 50%
50%
50% 50%

Provision of Toilet
Plastic Bowls
24 23 23 23 93pcs 279pcs X MOOE 1000 93 93,000
# of P1,000.00
aquatabs DISRICT II PANAMAO RHU
purchased

1 Freight: MOOE 5,000 1 5,000

Nitrile Gloves
# of nitrile
36boxes X
gloves DISRICT II PANAMAO RHU 36 boxes 0 0 0 36 boxes MOOE 11,520 1 11,520
P320.00
purchased
12. Provision of Jerry
Cans #of J cans
District II PANAMAO RHU 24 23 23 23 93 279 pcs.X 250.00 MOOE 250 93 23,250
purchased

Provision of Water
Sampling Kit #Water District II PANAMAO RHU 12 0 0 0 12 kit MOOE 445 12 5,340
Sampling Kit

Environmental
Health and
Sanitation: Capacity
Building &
Development

TEV:2 pax X 800


3200.00 1 3200.00
X 2days

Local transpo:
10000.00 1 10000.00
1(2pax/ 1(2pax/ 5,000 x 2 pax
Basic Training for # of training District II PANAMAO RHU MOOE
activity activity
new SIs conducted
) )

Food and
Accommodation 25000.00 1 25000.00
: 2,500 X 2 pax X
5 days

1(2pax/ 1(2pax/ Registration


activity activity fee:4,500 X 2 MOOE 9000.00 1 9000.00
) ) pax

Trainining for water # of SIs


District II PANAMAO RHU
collectors trained

Training cost: MOOE 20000.00 1 20000.00


10,000 X 2 pax

TEV:2 pax X 800 3200.00 1 3200.00


X 2days

Food and
Accom: P2,500 X 25000.00 1 25000.00
Orientation on the 2 pax X 5 days
# of SIs District II PANAMAO RHU 1 1 MOOE
formulation and
trained
development of ZOD

Local Transpo:
P 5,000x 10000.00 1 10000.00
2 pax
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Sub-total Environmental Health and Sanitation: ₱4,506,180.00

HIV/AIDS & STI:


Procurement of
Commodities

1. hiv 1/2 test


kit (rapid)(1,000 50,000.00 1 50,000.00
pcX16)

2. Ethyl alcohol
500ml(100 7,750.00 1 7,750.00
botX1)

3. Cotton
400gm(100 21,000.00 1 21,000.00
rollX1)

4. Digital timer
3,500.00 1 3,500.00
(10 unitX1)
# of HIV
Procurement of
testing
HIVTesting District 2 Panamao RHU PANAMO 1 0 0 0 1 MOOE
commoditie
commodities
s procured
5. earloop/3ply
disposable
32,000.00 1 32,000.00
mask(20
bxsX16)

6. Nitrile 7,000.00 1 7,000.00


gloves(20bxsX1)

7. Assorted
office 3,500.00 1 3,500.00
suppliesX1

1. Azithromycin
500mg(pks 0f 63,600.00 1 63,600.00
100's in blister
of 2 tabs)

Rhu (5 Rhu (5 2. Cefixime 400


Rhu (5 Rhu (20 mg capsules(30 MOOE 38,400.00 1 38,400.00
# of Rhu (5 cases cases
casesX casesX caps /pk)
Procurement of drugs/medic casesX3 X3 X3
3 12
drugs/medicines for ines for District 2 Panamao months mont mont
months months
Syphilis and other Syphilis and x1 hs x1 hs x1
x1 x1
STI's other STI's facility= facilit facilit
facility facility=
procured 3,840) y=3,8 y=3,8
=3,840) 3,840)
40) 40)

3. Penicillin G
Benzathine 1.2 69,600.00 1 69,600.00
M unit for IM

4.
1,200.00 1 1,200.00
Metronidazole

1. Gram Stain Kit 28,800.00 1 28,800.00


set 4X500ml
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

2. TPPHA-
Syphilis
405,000.00 1 405,000.00
Confirmatory
test(PA)

3. Syphilis test
kit (rapid 60,000.00 1 60,000.00
test/ICT))

4. Cryovial
2ml(internally 12,187.50 1 12,187.50
threaded/500s)

5. Blood
1 1 collection
1 1 11,760.00 1 11,760.00
# of 1 Rhu(1 Rhu(1 tube(plain/4cc/1
Rhu(14 Rhu(50 00s)
laboratory Rhu(12c 2case 2case
Procurement of casesX casesX
reagents, asesX3 sX3 sX3
laboratory reagents, 3 12
supplies and months mont mont
supplies and District 2 Panamao RHU PANAMO months X2 months MOOE
equipments hs X2 hs X2
equipments for X2 X2
for syphilis visitsX1 visitsX visitsX 6. Yellow
syphilis and other visitsX1 visitsX1
and other facilities 1 1
sti's facilitie facilitie tips(pack of 1,237.50 1 1,237.50
sti's =19,200 faciliti faciliti 1000)
s=19,2 s=19,20
procured ) es=19, es=19,
00) 0)
200) 200)

7. Nitrile gloves 9,118.75 1 9,118.75


(medium)

8. Glass
slides,frosted 5,200.00 1 5,200.00
ends(72s/bx)

9. Applicator
stick w/ cotton 9,600.00 1 9,600.00
on one end

10. Disposable
syringe w/
6,900.00 1 6,900.00
needle(
3cc/g21)

11. Disposable
mask 6,837.50 1 6,837.50
(3ply/earloop)

HIV/AIDS & STI:


Capacity Building/
Development

meals&
accomodation:2, 25,000 1 25,000
Training of trainers 500x2x5
(TOT) on HIV # of health
Counselling and providers District 2 Panamao Panamao RHU 1 0 0 1 2 pax MOOE
testing(HCT) among trained
Health Providers
tev: 5,200x2x2 20,800 1 20,800

meals :750x3 540,000 540,000

# of
Counselling training Outreach/
4 (30 4 (30
for Outreach / berangay District I PANAMAO RHU PANAMO 0 0 0 MOOE 1
pax/acti pax/act
Barangay Health health 12,000 12,000
vity) ivity)
Workers workers Venue
trained rental:1,000x3x
4
Target Resource Requirements (PhP)

Program/Project/ #Performance
of Municipality/ Province/HUC/ICC LGU
Name of Health
Counselling
Activities (PPA)training
SERVICE Outreach/ District Component
Indicator Facility Q1 4Q2
(30 Q3 Q4 4Total
(30 Items Description Unit Cost Quantity
for Outreach
DELIVERY / berangay District I
City/ Barangay
PANAMAO RHU PANAMO 0 0 0 Target MOOE 1
pax/acti pax/act Trust Fund for
Barangay Health health General Fund Total
vity) ivity) Health/SHF
Workers workers Venue
trained rental:1,000x3x
4

TEV: 1,600x30 48,000 48,000

Sub-total HIV/AIDS & STI: ₱708,641.25

DENTAL HEALTH
PROGRAM:
Procurement of
Commodities

Provision of
ultrasonic scalers for
prophylaxis on target Increase in
client including the % of Ultrasonic
District II PANAMAO RHU 1 1 2 MOOE 12,000 2 24,000
pregnant women Basic Oral Scaller
Health care

Provision of oral Prompt and


health reporting quality
forms (Master list, reporting
ITR, TCL, Summary system
table, oral health
form 1) District II PANAMAO RHU 30 30 Reporting forms MOOE 375 30 11,250

DENTAL HEALTH
PROGRAM:
ADVOCACY
AWARENESS AND
PROMOTION
CAMPAIGN

Toothbrush,
toothpaste(polly
paste), Fluoride MOOE
varnish, ART, flip
charts, TEV

Toothbrush 20 150 3,000

School hoping with


distribution of free Toothpaste
toothbrush and tooth 250 8 2,000
Increase in (POLY PASTE)
paste( Pollypaste),
the
Fluoride application
percentage District II PANAMAO RHU 150 0 0 0 150
and ART on 10
of Orally fit
selected Daycare
child
center within Jolo Fluoride varnish 50 150 7,500
during oral health
month celebration

ART kit 2,900 3 8,700

Flip chart 300 1 300

TEV x 10 200 2 400


daycare centr.

Sub-total DENTAL HEALTH PROGRAM: ₱57,150.00

NATIONAL LEPROSY
CONTROL
PROGRAM:
Procurement of
Commodities

MDT - ADULT
MB/ Blister Pack

73.50 72 5,292

MDT - CHILD
MB/ blister pack

73.50 24 1,764

#MDT
Provision of MDT
drugs,Fusidi
Drugs PB,MB for 5 5
c Acid 2% 5
Adult & Children, adult/ adult/
grams tube,
loose prednision 10 District II PANAMAO RHU 2 0 0 0 2 MOOE
Prednisone,
mg tab., Fusidic acid Childre Childre
Vit. B
2% 5 grams tube, Vit. n n
complex
B complex
procured
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

MDT - ADULT
PB/ blister pack

29.04 72 2,091

#MDT
Provision of MDT
drugs,Fusidi
Drugs PB,MB for 5 5 MDT - CHILD
c Acid 2% 5
Adult & Children, adult/ adult/ PB/ blister pack
grams tube,
loose prednision 10 District II PANAMAO RHU 2 0 0 0 2 MOOE
Prednisone,
mg tab., Fusidic acid Childre Childre
Vit. B
2% 5 grams tube, Vit. n n 29.04 24 697
complex
B complex
procured

Fusidic acid 2%
5 grams tube

52.50 16 840

Prednosone (2%
of actual 52
cases)
2.5 1008 2,520

Vit. B Complex
1.25 1008 1,260

Provision of reporting Increase in


foms: ITR, treatment nos. Of
regist. Form, cases
Quarterly, Annual registered
cohort analysis PB, and treated
Annual cohort District II PANAMAO RHU 8 0 0 0 8 MOOE 375 8 3,000
analysis MB.

NATIONAL LEPROSY
CONTROL
PROGRAM: Capacity
Building/
Development

Transpo., Per
diem. Hotel and
meals. Train.
Kits, venue

Transpo /rate
accdng to Muns

600.00 26 15,600

#of
3 days rollout Identified Per diem
training on Leprosy Health (before and
case Identification personel after)
District II PANAMAO RHU 26pax 26pax MOOE 1600 26 41,600
and management Trained on
and ILIS for Nurses Leprosy
and Midwives managemen
t Hotels/ 3
pax/rm x 3 days
1000 0 -

Meals and
snacks x 3 days
345 78 26,910

Training Kits

100 26 2,600

Venue (OROSA
HALL) x 3 days
2000 3 6,000
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

NATIONAL LEPROSY
CONTROL
PROGRAM:
ADVOCACY
AWARENESS &
PROMOTION
CAMPAIGN

Increase
awareness
Public
• World Leprosy day c and District II Panamao RHU 0 0 0 0 celebration MOOE 600,000 1 35,000.00
Mases
information
desiminated

Sub-total NATIONAL LEPROSY CONTROL PROGRAM: ₱145,173.84

FOOD AND WATER


BORNE DISEASE
PROGRAM:
PROCUREMENT OF
COMMODITIES

Procurement of
Ciprofloxacin 500mg
tab
75% of 150 Tablet
cases by District II Panamao RHU 112 0 0 0 112 2x/day/headx7 MOOE 16 1568 25,088.00
2021 days=14

Procurement of Oral
Rehydration Salt
sachet 75% of 150
cases by District II Panamao RHU 112 0 0 0 112 Saschet (3/head) MOOE 6 336 2,016.00
2021

Procurement of
deloxanide 75% of 150
cases by District II Panamao RHU 112 0 0 0 112 Meds MOOE 19 112 2,128.00
2021

FOOD AND WATER


BORNE DISEASE
PROGRAM:
CAPACITY BUILDING/
DEVELOPMENT

Per diem,
transpo, meals,
hotel accom,
training kit,
venue

Transpo /rate
accdng to Muns.

600.00 26 15,600
Increase in
the
percentage
of the staff
3 days roll-out Per diem
trained in
training on (before and
surveillance,
Surveillance, after)
outbreak 800 26 20,800
Outbreak District II Panamao RHU 26 26 MOOE
investigation
investigation and
and
response to microbial
response to
Agents of Food and Hotels/ 3
microbial
Water borne disease pax/rm x 3 days
agents of
food and 1000 26 26,000
water borne
disease
Meals and
snacks x 3 days
250 26 6,500

Training Kits

100 26 2,600

Venue x 3 days
2000 3 6,000
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

FOOD AND WATER


BORNE DISEASE
PROGRAM:
ADVOCACY
AWARENESS &
PROMOTION
CAMAPAIGN

1. Quarterly Increased
inspection of Food safety and
establishment quality of
including sidewalk sold food
food vendors on
proper handling. TEV, Face mask,
District I I Panamao RHUs 2 2 2 0 6 MOOE
gloves

TEVs 200 x 31
12,400 2 24,800
days x 2 SI

Face mask BOX 150 4 600

Gloves BOX 171 4 684

Sub-total FOOD AND WATER BORNE DISEASE PROGRAM: ₱132,816.00

FHSIS PROGRAM
PROCUREMENT
OF SUPPLIES

RHU RECORDING
PROVIDE ITR PROVIDED District II Panamao 5 5 5 5 20 700 20 14,000
PANAMAO FORMS

PROVIDE TCL (ALL RHU RECORDING


PROVIDED District II Panamao 248 0 0 0 248 400 248 99,200
PROGRAMS) PANAMAO FORMS

PROVIDE SUMMARY
RHU RECORDING
TABLE (ALL PROVIDED District II Panamao 248 0 0 0 248 400 248 99,200
PANAMAO FORMS
PROGRAMS)

RHU
PROVIDE M1 FORMS PROVIDED District II Panamao 5 5 5 5 20 Reporting forms 700 20 14,000
PANAMAO

RHU
PROVIDE M2 FORMS PROVIDED District II Panamao 5 5 5 5 20 Reporting forms 700 20 14,000
PANAMAO

PROVIDEOTHER RHU RECORDING


PROVIDED District II Panamao 5 5 5 5 20 700 20 14,000
FORMS PANAMAO FORMS

Sub-total FHSIS PROGRAM ₱428,400.00

Total for (SERVICE DELIVERY) 141,892,275.81 81,308.00 0 81,308.00

Resource Requirements (PhP)


Target
LOCAL GOVERNMENT UNITS (LG
Program/Project/ Municipality/
Activities (PPA) Performance Component Name of Health Total Cost
District Expense
HEALTH WORK Indicator City/ Facility Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust Fund for
Barangay Q1 Q2 Q3 Q4 Catogory General Fund Total
FORCE (PhP) Health/SHF
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

STRATEGY 1:
Hiring of health
personnel

PS and other
Ambulance Driver Driver Hired District II Panamao RHU 0 0 0 1 1 Driver 210,636 1 210,636.00
benifits

Sub-total ₱210,636.00

STRATEGY 2:
Retention of HRH

PS and other
Nurses NDP # of NDP District II Panamao RHU 7 0 0 0 7 NDP-Nurse II 711,960 7 4,983,717
benifits

PS and other
MECA II # of Meca District II Panamao RHU 2 0 0 0 2 MECA 324,000 2 648,000
benifits

Sub-total ₱5,631,716.50

STRATEGY 3:
Capacity
Building/Developme
nt

Health
Emergency
1. Trainings for
Training District II Panamao RHU 26 Response MOOE (2,200*26*4) 1 228,800
HERO
Operation
(HERO)

Sub-total ₱228,800.00

Total for (HEALTH WORK FORCE) 6,071,152.50

Resource Requirements (PhP)


Program/Project/ Target
Municipality/ LOCAL GOVERNMENT UNITS (LG
Activities (PPA)
Performance Component Name of Health Total Cost
HEALTH District Expense
Indicator City/ Facility Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust Fund for
INFORMATION Q1 Q2 Q3 Q4 Catogory General Fund Total
Barangay (PhP) Health/SHF
SYSTEM

PROGRAM: MALARIA

Updates on OLMIS
2 malaria
point person District II Panamao Panamao RHU 1 0 0 1 2 training MOOE 35714 2.00 71428.5714285714
Center

Sub-total ₱71,428.57

PROGRAM: TB

Updates on ITIS

TB DOTS District II Panamao Panamao RHU 1 0 0 1 2 training MOOE 35714 2.00 71428.5714285714
Center

Sub-total ₱71,428.57

PROGRAM: ALL PROGRAMS

Updates on iClinicsys All Health District II Panamao Panamao RHU 1 0 0 0 1 Trainings MOOE 26315.7894736842 1 26315.7894736842
Personnel
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Relearning sessions /
Updates on FHSIS &
scorecard for all HP Municipaliti
es Updated District II Panamao Panamao RHU 3 0 0 0 3 Trainings MOOE 13157.8947368421 3 39473.6842105263
on EFHSIS &
scorecard
Training workshop on
basic computer
operation All Health District II Panamao Panamao RHU 26 0 0 0 26 Trainings MOOE 12500 26 325,000.00
Personnel

Training of ICD10

PhilHealth District II Panamao Panamao RHU 1 0 0 1 2 Training MOOE 78333.3333333333 2 156666.666666667


assessors

Provisions of
reporting and # reporting
essential forms and Supplies and
District II Panamao Panamao RHU 0 3 0 0 3 MOOE 50000 3 150000
essential Materials
forms

Training on
Dashboard for Data
Analysis IT related District II Panamao Panamao RHU 3 0 0 0 3 Training MOOE 5000 3 15000
work

Provision of
Dashboard Software
and Laptop IT related District II Panamao Panamao RHU 1 1 2 Supplies MOOE 90000 2 180,000
work

Sub-total ₱892,456.14

Total for HEALTH INFORMATION SYSTEM 1,035,313.28

Resource Requirements (PhP)


Target
Program/Project/ LOCAL GOVERNMENT UNITS (LG
Activities (PPA) CHAIN Municipality/
of MEDICAL Performance Component Name of Health Total Cost
District Expense
PRODUCTS, Indicator City/ Facility Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust Fund for
VACCINES & Barangay Q1 Q2 Q3 Q4 Catogory General Fund Total
(PhP) Health/SHF
TECHNOLOGY

NIP PROGRAM Vaccines II PANAMAO RHU 1 1 1 1 4 Transportation MOOE 3000.00 4 12,000.00


(MOBILIZATION FUND) Transported PANAMAO

NUTRITION
Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PROGRAM PANAMAO 1 1 1 1 4
Transported
(MOBILIZATION FUND)

FAMILY PLANNING
Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PROGRAM PANAMAO 1 1 1 1 4
Transported
(MOBILIZATION FUND)

AYRH PROGRAM Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00


PANAMAO 1 1 1 1 4
(MOBILIZATION FUND) Transported

TB PROGRAM Commodities RHU


II PANAMAO 1 1 1 1 4 Transportation MOOE 3000.00 4 12,000.00
(MOBILIZATION FUND) Transported PANAMAO

PROCUREMENT OF
OPD MEDICINES AND Medicines II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PANAMAO 1 1 1 1 4
SUPPLIES procured
(MOBILIZATION FUND)

NON COMMUNCABLE
DISEASES PROGRAM: Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PANAMAO 1 1 1 1 4
( MOBILIZATION Transported
FUND)

FHSIS Supplies II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00


PANAMAO 1 1 1 1 4
(MOBILIZATION FUND) Transported

MATERNAL HEALTH
Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PROGRAM PANAMAO 1 1 1 1 4
Transported
( MOBLIZATION FUND)

MENTAL HEALTH
Commodities II PANAMAO RHU Transportation MOOE 3000.00 4 12,000.00
PROGRAM PANAMAO 1 1 1 1 4
Transported
(MOBILIZATION FUND)

TOTAL for (SUPPT AND CHAIN of MEDICAL PRODUCTS, VACCINES & TECHNOLOGY) 30000 120,000.00
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Municipality/ Resource Requirements (PhP)


Program/Project/ Target
Performance Component Name of Health Total Cost LOCAL GOVERNMENT UNITS (LG
Activities (PPA) District Expense
Indicator City/ Facility Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust Fund for
HEALTH FINANCING Q1 Q2 Q3 Q4 Catogory General Fund Total
Barangay (PhP) Health/SHF

RLGU Assistance as Financial


MOOE District II Panamao RHU 3 3 3 3 12 Assistance as MOOE 36,000.00 12 432,000.00
MOOE for Rural
provided
Health Unit MOOE

PLGU Assistance as Financial


MOOE
MOOE for Rural District II Panamao RHU 3 3 3 3 12 Assistance as MOOE 10,000.00 12 120,000.00 120,000.00 120,000.00
provided
Health Unit MOOE

MLGU Assistance as Financial


MOOE District II Panamao RHU 3 3 3 3 12 Assistance as MOOE 25,000.00 12 300,000.00
MOOE for Rural
provided
Health Unit MOOE

₱120,000.00

Sub-total ₱852,000.00 ₱120,000.00

PROGRAM;
MATERNAL
Mobilization
RHU Funds
Accreditation of the District II Panamao RHU 2,000 0 0 2000 (transportation MOOE 2,000.00 1 2,000.00
accredited
RHU on MCP of PHIC
as MCP expenses and
fees)

ordinance
Mobilization
Ordinance or approved
Funds
resolution in support for mother- District II Panamao RHU 2,000 0 0 2000 (transportation MOOE 2,000.00 1 2000.00
to mother-baby baby
expenses and
friendly RHU friendly
fees)
facility

Sub-total ₱4,000.00

PROGRAM; TB

Mobilization
Accreditation of the RHU Funds
RHU TB DOTS on accredited District II Panamao RHU 2,000 0 0 2000 (transportation MOOE 2,000.00 1.00 2,000.00
PhilHealth as TB DOTS expenses and
fees)

Sub-total ₱2,000.00

Total for (HEALTH FINANCING) 860,000.00 0.00 120,000.00

Municipality/ Resource Requirements (PhP)


Program/Project/ Target
Performance Component Name of Health Total Cost LOCAL GOVERNMENT UNITS (LG
Activities (PPA) District Expense
Indicator City/ Facility Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust Fund for
GOVERNANCE Q1 Q2 Q3 Q4 Catogory General Fund Total
Barangay (PhP) Health/SHF

Creation of
MADAC Dist ll Panamao RHU/PLGU 0 50 0 0 50 Snacks, Meals, MOOE 600 50 30000
Municipal Anti Drug
Created
Abuse Council

Re- Activation Of # of LGU and Dist ll Panamao RHY/PLGU 1 0 0 0 1 Snacks, Meals, MOOE 10,000 1 10000.00
Local Health Board RHU

Conduct Data Quality


Check All Health District II Panamao Panamao RHU 0 0 0 1 1 MOOE 15,789 1 15798.00
Personnel

Annual Municipal Trainings,


PIR/ Year End report Supplies,
(HEALTH SUMMIT) All Health District II Panamao Panamao RHU 0 0 0 30 30 Materials, MOOE 5000 30 150000.00
Personnel Transportation,
Board and
lodging

Sub-total ₱205,798.00

MATERNAL HEALTH
All
Data Quality Check programs Transpo:
Transportation/
(DQC) MUNICIPAL with quality Dist ll Panamao RHU 0 0 0 26 26 MOOE 600/pax ,meal& 26 24,570.00
Meal& snacks
LEVEL data Snack-345/pax
Target Resource Requirements (PhP)

Program/Project/ Municipality/ Province/HUC/ICC LGU


Performance Name of Health
Activities (PPA) SERVICE District Component Total
Indicator Facility Q1 Q2 Q3 Q4 Items Description Unit Cost Quantity
DELIVERY City/ Barangay Target Trust Fund for
General Fund Total
Health/SHF

Sub-total ₱24,570.00

SURVEILLANCE

Intensifies Sectoral
linkages approaching MESU Dist ll Panamao RHU,LGU,NGO 1 0 1 0 2 Meal/Transpo MOOE 2,500.00 2 5,000.00
, BLGU
system.

Sub-total ₱5,000.00

Total for (GOVERNANCE) 235,368.00 0.00 0.00 0.00

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention

(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans

(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Special Health Fund - pool of financial resources at the P/CWHS intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

500,000 500,000

700,000.00 700,000

500,000 500,000

1,000,000 1,000,000

200,000 200,000

500,000.00 500,000

100,000 100,000

1,000,000 1,000,000 1,000,000

500000 500,000

1000000 1,000,000

3000000 3,000,000

0.00

4,500.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

7,800.00

21,000.00

3,500.00

7,600.00

3,200.00

3,500.00

1,380.00

3,500.00

3,200.00

3,500.00

1,380.00

7,000.00

7,500.00

750.00

2,500.00

176,000

95,000

20,000.00

50,000.00

92,225
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

271,000.00 244,035.00

11,220

7,260

5,564

46,125

5,200

21,000

9,900

30,000.00

30,000.00

72,000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

30,000.00

30,000.00

30,000.00

106,277.00 222,000

5,544.00

24,724.00

90,000.00

8,550.00

1,800.00

6,000.00

5,298.00

25,067.00

25,067.00

121,992.00

30,940.00

52,598.00

66,300.00

79,560.00

26,741.00

91,059.45
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

95,812.60

264,500.00

171,731.00

171,731.00

791,000.00

49,066.00

₱21,600.00

570,181.00 1,656,500

7,522.50

11,534.50

8,024.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

125,375.00

80,240.00

852,550.00

197,125.00

95,380.00

15,500.00

64,533.00

64,533.00

104,036.40

96,339,984.00

312,936.00

651,955.00

238,835.00

2,000.00

25,000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

26,000.00

26,000.00

130,000.00

564,200.00

99,943,263

52980

2500
-

26230
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

792

880

1589.4

9713

573

7410

7497

4845

938
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

1451

4,275.00

2850

1,125.00

13,500.00

15,000.00

30,000.00

3,340.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

5,000.00

41,600.00

65,000.00

13000.00

15,000.00

60,000.00

3,000.00

20,800.00

26,000.00

64,000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

32000.00

6,000.00

6,000.00

3,000.00

20,800.00

31.00

0.00

49600.00

46500.00

6000.00

15000.00

33000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

5000.00

5000

5000

9000.00

2000.00

847,219.24

6042

6726.76

11186.18

276675.00

276675.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

276675.00

10000.00

2500.00

₱866,479.94

45000

3500

550

80000

3200

80000

150,000

₱362,250.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

379.20

14,220.00

126,400.00

11,423.40

1,580.00

13,667.00

3,800.00

21,481.68

4,400.00

17,696.00

28,410.00

11,449.23

37,880.00

50,000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

175,000.00

50,000.00

50,000.00

50,000.00

55,500.00

50000

50000

50000

90,000 90,000 0
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

30000

2403

₱90,000.00 ₱90,000.00
₱905,689.51

3,600.00 3,600.00

710,370.00 710,370.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

41,600.00

39,000.00

13,000.00

9,000.00

60,000.00

3,000.00

20,800.00

₱713,970.00 ₱713,970.00 ₱186,400.00 ₱0.00

11,380.00

490.00

5,250.00

4,900.00
1,225.00
112,500.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

112,500.00
1,000.00
350.00
33,750.00

2,400.00

3200.00

3,450.00

150.00

6,750.00

2,500.00

150, 000

1,000.00

325,500.00

1,000.00

₱779,295.00

52,000 52,000
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

5000 5,000

14,990

3,200

500,000

10,000 10,000

₱67,000.00 ₱67,000.00
₱18,190.00 ₱500,000.00

12,655.00

98,132.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

27,900.00

27,900.00

22,500.00

23,400.00

36,000.00

248,487.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

15,800.00

15,800.00

15,800.00

15,800.00

26,000.00

89,200.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

4,262,670

93,000

5,000

11,520

23,250

5,340

3200.00

10000.00

25000.00

9000.00

20000.00

3200.00

25000.00

10000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

4,506,180.00

50,000.00

7,750.00

21,000.00

3,500.00

32,000.00

7,000.00

3,500.00

63,600.00

38,400.00

69,600.00

1,200.00

28,800.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

405,000.00

60,000.00

12,187.50

11,760.00

1,237.50

9,118.75

5,200.00

9,600.00

6,900.00

6,837.50

25,000

20,800

540,000

12,000
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

48,000

708,641.25

24,000

11,250

3,000

2,000

7,500

8,700

300

400

57,150.00

5,292

1,764
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

2,091

697

840

2,520

1,260

3000

15,600

41,600

26,910

2,600

6,000
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

35,000.00

145,173.84

25,088.00

2,016.00

2,128.00

15,600

20,800

26,000

6,500

2,600

6,000
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

24,800

600

684

132,816.00

14,000

99,200.00

99,200.00

14,000.00

14,000.00

14,000.00

428,400.00

870,970.00 0 870,970.00 0.00 1,999,267.24 111,795,560.99

Fund Source (PhP)


ERNMENT UNITS (LGU) DOH

Trust Fund Others Unfunded Remarks


General Fund Total BLGU CO CHD
for Health
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

210,636.00

210,636.00

4,983,716.50

648,000.00

5,631,716.50

228,800 228,800

₱228,800.00 ₱228,800.00
-

228,800.00 228,800.00 5,842,352.50

Fund Source (PhP)


ERNMENT UNITS (LGU) DOH

Trust Fund Others Unfunded Remarks


General Fund Total BLGU CO CHD
for Health

71428.5714285714

₱0.00 ₱0.00
₱71,428.57

71428.5714285714

₱0.00 ₱0.00
₱71,428.57

26315.7894736842
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

39473.6842105263

325,000.00

156,667

150,000

15,000

180,000

₱0.00 ₱0.00
₱0.00 892,456.14

- - 142,857.14 892,456.14

Fund Source (PhP)


ERNMENT UNITS (LGU) DOH

Trust Fund Others Unfunded Remarks


General Fund Total BLGU CO CHD
for Health

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

120,000.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

Fund Source (PhP)


ERNMENT UNITS (LGU) DOH
Trust Fund Others Unfunded Remarks
General Fund Total BLGU CO CHD
for Health

432,000.00

300,000 300,000

₱300,000.00 ₱300,000.00

₱432,000.00

2,000 2,000

2,000 2,000

₱4,000.00 ₱4,000.00

2,000 2,000

₱2,000.00

0.00 308,000.00 0.00 0.00 0.00 432,000.00

Fund Source (PhP)


ERNMENT UNITS (LGU) DOH
Trust Fund Others Unfunded Remarks
General Fund Total BLGU CO CHD
for Health

30,000 30,000

10,000 10,000

15798.00 15798.00

150000.00 150000.00

₱205,798.00 ₱205,798.00 -

24,570.00
Fund Source (PhP)

Mun/CC LGU
Unfunded Total Fund
BLGU CO CHD Others Remarks
Trust Fund
General Fund Total
for Health

24,570.00

5,000.00

₱5,000.00

205,798.00 0.00 205,798.00 0.00 0.00 29,570.00


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

Region: REGION A
Province/HUC/ICC: PROVINCE Y
Municipality/Component ____________
-
City: ___
AOP CY: 2024
Target Resource Requirements (PhP) Fund Source (PhP)
Program/Project/
Municipality/ Name of Province/HUC/ICC LGU Mun/CC LGU
Activities (PPA) Performance
District Component Health Total Total
SERVICE DELIVERY Indicator Q1 Q2 Q3 Q4 Unit Cost Quantity BLGU CO CHD Others Unfunded Remarks
City/ Barangay Facility Target Fund
(Building Block) General Fund
Trust Fund for
Total General Fund
Trust Fund
Total
Health/SHF* for Health

Health Workforce
Strategy 1
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 1
II. Major/Sub-Program 2
Strategy 1 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total

Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 2
Total for (Building Block

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention
(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund - pool of financial resources at the P/CWHS where PhilHealth income shall accrue, intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
*For Province/HUC/ICC LGU, only one (1) fund source for this column. Either Trust Fund for Health or SHF, whichever is applicable.
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Annex D
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)

Region: REGION A
Province/HUC/ICC: PROVINCE Y
Municipality/Component ____________
-
City: ___
AOP CY: 2024
Target Resource Requirements (PhP) Fund Source (PhP)
Program/Project/
Municipality/ Name of Province/HUC/ICC LGU Mun/CC LGU
Activities (PPA) Performance
District Component Health Total Total
SERVICE DELIVERY Indicator Q1 Q2 Q3 Q4 Unit Cost Quantity BLGU CO CHD Others Unfunded Remarks
City/ Barangay Facility Target Fund
(Building Block) General Fund
Trust Fund for
Total General Fund
Trust Fund
Total
Health/SHF* for Health

Health Information
System
Strategy 1
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 1
II. Major/Sub-Program 2
Strategy 1 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total

Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 2
Total for (Building Block

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention
(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund - pool of financial resources at the P/CWHS where PhilHealth income shall accrue, intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
*For Province/HUC/ICC LGU, only one (1) fund source for this column. Either Trust Fund for Health or SHF, whichever is applicable.
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Annex D
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)

Region: REGION A
Province/HUC/ICC: PROVINCE Y
Municipality/Component ____________
-
City: ___
AOP CY: 2024
Target Resource Requirements (PhP) Fund Source (PhP)
Program/Project/
Municipality/ Name of Province/HUC/ICC LGU Mun/CC LGU
Activities (PPA) Performance
District Component Health Total Total
SERVICE DELIVERY Indicator Q1 Q2 Q3 Q4 Unit Cost Quantity BLGU CO CHD Others Unfunded Remarks
City/ Barangay Facility Target Fund
(Building Block) General Fund
Trust Fund for
Total General Fund
Trust Fund
Total
Health/SHF* for Health

Supply Chain & Logistics


Management
and Health Regulation

Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 1
II. Major/Sub-Program 2
Strategy 1 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total

Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 2
Total for (Building Block

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention
(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund - pool of financial resources at the P/CWHS where PhilHealth income shall accrue, intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
*For Province/HUC/ICC LGU, only one (1) fund source for this column. Either Trust Fund for Health or SHF, whichever is applicable.
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Annex D
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)

Region: REGION A
Province/HUC/ICC: PROVINCE Y
Municipality/Component ____________
-
City: ___
AOP CY: 2024
Target Resource Requirements (PhP) Fund Source (PhP)
Program/Project/
Municipality/ Name of Province/HUC/ICC LGU Mun/CC LGU
Activities (PPA) Performance
District Component Health Total Total
SERVICE DELIVERY Indicator Q1 Q2 Q3 Q4 Unit Cost Quantity BLGU CO CHD Others Unfunded Remarks
City/ Barangay Facility Target Fund
(Building Block) General Fund
Trust Fund for
Total General Fund
Trust Fund
Total
Health/SHF* for Health

Financing
Strategy 1
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 1
II. Major/Sub-Program 2
Strategy 1 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total

Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 2
Total for (Building Block

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention
(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund - pool of financial resources at the P/CWHS where PhilHealth income shall accrue, intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
*For Province/HUC/ICC LGU, only one (1) fund source for this column. Either Trust Fund for Health or SHF, whichever is applicable.
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Annex D
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)

Region: REGION A
Province/HUC/ICC: PROVINCE Y
Municipality/Component ____________
-
City: ___
AOP CY: 2024
Target Resource Requirements (PhP) Fund Source (PhP)
Program/Project/
Municipality/ Name of Province/HUC/ICC LGU Mun/CC LGU
Activities (PPA) Performance
District Component Health Total Total
SERVICE DELIVERY Indicator Q1 Q2 Q3 Q4 Unit Cost Quantity BLGU CO CHD Others Unfunded Remarks
City/ Barangay Facility Target Fund
(Building Block) General Fund
Trust Fund for
Total General Fund
Trust Fund
Total
Health/SHF* for Health

Leadership and
Governance
Strategy 1
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 1
II. Major/Sub-Program 2
Strategy 1 _______
Activity 1
Activity 2
Activity 3
Sub-total
Strategy 2 _______
Activity 1
Activity 2
Activity 3
Sub-total

Strategy 3_______
Activity 1
Activity 2
Activity 3
Sub-total
Sub-total for Major/
Sub-Program 2
Total for (Building Block

(1) Health Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
▪ Strategies - Identified priority interventions that address health needs and health inequities, such as:
▪ Construction; Repair/renovation/expansion of health facilities; Procurement/repair of equipment; Hiring of health workforce; Retention of health workforce; Capacity building/development; Procurement/provision of commodities, medical supplies;
▪ Establishing systems; Monitoring; Policy development; Sectoral collaboration/partnerships; Advocacy/awareness/health promotion campaigns; Research and development; Others
▪ Objective – Desired outcome in 3 years for the Strategy
(2) Performance Indicator for the Strategy - Measurable value/performance measurement to evaluate the success of a strategy/intervention
(3) District - The legislative district where the Strategy will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipality/Component City/Barangay - Specific area where the Strategy will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the Strategy will be applied/conducted
(6) Target - Quantifiable physical target/goal/objective in relation to the performance indicator of a particular strategy
(7) Resource Requirement – Inputs needed to conduct/produce the PPA
§ Items Description - specific description of the items/units to be costed (eg. Capsules, tablets, meals, activity cost etc)
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the P/P/A
§ Quantity - Total Number of the Units to be costed
(8) Fund Source – Which/what office will be able to fund the Strategy output:
§ LGU – Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund - pool of financial resources at the P/CWHS where PhilHealth income shall accrue, intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional health workers and incentives for all health workers
*For Province/HUC/ICC LGU, only one (1) fund source for this column. Either Trust Fund for Health or SHF, whichever is applicable.
§ DOH – Central Office or Centers for Health Development;
§ Others - Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - No funding source has been identified
(10) Remarks - Notes or comments; may specify Other fund sources
Annex C.5

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

Region: BARMM
Province/
Municipality/ SULU
HUC/ICC:
Component PANAMAO
City:
AOP CY: 2024

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


LOCAL GOVERNMENT UNITS (LGU) DOH
Municipality/
District Name of Health Province/HUC/ICC LGU Mun/CC LGU
Component City/ Category Project Description Medical
Facility Infrastructure Motor Vehicle ICT Others Total Cost/ Facility Others Unfunded Remarks
Barangay Equipment Barangay Central Office CHD
Trust Fund for Trust Fund for
General Fund Total General Fund Total
Health/SHF Health

I. Health Facility Development

A. Construction/ Completion/ Repair/ Upgrading/ Equipping

Renovation of
Existing HFEP
Rural Health Unit
District II 1,500,000 1,500,000 1,500,000
Panamao Upgarading RHU (4 in 1), to meet 0 0 0 0
the standard for
RLEC and
PhilHEALTH

Staff House/
District II 1,500,000 1,500,000 1,500,000
Panamao Construction RHU Guess House 0 0 0 0
Construction

Provision of Water
District II
Panamao Construction RHU system (Drilling, 0 0 0 0 500,000 500,000 500,000
Tank and Pipings)

Construction of
District II
Panamao Construction RHU LABORATORY 2,000,000 0 0 0 0 2,000,000 2,000,000
BUILDING

Expansion and
Renovation of
District II
Panamao Upgarading BHS SEIT BHS building 700,000 0 0 0 0 700,000 700,000
with provision of
equipment

District II
Panamao Construction BHS Construction 100,000 0 0 0 0 100,000 100,000

Provision of
Delivery
District II
Panamao Equipping RHU/BHS Equipments: 0 150,000 0 0 0 150,000 150,000
( Delivery Table,
Delivery Set )

Construction of
District II BHS/ Lakit , L
Panamao Construction four 2 BHS, Lakit, 4,000,000 0 0 0 0 4,000,000 4,000,000
patibulan
Lower Patibulan

Concreting of path
District II
Panamao Construction RHU -Suuh way from main 0 0 0 0 2,000,000 2,000,000 2,000,000
RHU to Highway

District II
Panamao Construction
RHU -Suuh/ Procurement of 1,000,000 1,000,000 1,000,000
BHS seit Gen Set

Construction/
District II
Panamao Construction RHU -Suuh Provision of a 700,000 700,000 700,000
teen center

District II
Panamao Construction
RHU -Suuh/ Constrction of 1,000,000 1,000,000 1,000,000
BHS seit Pharmacy room

Constrction of X-
District II
Panamao Construction RHU -Suuh ray Room with 1,500,000 2,500,000 4,000,000 4,000,000
equipments

Provision of
Screening/
District II
Panamao Construction RHU -Suuh Assessment/ 500,000 500,000 500,000
Counselling/Trea
tment Room
(CBRP)

Upgrading of
District II BHS Tabuh
Panamao Construction
Manok
BHS Tabuh 500,000 500,000 500,000
manok

District II Construction of
Panamao Construction RHU Function Hall
1,500,000 0 0 0 0 1,500,000 1,500,000

Completion of four
unfinished BHS by
District II HFEP (BHS Upper
Panamao Completion BHS Patibulan, BHS
3,000,000 0 0 0 0 3,000,000 3,000,000
kanasaali, BHS Kulay
Kulay, BHS Kansipat)

Procurement of
District II Transport
Panamao Motor Vehicle RHU 2,500,000 2,500,000 2,500,000
Vehicle (VAN 18
SEATER)

Sub-total ₱27,150,000.00 ₱27,150,000.00

B. Maintenance and Other Operating Expenses (including operations cost)

District II C/o Panamao District


Panamao Fuel RHU Motor Vehicle Fuel 268,800 268,800 268,800
Hospital

Mother Starter
District II
Panamao Honorarium RHU Pack (Grocery 200,000 200,000 200,000
Items)
C/o Panamao District
District II Hospital
Panamao Honorarium RHU BHW Honorarium 420,000 420,000 420,000

District II Panday
Panamao Honorarium RHU 100,000 100,000
Honorarium

OPD Medications/
Facility Upgrading
District II 372,000 C/O MOH
Panamao Procurement RHU 300,000 400,000 52,000 100,000 852,000 120000 0 120000 360,000 0 360,000 0 0 0 372,000
BARRM

Sub-total ₱1,840,800.00 ₱120,000.00 ₱0.00 ₱120,000.00 ₱360,000.00 ₱0.00 ₱360,000.00 ₱0.00 ₱0.00 ₱1,360,800.00 ₱0.00

II. Information and Communication Technology

Updates on
Iclinicsystym
District II
Panamao Seminar RHU ₱26,316.00 ₱26,316.00 ₱26,316.00 ₱26,316.00

Internet Load/
District II Maintenance
Panamao Seminar RHU 24,000 24,000 24,000

Updates on ITIS
District II
Panamao Seminar RHU 71,429 71,429 71,429

Updates on OLMIS
District II
Panamao Seminar RHU 71,430 71,430 71,430

Relearning
sessions / Updates
on FHSIS &
District II scorecard for all HP
Panamao Seminar RHU 39,474 39,474 39,474

Training workshop
on basic computer
District II operation
Panamao Seminar RHU 325,000 325,000 325,000

District II Training of ICD10


Panamao Seminar RHU 156,667 156,667 156,667
Provisions of
District II reporting and
Panamao Seminar RHU 150,000 150,000 150,000
essential forms
Training on
District II Dashboard for Data
Panamao Seminar RHU 15,000 15,000 15,000
Analysis
Provision of 180000 180000 180000
Dashboard Software
District II and Laptop
Panamao Seminar RHU

Sub-total ₱1,059,314.49 ₱26,316.00 ₱26,316.00 ₱1,008,998.49 ₱0.00

Grand Total ₱30,050,114.49 ₱146,316.00 ₱0.00 ₱146,316.00 ₱360,000.00 ₱0.00 ₱360,000.00 ₱0.00 ₱27,150,000.00 ₱1,008,998.49 ₱1,360,800.00 ₱0.00

Operations Cost - costs to to cover day-to-day requirements of facilities to carry out their regular operationssuch as water utilities, electricity, regular office supplies, rents, gasoline, other maintenance and operating expenses
Annex C.4

AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

Region: BARMM
Province/HUC/ICC: SULU
Municipality: Panamao
AOP Year: 2024

Cost per Fund Source (PhP)


LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

1. Health Facility Development


New Construction
a. LGU Hospital

b. RHU
4,000,000.00
c. BHS

d. Other facilities (please specify):


Staff House/ Guess House
Construction
1,500,000

Provision of Water system


(Drilling, Tank and Pipings)
500,000

Construction of LABORATORY
BUILDING
1,750,000

Septic Vault
100,000

Provision of Screening/ Assessment/


500,000.00
Counselling/Treatment Room
(CBRP)
Construction/Provision of a teen
700,000.00
center

Constrction of Pharmacy room 1,000,000

Constrction of X-ray Room 2,000,000

Concreting of path way from main


RHU to Highway 2,000,000
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Construction of Function Hall


1,500,000
Repair/Improvement/Upgrading
a. LGU Hospital
b. RHU 1,500,000.00
c. BHS 3,500,000.00
d. Other facilities (please specify)
Equipment
a. LGU Hospital
b. RHU 2,150,000.00
c. BHS
d. Other facilities (please specify)
Motor Vehicle
a. LGU Hospital
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

b. RHU 3,500,000.00
c. BHS
d. Other facilities (please specify)
MOOE (including operations cost)
a. LGU Hospital
b. RHU 120,000 120,000 300,000.00 300,000
c. BHS
d. Other facilities (please specify)

2. Information & Communication


Technology
a. LGU Hospital
b. RHU 142857.14
c. BHS
d. Other facilities (please specify)

Sub-Total 120,000 0 120000 300000 0 300000 0 26342857.14

3.*Human Resource for Health

I. HRH Deployment

Please indicate the quantity and


amount per cadre.
a. Physician (specify)
b. Nurse
c. Midwife
d. Medical Technologist
e. Dentist
f. Pharmacist
g. Nutritionist-Dietician
h. Physical Therapist
i. Other HRH, x ray Tech.
II. LGU employment
a. Need for New Plantilla Items
(itemized)
Medical Technologist
Dentist
Pharmacist
Other HRH, x ray Tech.
Medical Secretary
Ambulance Driver
Admin AIDE
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

b. Existing Plantilla Items


(Lumped)

c. Request for New Job


Order/Casual (Lumped
d. Existing Job Order/Casual
(Lumped)
Sub-Total
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF 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

TB PROGRAMS Procurement of
commodities

Acid Fast Staining set( 3x3,492)

Ethyl alcohol 500ml(100 x70)

Cotton 400gm(100 x202)

Digital timer (10x342)

Nitrile gloves(20x372)

earloop/3ply disposable
mask(20 x152)

Assorted office supplies(3,492)

slides (5x130)

Digital timer (10x342)

earloop/3ply disposable
mask(20 x152)

Assorted office supplies(3,492)

slides (5x130)

Cargylee Immersion oil(2x3.492)

Lens paper(5x1,492)
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

denatured alcohol(742)

Sputum Cups: 500x5.08

FAMILY PLANNING
PROGRAMS:
PROCUREMENT OF
COMMODITIES

DMPA Injectables 11,220

Pills COC 7,260

IUD 0

Pillls POP 5,564

Pregnancy kit 46,125

PSI/implanon 5,200

PSI ancillary kit 0

BTL 21,000

Condom 8

Post partum IUD Kit 9,900

106,277

SAFE MOTHERHOOD
PROGRAM:
46,125.00
PROCUREMENT OF
COMMODITIES

Procurement of Iron and Folic


5200
Acid
Procurement of Re-agent for Blood
0
Typing

Procurement of Doppler 21000


Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Procurement of Gloves 8

Procurement of KY Jelly 9900

Procurement of Betadine 6000

Procurement of Cord Clamp 5298

Syringe and needles (3ml and G23) 25067

Syringe and needles (Tuberculine) 25067

Procurement of Oxytocin 121992

Procurement of Vitamin K 30940

Procuremet of ATS 52598

Procurement of Booklet ni Nanay 66300

Procuremet of Opthalmic Ointment


79560
(Teramycin)

Procurement of Oidized Oil Fluid 26741

475671

NATIONAL
IMMUNIZATION
PROGRAM:
PROCUREMENT OF
COMMODITIES

BCG (1 dose/child)

HEP-B (1 dose/child)

OPV (3 dose/child)

IPV 1 dose/childe

DPT: Hib,HepB (3 dose/child)

PCV13 (3 dose/child)
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

MMR (2 dose/child)

MMR (MCV) Vaccine (1


dose/child)/ OPV

TEV

Td Vaccine

Td Vaccine

MR Vaccine

Td Vaccine

PFIZER

HPV Vaccine(2 doses)

PPV

Flu vaccine

NUTRITION PROGRAM:
PROCUREMENT OF
COMMODITIES

ECCD-Card (Child Growth Card) 52,980.00

MUAC TAPE 2,500.00

Ready to Use Therapeutic Food


(RUTF) 1 carton/ child 26,230.00

Vitamin A Capsule,100, 000 IU (1


cap/infant) 792.00

Vitamin Capsule 200,000 IU (2x a


year) 880.00

Vitamin A Capsule 100,000


IU,Capsule (3 cap/infant) 1,589.40

Iron Drops El 15mg/0.6 ml


Bottle (2 bot/Infant) 9,713.00

Micronutirient powders -MNP


sachet (90 sachet/child) 573.30
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Micronutirient powders - MNP


sachet (180sachet/child) 7,410.00
Zinc Drops 27.5 mg/ml ( equiv.
to 10 mg elemental Zinc) 15 ml 7,497.00
bottle dropsBottle
Zinc Syrup, 55 mg/ml ( equiv. to
20 mg elemental Zinc) 60 ml 4,845.00
syrup Bottle
.ORS 20.75g
Replacement ,sachet 937.65

.ORS 20.75g
Replacement ,sachet 1,450.89

Gloves ( Box) 4,275.00

Surgical Mask (box) 2,850.00


OPT forms (sets) - 11 Reams,
MUAC 1 Ream, SAM 5Reams,
MAM 5Reams, MSP-5reams , 1,125.00
Deworming 3 reams ( Total 25
reams)
Weighing Scales (Detecto) Adult 13,500.00

MUAC Tape Adult 15,000.00

CGS Reference Standard (sets) 30,000.00


FREIGHT /handling of
commodities ( Arrival at pier, at
stocks room, and released and 3,340.00
arrival at point of origin)
Mobilization (TEV) 5 heads
(team)x 4 Quarters *3 5,000.00

192,488.24

Soil Transmitted Helminths


Control Program (STHCP)
Procurement of C0mmodities

Albendazole 400 mg chewable


Tablet 2 x a year
Albendazole 400 mg chewable
tab 2 x ayear
Albendazole 400 mg chewable
tab 2 x ayear
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

RABIES PROGRAM:
Procurement of C0mmodities

Posters, leaflets, tarps

Registry, Printing & PE

ITRs, Schedule booklet, Printing


& PE

Rabies Immunoglobulin

Anti Rabies Vaccines

Anti Rabies Vaccines

NON COMMUNCABLE DISEASES


PROGRAM: Procurement of
C0mmodities

MENTAL HEALTH

Medicine

Medicine

Medicine

Medicine

Medicine

Medicine

production and development of


Screening tools
Diabetes Mellitus Medicine
Access Program

Metformin 1000x12months

Insulin 40x12 months


Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Gliclazide 1000x12months

Hypertension Medicine Access


Program

Losartan 50mg 1500x12 months

Amlodipine 5mg 1500x12


months
Simvastatin 20mg 1500x12
months

9. MALARIA PROGRAM:
Procurement of C0mmodities

IEC materials(Php900 x 150pcs) 3600

LLIN: (Php90.00 x 7893,000) 710370

RDT kits@ Php250x5x12mos. 15000

Cotton@Php30x2x12mos. 720

alcohol@ Php56x2x12mos. 1344

bloodlancet@Php600x2x12mos. 14400

glass slides@
Php48.50xbx.x12mos. 1164

immersion oil@
Php850x2x12mos. 20400

lens paper @ Php150x2x12mos 3600

coartem tabs @ Php1200.00x2 2400

primaquine @ Php280.00x2 560

choloro Php200.00 x2 400

Artesunate @Php 1300.00x27 2600

776558
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

10. FILARIASIS ELIMINATION


PROGRAM: Procurement of
C0mmodities

Lab. Supplies

Alcohol

Alohol swab

Freaker

Cotton

BRT

FTS

Tool box

Marker

token

RMT honoraria

RMT transpo

Meals and Snacks

Ballpen

Forms

Forms
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

11. DENGUE PROGRAM:


Procurement of C0mmodities

KIT 52000

KIT 5000

Spray Can 14,990.00

Repair Kit 3,200.00

57000 18,190.00

ADOLESCENT HEALTH &


DEVELOPMENT
PROGRAM:
PROCUREMENT OF
COMMODITIES

Supplement (6026 x 30 Tabs) 126,546.00

126,546.00
SURVEILLANCE: PROCUREMENS
OF COMMODIIES

Notebook's 260.00

Ballpen 260.00

AEFI 300.00

AFP 300.00

ANTHRAX 300.00

MERSCOV 300.00

MEASLES 300.00

MENINGOCOCCEMIA 300.00
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

NEONATAL TETANUS 300.00

PSP 300.00

RABIES 300.00

HAND FOOT AND MOUTH


DISEASE 300.00

ABD 300.00

AES 300.00

AHF 300.00

HEPATITIS 300.00

MENINGITIS 300.00

CHKUNGUNYA 300.00

CHOLERA 300.00

DENGUE 300.00

DIPTHERIA 300.00

INFLUENZA LIKE ILLNESS 300.00

LEPTOSPIROSIS 300.00

MALARIA 300.00

NON NEONATAL TETANUS 300.00

PERTUSSIS 300.00

ROTA VIRUS 300.00

TYPHOID FEVER 300.00

Printing 0.00

AEFI 400.00
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

AFP 400.00

ANTHRAX 400.00

MERSCOV 400.00

MEASLES 400.00

MENINGOCOCCEMIA 400.00

NEONATAL TETANUS 400.00

PSP 400.00

RABIES 400.00

HAND FOOT AND MOUTH


DISEASE 400.00

ABD 400.00

AES 400.00

AHF 400.00

HEPATITIS 400.00

MENINGITIS 400.00

CHKUNGUNYA 400.00

CHOLERA 400.00

DENGUE 400.00

DIPTHERIA 400.00

INFLUENZA LIKE ILLNESS 400.00

LEPTOSPIROSIS 400.00

MALARIA 400.00

NON NEONATAL TETANUS 400.00


Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

PERTUSSIS 400.00

ROTA VIRUS 400.00

TYPHOID FEVER 400.00

18,720.00
Environmental Health and
Sanitation: Procurement of
Commodities

6.00/ tab

279pcs X P1,000.00

Freight:

36boxes X P320.00

279 pcs.X 250.00

kit

HIV/AIDS & STI: Procurement of


Commodities

1. hiv 1/2 test kit (rapid)(1,000


pcX16)
2. Ethyl alcohol 500ml(100
botX1)

3. Cotton 400gm(100 rollX1)

4. Digital timer (10 unitX1)


Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

5. earloop/3ply disposable
mask(20 bxsX16)

6. Nitrile gloves(20bxsX1)

7. Assorted office suppliesX1


1. Azithromycin 500mg(pks 0f
100's in blister of 2 tabs)
2. Cefixime 400 mg capsules(30
caps /pk)
3. Penicillin G Benzathine 1.2 M
unit for IM

4. Metronidazole

1. Gram Stain Kit set 4X500ml

2. TPPHA-Syphilis Confirmatory
test(PA)
3. Syphilis test kit (rapid
test/ICT))
4. Cryovial 2ml(internally
threaded/500s)
5. Blood collection
tube(plain/4cc/100s)

6. Yellow tips(pack of 1000)

7. Nitrile gloves (medium)

8. Glass slides,frosted
ends(72s/bx)
9. Applicator stick w/ cotton on
one end
10. Disposable syringe w/
needle( 3cc/g21)
11. Disposable mask
(3ply/earloop)

DENTAL HEALTH PROGRAM:


Procurement of Commodities

Ultrasonic Scaller
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Reporting forms

NATIONAL LEPROSY CONTROL


PROGRAM: Procurement of
Commodities

MDT - ADULT MB/ Blister Pack

MDT - CHILD MB/ blister pack

MDT - ADULT PB/ blister pack

MDT - CHILD PB/ blister pack

Fusidic acid 2% 5 grams tube

Prednosone (2% of actual 52


cases)
Vit. B Complex

Reporting forms

FOOD AND WATER BORNE


DISEASE PROGRAM:
PROCUREMENT OF
COMMODITIES

Tablet 2x/day/headx7 days=14

Saschet (3/head)

Meds

FHSIS PROGRAM
PROCUREMENT OF SUPPLIES
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

RECORDING FORMS (RIM)

RECORDING FORMS (PC)

RECORDING FORMS (PC)

Reporting forms (RIM)

Reporting forms (RIM)

RECORDING FORMS (RIM)

Sub Total 795,278.00 795,278.00 57,000.00 57,000.00 1,013,682.24


5. Other Technical Assistance
A. Leadership and Governance
Creation of Municipal Anti Drug
Abuse Council 30,000

Re- Activation Of Local Health


Board 10,000
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Conduct Data Quality Check 15798.00


Annual Municipal PIR/ Year End
report (HEALTH SUMMIT) 150000.00

Data Quality Check (DQC)


MUNICIPAL LEVEL
Intensifies Sectoral linkages
approaching system.
B. Financing
RLGU Assistance as MOOE for
Rural Health Unit
PLGU Assistance as MOOE for
Rural Health Unit 120,000.00
MLGU Assistance as MOOE for
Rural Health Unit 300,000.00
Accreditation of the RHU on
MCP of PHIC 2,000
Ordinance or resolution in
support to mother-baby
friendly RHU 2,000

Accreditation of the RHU TB


DOTS on PhilHealth

2,000
C. Health Workforce
Hiring of Dentist

Hring of Pharmacist

Medical Secretary

X Ray Technician

Ambulance Driver
Admin AIDE
Hirng of Medical Technologist
Nurses NDP
MECA II
Trainings for HERO 228,800

D. Information
Updates on OLMIS
71428.5714286

Updates on ITIS
71428.5714286
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Updates on iClinicsys

Relearning sessions / Updates


on FHSIS & scorecard for all HP

Training workshop on basic


computer operation
Training of ICD10
Provisions of reporting and
essential forms
Training on Dashboard for Data
Analysis
Provision of Dashboard Software
and Laptop

E. Supply Chain and Logistics


Management & Health Regulation
NIP PROGRAM (MOBILIZATION
12,000.00
FUND)
NUTRITION PROGRAM
12,000.00
(MOBILIZATION FUND)
FAMILY PLANNING PROGRAM
12,000.00
(MOBILIZATION FUND)
AYRH PROGRAM (MOBILIZATION
12,000.00
FUND)
TB PROGRAM (MOBILIZATION
12,000.00
FUND)
PROCUREMENT OF OPD
MEDICINES AND SUPPLIES 12,000.00
(MOBILIZATION FUND)
NON COMMUNCABLE DISEASES
PROGRAM:( MOBILIZATION 12,000.00
FUND)
FHSIS (MOBILIZATION FUND) 12,000.00
MATERNAL HEALTH PROGRAM
12,000.00
( MOBLIZATION FUND)
MENTAL HEALTH PROGRAM
12,000.00
(MOBILIZATION FUND)

F. Service Delivery (Programs


indicated are not exhaustive)
Sub-total TB PROGRAMS 271,000.00

Sub-total FAMILY PLANNING


106,277.00
PROGRAMS:
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Sub-total SAFE MOTHERHOOD


570,181.00
PROGRAM:

Sub-total NATIONAL
IMMUNIZATION PROGRAM:

Sub-total NUTRITION PROGRAM: 847,219.24

Sub-total Soil Transmitted Helminths


Control Program (STHCP

Sub-total RABIES PROGRAM:

₱90,000.00 ₱90,000.00
Sub-total NON COMMUNCABLE
DISEASES PROGRAM:

Sub-total MALARIA PROGRAM: ₱62,588.00 ₱62,588.00 ₱713,970.00 ₱713,970.00 ₱186,400.00

Sub-total FILARIASIS
ELIMINATION PROGRAM:
₱67,000.00 ₱67,000.00
Sub-total DENGUE PROGRAM: ₱18,190.00

Sub-total ADOLESCENT HEALTH &


DEVELOPMENT PROGRAM:

₱18,720.00
Sub-total SURVEILLANCE: ₱18,720.00

Sub-total Environmental Health and


Sanitation:

Sub-total HIV/AIDS & STI:

Sub-total DENTAL HEALTH


PROGRAM:

Sub-total NATIONAL LEPROSY


CONTROL PROGRAM:

Sub-total FOOD AND WATER


BORNE DISEASE PROGRAM:

Sub-total FHSIS PROGRAM

Sub-total 201308 1,611,568 2262124.382857


Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Categories of Investment Needs Province/HUC/ICC LGU Mun/CC LGU

Trust Fund for Trust Fund for Barangay Central Office


General Fund Total General Fund Total
Health/SHF Health

Total 201,308.00 1,613,568.00 29,412,124.38


DOH

Unfunded Total Remarks


Others
CHD

4,000,000.00

1,500,000

500,000

1,750,000

100,000

500,000.00

700,000.00

1,000,000

2,000,000

2,000,000
DOH

Unfunded Total Remarks


Others
CHD

1,500,000

1,500,000.00
3,500,000.00

2,150,000.00
DOH

Unfunded Total Remarks


Others
CHD

3,500,000.00

360,000.00 360,000.00
72,000.00 72,000.00

892456.14

892456.14 432000 26632000

4,983,716.50
648,000

711,959.00
831,524.20
711,959.05
699,960.00
210,637.00
210,637.00
421,272.00
DOH

Unfunded Total Remarks


Others
CHD

1,089,698

10,519,362.75
DOH

Unfunded Total Remarks


Others
CHD

4,500.00

7,800.00

21,000.00

3,500.00

7,600.00

3,200.00

3,500.00

1,380.00

3,500.00

3,200.00

3,500.00

1,380.00

7,000.00

7,500.00
DOH

Unfunded Total Remarks


Others
CHD

750.00

2,500

81,810.00
DOH

Unfunded Total Remarks


Others
CHD

7522.5

11534.5

8024

125375

80240

852550
DOH

Unfunded Total Remarks


Others
CHD

197125

95380

15500

64533

64533

104036.4

22113

48759984

312936

651955

238835

51612176.4
DOH

Unfunded Total Remarks


Others
CHD

6042

7338.38

5744.14

19124.52
DOH

Unfunded Total Remarks


Others
CHD

45000

3500

550

80000

3200

80000

212250

379.2

14220

126400

11423.4

1580

13667

3800

21481.68

4400
DOH

Unfunded Total Remarks


Others
CHD

17696

28410

11449.23

37880

292786.51
DOH

Unfunded Total Remarks


Others
CHD

11288

490

5250

4900

1225

112500

112500

1000

350

33750

2400

3200

3450

150

6750

2500

301703
DOH

Unfunded Total Remarks


Others
CHD
DOH

Unfunded Total Remarks


Others
CHD
DOH

Unfunded Total Remarks


Others
CHD
DOH

Unfunded Total Remarks


Others
CHD

400

93000

5000

11520

23250

5340

138110

50000

7750

21000

3500
DOH

Unfunded Total Remarks


Others
CHD

32000

7000

3500

63600

38400

69600

1200

28800

405000

60000

12187.5

11760

1237.5

9118.75

5200

9600

6900

6837.5

854191.25

24000
DOH

Unfunded Total Remarks


Others
CHD

11250

35250

5292

1764

2090.88

696.96

840

2520

1260

3000

17463.84

25088

2016

2128

29232
DOH

Unfunded Total Remarks


Others
CHD

14000

99200

99200

14000

14000

14000

53,848,497 54,862,179.24
DOH

Unfunded Total Remarks


Others
CHD

24,570

5,000

432,000.00

831524.2

711959.05

210637
699960

210636
421272
711959
4983716.5
648000
DOH

Unfunded Total Remarks


Others
CHD

26315.78947368

39473.68421053

325,000.00

156,667

150,000

15,000

180,000

244,035.00

222,000
DOH

Unfunded Total Remarks


Others
CHD

1,656,500

99,943,263

₱861,649.52

₱362,250.00

₱905,689.51

₱0.00

₱779,295.00

₱500,000.00

248,487.00

89,200.00

4,506,180.00

708,641.25

57,150.00

145,173.84

132,816.00

428,400.00

122142420.46035 432000 126649420.8432


DOH

Unfunded Total Remarks


Others
CHD

121,733,620.46 432,000 153,392,620.84


Annex C.6

AOP Form 3.2. LGU Investment Need for Human Resource for Health

Region: BARMM
Province/HUC/
SULU
ICC:
Municipality/
Panamao
Component City:
AOP CY: 2024

Cost per Fund Source (Ph


LOCAL GOVERNMENT UNITS (LGU)

Municipality/ Province/HUC/ICC LGU Mun/CC LGU


Name of Health Salary Total Salaries
District Component City/ HRH/ Cadre Number
Facility Grade and Benefits
Barangay Trust Fund
General Trust Fund
for Health/ Total General Fund Total
Fund for Health
SHF

I. HRH Deployment
a. Physician
(specify) 0
b. Nurse Panamao RHU PANAMAO HRH 7 15 ₱4,983,713.35
c. Midwife Panamao RHU PANAMAO HRH 4 11 ₱2,127,349.40
d. Medical
Technologist 0
e. Dentist 0
f. Pharmacist 0
g. Nutritionist-
Dietician 0
h. Physical
Therapist 0

i. Other HRH,
please specify 0
Sub-total ₱7,111,062.75
II. LGU Employment
a. Need for New Plantilla Items* (summary per facility)

₱1,574,142.00
Physician (MHO) Panamao RHU PANAMAO 1 23

Medical ₱711,959.05
Technologist Panamao RHU PANAMAO 1 15

₱831,524.20
Dentist Panamao RHU PANAMAO 1 16

₱711,959.05
Pharmacist Panamao RHU PANAMAO 1 15
₱10,679,392.50
HRH NDP Panamao RHU PANAMAO 15 15
₱450,000.00
Admin AIDE Panamao RHU PANAMAO 3
₱210,636.00
Admin AIDE Panamao RHU PANAMAO 2 6
X Ray ₱349,980.00
Technician Panamao RHU PANAMAO 2 12
Driver Panamao RHU PANAMAO 1 6 ₱210,637.00
Sub-total ₱3,829,584.30

b. Existing Plantilla Items PLANTILLA IS UNDER PANAMAO DISTRICT HOSPITAL


₱0.00
Sub-total PLANTILLA IS UNDER PANAMAO DISTRICT HOSPITAL
c. Request for New Job Order/Casual
IT Panamao RHU PANAMAO 1 ₱228,800.00 ₱228,800.00
Sub-total ₱228,800.00 ₱228,800.00
d. Existing Job Order/Casual
₱0.00 0
Sub-total ₱0.00 0
Total
₱9,658,463.75 ₱228,000.00

NOTES
Column S to include Unfunded
PhP)
DOH

Unfunded Remarks
Others (PhP)
Barangay CO CHD

₱4,983,713.35
₱2,127,349.40

₱7,111,062.75

₱1,574,142.00

₱711,959.05

₱831,524.20

₱711,959.05

₱10,679,392.50

₱450,000.00

₱421,272.00

₱699,960.00

₱210,637.00
₱3,829,584.30

₱0.00
AL
₱9,429,663.75
Annex C.7

AOP Form 3.3. LGU Investment Need for Commodities

Region: BARMM
Province/HUC/ICC: SULU
Municipality/
PANAMAO
Component City:
AOP CY: 2024

Cost per F
LOCAL GOVERNMENT UNITS (LGU)
Municipality/ Total Cost Province/HUC/ICC LGU Mun/CC LGU
Commodities Name of Health Target Estimated Unit
District Component Items/ Description Quantity (Unit Cost x Quantity)
Facility Population Cost (PhP)
City/ Barangay (PhP)
General Trust Fund for General Trust Fund for
Total
Fund Health/SHF Fund Health

TB PROGRAMS Procurement
of commodities
1741

Acid Fast Staining


1 4,500.00 4,500.00
set( 3x3,492)

Ethyl alcohol
500ml(100 x70) 1 7,800.00 7,800.00

Cotton 400gm(100
1 21,000.00 21,000.00
x202)

Digital timer
(10x342) 1 3,500.00 3,500.00

Nitrile
1 7,600.00 7,600.00
gloves(20x372)

earloop/3ply
disposable mask(20 1 3,200.00 3,200.00
x152)

Assorted office
1 3,500.00 3,500.00
supplies(3,492)

slides (5x130) 1 1,380.00 1,380.00


procurement of reagens and RHU
II PANAMAO
supplies for DSSM PANAMAO
Digital timer
1 3,500.00 3,500.00
(10x342)

earloop/3ply
disposable mask(20 1 3,200.00 3,200.00
x152)

Assorted office
1 3,500.00 3,500.00
supplies(3,492)

slides (5x130) 1 1,380.00 1,380.00

Cargylee Immersion
1 7,000.00 7,000.00
oil(2x3.492)

Lens paper(5x1,492) 1 7,500.00 7,500.00

denatured
1 750.00 750.00
alcohol(742)

Sputum Cups:
500x5.08 1 2,500 2,500

Sub-total
81,810.00
FAMILY PLANNING
PROGRAMS:
12,526
PROCUREMENT OF
COMMODITIES

DMPA Injectables 330 34 11,220

Pills COC 242 30 7,260


IUD 0 0 0

Pillls POP 107 52 5,564

Pregnancy kit 615 75 46,125


PEOCURENET OF FP RHU
II PANAMAO
COMMODITIES PANAMAO
PSI/implanon 8 650 5,200

PSI ancillary kit 100 0

BTL 3 7000 21,000

Condom 2 4 8

Post partum IUD Kit 3 3300 9,900

Sub-total 106,277

SAFE MOTHERHOOD
PROGRAM:
12526
PROCUREMENT OF
COMMODITIES

Procurement of
7920 0.70 5544
Iron and Folic Acid

Procurement of Re-
883 28.00 24724
agent for Blood Typing

Procurement of
3 30,000.00 90000
Doppler

Procurement of Gloves 50 171.00 8550

Procurement of KY
12 150.00 1800
Jelly

Procurement of
5 1,200.00 6000
Betadine

Procurement of Cord
883 6.00 5298
Clamp

Syringe and needles


1 25,067.00 25067
(3ml and G23)
PEOCURENET OF SAFE
MOTHERHOOD II PANAMAO RHU PANAMO
COMMODITIES

Syringe and needles


1 25,067.00 25067
(Tuberculine)

Procurement of
442 276.00 121992
Oxytocin
Procurement of
442 70.00 30940
Vitamin K

Procuremet of ATS 442 119.00 52598

Procurement of
442 150.00 66300
Booklet ni Nanay

Procuremet of
Opthalmic Ointment 442 180.00 79560
(Teramycin)

Procurement of
442 60.50 26741
Oidized Oil Fluid

Sub-total 570181

NATIONAL
IMMUNIZATION
PROGRAM: 964
PROCUREMENT OF
COMMODITIES

BCG (1 dose/child) 1,003 7.5 7522.5

HEP-B (1 dose/child) 1,003 11.50 11534.5

OPV (3 dose/child) 1,003 8.00 8024

Procurement of Antigens RHU IPV 1 dose/childe 1,003 125.00


II PANAMAO 125375
among 0-12 months PANAMAO

DPT: Hib,HepB (3
1,003 80 80240
dose/child)

PCV13 (3 dose/child) 1,003 850 852550

MMR (2 dose/child) 2,075 95 197125

MMR (MCV) Vaccine


1,004 95 95380
Procurement of (1 dose/child)/ OPV
Antigens(CATCH UP) follow RHU
II PANAMAO 1527
up defaulters in immunization PANAMAO
among 0-59 months
TEV 31 500 15500

PREGNANT Td Vaccine 6,146 10.5 64533


MOTHER
Procurement regular
RHU
Immunization for pregnant II PANAMAO
PANAMAO
mother and adolescent
ADOLESCENT Td Vaccine 6,146 10.5 64533

MR Vaccine 49.4 104036.4


Conduct of SBIP
RHU 2,106
( Immunization to Grade-I and II PANAMAO SCHOOL/ RHU
PANAMAO
Grade VII students
Td Vaccine 10.5 22113

Conduct daily Covid 19


vaccination
RHU PFIZER 20496 2,379.0
II PANAMAO 20,496 48759984
PANAMAO
Conduct regular Immunization
of HPV to Grade IV ( 9-10 yo FEMALE
RHU HPV Vaccine(2
Female) schools / Community II PANAMAO (SCHOOL & 442 708 312936
PANAMAO doses)
RHU)

conduct Immunization for


elderly ( 60 yo & above)
PPV 1291 505 651955
RHU
II PANAMAO ELDERLY
PANAMAO

Flu vaccine 1291 185 238835

Sub-total 51,612,176.40

NUTRITION
PROGRAM:
1527
PROCUREMENT OF
COMMODITIES

Provision/ issueance of
ECCD-Card (Child Growth RHU ECCD-Card (Child
II PANAMAO 60 883 52,980.00
Card) to 0-59 months old PANAMAO Growth Card)
assessted

Conduct MUAC assessment - RHU MUAC TAPE 50 50


II PANAMAO 2,500.00
6-59 months old Children PANAMAO

Ready to Use
Therapeutic Food
(RUTF) 1 carton/ 2623 10 26,230.00
child

Identification & treatment of RHU Vitamin A


II PANAMAO
SAM 2023 cases enrolled PANAMAO Capsule,100, 000 IU 1.80 440 792.00
(1 cap/infant)

Vitamin Capsule
200,000 IU (2x a 2.00 440 880.00
year)

MAM Mgt
Vitamin A Capsule
RHU 100,000 IU,Capsule 1.80 883
II PANAMAO 1,589.40
PANAMAO (3 cap/infant)

Micronutrient
Supplementation Iron Drops El
RHU 15mg/0.6 ml Bottle 11.00 883
II PANAMAO 9,713.00
PANAMAO (2 bot/Infant)

Micronutirient
Conduct Vitamin A
RHU powders -MNP
supplementation to Infants II PANAMAO 1.30 441 573.30
PANAMAO sachet (90
6-11 months
sachet/child)

Conduct Vitamin A
Supplementation to Micronutirient
children 12-59 months RHU powders - MNP
II PANAMAO sachet 1.30 5700 7,410.00
PANAMAO
(180sachet/child)

Conduct Vitamin A supp.-


High Risk Infants 6-11 Zinc Drops 27.5
months mg/ml ( equiv. to 10
RHU mg elemental Zinc) 17.00 441
II PANAMAO 7,497.00
PANAMAO 15 ml bottle
dropsBottle

Conduct Vitamin A Supp. -


High Risk sick Chidlren 12-
59 months Zinc Syrup, 55
RHU mg/ml ( equiv. to 20
II PANAMAO 17.00 285 4,845.00
PANAMAO mg elemental Zinc)
60 ml syrup Bottle
Conduct Iron
supplementation to- LBW
infants .ORS 20.75g
RHU Replacement ,sache 3.29 285
II PANAMAO 937.65
PANAMAO t

Request and release of


micronutirient Powders
(MNP) to (Infants 6-11 .ORS 20.75g
months) RHU Replacement ,sache 3.29 441
II PANAMAO 1,450.89
PANAMAO t

Conduct regular
supplementation of Zinc
Drops - Infants below 6
RHU Gloves ( Box) 171.00 25
months II PANAMAO 4,275.00
PANAMAO

Conduct regular
supplementation of Zinc
Syrup - Children 6-59 RHU
months II PANAMAO Surgical Mask (box) 57.00 50.00 2,850.00
PANAMAO

OPT forms (sets) -


11 Reams,
MUAC 1 Ream,
Provision of regular supply
RHU SAM 5Reams, MAM
of ORS 20.75g sachet - II PANAMAO 375 3 1,125.00
PANAMAO 5Reams, MSP-
Infants below 6 months
5reams ,
Deworming 3 reams
( Total 25 reams)

provision of regular supply


RHU Weighing Scales
of ORS 20.75g sachet - II PANAMAO 4500 3 13,500.00
PANAMAO (Detecto) Adult
Children 6-59 months

Request and distribute of


Other logestics supports
for caring of High Risk/ Sick
Children and SAM Mgt and II RHU MUAC Tape Adult 50 300
PANAMAO 15,000.00
Diagnostic Tools PANAMAO

RHU CGS Reference


Gloves ( Box) II PANAMAO 100 300 30,000.00
PANAMAO Standard (sets)

Surgical Mask (box)


FREIGHT /handling
of commodities
RHU ( Arrival at pier, at
II PANAMAO stocks room, and 20.00 167.00 3,340.00
PANAMAO
released and arrival
at point of origin)

Request/Production and
distribution of OPT Forms
(WfAge , L/Hfage & WfL/H)
And MUAC, SAM & MAM
Forms, and other Mobilization (TEV) 5
RHU heads (team)x 4 1000 5.00
Micronutrients reports II PANAMAO 5,000.00
PANAMAO Quarters *3

Sub-total 192,488.24
Soil Transmitted
Helminths Control
Program (STHCP)
Procurement of
C0mmodities
Procurement of
Albendazole 400
Albendazole for School RHU
based and community to II PANAMAO 562 mg chewable Tablet 5700 1.06 6,042.00
PANAMAO 2 x a year
1-4yo Preschoolers

Procurement of
Albendazole 400 mg
Albendazole for 5- 9 yo RHU
children in the community II PANAMAO 6346 chewable tab 2 x 6346 1.06 6,726.76
PANAMAO ayear
and school based
Procurement of
Albendazole for 10- 19 yo Albendazole 400 mg
School Children in school RHU
II PANAMAO 10,553 chewable tab 2 x 10,553 1.06 11,186.18
based and in the PANAMAO ayear
Community

Sub-total 23,954.94

RABIES PROGRAM:
Procurement of
C0mmodities

RHU Posters, leaflets,


Provision of IEC Materials II PANAMAO 3 15,000 45,000.00
PANAMAO tarps

RHU Registry, Printing &


II PANAMAO 7 500 3,500.00
PANAMAO PE
Reproduction of Anti
Rabies Treatment Record
ITRs, Schedule
RHU
II PANAMAO booklet, Printing & 1 550 550.00
PANAMAO
PE

RHU Rabies
Provision of Equine Rabies II PANAMAO 40 2000 80,000.00
PANAMAO Immunoglobulin

Provision of Vero Cell RHU Anti Rabies


II PANAMAO 40 80 3,200.00
Injection plus Diluent PANAMAO Vaccines

Provision of Purified Chick


RHU Anti Rabies
Embryo Cell Injection plus II PANAMAO 40 2000 80,000.00
PANAMAO Vaccines
Diluent

Sub-total 212,250.00

NON COMMUNCABLE
DISEASES PROGRAM:
Procurement of Morbidity
C0mmodities

MENTAL HEALTH

a. Chlorpomazine 200 mg
RHU
II PANAMAO Medicine 316 1.2 379.20
PANAMAO

b. Diphenhydramine 50mg
RHU
II PANAMAO Medicine 316 45 14,220.00
PANAMAO

c. Haloperidol 5mg/ml
RHU
II PANAMAO Medicine 316 400 126,400.00
PANAMAO

d. Olanzapine 10mg
RHU
II PANAMAO Medicine 316 36.15 11,423.40
PANAMAO

e. Setraline 50mg
RHU
II PANAMAO Medicine 316 5 1,580.00
PANAMAO

f. Donepezil 10mg
RHU
II PANAMAO Medicine 316 43.25 13,667.00
PANAMAO
C. Provision of assessment
tools for drug dependents
& surrenderies . production and
RHU development of 10 380
II PANAMAO 3,800.00
PANAMAO Screening tools

Diabetes Mellitus
Medicine Access Program
a. Metformin 500mg
RHU Metformin
II PANAMAO 632 33.99 21,481.68
PANAMAO 1000x12months

b. Biphasic Insulin 100IU


mL/10ml vial RHU Insulin 40x12
II PANAMAO 25 176 4,400.00
PANAMAO months

c. Gliclazide 30mg
RHU Gliclazide
II PANAMAO 632 28 17,696.00
PANAMAO 1000x12months

Hypertension Medicine
Access Program

a. Losartan 50mg
RHU Losartan 50mg
II PANAMAO 947 30 28,410.00
PANAMAO 1500x12 months

b. Amlodipine 5mg
RHU Amlodipine 5mg
II PANAMAO 947 12.09 11,449.23
PANAMAO 1500x12 months

c. Simvastatin 20mg RHU Simvastatin 20mg


II PANAMAO 947 40 37,880.00
PANAMAO 1500x12 months
Sub-total
292,786.51

MALARIA PROGRAM:
Procurement of
C0mmodities

IEC
Production of Malaria IEC RHU
II PANAMAO materials(Php900 x 1 3,600.00 3,600.00 3600
materials PANAMAO 150pcs)

Provision of LLIN for RHU LLIN: (Php90.00 x


replacement II PANAMAO 7893,000) 1 710,370.00 710,370.00 710370
PANAMAO

RHU RDT kits@


Provision of RDT kits II PANAMAO Php250x5x12mos. 1 15,000.00 15,000.00 15000
PANAMAO

Cotton@Php30x2x1 1 720.00 720.00 720


2mos.

alcohol@
1 1,344.00 1,344.00 1344
Php56x2x12mos.

bloodlancet@Php60 1 14,400.00 14,400.00 14400


0x2x12mos.
Provision of Laboratotry RHU
Supplies II PANAMAO
PANAMAO glass slides@
Php48.50xbx.x12mo 1 1,164.00 1,164.00 1164
s.

immersion oil@
Php850x2x12mos. 1 20,400.00 20,400.00 20400

lens paper @
1 3,600.00 3,600.00 3600
Php150x2x12mos

coartem tabs @
1 2,400.00 2,400.00 2400
Php1200.00x2

primaquine @
Php280.00x2 1 560.00 560.00 560

Provision of Malarial Drugs


choloro Php200.00
1 400.00 400.00 400
x2

Artesunate @Php
1300.00x27 1 2,600.00 2,600.00 2600

Sub-total
776,558.00 776558
FILARIASIS ELIMINATION
PROGRAM: Procurement
of C0mmodities

Lab. Supplies 1,328 8.50 11,288.00

Alcohol 7 70.00 490.00

Alohol swab 7 750.00 5,250.00

Freaker 7 700.00 4,900.00

Cotton 7 175.00 1,225.00

BRT 450 250.00 112,500.00

FTS 450 250.00 112,500.00

Conduct of Transmission RHU Tool box 2 500.00 1,000.00


Assessment Survey II PANAMAO
PANAMAO
Marker 7 50.00 350.00

token 1,350 25.00 33,750.00

RMT honoraria 4 600.00 2,400.00

3,200.00
RMT transpo 4 800.00
0.00

Meals and Snacks 10 345.00 3,450.00

Ballpen 10 15.00 150.00

Forms 1,350 5.00 6,750.00


Production pf survey forms
RHU Forms 500 5.00
II PANAMAO 2,500.00
PANAMAO

Sub-total
301,703.00

DENGUE PROGRAM:
Procurement of
C0mmodities

Procurement of NS1 kits RHU KIT 100 520


II PANAMAO 52,000.00
PANAMAO

Procurement of IgM/IgG RHU


DENGUE TEST II PANAMAO KIT 5 1000 5,000.00
PANAMAO

Procurement of Sparay Can II RHU Spray Can 1 14,990


PANAMAO 14,990.00
PANAMAO

Procurement of Sparay RHU


II PANAMAO Repair Kit 2 1600 3,200.00
Can repair kit PANAMAO
Sub-total
75,190.00

ADOLESCENT
HEALTH &
DEVELOPMENT
PROGRAM:
PROCUREMENT OF
COMMODITIES

Iron supplementation to RHU Supplement (6026 x


II PANAMAO 1 0.7 126,546.00
non pregnant Adolescent PANAMAO 30 Tabs)

Sub-total 126,546.00
SURVEILLANCE:
PROCUREMENS OF
COMMODIIES

Notebook's 26 10.00 260.00 260.00

Ballpen 26 10.00 260.00 260.00

AEFI 1 300.00 300.00 300.00

AFP 1 300.00 300.00 300.00

ANTHRAX 1 300.00 300.00 300.00

MERSCOV 1 300.00 300.00 300.00

MEASLES 1 300.00 300.00 300.00


MENINGOCOCCEMI
A 1 300.00 300.00 300.00
NEONATAL
TETANUS 1 300.00 300.00 300.00

PSP 1 300.00 300.00 300.00

RABIES 1 300.00 300.00 300.00


HAND FOOT AND
MOUTH DISEASE 1 300.00 300.00 300.00

ABD 1 300.00 300.00 300.00

AES 1 300.00 300.00 300.00

AHF 1 300.00 300.00 300.00

HEPATITIS 1 300.00 300.00 300.00

MENINGITIS 1 300.00 300.00 300.00

CHKUNGUNYA 1 300.00 300.00 300.00

CHOLERA 1 300.00 300.00 300.00

DENGUE 1 300.00 300.00 300.00

DIPTHERIA 1 300.00 300.00 300.00


INFLUENZA LIKE
ILLNESS 1 300.00 300.00 300.00

LEPTOSPIROSIS 1 300.00 300.00 300.00

MALARIA 1 300.00 300.00 300.00


NON NEONATAL
TETANUS 1 300.00 300.00 300.00

PERTUSSIS 1 300.00 300.00 300.00

ROTA VIRUS 1 300.00 300.00 300.00

TRAINING MATERIALS RHU TYPHOID FEVER 1 300.00


II PANAMAO 300.00 300.00
FOR PIDSR PANAMAO
Printing 0.00 0.00

AEFI 1 400.00 400.00 400.00

AFP 1 400.00 400.00 400.00

ANTHRAX 1 400.00 400.00 400.00

MERSCOV 1 400.00 400.00 400.00

MEASLES 1 400.00 400.00 400.00


MENINGOCOCCEMI
A 1 400.00 400.00 400.00
NEONATAL
TETANUS 1 400.00 400.00 400.00

PSP 1 400.00 400.00 400.00

RABIES 1 400.00 400.00 400.00


HAND FOOT AND
MOUTH DISEASE 1 400.00 400.00 400.00

ABD 1 400.00 400.00 400.00

AES 1 400.00 400.00 400.00

AHF 1 400.00 400.00 400.00

HEPATITIS 1 400.00 400.00 400.00

MENINGITIS 1 400.00 400.00 400.00

CHKUNGUNYA 1 400.00 400.00 400.00

CHOLERA 1 400.00 400.00 400.00

DENGUE 1 400.00 400.00 400.00

DIPTHERIA 1 400.00 400.00 400.00


INFLUENZA LIKE
ILLNESS 1 400.00 400.00 400.00

LEPTOSPIROSIS 1 400.00 400.00 400.00

MALARIA 1 400.00 400.00 400.00


NON NEONATAL
TETANUS 1 400.00 400.00 400.00

PERTUSSIS 1 400.00 400.00 400.00

ROTA VIRUS 1 400.00 400.00 400.00

TYPHOID FEVER 1 400.00 400.00 400.00

Sub-total 18,720.00 18,720.00


Environmental Health and
Sanitation: Procurement of
Commodities

Provision of of Drinking
water Disinfection
( Chlorine Tab NaDCC 67mg
) RHU 6.00/ tab 1 4,262,670
II PANAMAO 400.00
PANAMAO

Provision of Toilet Plastic


Bowls 279pcs X P1,000.00 93 1000 93,000.00
RHU
II PANAMAO
PANAMAO
Freight: 1 5,000 5,000.00
Nitrile Gloves
RHU 36boxes X P320.00 1 11,520
II PANAMAO 11,520.00
PANAMAO
12. Provision of Jerry Cans
RHU 279 pcs.X 250.00 93 250
II PANAMAO 23,250.00
PANAMAO

Provision of Water
Sampling Kit RHU
II PANAMAO kit 12 445 5,340.00
PANAMAO

Sub-total 138110

HIV/AIDS & STI:


Procurement of
Commodities

1 50,000.00 50,000.00
1. hiv 1/2 test kit
(rapid)(1,000 pcX16)

1 7,750.00 7,750.00
2. Ethyl alcohol
500ml(100 botX1)

1 21,000.00 21,000.00
3. Cotton
400gm(100 rollX1)

Procurement of HIVTesting RHU


commodities II PANAMAO
PANAMAO
Procurement of HIVTesting RHU 1 3,500.00 3,500.00
commodities II PANAMAO 4. Digital timer (10
PANAMAO
unitX1)

5. earloop/3ply 1 32,000.00 32,000.00


disposable mask(20
bxsX16)

1 7,000.00 7,000.00
6. Nitrile
gloves(20bxsX1)

1 3,500.00 3,500.00
7. Assorted office
suppliesX1

1. Azithromycin
500mg(pks 0f 100's 1 63,600.00 63,600.00
in blister of 2 tabs)

2. Cefixime 400 mg
capsules(30 caps 1 38,400.00 38,400.00
Procurement of /pk)
drugs/medicines for RHU
II PANAMAO
Syphilis and other STI's PANAMAO
3. Penicillin G
Benzathine 1.2 M 1 69,600.00 69,600.00
unit for IM

4. Metronidazole 1 1,200.00 1,200.00

1. Gram Stain Kit set


4X500ml 1 28,800.00 28,800.00

2. TPPHA-Syphilis
Confirmatory 1 405,000.00 405,000.00
test(PA)

3. Syphilis test kit


(rapid test/ICT)) 1 60,000.00 60,000.00

4. Cryovial
2ml(internally 1 12,187.50 12,187.50
threaded/500s)

5. Blood collection
tube(plain/4cc/100s 1 11,760.00 11,760.00
)
Procurement of laboratory
reagents, supplies and RHU 6. Yellow tips(pack
equipments for syphilis and II PANAMAO of 1000) 1 1,237.50 1,237.50
PANAMAO
other sti's

7. Nitrile gloves
(medium) 1 9,118.75 9,118.75

8. Glass
slides,frosted 1 5,200.00 5,200.00
ends(72s/bx)

9. Applicator stick
w/ cotton on one 1 9,600.00 9,600.00
end

10. Disposable
syringe w/ 1 6,900.00 6,900.00
needle( 3cc/g21)

11. Disposable mask


(3ply/earloop) 1 6,837.50 6,837.50

Sub-total 854,191.25

DENTAL HEALTH
PROGRAM: Procurement
of Commodities

Provision of ultrasonic
scalers for prophylaxis on
target client including
pregnant women RHU
II PANAMAO Ultrasonic Scaller 2 12,000 24,000.00
PANAMAO
Provision of oral health
reporting forms (Master
list, ITR, TCL, Summary
table, oral health form 1) RHU Reporting forms 30 375
II PANAMAO 11,250.00
PANAMAO

Sub-total 35,250.00

NATIONAL LEPROSY
CONTROL PROGRAM:
Procurement of
Commodities

MDT - ADULT MB/


Blister Pack
72 73.50 5,292.00

MDT - CHILD MB/


blister pack
24 73.50 1,764.00

MDT - ADULT PB/


blister pack
72 29.04 2,090.88
Provision of MDT Drugs
PB,MB for Adult & MDT - CHILD PB/
Children, loose prednision RHU blister pack
II PANAMAO 24 29.04 696.96
10 mg tab., Fusidic acid 2% PANAMAO
5 grams tube, Vit. B
complex Fusidic acid 2% 5
grams tube
16 52.50 840.00

Prednosone (2% of
actual 52 cases)
1008 2.5 2,520.00

Vit. B Complex
1008 1.25 1,260.00

Provision of reporting
foms: ITR, treatment regist.
Form, Quarterly, Annual
cohort analysis PB, Annual
cohort analysis MB. RHU
II PANAMAO Reporting forms 8 375 3,000.00
PANAMAO

Sub-total 17,463.84
FOOD AND WATER BORNE
DISEASE PROGRAM:
PROCUREMENT OF
COMMODITIES

Procurement of
Ciprofloxacin 500mg tab Tablet
2x/day/headx7 1568 16 25,088.00
days=14
Procurement of Oral
Rehydration Salt sachet
Saschet (3/head) 336 6 2,016.00

Procurement of deloxanide
Meds 112 19 2,128.00

Sub-total 29,232.00

FHSIS PROGRAM
PROCUREMENT OF
SUPPLIES

RECORDING FORMS
PROVIDE ITR 20 700 14,000.00
(RIM)

PROVIDE TCL (ALL RECORDING FORMS


248 400 99,200.00
PROGRAMS) (PC)

PROVIDE SUMMARY TABLE RECORDING FORMS


248 400 99,200.00
(ALL PROGRAMS) (PC)

PROVIDE M1 FORMS Reporting forms (RIM) 20 700 14,000.00


PROVIDE M2 FORMS Reporting forms (RIM) 20 700 14,000.00

RECORDING FORMS
PROVIDEOTHER FORMS 20 700 14,000.00
(RIM)

Sub-total 254400

GRAND TOTAL 55,719,288.18 795,278.00


Sub-total Major Program 2

Total
er Fund Source (PhP)
DOH
U
Remarks
Others Unfunded
Barangay Central Office CHD
Total

4,500.00

7,800.00

21,000.00

3,500.00

7,600.00

3,200.00

3,500.00

1,380.00

3,500.00

3,200.00

3,500.00

1,380.00

7,000.00

7,500.00

750.00

2,500

81,810.00
11,220

7,260
0

5,564

46,125

5,200

21,000

9,900

106,277

106,277.00

5544

24724

90000

8550

1800

6000

5298

25067

25067

121992
30940

52598

66300

79560

26741

570181

7522.5

11534.5

8024

125375

80240

852550

197125

95380

15500

64533

64533

104036.4

22113

48759984
312936

651955

238835

51612176.4

52,980.00

2,500.00

26,230.00

792.00

880.00

1,589.40

9,713.00

573.30

7,410.00

7,497.00

4,845.00
937.65

1,450.89

4,275.00

2,850.00

1,125.00

13,500.00

15,000.00

30,000.00

3,340.00

5,000.00

192,488.24

6042

7338.38
5744.14

19124.52

45000

3500

550

80000

3200

80000

212250

379.2

14220

126400

11423.4

1580

13667

3800
21481.68

4400

17696

28410

11449.23

37880

292786.51
11288

490

5250

4900

1225

112500

112500

1000

350

33750

2400

3200

3450

150

6750

2500

301703

52000

5000

14,990.00

3,200.00

57000 18,190.00

126,546.00

126546.00
400

93000

5000

11520

23250

5340

138110

50000

7750

21000
3500

32000

7000

3500

63600

38400

69600

1200

28800

405000

60000

12187.5

11760

1237.5

9118.75

5200

9600

6900

6837.5

854191.25

24000
11250

35250

5292

1764

2090.88

696.96

840

2520

1260

3000

17463.84

25088

2016

2128

29232

14000

99200

99200

14000
14000

14000

254400

57,000.00 1,013,682.24 53,848,497.52


Annex C.8

AOP Form 3.4. LGU Investment Need for Other Technical Assistance

Region: BARMM
Province/HUC/ICC: SULU

Municipality/
PANAMAO
Component City:
AOP CY: 2024

Resource Requirements (PhP)


Target
LOCAL GOVERNMENT UNITS (LGU)
Municipality/ Province/HUC/ICC LGU Mun/CC LG
Activities Total Cost
Component City/
Items Description Unit Cost Quantity (Unit Cost x Quantity) Trust
Barangay Q1 Q2 Q3 Q4 Total Target (PhP) Trust Fund for Fund
General Fund Total General Fund
Health/SHF for
Health

A. Leadership and
Governance
MATERNAL HEALTH

Transpo:
Data Quality Check Transportation 600/pax ,meal
Panamao 26 0 0 0 26 26 24,570.00
(DQC) MUNICIPAL LEVEL / Meal& &
snacks Snack-345/pax

Intensifies Sectoral
linkages approaching Panamao 1 0 1 0 2 Meal/Transpo 2,500.00 2 5,000.00
system.

29,570.00
Sub-total Leadership and Governance

B. Financing

RLGU Assistance as Financial


MOOE for Rural Health Panamao 3 3 3 3 12 Assistance as 36,000.00 12 432,000.00
Unit MOOE
432,000.00
Sub-total Financing

C. Health Worksforce

Health Emergency
Response
Trainings for HERO Panamao 26 0 0 0 0 (2,200*26*4) 1 228,800 228,800
Operation
(HERO)

Sub-total Health Workforce 228,800.00

D. Information

PROGRAM: MALARIA

Updates on OLMIS Panamao 1 0 0 1 2 training 35714 2.00 71428.5714285714

PROGRAM: TB

Updates on ITIS
Panamao 1 0 0 1 2 training 35714 2.00 71428.5714285714

OTHER PROGRAM

Updates on iClinicsys Panamao RHU 1 0 0 0 1 Trainings 26315.79 1 26315.7894736842

Relearning sessions /
Updates on FHSIS &
scorecard for all HP
Panamao RHU 3 0 0 0 3 Trainings 13157.894736842 3 39473.6842105263

Training workshop on
basic computer
operation
Panamao RHU 26 0 0 0 26 Trainings 12500 26 325,000.00
Training of ICD10

Panamao RHU 1 0 0 1 2 Training 78333.33 2 156666.666666667

Provisions of reporting
and essential forms
Supplies and
Panamao RHU 0 3 0 0 3 Materials 50000 3 150000

Training on Dashboard
for Data Analysis
Panamao RHU 3 0 0 0 3 Training 5000 3 15000

Provision of Dashboard
Software and Laptop
Panamao RHU 1 1 2 Supplies 90000 2 180,000

Sub-total Information 1,035,313.28

E. Supply Chain & Logistics


Management (Health
Regulation)
NIP PROGRAM (MOBILIZATION RHU PANAMAO 1 1 1 1 4 Transportation 3000.00 4 12,000.00
FUND)
NUTRITION PROGRAM RHU PANAMAO Transportation 3000.00 4 12,000.00
1 1 1 1 4
(MOBILIZATION FUND)

FAMILY PLANNING PROGRAM RHU PANAMAO Transportation 3000.00 4 12,000.00


1 1 1 1 4
(MOBILIZATION FUND)

AYRH PROGRAM RHU PANAMAO Transportation 3000.00 4 12,000.00


1 1 1 1 4
(MOBILIZATION FUND)

TB PROGRAM (MOBILIZATION RHU PANAMAO Transportation 3000.00 4 12,000.00


1 1 1 1 4
FUND)
PROCUREMENT OF OPD
MEDICINES AND SUPPLIES RHU PANAMAO 1 1 1 1 4 Transportation 3000.00 4 12,000.00
(MOBILIZATION FUND)

NON COMMUNCABLE
DISEASES PROGRAM: RHU PANAMAO 1 1 1 1 4 Transportation 3000.00 4 12,000.00
( MOBILIZATION FUND)

FHSIS (MOBILIZATION FUND) RHU PANAMAO 1 1 1 1 4 Transportation 3000.00 4 12,000.00

MATERNAL HEALTH
PROGRAM ( MOBLIZATION RHU PANAMAO 1 1 1 1 4 Transportation 3000.00 4 12,000.00
FUND)

MENTAL HEALTH PROGRAM RHU PANAMAO Transportation 3000.00 4 12,000.00


1 1 1 1 4
(MOBILIZATION FUND)

120,000.00
Sub-total Supply Chain & Logistics Management (Health Regulation)

F. Service Delivery

TB PROGRAMS:
Capacity
Building/Development

MOP Training Panamao RHU 0 1 0 0 1 MOP seminar 176,000 1 176,000

smearer Training Panamao RHU 5 5 5 0 15 Training 95,000 1 95,000

meals &
Panamao RHU accommodation: 5,000 4 20,000.00
Training on Direct Sputum 2,500x2
Smear Microscopy for 0 1 1 1 3
Meca/Midwives
TEV 12,500 50,000.00

TB PROGRAMS:
ADVOCACY
Transfo:250/
head, meals &
Intensify active case findings Panamao RHU 0 5 0 0 1 Snacks 345/headx 18,445 5 92,225
31 barangay

FAMILY PLANNING
PROGRAMS: Capacity
Building/Development

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
1. FP CBT-I Panamao 2 0 2 1 5 Training 333 Training 5 30,000.00
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,533

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
FP CBT Level II Panamao 2 0 2 1 5 Training 333 Training 5 30,000.00
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,534

Meals/snacks-
400.00 Perdiem-
1,600
Accommodation-
Training for BHW on FP
Panamao 36 0 0 0 36 Seminar 333 Training 36 72,000.00
IPCC
kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,536

FAMILY PLANNING
PROGRAMS: ADVOCACY
AWARENESS& HEALTH
PROMOTION CAMPAIGN

Meals/snacks,
Orientation of FATWA on FP Panamao 15 15 15 15 60 Seminar transpo, perdiem. 60 30,000.00
Etc =500

Meals/snacks,
Conduct FDS Panamao 15 15 15 15 60 Session transpo, perdiem. 60 30,000.00
Etc =500

Meals/snacks,
Conduct Catch & Change Panamao 15 15 15 15 60 Session transpo, perdiem. 60 30,000.00
Etc =500

SAFE MOTHERHOOD
PROGRAM: Capacity
Building/ Development

BEMONC Training RNs Panamao 1 0 1 1 3 Pax 30,353.15 3 91,059.45 273,178.00

BEMONC Training for RMs Panamao 1 1 1 1 4 Pax 23,953.15 4 95,812.60 239,531.00

Transpo
3000/Pax
Meals&Accommo
Maternal Death Review
Panamao 0 0 0 23 23 Pax dation 5500/pax 23 264,500.00 264,500.00
(MDR)
Per diem
3000/Pax x 19
RHUs = 11,500
Meal/snacks-
400.00
Perdiem-1,600

Accomodation-
Training on Caring for
Mothers and Newborn in the 333
Panamao 2 1 2 2 7 Pax 7 171,731.00 466,127.00
Community (CMNC) Year 1 Training kit-1,000

Transportation:
(refer to matrix)-
21,200 =
P24,533

Meal/snacks-
400.00
Perdiem-1,600

Accomodation-
Training on Mother-Baby
Friendly Health Initiatives 333
Panamao 2 2 2 1 7 Pax 7 171,731.00 466,127.00
(MBFHI) Year 1 Training kit-1,000

Transportation:
(refer to matrix)-
21,200 =
P24,533

Meal/snacks-400
Training
kit-1000
Pregnancy Tracking
Orientation for BHW Panamao 35 0 0 0 35 Pax Transportation: 35 791,000.00 791,000.00
(refer to matrix)-
21,200
= 22,600

Meal/snacks-
400.00
Perdiem-1,600

Accomodation-
333
Supportive supervision for
CMNC trained midwives Panamao 2 0 0 0 0 Pax Training kit-1,000 2 49,066.00 171,731.00

Transportation:
(refer to
matrix)-21,200
= P24,533

SAFE MOTHERHOOD
PROGRAM: ADVOCACY
AWARENESS & HEALTH
PROMOTION CAMPAIGN

meals/ transpo=
Panday Dialogue Panamao 31 Session 31 ₱21,600.00
700

NATIONAL
IMMUNIZATION
PROGRAM: CAPACITY
BUILDING &
DEVELOPMENT

Inventory of Vaccines Panamao 1 0 0 0 1 TEV 2x a year 1,000 2 2,000.00

Attendance to TOT Training of


Manual of Procedures on NIP
Board and
Panamao 1 0 0 0 1 Lodging and TEV 25,000 1 25,000.00

Conduct Rool out Training on


Manual of Procedures ( MOP) Board and
on NIP Lodging and TEV ,
Panamao 0 1 0 0 1 meals and snacks. 26,000 1 26,000.00
Training Kits &
Venue

Attendance to EPI Mid -Level


Manager Course of Program
coordinators ( 2)
Board and
Panamao 1 0 0 0 1 Lodging and TEV 26,000 1 26,000.00

Conduct rollout training


Cold Chain Management
among RHU Staff TEV, Meals &
Panamao 26 0 0 0 26 snacks, Training 5,000 26 130,000.00
Kits & Venue
NATIONAL
IMMUNIZATION
PROGRAM: ADVOCACY
AWARENESS & HEALTH
PROMOTION CAMPAIGN

Transpo 300,
Door to door Immunization Meals &
among missed Children 0-59 Panamao 8 6 6 6 26 snacks400 / Head 21,700 26 564200
mos x 31 barangay=
700

NUTRITION PROGRAM:
CAPACITY BUILDING
AND DEVELOPMENT
Per Diem @1600
x 26 pax
26 pax x 41,600.00 1 41,600.00
0 0 - 5days

Meals and Snacks


@500/pax x 65,000.00 1 65,000.00
5days x26 Heads

Training Kits
@500/pax 13,000.00 1 13000.00

Venue:
3000/days x 5 15,000.00 1 15,000.00
days

Training
Training of Trainers on Idol Ko Materials 60,000.00 1 60,000.00
Si Nanay @6000/batch

Contingency
Fund 3,000.00 1 3,000.00
@3000/batch

Transportation :
800/ pax 20,800.00 1 20,800.00

Printing of
Training Manuals
(Participatory
Cooking Demo 26,000.00 1 26,000.00
and Idol Ko Si
Nanay)
@1000/pax
Panamao 26 pax x
Municiaplity 5days

Meals and Snacks


@500/pax x 64,000.00 1 64,000.00
5days x31 Heads
32pax x 64pax x
0 2days - 2days

Training Kits
@500/pax 32,000.00 1 32000.00

Venue:
3000/days x 2 6,000.00 1 6,000.00
days

e. Training
Materials 6,000.00 1 6,000.00
@6000/batch

Contingency
Fund 3,000.00 1 3,000.00
@3000/batch

Transportation :
Panamao @ 20,800.00 1 20,800.00
800/pax

Printing of
Training Manuals
(Participatory
Cooking Demo 31.00 1 31.00
and Idol Ko Si
Nanay)
@1000/pax

Per Diem of 5
Facilitators 49600.00 1 49600.00
@1600/Pax
Meals and Snacks
(500./Pax x 3 46,500.00 1 46500.00
DaysX 31)

meals and snacks


of Facilitators ( 5 6000 1 6000.00
pax 400* 3 days)

Training Kits
@500/pax 15000 1 15000.00

Accommodation
@1000/Room for 33,000 1 33000.00
3 *5 days

Barangay Nutrition Scholar


(BNS) Training RHU/ BHS 0 31 0 0 31
Training
Materials 5000 1 5000.00
@5,000/batch

Contingency Fund
(3000/batch) 3000 1 5000

Transportation
(following metrix:
by municipality)
+3 Facilitators 5000 1 5000
/municipality & 5
TWG
/supervisors)

Venue
@3000/Day x 9,000.00 1 9000.00
3Days

Practicum 2000.
x 2 jeep/batch 2000 1 2000.00

Soil Transmitted Helminths


Control Program (STHCP)
ADVOCACY AWARENESS &
HEALTH PROMOTION

Transpo
Conduct of NSDM in School RHUs and all 250/head, meals
based and community to 1- Schools & 8 0 7 0 15 & snacks 345/ 18,445.00 15 276675.00
4yo Preschoolers communities Head x 31
barangay

Transpo
Conduct Deworming to 5- 9 RHUs and all 250/head, meals
yo children in the community Schools & 8 0 7 0 15 & snacks 345/ 18,445.00 15 276675.00
and school based communities Head x 31
barangay

Transpo
Conduct deworming to 10- RHUs and all 250/head, meals
19 yo School Children in Schools & & snacks 345/
school based and in the 8 0 7 0 15 18,445.00 15 276675.00
communities Head x 31
Community barangay

RHUs and all Mobilization (TEV)


Production and distribution of Schools & 1000./head x 5
deworming forms 1 0 0 0 1 1,000.00 10 10000.00
communities heads (team)x2

NSDM Monitoring and


Supervision in school and RHUs and all
community Schools & 0 0 1 0 1 Travel 2,500.00 1 2500.00
communities

RABIES PROGRAM: CAPACITY


BUILDING AND
DEVELOPMENT

Training
Materials,
Orientation /Training on
PANAMAO 3 2 3 2 10 Transpo, per 15,000 10 150,000
rabies management
diem, board and
lodging

NON COMMUNCABLE
DISEASES PROGRAM:
CAPACITY BUILDING/
DEVELOPMENT

Training on Health and


wellness program for Person Hotel
with disabilities accomodation,
PANAMAO 2 0 0 0 2 meals, 25000 2 50000
transportation,
per diem,
Training on Blindness
prevention and Primary eye Hotel
care accomodation,
PANAMAO 2 2 2 1 7 meals, 25000 7 175000
transportation,
per diem,

Training on Violence and


injury prevention Hotel
accomodation,
PANAMAO 1 0 0 1 2 meals, 25000 2 50000
transportation,
per diem,

Training on early detection of


breast cancer Hotel
accomodation,
PANAMAO 2 0 0 0 2 meals, 25000 2 50000
transportation,
per diem,

Orientation/Training on
online Phiippine registry for Hotel
PWD accomodation,
PANAMAO 2 0 0 0 2 meals, 25000 2 50000
transportation,
per diem,

a. Training on MhGap for


doctors , PHN and other PANAMAO 2 1 1 1 5 training 11,100.00 5 55500
health staff.

NON COMMUNCABLE
DISEASES PROGRAM:
Advocacy Awareness & Health
Promotion Campaign

Medical supplies
Blood Pressure PANAMAO 1 0 0 0 1 and logistics, 50000 1 50000 50000
meals and snacks,

Medical supplies
Blood Sugar PANAMAO 1 0 0 0 1 and logistics, 50000 1 50000 50000
meals and snacks,

Medical supplies
Urinalysis PANAMAO 1 0 0 0 1 and logistics, 50000 1 50000 50000
meals and snacks,

Tarpaulins,
leaflets, Materials
for audeo/video
Advocacy on dangerous drug making, airtime 15000
use PANAMAO 6 0 0 0 6 6 90000 90,000
fees, honoraria,
snacks for
speaker

Tarpaulins,
Advocacy and promotion of leaflets, Materials
Healthy life style, smoking for audeo/video
cessation, alcohol use and making, airtime 30,000
cancer prevention through PANAMAO 1 0 0 0 1 1 30,000
fees, honoraria,
radio plugging (Amanat snacks for
Kasambuhan) speaker

Celebration of Mental Health


month PANAMAO 3 0 0 0 3 Tarpaulin 801 3 2,403

MALARIA PROGRAM:
CAPACITY BUILDING/
DEVELOPMENT

a. Per Diem
@1600 x 26 pax
MOOE 41,600.00 1 41,600.00

b. Meals and
Snacks @500/pax 39,000.00 1 39,000.00
x 3days x26 Heads

c. Training Kits
@500/pax 13,000.00 1 13000.00

ONLINE MALARIAL Panamao 26 pax x d. Venue:


INFORMATION SYSYTEM Municiaplity 3days 0 0 - 26
3000/days x 3 9,000.00 1 9,000.00
days
e. Training
Materials @6000 60,000.00 1 60,000.00

f.. Contingency
Fund @3000/ 3,000.00 1 3,000.00

g.
Transportation : 20,800.00 1 20,800.00
800/ pax

Training on Neglected
Tropical Disease management PANAMAO 1 0 0 1 1 training 75, 000 2 150,000
Information System

FILARIASIS ELIMINATION
PROGRAM: ADVOCACY
AWARENESS & HEALTH
PROMOTION CAMPAIGN

Awareness campaign on
Filariasis to maintain Zero
case.
IEC materials
PANAMAO 1(2tarp) (tarpaulin) 500.00 2 1,000.00

LF Deformity Survey

Transpo/350,
meals and Snacks
PANAMAO 0 15 0 0 15 350=700x31 21,700.00 15 325,500.00
barangay

Filariasis Awareness Month


Celebration
PANAMAO 1(500 tarp) Tarp 500 2 1,000.00

DENGUE PROGRAM: Capacity


BUILDING/ DEVELOPMENT

Training in for Targeted


Residual Spraying PANAMAO 2 1 2 0 5 pax Training 500,000 1 500,000

DENGUE PROGRAM:
ADVOCACY AWARENESS &
PROMOTION CAMPAIGN

Dengue awareness month


celebration through School to
School awareness campaign
and spraying PANAMAO 1(5) 0 0 1(5) 2(10) Honoraria 1000 10 10,000 10,000

ADOLESCENT HEALTH &


DEVELOPMENT
PROGRAM: Capacity
Building/ Development

Meals/snacks-
400.00 Perdiem-
1,600
Training on Gender and Transpo, Accommodation-
Development for field health PANAMAO 2 0 0 2 4 Accomodation,Per 333 Training 4 98,132.00
workers diem, Training kit kit- 1,000
Transportation
(refer to matrix)
21,200 = 24,533
ADOLESCENT HEALTH &
DEVELOPMENT
PROGRAM:ADVOCACY
AWARENESS &
PROMOTION CAMPAIGN

Meals/snacks-
Transpo,
Orientation to parents on PANAMAO 400.00 ,
31 0 0 0 31 Accomodation,Per 31 27,900.00
VAWC Transportation
diem, Training kit
500 = 900
Meals/snacks-
Transpo,
Celebration of Women's PANAMAO 400.00 ,
0 31 0 0 31 Accomodation,Per 31 27,900.00
month Transportation
diem, Training kit
500 = 900

Meals/snacks-
CATCH and CHANGE to Transpo,
PANAMAO 400.00 ,
address Gender issues and 0 25 0 0 25 Accomodation,Per 25 22,500.00
Transportation
concerns diem, Training kit
500 = 900

Meals/snacks-
School to school activities on Transpo, 400.00 ,
Gender sensitivity and PANAMAO 0 0 25 0 26 Accomodation,Per Transportation 26 23,400.00
empowerment diem, Training kit 500 = 900x 2
day= 1800

Meals/snacks-
Out of school youth activities Transpo,
PANAMAO 400.00 ,
on Gender sensitiivty and 0 0 0 40 40 Accomodation,Per 40 36,000.00
Transportation
empowerment diem, Training kit
500 = 900

SURVEILLANCE: CAPACITY
BUILDING/ DEVELOPMENT

PIDSR and Event Surveillance 1 (2 1 (2


and Response Training PANAMAO pax/activity) 0 0 0 pax/activity) Transpo 7900.00 2 15,800.00

Training on Basic 1 (2 1 (2
Epidiomology PANAMAO 0 pax/activity) 0 0 pax/activity) Transpo 7900.00 2 15,800.00

Training on Vaccine (2 (2 Transpo/ Meal&


preventable disease PANAMAO 0 0 pax/activity) 0 pax/activity) snacks 7900.00 2 15,800.00
surveillance

Training on outbreak (2 (2 Transpo/ Meal&


response PANAMAO 0 0 0 pax/activity) pax/activity) snacks 7900.00 2 15,800.00

Conduct re-echo and 1 (26 1 (26


orientation for PIDSR PANAMAO 0 0 0 pax/activity) pax/activity) Meals/Transpo 1000.00 26 26,000.00

Environmental Health and


Sanitation: Capacity Building
& Development

TEV:2 pax X 800 X


PANAMAO 2days 3200.00 1 3200.00

1(2pax/ 1(2pax/ Local transpo:


Basic Training for new SIs activity) 0 0 0 activity) 5,000 x 2 pax 10000.00 1 10000.00

Food and
Accommodation:
2,500 X 2 pax X 5 25000.00 1 25000.00
days

Registration
fee:4,500 X 2 pax 9000.00 1 9000.00

Trainining for water 1(2pax/ 1(2pax/


collectors PANAMAO activity) 0 0 0 activity)

Training cost:
10,000 X 2 pax 20000.00 1 20000.00

TEV:2 pax X 800 X


2days 3200.00 1 3200.00

Orientation on the Food and


formulation and development PANAMAO 1 0 0 0 1 Accom: P2,500 X 25000.00 1 25000.00
of ZOD 2 pax X 5 days

Local Transpo:
P 5,000x 2 10000.00 1 10000.00
pax
meals& 1 25,000
accomodation: 25,000
Training of trainers (TOT) 2,500x2x5
on HIV Counselling and
Panamao 1 0 0 1 2 pax
testing(HCT) among
Health Providers

tev: 5,200x2x2 20,800 1 20,800

PANAMAO meals :750x3 540,000 540,000

4 (30
pax/activi
Counselling training for ty) 4 (30
Venue 12,000 12,000
Outreach / Barangay 0 0 0 pax/activi 1
Health Workers ty) rental:1,000x3
x4

TEV: 1,600x30 48,000 48,000

DENTAL HEALTH PROGRAM:


ADVOCACY AWARENESS AND
PROMOTION CAMPAIGN

Toothbrush,
toothpaste(polly
PANAMAO 150 0 0 0 150 paste), Fluoride
varnish, ART, flip
charts, TEV

Toothbrush 20 150 3,000

Toothpaste (POLY
School hoping with PASTE) 250 8 2,000
distribution of free
toothbrush and tooth
paste( Pollypaste), Fluoride
application and ART on 10
selected Daycare center
within Jolo during oral health
month celebration Fluoride varnish 50 150 7,500

ART kit 2,900 3 8,700

Flip chart 300 1 300

TEV x 10 daycare
centr. 200 2 400

NATIONAL LEPROSY CONTROL


PROGRAM: Capacity Building/
Development

Transpo., Per
diem. Hotel and
meals. Train. Kits,
venue

Transpo /rate
accdng to Muns
600.00 26 15,600

Per diem (before


and after)

1600 26 41,600

3 days rollout training on Hotels/ 3 pax/rm


Leprosy case Identification x 3 days
and management and ILIS for PANAMAO 26pax 0 0 0 26pax
Nurses and Midwives 1000 0 -
Meals and snacks
x 3 days
345 78 26,910

Training Kits

100 26 2,600

Venue (OROSA
HALL) x 3 days
2000 3 6,000

NATIONAL LEPROSY CONTROL


PROGRAM: ADVOCACY
AWARENESS & PROMOTION
CAMPAIGN

Public
• World Leprosy day celebratio Panamao 0 0 Mases 0 0 celebration 600,000 1 35,000.00

FOOD AND WATER BORNE


DISEASE PROGRAM: CAPACITY
BUILDING/ DEVELOPMENT

Per diem,
transpo, meals,
hotel accom,
training kit, venue

Transpo /rate
accdng to Muns.

600.00 26 15,600

Per diem (before


and after)
3 days roll-out training on
Surveillance, Outbreak 800 26 20,800
investigation and response to Panamao 26 0 0 0 26
microbial Agents of Food and
Water borne disease
Hotels/ 3 pax/rm
x 3 days
1000 26 26,000

Meals and snacks


x 3 days
250 26 6,500

Training Kits

100 26 2,600

Venue x 3 days

2000 3 6,000

FOOD AND WATER BORNE


DISEASE PROGRAM:
ADVOCACY AWARENESS &
PROMOTION CAMAPAIGN

TEV, Face mask,


gloves

TEVs 200 x 31
days x 2 SI 12,400 2 24,800
1. Quarterly inspection of
Food establishment including
sidewalk food vendors on Panamao 2 2 2 0 6
proper handling.
proper handling.

Face mask BOX 150 4 600

Gloves BOX 171 4 684

7,752,017.05
Sub total SERVICE DELIVERY

GRAND TOTAL 9,597,700.33 0 - 0 -


Fund Source (PhP)
U) DOH
C LGU
Unfunded Remarks
Others (PhP)
Barangay Central Office CHD
Total

24,570.00

5,000.00

29,570.00

432,000.00

432,000.00

228,800

228,800

71428.5714285714

71428.5714285714

26315.7894736842

39473.6842105263

325000
156666.666666667

150000

15000

180000

1035313.28

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

12,000.00

120,000.00

176,000

95,000

20,000.00

50,000.00
92,225

30,000.00

30,000.00

72,000.00

30,000

30,000

30,000

91,059.45 -

95,812.60 -

264,500.00 -
171,731.00 -

171,731.00 -

791,000.00 -

49,066.00 -

₱21,600.00

2,000.00

25,000.00

26,000.00

26,000.00

130,000.00
564,200.00

41600

65000

13000

15000

60000

3000

20800

26000

64000

32000

6000

6000

3000

20800

31

49600
46500

6000

15000

33000

5000

5000

5000

9000

2000

276675.00

276675.00

276675.00

10000.00

2500.00

150,000

50,000.00 -
175,000.00 -

50,000.00 -

50,000.00 -

50,000.00 -

55,500.00 -

50000

50000

50000

90,000 0

30000

2403

41,600.00

39,000.00

13,000.00

9,000.00
60,000.00

3,000.00

20,800.00

150, 000

1,000.00

325,500.00

1,000.00

500,000

10,000

98,132.00

27,900.00
27,900.00

22,500.00

23,400.00

36,000.00

15,800.00

15,800.00

15,800.00

15,800.00

26,000.00

3200.00

10000.00

25000.00

9000.00

20000.00

3200.00

25000.00

10000.00
25,000

20,800

540,000

12,000

48,000

3,000

2,000

7,500

8,700

300

400

15,600

41,600

-
26,910

2,600

6,000

35,000.00

15,600

20,800

26,000

6,500

2,600

6,000

24,800
600

684

100,000.00 841,333 6,810,679.05

328,805.00 0.00 1996646.28 6,840,249.05 432,000.00


Annex C.9

AOP Form 4. REGIONAL SUMMARY OF LGU INVESTMENT NEEDS

Consolidation 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
AOP Year: 2023

Cost per Fund Source (PhP)


LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

1. 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
c. BHS
d. Other facilities (please specify)

Equipment
a. LGU Hospital
b. RHU
c. BHS
d. Other facilities (please specify)

Motor Vehicle
a. LGU Hospital
b. RHU
c. BHS
d. Other facilities (please specify)
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

MOOE (including operations cost)


a. LGU Hospital
b. RHU
c. BHS
d. Other facilities (please specify)
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

Sub-Total

2. ICT Equipment
a. LGU Hospital
b. RHU
c. BHS
d. Other facilities (please specify)

Sub-Total

3. Human Resource for Health


Physician (specify)

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

II. LGU employment


a. New positions (itemized)
b. Existing (Lumped)
c. JO new (Lumped
d. JO existing (Lumped)

Sub-Total
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

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

Family Health, Nutrition and Responsible Parenting

Family Planning & Reproductive Health


a. DMPA
b. Pills
c. Condoms
d. Sub-dermal Implant
Oral Health
a. flouride
b. Lidocaine
Nutrition
a. Micronutrient powder
b. Vitamin A
c. Iron
Others

National Immunization
a. IPV
b. OPV
c. DPT-HEPB-HIB
d. MR
e. Others

Elimination of Infectious Diseases


Malaria Control and Elimination
Schistosomiasis
Leprosy
Filariasis
Rabies Prevention and Control
Prevention and Control of Infectious Diseases
TB
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

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

5. Other Technical Assistance


A. Leadership and Governance
Local Health Systems integration activities

LIPH/AOP development, planning and


monitoring, advocacy to/ consultation with key
stakeholders, program implementation review
GIDA, ICC/IPS, Urban Poor activities/projects

LGU Health Scorecard activities including


advocacy and recognition of those with
exemplary practices
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

Leadership and Governance strengthening activities

Data collection for health equity assessment,


measurement and intervention for HUCs/ICCs
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
TB
Dengue Prevention and Control
HIV/STI Prevention and Control
Other Infectious Diseases
Non-communicable Diseases
Environmental and Occupational Health
Health Emergency Management
Others (specify)
Cost per Fund Source (PhP)
LOCAL GOVERNMENT UNITS (LGU) DOH
Provinces/HUCs/ICCs LGU Mun/CC LGU
Categories of Investment Needs GRAND TOTAL
Unfunded REMARKS
Trust Fund for Others (PhP)
Trust Fund for Barangay Central Office CHD (PhP)
General Fund Health/ Total General Fund Total
Health
SHF

Sub-Total
Total

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