DRRM-H Plan Monitoring Tool

Name of LGU: __________________________

Name of Respondent: ____________________ Signature: _________________
Name of Evaluator: ______________________ Signature: _________________
Date: ______________

No. DRRM-H Plan Indicator Status (Y/N) Remarks

1 Cover Page
2 Title Page
3 Message from the Head of the Institution
4 Vision, Mission, Goals, of the Health
Sector on Emergencies and Disasters
5 Background
6 Geographic Description
1. Topography
2. Geo-hazard mapping (i.e. areas
prone to erosions and flooding,
presence of fault lines and volcanoes)
3. Location of communities and health
facilities vis-à-vis this map
4. Risks or hazards (i.e. occurrence of
typhoons, storm surge, disease
outbreaks)
5. Disasters that have occurred with
lessons from previous disasters and
gaps in response

7 Demographic Profile
1. Population
2. Population density
3. Number of households
4. Number of barangays
5. Death rate
6. Vulnerable populations

8 Health Statistics
1. Three- to five-year year reports on
leading causes of morbidities and
mortalities
2. Infant mortality rate
3. Maternal mortality rate
4. Nutritional status/ Malnutrition rate
5. Vaccination coverage
6. Indicators for basic health services
and preventive health programs
7. Environmental sanitation, sources
and status of potable water
8. Health human resource (number and
capacity for health)
9. Health facilities
a) Hospitals, lying-in, laboratories,
blood banks
b) Hospitals with special
areas and services
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 9 Socio-economic Situation
1. Major economic activities
2. People’s sources of income
3. Poverty incidence and areas of
concentration
4. Education
5. Peace and order
6. Source(s) of food such as
agricultural or fishing industry
7. Support facilities such as
transportation, communication,
access to information
10 Planning Committee Structure and
Functions
11 Hazard, Vulnerability, and Risk
Assessment
12 Table 1. Public Health - Previous Disasters
and Lessons
13 Table 2. Public Health - Hazard Prioritization
Matrix
14 Table 3. Public Health - Risk Assessment
Matrix
15 Table 4. Public Health - Vulnerability
Assessment Matrix
16 Table 5. Public Health - External DRRM-H
Institutionalization
17 Table 6. Public Health - Inventory of
Resource Networks
18 Table 7. Public Health - Prevention and
Mitigation Plan
19 Table 8. Public Health - Preparedness Plan
Matrix 1: Risk Reduction
20 Table 9. Public Health - Preparedness
Plan Matrix 2: Capacity Building Strategies
to include the Minimum Requirements for
DRRM-H Institutionalization
21 Table 10. Public Health - Standard Operating
Procedures for Response
22 Table 11. Public Health – Standard
Operating Procedures for
Recovery and Rehabilitation
23 Table 12. DRRM-H Operational Plan Matrix

No. DRRM-H Institutionalization Indicator Status (Y/N) Remarks

1 DRRM-H Plan (Approved, Updated,
Tested, Disseminated) KRA 2.1.3 and
KRA 3.1.1
2 Health Emergency Response Team (KRA
2.1.4)
3 Health Emergency Commodities (KRA
2.1.5)

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 4 Operation Center (Office Order on
Estalishment of Operation Center and
KRA 2.1.6)

ANNEX A. LOCAL HEALTH SYSTEMS MATURITY LEVEL MONITORING TOOL

Name of LGU: ________________________________ Date:____________________

Local Health Systems Maturity Levels Monitoring Tool

Building Block: Service Delivery

SD 2 Characteristic: Disaster Risk Reduction Management in Health (DRRM-H) System Version 2

Instructions:

1. Under the Status column, indicate the status of the means of verification (MOVs):
a. Achieved – with approved document or the target indicated was met
b. On-going – with an available draft document or target was not met but with existing initiatives already
c. Not yet started – no existing initiatives yet to achieve the Key Result Areas (KRAs)
2. Under the Remarks column, fill in the required fields, as applicable. May also include other monitoring notes.
3. Under the Summary of Progress table, indicate the status of each KRA based on the status of its MOV. If a KRA has multiple MOVs:
a. All MOVs have the same status - include the KRA in the appropriate column
b. MOVs have different status - include the KRA under the On-going column
4. MOVs tagged as needed shall only be provided with a status if applicable. Otherwise, please indicate “not applicable”.
5. Reports and Lists submitted as MOVs should be duly signed by the Provincial/ City Health Officer or authorized representative.
6. In the Recommended Interventions/ Assistance Needed table, indicate the specific interventions that should be carried out and/or technical
assistance needed to facilitate the attainment of the KRAs.
7. Sign the tool and indicate the date.
Status

(Achieved/ On-
Means of Verification Remarks
going/ Not yet
started)

I. Preparatory Level

KRA 1: Baseline Assessment and Gaps Analysis on the Implementation of the DRRM-H System

1. Accomplished Baseline/ Assessment and Situational Analysis (BASA) Report

or other baseline/ assessment and situational analysis report

Notes:
1. Report done by the LGUs, the Center for Health Development or the Central
Office not earlier than 2019 may be presented
2. Any form of preliminary report that shows the current status and identified
gaps and needs for DRRM-H System institutionalization
II. Organizational Level

KRA 2.1: Organized Province-Wide/ City-Wide DRRM-H System

Ordinance No. or P/CHB Resolution No:

1. Ordinance or P/CHB Resolution on the organization of DRRM-H System in
P/CWHS
__________________

Office Order No:

2. Office Order designating or appointing the DRRM-H Manager
__________________

3. P/CWHS DRRM-H Plan is approved and disseminated as evidenced by:

a. Approved and signed DRRM-H Plan
b. Documentation of planning activities and dissemination activities on
the DRRM-H Plan
4. Health Emergency Response Teams (HERT) organized and trained on Office Order No:
minimum trainings for the P/CWHS as evidenced by:
__________________
a. Office Order organizing the HERT for Public Health and Hospital

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 b. Certificate of Completion/Participation (COC/COP) of HERTs on
DRRM-H Trainings
Note:
1. Threshold on the number of HERT members required to attend the
following trainings. For the UHC IS to have an “Achieved” status for this
MOV at this level, ALL requirements must be met:

Training Public Health Team Hospital Team

Members Members

BLS (Basic Life Support) At least 40% Training Public Hospital

Health Team
SFA (Standard First Aid) At least 15% Team Members
Members
HERO (Health Emergency At least 5%
Response Operations) BLS ___%
Sub-national PHEMAP(Public At least 5% - SFA ___%
Health Emergency
Management in Asia and the HERO ___%
Pacific)
Sub-national ___% -
MCIM ( Mass Casualty - At least 5% PHEMAP
Incident Management)
MCIM - ___%
HSFD (Hospital Safe from - At least 5%
Disaster) HSFD - ___%

2. Basic Trainings required of the Public Health and Hospital HERTs

 Public Health and Hospital Training: BLS SFA, Health
Emergency Response Operations
 Public Health Training: Sub-national PHEMAP
 Hospital Training: MCIM, HSFD
3. CHD through the DRRM-H Manager shall only submit the list of HERT
members verified with COC/COP on Public Health and Hospital Trainings
upon monitoring to the Central Office.

5. Essential health emergency commodities (HECs) available and accessible as .

evidenced by inventory of HECs and/or other supporting documents
Note: The inventory may include the following:
 Assorted Drugs/Medicine (any medicine that are anti-infective,
analgesic, antipyretic, fluids/electrolytes, respiratory, and other
dietary/nutritional products)
 First Aid Kit
 Hygiene Kit
 WASH Kit (water drinking container and disinfectant)
Checklist on the Inventory of essential health
 WASH Equipment (portable water testing)
emergency commodities filled up
 Nutrition in Emergencies Supplies
 Medical Supplies and Equipment
 Personnel Protective Equipment
 Emergency Go Bag
 Dedicated ambulance or patient transport vehicle for mass casualty
incidents and during emergencies/disasters
 Generator set/s
 Handheld radios
 Tents

6. Functional Emergency Operations Center (EOC) as evidenced by: Indicate if the P/CWHS encountered an
emergency/disaster (Yes or No): ___________
a. Office Order on activating an EOC with functional command and control,
coordination and communication based on Code Alert level, as needed

Within the FY: ____

Raised Code Alert Level (Yes or No): _________

Please specify the Code Alert Level: ___________

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 Office Order No:

__________________

b. Emergency Operations Center Report, as needed

7. Local government investment plan earmarking budget for the DRRM-H

System and its operations
Note: May include Local Development Investment Plan (LDIP), Local
Investment Plan for Health (LIPH), Annual Operational Plan (AOP), etc.
KRA 2.2: Monitoring of Province/ City-Wide Health System (P/CWHS) Performance on DRRM-H System

1. Program Implementation Review (PIR) Reports issued annually reflecting the

recommendations/ concerns raised during the previous PIR, as well as actions
taken
III. Functional Level

KRA 3.1: Advanced Province-Wide/ City-Wide DRRM-H System

1. P/CWHS DRRM-H Plan is updated and tested as evidenced by: Record Revision Year and No:
a. Updated and tested DRRM-H Plan
__________________

b. Documentation of drills and exercises (i.e. PIE) applied in updating Post-Activity Report/ Minutes of Meetings, photo
of DRRM-H Plan documentation preferably

2. HERT sustained for the P/CWHS as evidenced by:

a. Certificate of Completion/Participation of HERTs on DRRM-H
Trainings
Note:
1. Threshold on the number of HERT members required to attend the
following trainings. For the UHC IS to have an “Achieved” status for this
MOV at this level, ALL requirements must be met:
Training Public Hospital
Training Public Health Team Hospital Team Health Team
Members Members Team Members
BLS At least 80% Members

SFA At least 20% BLS ___%

HERO At least 20% SFA ___%

Sub-national At least 20% - HERO ___%

PHEMAP Sub-national ___% -
MCIM - At least 20% PHEMAP

HSFD - At least 20% MCIM - ___%

2. Basic Trainings required of the Public Health and Hospital HERTs HSFD - ___%

 Public Health and Hospital Training: BLS SFA, Health

Emergency Response Operations
 Public Health Training: Sub-national PHEMAP
 Hospital Training: MCIM, HSFD
3. CHD through the DRRM-H Manager shall only submit the list of HERT
members verified with COC/COP on Public Health and Hospital Trainings
upon monitoring to the Central Office.

b. Deployment/ Mission Order on HERT mobilization including “report Indicate if the P/CWHS encountered an
from the field by the HERTs”, as needed emergency/disaster (Yes or No): ___________

Within the FY: ____

Office Order No: __________________

3. Executive Order/ Office Order on the organization of the following Health Executive Order No. or Office No: ___________
Clusters with members/ representatives, identified roles and responsibilities, and
rules of engagements, including accomplishment reports from each cluster as
needed:
 Public Health/ Medical including Minimum Initial Service Package

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 for Sexual Reproductive Health
 Nutrition in Emergencies
 Water, Sanitation, and Hygiene in Emergencies; and
 Mental Health and Psychosocial Support
4. MOA/MOU specifying resource sharing and/or mobilization for service
delivery in emergencies/disasters
Note: Resource sharing and/or mobilization for Service Delivery in
emergencies/disaster may include the following health services, among others:
 pre-hospital care (triage; treatment- first aid & management of
injuries, medical emergencies and trauma care among others;
including packaging of patients for transport to health facilities);
 field management (arrangements for field implementation facility);
 management of victims in temporary shelters or evacuation centers;
and
 management of hospital surge
Indicate if the P/CWHS encountered an
emergency/disaster (Yes or No): ___________
5. Approved final report on major emergencies and disasters, as needed
Within the FY: ____

6. Office Order authorizing members of DRRM-H Program Management Team Office Order No: __________________
with defined roles and responsibilities

7. Appropriation ordinance or approved work and financial plan reflecting

budget allocation for the sustainable implementation of DRRM-H System and its
operations
KRA 3.2: Monitoring of P/CWHS Performance on DRRM-H System

1. Budget Utilization Reports on the implementation of the DRRM-H System and

its operations

2. Documentation of lessons learned, best practices and innovations on DRRM-

H institutionalization

Summary of Progress

Achieved On-Going Not yet started

Level of Progress Total No. of KRAs
(cite specific KRA no.) (cite specific KRA no.) (cite specific KRA no.)

Preparatory Level 1

Organizational Level 2

Functional Level 2

Total No. of KRAs 5

Technical Assistance Needed by the LGUs

KRA Technical Assistance Needed Timeframe Expected Output Person/ Unit Responsible

KRA 1.1

KRA 2.1

KRA 2.2

KRA 3.1

KRA 3.2

Assessed by: __________________________________ ____________________________

<Designation> Name of Office/ Unit

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 Date: _____________

Validated by: _________________________________ ____________________________

<Designation> Name of Office/ Unit

Date: _____________