Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

5 November 2018

DEPARTMENT MEMORANDUM
No. 2018 - 0320

FOR : SECRETARY OF HEALTH OF AUTONOMOUS REGION IN

MUSLIM MINDANAO (ARMM), ALL UNDERSECRETARIES,
ASSISTANT SECRETARIES, DIRECTORS OF BUREAUS AND
SERVICES, DIRECTORS OF CENTERS FOR HEALTH
DEVELOPMENT, AND OTHERS CONCERNED

SUBJECT : 20211-2022 Local Investment Planning for Health (LIPH)

Fourmula One Plus for Health, with its tagline “Boosting Universal Health Care,” is the new
strategic framework to attain the goals outlined by the Philippine Government in the Philippine
Development Plan, the Sustainable Development Goals, and The Ambisyon Natin 2040. The F1
Plus organizes critical initiatives in health into four strategic pillars, namely: Financing,
Regulation, Service Delivery, Governance, plus a cross cutting initiative on Performance
Accountability. As outlined in Administrative Order No. 2018-0014 dated May 30, 2018, one of
the Sub-pillars and Key Interventions under Governance is strengthening sectoral leadership
and management, with the specific direction given that “Technical assistance from the DOH
shall be consolidated and matched with the needs outlined in the Local Investment Plans for
Healt

The LIPH, the 3-year medium term plan, prepared by Provinces, Highly Urbanized Cities
(HUCs) and Independent Component Cities (ICCs), and its yearly interpretation in the Annual
Operational Plans (AOP) are institutionalized as the localization tools of national health
programs, and basis for resource mobilization and technical assistance provision and allocation.
The LIPH is a key mechanism to facilitate alignment of plans of Province/HUCs/ICCs with
national priorities and thrusts. It shall contain strategies and directions to support the overall
attainment of goals of better health outcomes, more responsive health system, and more
equitable health care financing at the local level.

The 2019 AOP brings to an end the 2017-2019 Local Investment Flaming for Health (LIPH)
period, and ushers in the 2020—2022 LIPH period, thus the call for Centers for Health
Development to provide technical assistance to Provinces/ HUCs and ICCs to formulate and
submit their 2020—2022 LIPHs and AOPs.

The LIPH Handbook on Principles, Guidelines, Procedures, and Processes still serves as the
guide document, with revisions and updates hereto attached as Annexes.

Building 1, San Lazaro Compound, Rizal Avenue, Sta, Cruz, 1003 Manila 0 Trunk Line 651-7800 local 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-18290 URL: http://www.doh.gov.ph; e-mai]: fiduque@doh.gov.ph
Revisions and updates include the following:

Particulars From Revision

1. LIPH and AOP Regular planning process Additional sub-processes for LGUs, DOH-
Workflow Diagram Central Office (DOH-CO) and Centers for
Health Development (CHD) for timely
incorporation of LGU investment needs in
DOH-CO and CHD plans (Annex A)
Appraisal by the DOH Initial review of plan by the LGU and
Regional Office and Provincial/City DOH Office
approval/concurrence by Final appraisal by the CHD Appraisal
the DOH Central Office Team
Local Chief Executive endorsement and
CHD Director concurrence
(Annex A)
2. Timelines for plan No specific timeline Submission of LGU Investment Needs
development given Worksheets (Draft AOP) in February of
2019 and every year thereafter, prior to the
DOH submission of its Budget Proposal.
(Annex B)
3. Roles and Roles of CHD staff not Leadership role of the Bureau of Local
Responsibilities specified Health Systems Development (BLHSD)
Role of Program on local health planning
Managers not Roles of National Program Managers
emphasized At the CHD, roles of LIPH Program
Managers, Program Managers and
Flaming Officers
(Annex C)
4. LIPH Content Lengthy LIPH Appraisal Concise LIPH Appraisal Checklist (Annex 1)
Outline and Checklist matched with the LIPH Content Outline
Appraisal Checklist (Annex D)

5. Planning Forms a. LIPH Form 1: Retained:

Summary Of LIPH Form 1: Summary of Investment Cost
Investment COSt by By Pillar, Fund Source and
Instrument by Source Year
of Financing
(Annex E)
b. LIPH Form 2: Cost Previous LIPH Forms 2 and 3 are combined
Assumptions by and renamed as:
Instrument by PPAs by
Resource Requirements LIPH Form 2: Cost Assumptions by Pillar,
c. LIPH Form 3: Cost PPAs, Resource
Assumptions by Requirements and Fund
Instrument by PPAs by Source (LIPH Mother Plan)
Source of Financing (Annex F)
 Particulars From Revision
5. Planning Forms (1. AOP Form 1: Summary AOP Situational and Gap Analysis Form
(Continuation) 0f Investment COSt by (Annex G)
Instrument by Source
Of Financing Retained:
e. AOP Form 2: Cost
Assumptions by AOP Form 1: Summary of Investment Cost
Instrument by PPAS by
Source of Financing by Pillar and Fund Source
f. AOP F 3: Annua1
Tramincénlt’llan AOP Form 2: Cost Assumptions by Pillar, PPAs,
Quarter and Fund Source (AOP Mother Plan)

New AOP Forms:

AOP Form 3: Summary of LGU Investment
Needs
AOP Form 3.1: LGU Investment Needs for
Health Facility Development
and Water/Sanitation Facilities
AOP Form 3.2: LGU Investment Needs for
Human Resource for Health
AOP Form 3.3: LGU Investment Needs for
Commodities
AOP Form 3.4: LGU Investment Needs for
Other Technical Assistance
(Annex H)

AOP Forms 3, 3.132, 3.3, 3.4 are termed as

LGU Investment Needs Worksheets if
submitted as advanced/draft copies.

CHDs and all other concerned offices are directed to provide technical assistance to Provinces/
HUCs and ICCs to formulate and submit their 2020-2022 LIPHs and AOPs in the prescribed
timelines.

For strict compliance.

By Authority of the Secretary of Health:

RI C. VILLAVERDE, MD, MPH, MPM, CESO I

cretary of Health
Policy and Systems Development Team
LIST OF ANNEXES:
Annex A LIPH and AOP Workflow Diagram
Annex B LIPH and AOP Development Timelines
Annex C Roles and Responsibilities
Annex D LIPH Content Outline
Annex E LIPH Form 1. Summary Of Investment Cost By Pillar, Fund Source and
Year
Annex F LIPH Form 2. Cost Assumptions by Pillar, PPAs, Resource Requirements and
Fund Source (LIPH Mother Plan)
Annex G AOP Situational and Gap Analysis Form
Annex H AOP Form 1: Summary of Investment Cost by Pillar and Fund Source
AOP Form 2: Cost Assumptions by Pillar, PPAs, Quarter and Fund Source
(AOP Mother Plan)
AOP Form 3. Summary of LGU Investment Needs
AOP Form 3.1. LGU Investment Needs for Health Facility Development and
Water/Sanitation Facilities
AOP Form 3.2. LGU Investment Needs for Human Resources for Health
AOP Form 3.3. LGU Investment Needs for Commodities
AOP Form 3.4. LGU Investment Needs for Other Technical Assistance

Annex I LIPH Appraisal Checklist

Annex A. LIPH AND AOP WORKFLOW DIAGRAM

BUDGET PROPOSAL PROCESS

National Program HPDPB

m
Managers and CHD Submission of
‘

V
incorporation in Budget DOH Budget
Proposals
' '
j

l
Submission of LGU Investment 1

NEP
"
‘

Needs Worksheets by February " ' '

‘

‘7

GM

LIPH and AOP Workflow Diagram

The following describes the regular Local Investment Planning for Health (LIPH) and Annual
Operational Planning (AOP) Processes:

1. Regular LIPH and AOP Process

A. Call to Plan
The CHD shall initiate the call for Local Government Units to formulate their Local
Investment Plans for Health and Annual Operational Plans.

B. Planning Process
The LIPH follows the planning process of situational analysis, identification of needs based
on accurate and verifiable data, identification of appropriate and evidence-based strategies,
determining investment costs and sources of funds. The process and principles of
participatory planning, focus on equity, and systems-thinking are inherent to health systems
planning.

Participation of key stakeholders shall be encouraged throughout the LlPH/AOP processes,

in particular:
Inclusion of DOH Representatives/Development Management Officers (DMO), CHD
Program Managers , CHD and LGU Budget Officers and Accountants, Chiefs of LGU
 and DOH-retained hospitals, PhilHealth representatives, representatives from other
government agencies in local consultations and planning workshops
Invitation to representatives of legislators, 1P Mandatory Representatives (IPMR)/IP
CSOs, other champions in health development work in local consultations and planning
workshops.

Situational analysis
Situational analysis shall include a review of program and health system indicators, past
LIPH/AOPs and other LGU health plans or health-related plans: e.g. Disaster Risk
Reduction and Management Plan (DRRMP) for Health, Comprehensive Development
Plan (CDP), Executive Legislative Agenda (ELA), others.

2. Identificationof gaps, LGU investment needs, strategies and cost requirements

a. From the situational analysis, the vision, mission, goals and objectives are set.
b. CHD program managers shall provide costing and computation of goods and services,
list/information on DOH commitment on technical assistance [e.g. Health Facility
Enhancement Program (HFEP), Human Resource for Health (HRH) deployment,
commodities, training, others] or historical data on such to serve as guide for the
LGUs during planning workshops.
0. Where available, health needs/activities in Ancestral Domain Sustainable
Development and Protection Plan (ADSDPP)/Ancestral Domain Investment Plan for
Health (ADIPH), shall be considered. Copies of these may be secured from the
National Commission on Indigenous Peoples (NCIP) Provincial Service Centers.

3. Province/HUC/ICC consolidation, writing, and submission of LIPH/AOP

a. The LGU Planning Team consolidates and incorporates health plans and health needs
from the different health units and facilities, and consider inputs from different
stakeholders and population groups.
b. The Province/City Health Officer submits the consolidated LIPH/AOP to the
Province/City DOH Office.

C. Review and Appraisal

1. Review by LGU and P/CDOHO
Initial review of. the plan shall be jointly undertaken by the LGU LIPH Team and
Program Managers with the Provincial/City DOH Officer and Development Management
Officers/DOH representatives.

2. CHD Appraisal
a. Final appraisal shall be undertaken by the DOH Center for Health Development
b. The CHD shall convene a Core Planning/Appraisal Team composed of but not
limited to the following:
i. Assistant CHD Director
ii. Division Chiefs
iii. LIPH Coordinator
iv. Planning Officer
v. Cluster Heads/RPMs
 vi. P/CDOH Officer/DMO Representative(s)
vii. CHD Budget Officer/CHD Accountant
viii.Development Partners working with LGUs in the Region, and other key
stakeholders may be invited to participate in the appraisal. See I.B.1.b for list of
stakeholders.

3. Concurrenceof Plan
The enhanced plan incorporating the comments of the CHD Appraisal Committee shall
be endorsed by the Local Chief Executive for concurrence of the CHD Director.

. Execution of Terms of Partnership

1. The Terms of Partnership (TOP) shall be executed on an annual basis because the transfer
of funds to the LGU is annual.

2. Any change in the TOP template shall be cleared by the CHD Legal Officer (based on
CHD and LGU agreement).

3. The TOP shall specify indicative amounts of the different DOH assistance that are
subject to changes in the final National Expenditure Program (NEP).

. Plan Implementation (LGU, CHD, Stakeholders)

The LGU Health Office shall lead the LIPH/AOP implementation, in coordination and
partnership with the CHD and all the other players, and stakeholders.

. Monitoring of LIPH thru AOPs (LGU, P/CDOHO, CHD, Stakeholders)

1. The Monitoring Team shall be composed of key LGU and P/CDOHO and CHD staff.
Other stakeholders shall be invited to participate in monitoring activities.

2. The following are to be covered in the monitoring:

a. Status of physical accomplishment of PPAs
b. Actual expenditure of LGU, DOH and other stakeholders against commitments
indicated in the annual plans
c. DOH assistance particularly for the major cost drivers/investments, namely: Health
Facilities Development and Water/Sanitation Facilities, Human Resource for Health,
Commodities, Other Technical Assistance and major Plans, Programs, Activities
(PPAs).
d. Local counterpart thru the LGU Annual Investment Program (AIP) and Statement of
Appropriations, Allotments and Obligations(SAAOB)

3. Monitoring may include the conduct of systems or program-based Program

Implementation Review (PIR), LGU Scorecard review, regular staff meetings,
submission of monitoring reports, review of implementation evidences, among others.
II. Additional sub-processes as enhancement to the LIPH and AOP Processes

The following section discusses additional sub-processes as key enhancement to the

LIPH and AOP processes, particularly to incorporate local plans in the DOH and CHD
budget proposals.

The following steps are to be undertaken after Step No.3 of the Planning process:
Province/HUC/ICC consolidation, writing, and submission of LIPH/AOP. See the Budget
Proposal Process Box in the LIPH and AOP Workflow Diagram.

i. LGU Submission of Investment Needs Worksheets to CHDs for inclusion in CHD

Budget Proposal
a. The Province/City Health Officer submits a copy of the LGU Investment Needs
Worksheets to the Province/City DOH Office.

b. Investment needs that will be secured from the DOH, LGU and other stakeholders shall
be reflected in the InvestmentNeeds Worksheets categorized into four (4) namely:
1. Health Facilities Development and Water/Sanitation Facilities
2 Human Resource for Health (HRH)
3. Commodities
4 Other Technical Assistance such as but not limited to:
Advocacy, Health Promotion
-
Learning and Development Interventions
Workshops, Consultations
Organization and Functionality of Service Delivery Network (SDNs)
Monitoring & Evaluation

0. The P/DOH Officers and the DMOs/DOH Representatives shall review and validate the
investmentneeds indicated in the LGU InvestmentNeeds Worksheets.

ii. CHD review of LGU investment needs and incorporation in CHD Budget Proposal
a. The PDOHO shall forward the LGU Investment Needs Worksheets to the CHD through
the LIPH Coordinator, who shall distribute these to theCHD Program Managers.

. CHD Program Managers shall review the LGU investment needs, and prioritize inclusion
in the CHD Budget Proposal.

. The CHD LIPH Coordinator and Planning Officer shall consolidate LGU investment
needs, properly noting which of these have been incorporated into the CHD Budget
Proposal for Regional Development Council (RDC) endorsement

iii. Submission of LGU Investment Needs Worksheets to National Program Managers

(N PMs) through BLHSD
a. The CHD LIPH Coordinator forwards the LGU Investment Needs Worksheets to the
DOH-CO BLHSD.
 b. The BLHSD distributes these Worksheets to appropriate DOH Offices/NPMs: Health
Facility Development needs to the Health Facility Development Bureau (HFDB and
HFEP); HRH needs to the Health Human Resource and Development Bureau (HHRDB);
and Commodities and Water/Sanitation Facility needs to the Disease Prevention and
Control Bureau (DPCB), and Pharmaceutical Division (PD). Copy of .LGU needs for
Other Technical Assistance are distributed to other concerned offices.
‘

iv. Review of LGU Investment Needs Worksheets and incorporation in National Program
Budget Proposal
a. NPMs shall review the LGU investment needs and prioritize inclusion in the DOH
Budget Proposal.

The NPMs shall note and highlight which of the LGU needs have been considered and
incorporated in the DOH Budget Proposal of the Program.

The NPMs shall submit their respective Budget Proposals to the Health Policy
Development and Planning Bureau (HPDPB).

v. Submission of DOH Budget Proposal to DBM

The HPDPB, following the regular national planning timelines, consolidates the Budget
Proposals from the different DOH units and submits this to the DBM.

vi. Feedback to LGUs on LGU investment needs incorporated in the DOH Budget
Proposal
a. BLHSD shall secure an advance copy of the DOH-endorsed Budget Proposal from the
HPDPB, and distribute this to the CHD LIPH Coordinators through the CHD Directors.

CHD LIPH Coordinators and Program Managers, shall disaggregate the DOH-endorsed
Budget Proposal by LGU (Province/HUC/ICC) and forward these to the Province/City
DOH Office and LGUs in the Region.

LGUs shall take note which of their proposals have been incorporated in DOH-CO and
CHD budget proposals and update their proposed LIPH/AOP.

The regular LIPH/AOP process and timelines are then followed.

Annex B. LIPH & AOP DEVELOPMENT TIMELINES

YEAR 2018 2019

MONTHS NOVEMBER - JANUARY-FEBRUARY MARCH-APRIL MAY-JUNE JULY-SEPTEMBER OCTOBER-DECEMBER
DECEMBER
ACTIVITIES Issuance of DOH LGU Submission HPDPB . LGU . LGU and LGU Approval &
Dept. Memo on of Investment Finalization of incorporation of PDOHO review Endorsement to
2020-2022 LIPH Needs DOH 2020 feedback in of LIPH and CHD of Final 2020-
Guidelines Worksheets to Budget LIPH and Draft AOP 2022 LIPH & 2020
CHD & LGU CHD (February) Proposal 2020 AOP o LIPH AOP
Orientation/1‘ A on CHD Program BLHSD to . LGU presentationto Signing of Terms of
LIPH Guidelines Managers review feedback to Completion of incoming LCE Partnership between
LGU LIPH and LGU needs and CHDs the LGU LIPH and 2020 . LGU CHD and LGU for
2020 AOP incorporate in needs AOP (June) Submission of 2020 AOP
Planning CHD Budget considered in LIPH & 2020
Workshops Proposal DOH 2020 AOP to CHD
LGU Investment Budget . CHD Appraisal
Needs Worksheets Proposal . Enhancement
forwarded to CHDs to and final
National Program feedback to revision of
Managers LGUs LIPH & 2020 LGU Planning for
AOP 2021 AOP (the AOP
(February)
National Program planning cycle is
Managers review repeated)
LGU Investment
Needs Worksheets
and incorporate
ELECTION
LGU needs in
DOH 2020 Budget Local Budget Call
Pmposal for 2020
LGU and CI-ID advocacy for engagement of more stakeholders
\/ LGU and CHD monitoring and evaluation >
NOTE
0 Appraisal of lSt year AOP is carried with the appraisal of the LIPH
Annex C. ROLES AND RESPONSIBILITIES

The following shall be the roles and responsibilities of key offices and personnel pertaining to
LIPH and AOP processes:

1. DOH Central Office

a. Bureau of Local Health Systems Development
Steer and spearhead the LIPH process nationally dram advocacy, plan development,
appraisal, implementation, monitoring and evaluation, and institutionalization)
Develop guidelines on the LIPH process in consultation with relevant stakeholders
11. Provide copies of LlPHs/AOPs/LGU investment needs to National Program

Managers, concerned offices and key partners for use as basis for technical assistance,
and priority inclusion in the Budget Proposals/Plans
iii. Conduct consultation meetings with Central Office Bureaus/National Program
Managers on program directions, strategies and support to be incorporated in the
LIPHs/AOPs
iv. Provide technical assistance to DOH Central Office and Bureaus, CHD LIPH
Coordinators and key partners, as may be requested, on the LIPH/AOP processes
Coordinate capacity building of Provincial/City DOH Officers and DMOs/DOH
Representatives as TA providers on LGU' planning in partnership with Health Human
Resource Development Bureau (HHRDB), Health Policy Development and Planning
Bureau (HPDPB) and other concerned partners
vi. Ensure availability of funds for the LGUs, through the CHDs and DOH-Autonomous
Region for Muslim Mindanao (ARMM), to support the LIPI-I/AOP processes
Vii. Lead in the conduct of monitoring of DOH CHDs, LGUs and DOH-ARMM on
LIPH/AOP implementation and set-up feedback/reporting mechanisms

b. National Program Managers

1. Provide program directions and strategies, and information needed for technical
assistance in local planning workshops
ii. Furnish CHD Program Managers with menu of assistance and commodities, with
formulae and standard costs for the LGU’s reference in identifying their needs
iii. Use the LIPI—I/AOP/LGU investment needs to identify and allocate assistance/support
to LGUs through the CHDs
iv. Ensure that national proposals are based on LlPH/AOP/LGU investmentneeds

c. HPDPB
i. Emphasize the use of LlPH/AOPs in the Guidelines for Budget Proposal, WFP and
M&E other related issuances.

2. DOH Center for Health Development

a. CHD Director
i. Steer and spearhead the LIPH process in the Region
ii. Provide directions to CHD Program Managers to utilize the LIPHs/AOPs in program
planning and budgeting
iii. Advocate the LIPH process to the Local Chief Executives and Local Health Officers
 iv. Assistant CHD Director shall head the CHD Core LIPH Planning/Appraisal Team

b. CHD LIPH Coordinator

1. Provide technical assistance to CHDs, LGUs and key partners in the region, as may
be requested, on the LIPH/AOP processes
ii. Provide copies of LIPHs/AOPs/LGU investment needs to CHD Program Managers,
and key partners for use as basis for technical assistance, and priority inclusion in the
CHD Budget Proposal
iii. Submit LIPHs/AOPs/LGU investmentneeds to DOH-CO (BLHSD)
iv. Coordinate with PDOHOs/DMOs, CHD Accountant/Budget Officers the fund
management, utilization and Fund Utilization Report (FUR) submission
Convene, coordinate and lead activities of the CHD LIPH Team, Appraisal Team and
Monitoring Team

c. CHD Program Managers

1. Provide PDOHO, DMOs/DOH Representatives and LGUs with program directions

strategies, menu of assistance and commodities, with formulae and standard costs for
the LGU’s reference in identifying their needs
ii. Provide technical guidance in the LGU Planning Workshops and plan appraisal
iii. Review LIPHs/AOPs/LGU investment needs, prioritize and incorporate in CHD
Budget Proposal, and ensure funding in the WFP
iv. Incorporate monitoring of LIPH/AOP implementation and fund utilization as part of
regular monitoring of program implementation

d. CHD Planning Officer

1. Work1n partnership with the LIPH Coordinator1n providing technical assistance on
plan development to P/DOHO and DMOs/DOH Representatives and LGUs, conduct
of appraisal of plans, and monitoring and evaluation
ii. Work together with the LIPH Coordinator in consolidating LGU investment needs for
submission to BLHSD.

Province/City DOH Office/Development Management Officers/DOH

Representatives/
i. Provide technical assistance to the LGUs1n LIPH/AOP processes
ii. Review and validate LGU investment needs as appropriate to LGU context and health
situation, in coordinationwith local health officers
iii. Facilitate the timely submission of LIPH/AOP/LGU investment needs to the CHD
LIPH Coordinator as scheduled
iv. Organize Province/City level review of the LIPHs/AOPS
v. Monitor plan implementation in partnership with the PHO/CHO, and in coordination
with CHD LIPH Coordinator and Program Managers
vi. Coordinate with the PHO/CHO/Accountant/ Budget Officer the fund management,
utilization and FUR submission
3. Local Government Unit (Province/HUCs/ICCs/CCs/Municipalities)
a. Organize/mobilizeteams for planning, implementation and M&E
b. Province/HUCs/ICCs Health Offices: Provide technical assistance to
municipal/componentcity/district/barangay, in coordination with the P/CDOl-IO
C. Province/HUCs/ICCS Health Offices: Include municipal/component city/district/
barangay health plans and hospital plans in the Province/HUCs/ICC LIPH, review and
validate LGU investment needs prior to submission to CHD
Ensure participation of different levels of health units, Civil Society Organizations
(CSOs)/Non-GovernmentOrganizations (NGOs), private sector, other stakeholders
Develop their respective LIPH/AOP based on rational and realistic planning
Implement the plans, and provide counterpart funding
P‘qorm

Monitor implementation of plans

Province/HUCs/ICCsto submit fund utilization report to the CHD
Annex D. LIPH CONTENT OUTLINE

A. Plan development
1.Membership of the Core LIPH Planning Team
2. Plan development process
-
Consideration of health situation and needs of different levels, and different
population groups
Where available, consideration of health needs/activities in Ancestral Domain
Sustainable Development and Protection Plan (ADSDPP)/Ancestral Domain
Investment Plan for Health (ADIPH)
Consultation with/involvement of key stakeholders, Civil Society Organizations
(CSOs)/Non-Govemment Organizations (NGOs), IP Mandatory Representatives,
others
Review of the previous LIPH (2017-2019), and other LGU health or health—related
plans: e.g. Disaster Risk Reduction and Management Plan (DRRMP) for Health,
Comprehensive Development Plan (CDP), Executive Legislative Agenda (ELA),
others

B. Health situation of the Province/City

1. Description and analysis of health, and health-related threats and situations, and health
systems problems/concerns
Brief discussion on health status of IPs/ICCS, GIDA, Urban Poor and other vulnerable
populations, as applicable
2. Summary list of major gaps/problems/concerns

C. Local priorities/Major thrusts of the LIPH

1. Vision, mission, goals and objectives, priorities/major thrusts, targets and indicators for
the 3-year LIPH period
2. Goals and objectives for strengthening of Local Health Systems

Monitoring & Evaluation

. M&E process/activities (eg. systems or program-based Program Implementation Review
(PIR), Program and Budget Utilization Review (PBUR), LGU Scorecard, others)
2. Human resource for health (HRH) involved, and participation of other stakeholders in
M&E activities

Cost Matrices
LIPH Form 1: Summary of Investment Cost by Pillar, Fund Source and Year
LIPH Form 2: Cost Assumptions by Pillar, PPAs, Resource Requirements and Fund
Source (Mother Plan)

Other Attachments
Annex E. LIPH Form 1. SUMMARY OF INVESTMENT COST BY PILLAR, FUND
SOURCE AND YEAR

The LIPH Form 1 shows the Summary of Investment Costs by F1 Plus Strategic Pillars of
Service Delivery, Governance, Regulation, Financing, Fund Source and Year. Funding
requirements for each year of the LIPH period is reflected for each fund source.

(1) Fl Plus Strategic Pillars of:

I Service Delivery
I Governance
I Regulation
I Financing

(2) Fund Source — which/what office will be able to fund the investment:
I DOH Central Office or Centers for Health Development;
——

I LGU — Government funds from Local Government Units: PLGU (province), CLGU
(city), MLGU (municipality); BLGU (Barangays)
I Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, developmentpartners); other national agencies; NGOs/CSOS; private and
other sectors; and unfunded PPAs
Annex E UPH Form 1. SUMMARY OF INVESTMENT COST BY PILLAR, FUND SOURCE AND YEAR

REGION:

PROVINCFJHUCIICC:

LIPH CY: 2020 to 2022

FurlSorneMI’)
mm
,

'm
f 7 7

I
7

s; _
I (2) (rm-arm
them?
7
7

,
(I) (M)
.3

g CenhIOIfiee crrr) PLGU ammo BDGU

(m he
2020 2021 2022 2020 2021 2022 2020 2022
I

2021 2020 2021 2022 2020 2021 2022 2020 2021 2022
1. HEALTH SERVICE DELIVERY

Healflr Facility Dei'cebpnent

Hrmrn Resource for HeaIth

Connod'rtiier

2. FINANCING

3. REGULATION

4. GOVERNANCE

Grand Total

As a Percartage umerrdTotal

(1) Fl Phrs Strategic Prlhrsof:

' ServiceDdii'ery
I Gorernznoe

I ReguIaIion

' Financing
(2) Fund Source which/“hatoffice“ill be able to fund the investment:

' DOHACentral Office or Centersfor Health Der'ebpmenr:

I IOU Corernmentfunds finrnIocaICm‘emntnt Units:PIIIU(prn\'ince),

—
Clflltcitytm tmricipality't MtBamgaysI
I Others - OtIerFurrd Soures: fromOfi'n'al DevekrpmentAssistance (ego UN Agencies,developmentpanners’r othernational agenda: NCOs/CSOS: privateand other sectors; and unfunkd PPA:
Annex F. LIPH Form 2. COST ASSUMPTIONS BY PILLAR, PPAS, RESOURCE
REQUIREMENTS AND FUND SOURCE (LIPH MOTHER PLAN)

The LIPH Form 2 reflects the Mother Plan of the Province/HUC/ICC. It contains in broad
strokes, strategies and interventions that the LGU plans to undertake for the 3-year LIPH period,
by F1 Plus Strategic Pillars (Service Delivery, Governance, Regulation, Financing), detailing
Major PPAS, Requirements and Fund Sources.

The form includes all health and health-related investmentsthat are regularly funded, as well as
additional funding/investmentrequirements.

A separate sheet is used for each Fl Plus Strategic Pillar.

(1) Fl Plus Strategic Pillar: Service Delivery, Governance, Regulation, Financing

. P‘rojects/Programs/Activities (PPA) - Identified priority strategies/interventionsthat
address health needs and health inequities
- Goal —- desired outcome for each major PPA
(2) PPA Performance Indicator - Measurable value/performancemeasurement to evaluate the
success of a particular strategy/intervention (such as projects, programs, products and
other initiatives)
(3) District the legislative district where the P/P/A will be applied/conducted. In a province,
—

this excludes the legislative districts covered by the HUC/ICC where they will also be
reflected in the latter’s respective plans
(4) Municipality/ComponentCity/Barangay - specific area where the P/P/A 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 PPA will be
applied/conducted
(6) Target: Should correspond with PPA Performance Indicator (eg. number, %, rate) for the
year indicated
(7) Resource Requirements — Inputs needed for the PPA to be achieved/conducted
I Items Description - e.g. meals, accommodation, TEV, venue, kit, etc
I Expense Category: PS, MOOE, CO-Infrastructure/Equipment
I Unit Cost: Cost to produce/conduct the P/P/A
I Quantity: Number of the P/P/A to be produced/conducted
I Total Cost: Unit Cost multiplied by the Quantity of P/P/A to be produced/conducted
(8) Fund Source — which/what office will be able to fund the investment:
I DOH — Central Office or Centers for Health Development;
I LGU — Government funds from Local Government Units: PLGU (province), CLGU
(city), MLGU (municipality); BLGU (Barangays)
I Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, developmentpartners); other national agencies; NGOs/CSOS; private and
other sectors; and unfunded PPAs
Annex F. LIPH Form 2. COST ASSUMPTIONS BY PILLAR, PPAS, RESOURCE REQUIREMENTS AND FUND SOURCE (LIPH MOTHER PLAN)

REGION: Date:
PROVINCE/HUC/[CC
LIPH CY: 2020 to 2022

Strate g ie Pillar.
PPA
Mame Mimi-ens(Pi?) Fund Source (I’ll?)
Muicip‘ityl
Performance District Comp-em
d Ed“.
Activities (PPA)
llrientor (3) (“In/32mm
Facility
(5)
but! Exp-5e
Unit Cost Omit!
Tad Cast
(hit Costx
[a
(2) (4’
2012
Descriptio- C on Quantity) C/MIGL'

PP

otal Service

NOTE; Plelse are

3;“ sheet for exh StrategicPillu.
(HF! Plus Strategic Pilhn Service Delivery‘ Governance, Regulation, Financing
- Proficls/Programs/Acth’ilies (PPA) -ldentified prinriy strategies/menentions that address health needs and health inequfies
- Coal — desired outcome foreach rmjorPPA

(2)PPA{“ , 1* _.. L.
‘
L
It
A:
to evahate the success of a particuhrstrategy/interventbn (such as projects: programs. products and other initiatives)
(3) D'strict -the legishrtive d’stu'ct where the P/P/A mllbe applied/conducted. In a province, this ewludes the legislative districts covered by the HUG/ICCwhere they ml! ako be reflected in the latter‘s respective plans
(4) Muniepah'ty/Conponent Ciy/Eorangay - Specific area where the PIP/A will be applied/conducted. indicate if area covers GlDA/lP/Urhan poorand othervulnerable popuht'nn
(5) Name of Health Faefl'ry - the exact name of the facility where the
PM willhe applied/conducted
(6) Target - ShouH conespondwith PPA Performance lndicator (eg. mutter. "/o. rate) forthe yearindicated
(7) Resource Fequirenent - inputs needed forth: PPA to be achieved/conducted
I Items Description -e.g. meek, accommodation. TEV. venue kiL etc
I Ewense Category: PS‘ MOOE (D—[ufrasu'ucturelEqubment
I Unit Cost: Cost to produce/conduct the PIP/A
I Quantity: Nurdrerofthe PIP/A to be produced/conducted
I Total Cost: Unit Cost nuhiplied hy the Quantiyof PIP/A to be prnduced/co nducled
(8) Fund Source — which/“hat office “ill be able to fund the irr‘estnnnt:
' DOH — Central Ofl'te or Centers for Health
Devebprmm:
I IOU — (bvernnent funds financal Govemment Units: PLGJ (province). am
(city). MLGU (nunie'paliy):BLGJ (Barangays)
I Othen - Other Fund Sources: from Ofi'reialDevehpnint Ass'stance(eg. UN Agenciesdevelopment panners); other national agencies MES/C805;private and other sectors: and unfit-M PPAs
1
Annex G. AOP SITUATIONAL AND GAP ANALYSIS FORM

The Situational and Gap Analysis Form presents the whole picture of the LGU (Province/Highly
Urbanized/Independent Component City) health situation in an Annual Operational Plan. It
summarizes the narrative of the Health Situationer according to the 4 pillars of the F1 Plus
(Service Delivery, Governance, Regulation, Financing). The purpose of this table is to link the
identified gaps and contributing factors with the appropriate strategies and corresponding
investment needs. Thus, using a health systems approach, investment needs, will be more targeted
and responsive.

The Form focuses on the Top 10 major health problems/gaps in the LGU. The LGU can add more
if it deems necessary and critical.
(1) Identified Priority Health Problems — these are a mixture of the following priorities :
a. Indicators in the latest LGU Scorecard rated as RED
b. Top causes of mortality and morbidity
c. Top 5 gaps of Geographically Isolated and Disadvantaged Areas (GIDA), Indigenous
Peoples (IP) and Urban Poor
d. Poor performance in the latest FHSIS and/or NDHS
e. Other priority gaps/concerns which have a major impact on health systems
e g. High MMR, Low FIC, High Teen-age Pregnancy Rate, etc.
(2) Contributing Factor/s — the underlying direct or indirect factor/s influencing/affecting a
particular health problem that need to be addressed
(3) Strategies — evidence-based responses/approaches/actionsto address the contributing factor/s
and the identified problem
(4) Resources/Investments Needed — inputs or required resources quantified and costed in the
AOP Form 2 and AOP Forms for LGU Investment Needs
(5) Area of Implementation — refers to the specific municipalities/component cities/barangays
needing the investments; indicate if area covers GIDA/IP/Urban Poor and other vulnerable
population
(6) Reference Form — the form where the actual P/P/As with costs and other details are reflected
 AOP SITUATIONAL AND GAP ANALYSIS FORM

Identified Priority Contributing S trateg ies

Resources] Area of
# Reference Form
Health Problems Factor/s Investments Needed Implementation
(1) (2) (3) (4) (5) (6)

NOTES:
(1) Identified Priority Health Problems — these are a mixture of the following priorities :
Indicators in the latest LGU Scorecard rated as RED
Top causes of mortality and morbidity
Top 5 gaps of Geographically Isolated and Disadvantaged Areas (GIDA), Indigenous Peoples (IP) and Urban Poor
P‘PP’P

Poor performance in the latest FHSIS and/or NDHS

e. Other priority gaps/concerns which have a major impact on health systems
e.g. High MMR, Low FIC, High Teen-agePregnancy Rate, etc.
(2) Contributing Factor/s the underlying direct or indirect factor/s influencing/affectinga particular health problem that need to be addressedto solve the problem
—-

(3) Strategies — evidence-based responses/approaches/actionsto address the contributing factor/s and the identified problem
(4) Resources/InvestmentsNeeded — inputs or required resources quantified and costed in the LIPH Form 2 and AOP Forms for LGU InvestmentNeeds
(5) Area of Implementation — refers to the specific municipality/componentcity/barangay needing the investments; indicate if area covers GIDA/IP/Urban Poor and other
vulnerable population
(6) Reference Form — the form where the actual PIP/As with costs and other details are reflected
Annex H. AOP FORMS

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

The AOP Form 1 reflects the Summary of Investment Costs by F1 Plus Strategic Pillars of
Service Delivery, Governance,Regulation, Financingby Fund Source for the AOP year.

(1) F 1 Plus Strategic Pillars of:

- Service Delivery
- Governance
- Regulation
- Financing

(2) Fund Source — which/what office will be able to fund the investment:

- DOH — Central Office or Centers for Health Development;

. LGU — Government funds from Local Government Units: PLGU (province), CLGU
(city), MLGU (municipality); BLGU (Barangays)
- Others Other Fund Sources: from Official Development Assistance (eg. UN Agencies,
—

developmentpartners); other national agencies; NGOs/CSOS; private and other sectors;

and unfunded PPAs
Annex H
AOP Form 1. SUMMARY OF INVESTMENTCOST BY PILLAR AND FUND SOURCE

REGION:
PROVINCE/HUCIICC:

AOP CY: gm
Fund Source (PhP)
Strategic Pillar (2)
% of Pillar to Grand
DOH Grand Total (PhP)
(1) LGU Total
Others
Central Oflice PLGU C/MLGU BLGU
1
. HEALTH SERVICE DELIVERY

Health FacilityDevcelopment

HmmnResource in Health
Commodities

2. FINANCING

3. REGULATION

4. GOVERNANCE

Grand Total

As 11 Percentage of Grand Total

(1) Fl Plus Strategic Pillars of:

I Service Delivery
I Governance

I Regulation

I Financing

(2) Fund Source — which/what olfice will be able to fund the investment:

I DOH — Central Office or Centers for Health Development;

I [GU — Government fimds from Local Government Units: PLGU (province), CLGU (city), MDGU (municipality); BLGU (Barangays)

I Others - Other Fund Sources: fi'omOfficial Development Assistance (eg. UN Agencies, development partners); other natiOnalagencies; NGOs/CSOs;private and other
sectors; and unfunded PPAs
AOP Form 2. COST ASSUMPTIONS BY PILLAR, PPAS, QUARTER AND FUND
SOURCE (AOP MOTHER PLAN)

The AOP Form 2 reflects the Mother Plan of the Province/HUC/ICC for the AOP Year. It
contains implementation and operational details of the strategies and interventions that the LGU
plans to undertake for the AOP Year. By Fl Plus Strategic Pillars (Service Delivery,
Governance, Regulation, Financing), it lists Major PPAs, Requirements, Fund Sources for each
Quarter of the AOP Year.

The form includes all health and health-related investmentsthat are regularly funded, as well as
additional funding/investmentrequirements.

A separate sheet is used for each F1 Plus Strategic Pillar.

(1) Fl Plus Strategic Pillar: Service Delivery, Governance, Regulation, Financing

-Projects/Programs/Activities(PPA) - Identified priority strategies/interventionsthat
address health needs and health inequities
- Goal ~ desired outcome for each major PPA
(2) PPA Performance Indicator - Measurable value/performancemeasurement to evaluate the
success of a particular strategy/intervention (such as projects, programs, products and other
initiatives)
(3) District - the legislative district where the P/P/A will be applied/conducted. In a province,
this excludes the legislative districts covered by the HUC/ICC where they will also be
reflected in the latter’s respective plans
(4) Municipality/ComponentCity/Barangay' - specific area where the P/P/A 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 PPA will be
applied/conducted
(6) Target - Should correspond with PPA Performance Indicator (eg. number, %, rate) for the
Quarter indicated
(7) Resource Requirements Inputs needed for the PPA to be achieved/conducted
——

- Items Description - e. g. meals, accommodation, TEV, venue, kit, etc

- Expense Category: PS, MOOE, CO-Infrastructure/Equipment
- Unit Cost: Cost to produce/conduct the P/P/A
- Quantity: Number of the P/P/A to be produced/conducted
- Total Cost: Unit Cost multiplied by the Quantity of P/P/A to be produced/conducted
(8) Fund Source — which/what office will be able to fund the investment:
- DOH — Central Office or Centers for Health Development;
. LGU Government funds from Local Government Units: PLGU (province), CLGU
——

(city), MLGU (municipality); BLGU (Barangays)

- Others - Other Fund Sources: from Official Development Assistance (eg. UN Agencies,
developmentpartners); other national agencies; NGOs/CSOs; private and other sectors;
and unfunded PPAs
Annex H
AOP Form 2. COST ASSUMPTIONS BY PILLAR, PPAS, QUARTERAND FUND SOURCE (AOP MOTHER PLAN)

REGION: Date:
PROVINCE/HUC/lCC:
AOP CY: 2_o_22

Sumegic Pillar: Resume Rewimrents (HP) Fund 5mm.- (Hr?)

PM
Map“"
mum.
V,

SERVICE DELIVERY Performance , ,

Tum (7) (s)
—_—_ngrrlnll'mjetti puma Cement (6)
Facility Tom Cw ”0“
, ‘
Aetmtres mm)
_ new (3) City/3mm
(5)
hum name . .
Lint Cost .
Quantity
.
(1hr! Cum
1““.
Others
Mfillifl
am
(2) (4) Cm“?!
(1) 0| oz 03 04 Total Time! Qu-uny) PLGl,
V

also
1

21.51er“.
God:
1

I.
b.
It.
lSuh-totd Mnjorl’PA.

a. Mnjor PM;
God:
l

b.
C.

strum-r MnjorPPA;

c.Mg'prl’l’A;
God:
l

b.
t.
Sun-tour MnjorPl’A;

To“ Service Delivery

N011 Pleue
new sheetbr ad: Strategic Pillar.
(1) Strategic Pillar. Service Delivery,Gwernance. Regulation, Financing
- Projects/Prom/Activities(PPA) - ldenn'fed priority strategies/inten'enthns that address health needs and health inequit’ns
- Coal desired outcome foreaeh unjor WA
—

(2) WA Performance Indicator ~ Measurable value/perfonmnce treasurer-rent to evaluate the success of a particular strategy/mten'entbn (such as projects. program, products and other initiatives)
(3) D'ntn'ot-the legishrtivedistrict where the PIP/A “111 be applied/conducted. In a province, this etcludes the legislative districts covered by the HUCJlCCwhere they will also be Inflected in the latter‘s respective plans
(4) Mnntipal'ny/Conponent City/Ramsay - specific area “here the PIP/A “I'll be appliedjeonducted; indicate it‘area covers GIDAIEP/Ut’oan poor and other vulnerable popuhtion
(5) Nan:of l-halth Faeflity -the met name of the facfl'ny where the PPA uillbe applied/conducted
(6) Target - Should correspond with PPA Perfonmnm Indicator (eg. nunber, %, rate) for the Quarter indicated
(7) Resource Requirement — Inputs needed for the PPA to be achieved/conducted
I liens Description -e.g. meals.aceonnndatr'om TEV,\'enue,lrit,ete
I Erpense Category: PS, MOOE,COJnfi’astructureJEquipmt

I Unit Cost:Cost to produce/conduct the PIP/A

I Quality. Nunirerof the PIP/A to be produced/conducted
I TotalCoat: Unit Cost nlrlt'plied by the Quantity ofP/P/A to be produced/conducted

(8) Fund Source which/“hat office v.1]l be able to fund the im'eslrmnt:
—

I DOH Central Ofl'rce or Centers for lbalth Developnent;

—

I Lfll — Gn'ernnentfluids from localGovemment Units: PIG}(province). (mu (city), M151 (WM); 3151 (Ramsay's)
I Others - Other Fund Sources: fromOfi’reialDevelopment Ass'stance (eg. UN Agencies. development partners); other national agencies; NCOs/CSOS;private and other sectors; Indmin“ ”A:
AOP Form 3. SUMMARY OF LGU INVESTMENT NEEDS

AOP Form 3 summarizes the LGU investment needs for major cost drivers in separate AOP
Forms. Investment needs include funding requirements to address the health gaps/ indicators,
and to meet targets set for Year 1 of the LIPH. Investment needs are categorized as to LGU
investment needs for:

Health Facilities Development and Water/Sanitation Facilities

9‘99“?”
Human Resource for Health
Commodities
Other Technical Assistance.

(1) Investment needs include fimding requirements of Local Government Units in the
following categories:
Health Facilities Development and Water/Sanitation Facilities LGU investment
——

needs for facilities of health and water/sanitation; values to be culled out from AOP
Form 3.1
Human Resource for Health - investment needs for the different HRH cadre; values
to be culled out from AOP Form 3.2
Commodities - investment needs for specific commodities; values to be culled out
from AOP Form 3.3
Other Technical Assistance investment needs on capacity-building, advocacy and
—

health promotion, workshops, consultations, monitoring and evaluation, creating and

implementing systems and tools ; values to be culled out from AOP Form 3.4
(2) Fund Source — which/what office will be able to fund
DOH - from DOH Central Office, Centers for Health Development
LGU - Government funds from the Local Government Units: Consolidated from
PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, development partners); other national agencies; NGOs/CSOs whether local
or national; private and other sectors; and unfunded PPAs
Annex H
AOP Form 3. SUMMARYOF LGU INVESTMENT NEEDS
Region:
Province/HIIC/ICC:
AOP Year.
Cost per Fund Source (Phl’)
Categories of Investment Needs
(1) ICU
Central Office

Human Resource for Health

- Nurse
-
MedicalT
- Dentist
~
Pharmac'st
Nutritionist-Dietician
' Public HealthAssoc'nte

Sub-Total
Commodities
' TB
- FP Conlmdit'es
‘ Vaccines SeniorC
‘ Other ofcormndifies
Sub-total
4. OtherT
~Governance
-F

Sub—total

Grand Total
(1) Investment needs include funding requirements of Local GovernmentUnits in the following categories:
I Health FacilityDeveloprnentand Water/Sanitation Facilities — LGU investmentneeds fiat fiacilit'es ofhealth and water/sanitation; values to be culled out from AOP Form 3.1
I Himan Resource for Health - investmentneeds ibr the difi‘erent HRH cadre; values to be culled out fromAOP Form 3.2
I Corrrnodities - invesunent needs fbr specific conrnodities; values to be culled out fromAOP Fonn 3.3
I Other TechnicalAss'stance - investmentneeds on capacity-building,advocacy and health promotion, workshops, corsultafions, monitoring and evaluat'nn, creating and inpbmenting systems and
tools; values to be culled out from AOP Form 3.4
(2) Fund Source — which/whatoffice will be able to fund the investment
- DOH - fi‘om DOH Central Ofice, Centers for Health Development
I LGU - Goverrnent finds fi'om the Local Govermrlent Units: Co-olidated fi'omPLGU (province), CIJGU (city), IVllGU (rmmicipality); BLGU (Bar-angays)
I Others - Other Fund Sources: fi'orn Official Development Ass'stance (eg UN Agencies, development partners); other rational agencies; NGOs/CSOswhether local or national; private and other
sectors; and unfunded PPAS
AOP Form 3.1. LGU INVESTMENT NEEDS FOR HEALTH FACILITY
DEVELOPMENT AND WATER/SANITATIONFACILITIES

To address the health gaps outlined in the AOP Situational and Gap Analysis, and to meet targets
set for Year 1 of the LIPH, AOP Form 3.1 reflects the LGU investment needs for health and
water/sanitation facilities.

(1) District — the legislative district where the health facility is located. In a province, this
excludes the legislative districts covered by the HUC/ICC where they will also be
reflected in the latter’s respective plans.
(2) Municipality/Component City/Barangay - specific area where the health facility is
located; indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(3) Category — type of facility: Hospital, Rural Health Unit (RHU) and Barangay Health
Station (BHS), water/sanitation facility
(4) Name of Facility the exact name of the facility
——

(5) Project Description — describes the specific works/projects to be done per LGU facility,
e.g. expansion of CPD, construction of RHU birthing facility, upgrading and equipping
(6) Facility Investment Needs
I Infrastructure — construction, repair, rehab, upgrading of facilities
I Medical Equipment —specific equipment needed for the facility
I Motor Vehicle ambulance, patient transport
——

I Total Cost per Facility — total investment for the facility after summation of all
required resources
(7) Fund Source — which/what office will be able to fund
- DOH - from DOH Central Office, Centers for Health Development
- LGU - Government finds from the Local Government Units: Consolidated from
PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
. Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, development partners); other national agencies; NGOs/CSOs whether local
or national; private and other sectors; and unfunded PPAs
Annex H
AOP Form 3.1. LGU INVESTMENT NEEDS FOR HEALTH FACILITY DEVELOPMENT AND WATER/SANITATIONFACILITIES

Region:
vaince/HUC/[CO
AOP Year:

Municipality/ Facility Investment Needs (PhP) Cost per Fund Source (PhP)
District Component Cate gory Name or Proyect (6) (7)
City/ Facility Description
(1 ) (3) DOH
Barangay (4) (5) Infrastructur Medical Motor Total Cost/
Ve hicle
C en tral
(2) e Equipme nt Facility CHD

Total

(1) District — the legislative district where the facilities are located. In a province, this excludes the legislative districts covered by the HUC/ICC where they will also be reflected in the latter’s respective plans.
(2) Municipality/ Component City/Bamngay specific area where the facrlities are located; indicate if area covers GIDA/IP/Urbanpoor and other vulnerable population
—

(3) Category — type of facility: Hospital, Rural Health Unit (RHU) and Barangay Health Station (BHS)
(4) Facility - the exact name of the facility
(5) Project Description — describes the specific works/projects to be done perDGU facility, erg. expansion of CPD, construction of Rl-IU birthing facility, upgrading and equipping
(6) Facility Investment Needs — the specific investment needed for the-facility
I Infrastructure — construction, repair,rehab, upgrading of facilities
I Medical Equipment—specific equipment needed for the facility
I Motor Vehicle — ambulance,patient transpon
I Total Cost per Facility — total investment for the facility after sumrmtion of all required resources
(7) Fund Source — which/what office will be able to fund the investment
- DOH - from DOH Central Ofiice, Centers for Health Development
I LGU - Government funds fiom the Local Govemment Units: Comolidated fiom PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
- Others - Other Fund Sources: fiom Official Development Assistance (eg, UN Agencies, development partners); other national agencies; NGOs/CSOs whether local or national; private and other
sectors; and unfunded PPAs
AOP Form 3.2. LGU INVESTMENT NEEDS FOR HUMAN RESOURCE FOR HEALTH

To address the health gaps outlined in the AOP Situational and Gap Analysis, and to meet targets
set for Year 1 of the LIPH, AOP Form 3.2 indicates the human resources for health (HRH) needs
of an LGU guided by the standard ratio to population from the DOH Health Human Resource
Development Bureau (HHRDB).

(1) District — the legislative district where the health facility is located. In a province, this
excludes the legislative districts covered by the HUC/ICC where they will also be
reflected in the latter’s respective plans.
(2) Municipality/ Component City/Barangay - specific area where the health facility is
located; indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(3) Health Facility — the exact name of the facility where the HRH will be deployed
(4) HRH/Cadre — the specific HRH needed/requested
a. Physician
b Nurse
0 Midwife
(1 Medical Technologist
e. Dentist
f. Pharmacist
g Nutritionist-Dietician
h Public Health Associate
i. Pharmacy Assistants
j. Project Assistants
k. Other HR Needs
(5) Number — quantity or number of HRH needed
(6) Salary Grade - predetermined compensation level for a given position or cadre
(7) Salaries and Benefits actual monetary compensation of the HR to include allowances
——

and other remunerations

(8) Fund Source — which/what office will be able to fund
- DOH - from DOH Central Office, Centers for Health Development
- LGU - Government funds from the Local Government Units: Consolidated from
PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
- Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, development partners); other national agencies; NGOs/CSOs whether local
or national; private and other sectors; and unfunded PPAs
Annex H
AOP Form 3. 2.LGU INVESTMENT NEEDS FOR HUMAN RESOURCE FOR HEALTH

Region:
Province/HUC/ICC:
AOP Year:

tper und urce

District
..
Munrcrpalty
l'
Name of
Health HRH/Cadre Number Salary Grade
Salaries and
Benefits
Component D0 H
(1) Facility (4) (5) (6) (PhP) LGU
City (2) Central
(3) (7) CHD

Total

(1) District — the legislative district where the health facility is located. In a province, this excludes the legislative districts covered by the HUC/ICC where they will also be reflected
in the latter’s respective plans.
(2) Municipality/ComponentCity/Barangay - specific area where the health facility is located; indicate if area covers GlDA/[P/ Urban poor and other vulnerable population
(3) Health Facility — the exact name of the facility where the HRH will be deployed
(4) HRH/Cadre - the specific HRH needed/requested
a. Physician (specify) f. Phanmcist k Other HRNeeds
b. Nurse g. Nutritionist-Dietician
c. Midwife h. Public Health Associate
d. Medical Technologist i. Pharmacy Assistants
e Dentist j. Project Assistants (specify)
(5) Number— quantity or number of needed
(6) Salary Ctade - predeterminedcompensation level for a given position or cadre
(7) Salaries and Benefits — actual monetary compensation of the HRto include allowances and other remunerations
-
(8) Fund Source which/what office will be able to fund the investment
I DOH - from DOH Central Office, Centers for Health Developnrmt
I LGU Government funds from the Local GovernmentUnits: Consolidated from PbGU (province), CLGU (city), MDGU (municipality); BLGU (Barangays)
—

I Others - Other Fund Sources: fiom Official Development Assistance (eg. UN Agencies, developmentpartners); other national agencies; NGOs/CSOs whether local or national; private and other
sectors; and unfundedPPAs

10
AOP Form 3.3. LGU INVESTMENT NEEDS FOR COMMODITIES

To address the health gaps outlined in the AOP Situational and Gap Analysis, and to meet targets
set for Year 1 of the LIPH, AOP Form 3.3 indicates the specific commodities needed by the
LGUs.

(l) Commodities - various commodities such as drugs, vaccines and their corresponding
medical supplies generally categorized into:
a. National Tuberculosis Program
b. Family Flaming and RPRH
c. Vaccines/EPI
d. Other Major Commodities
(2) District — the legislative district where the health facility is located. In a province, this
excludes the legislative districts covered by the HUC/ICC where they will also be
reflected in the latter’s respective plans.
(3) Municipality/ Component City/Barangay - specific area where the health facility is
located; indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(4) Name of Health Facility — the exact name of the health facility where the commodities
will be delivered
(5) Target Population — refer to number of infants/ Senior Citizens / adolescents / pregnant /
WRA, etc who will benefit from the identified commodity
(6) Items /Description — refer to Dosage / Unit / Form of the commodity
(7) Quantity — quantity of the commodity requested
(8) Estimated Unit Cost — standard cost based on latest estimate from DOH program
managers
(9) Total — total amount needed for the commodity after considering the estimated unit cost
and the quantity
(10) Fund Source — which/what office will be able to fund
- DOH - from DOH Central Office, Centers for Health Development
- LGU - Government funds from the Local Government Units: Consolidated from
PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
- Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, development partners); other national agencies; NGOs/CSOs whether local
or national; private and other sectors; and unfunded PPAs

ll
Annex H
AOP Forln 3.3- IGU INVESTMENT NEEDS FOR COMMODITIES
Region:
vaince/HUC/ICC:
AOP Year.
sire} Cost per Fund Source (PhP)
P°p“ “m" “"“s ’ Estimated (10)
Commodities Municipality (# 01,423 Desc(r6'i;)tion Quantity
SC Unit Cost Total (PhP)
(1) (3) (7) (Pup) (9) D011
“ohm“, (Dosage, Unis, (8)
PW!) WRA
etc)
Form) Ce ntral
Oflice

(l) Commodities —Various oomrnodities such as drug, ’

and their win r " r, ' " mt '
ed into:
a. National Tuberculosis Proyam
b. Family Planning and RPRH
e. Vegans/DI
d. Other Major Comodities
(2) District — the legslative district where the health facility is located. In a province. this excludes the legslstive districts covered by the I-{UC/ICC where they will also be reflected in the latter‘s respective plans.
(3) Municipality/ Component City Barns-ugly - specific area where the health facility is located,- indicate ifarea covers GIDA/IP/Urban poor and othm— vulnerable population
(4) Name cmelth facility — the exact name ofthe halth facility where the commodities Will be deliva'ed
(5) Taryt Population— refer to " of ' Senior (" ' / s: / / WRA etc who will benefit from the identified cormmdity
r
(6) Items / Description — refer to D053; IUnit / Fonn ofthe commodity
(7) Quantity — quantity of the commodity requested
(8) FJtimated Unit Cost — standard cost based on latest 51mm: from DOH prom
(9) Total — total “ “ for the "' y afier ’ '

(10) Fund Source — which/vvhat 035cc Will be able to fund the investment
the cu' ms unit cost and the quantity

- DOI-I from Don Central Ofiice, Centers for Health Development

'
—

LGU' - Governmentfunds fi'omthe Local GovernmentUnits: Consolidlted fi'om PLGLJ (province), CLGlJ (city), MIG} (municipality); BLGLT (Erangays)
- Others - Other Fund Sources: from Oflicial Development Assistance (cg. UNAgencies, development partners); other national agencies; NGOs/CSOs whether local or national; private and other sectors; and
unfunded PPAs
12
AOP Form 3.4. LGU INVESTMENT NEEDS FOR OTHER TECHNICAL ASSISTANCE

To address the health gaps outlined in the AOP Situational and Gap Analysis, and to meet targets
set for Year 1 of the LIPH, AOP Form 3.4 indicates other technical assistance needed to address
gaps in the health system:

(1) Activities - These include the capacity-building, advocacy and health promotion,
workshops, consultations, monitoring and evaluation, creating and implementing systems
and tools. It is categorized according to the 4 Pillars of the F1 Plus.

a. Governance —
strengthen leadership and management capacities, coordination, and
support mechanisms necessary to ensure functional, people-centered and participatory
health systems
0 GIDA, LIPH/AOP development & M&E, implementation of LGU Scorecard
o implementation of HLGP
o improvement of procurement and upgrading of Supply Chain And Logistics
Management
0 Response and feedback mechanisms (customer assistance desk/units, hotlines,
etc.)
0 Research and health policy development
0 Information System -iClinic Systems (iClinicSys), Rx Box, eHatid and
Integrated TB Information System (ITIS), FHSIS, PIDSR

Financing -Efficiently mobilizing and equitably distributing more resources for

health, rationalizing health spending, and focusing financial resources towards high
impact interventions

Service Delivery - ensuring the accessibility of essential quality health products and
services at appropriate levels of care
e.g. engaging SDNs to deliver comprehensive package of health services

Regulation -ensure high quality and affordable health products, devices, facilities and
services

(2) Municipality/Component City/Barangay— specific location where the activities will be

conducted; indicate if area covers GIDA/IP/Urban poor and other vulnerable population

(3) Fund Source — which/what office will be able to fund

DOH - from DOH Central Office, Centers for Health Development
LGU - Government funds from the Local Government Units: Consolidated from
PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
Others - Other Fund Sources: from Official Development Assistance (eg. UN
Agencies, development partners); other national agencies; NGOs/CSOs whether local
or national; private and other sectors; and unfunded PPAs

13
Annex H
AOP Forum 3.4. LGU INVESTMENT NEEDS FOR OTHER TECHNICAL ASSISTANCE
Region:
Province/HUC/ICC:
AOP Year.
Municipality]
Activities Component DOH
(1 ) C ity/B arangay
(2) Ce ntral omce
Gove mance
a.
b.

Sub-total Governance

Financing
a.
b.

Sn b-total

Service Delive ry
a.
b.

Sub-total Se rvice De live

Regulation
a.
b.

Sub-total Re gulation

Total
(1) Activities These include the capacity-building, advocacy and health pmrnotion, worlshops, consultations,naonitoring and evaluation, creating and ixrplen'renting systems and tools. It is categorized
—

according to the 4 Pillars ofthe Fl Plus

a. Governance - strengthen leadership and management capacities, coordination, and support naechanisnis necessmy to ensure functional, people-centeredand participatory health systens
I GIDA. LlPH/AOP development & M&E implementation ofLLFU Scorecard
I implementation ofIHILGP
I irrprovennent ofprocurement and upgrading of Supply Chain And Logistics Management
I Response and feedback mechanisms (custom-er assistance desk/units, hotlines, etc.)
I Research and health policy developrrxent
I lnforrration System —iCl.inic Systen-s (iCljnicSys), RxBox eI‘Iatid and IntegratedTB Information SystemOTIS), FHSIS, PEDSR
b. Financing -E1‘ficiently rnobiliz'ng and equitably distributing rmre resources for health, rationalizing health spending, and focusing financial resources towards high inpact interventions
c. Service Delivery - ensuring the accessibility ofessential quality health products and services at appropriate levels ofcare c.g. engaging SDNs to deliver comprehensive package ofhealth
services
d. Regulation -ensu1e high quality and afl‘ordable health products, devices, fiacflities and services
(2) Municipality/Component Chy/Barangay - specific area where the PIP/A will be applied/conducted;indicate ifarea covers GIDA/n’lUrban poor and other vulnerable population
(3) Fund Source which/Mint oflice Will be able to fund the investment
—-

I DOH - fi'om DOH Central Office. Centers for Health 13eveloprnent

I LGU - Government fiinds fi'om the Local Government Units: Consolidated fiomPLGU (province), CLGU (city), IVELGU (minicipality); BIGU (Barangays)
I Othexs - Other Fund Sources: fiom Official Development Assistance (cg. UN Agencies, development partners); other national agencies; NGOs/CSOs “whether local or national; private and other
sectors; and unfuntbd PPAs

14
 l
r

Annex I LIPH APPRAISAL CHECKLIST

Review of 2020-2022LIPH
Province/City: .

Use of the Appraisal Checklist: Please check (I): I] For LGU and Province/City DOH Office Review [1 For CHD Appraisal
ONLY PLANS WITH COMPLETE CONTENT SHALL BE APPRAISEDBY THE CHD APPRAISALCOMMITTEE
Instructions:
1. If required data/informationis found in the expected section/partof the LIPH, put 1 as score under the YES Column.
If data/informationis found in another section/part, give a score of l and indicate in the REMARKS Column where information/datais found.
2, If required data/informationis not found, put 1 under the N0 Column.
3. Indicatecomments in the REMARKS Column.
4. Indicate revision/sneeded in the RECOMMENDATIONS Column.
5. Indicatethe Total YES Score and YES Percentage, and check (l) the appropriate Over-all Result at the end of the checklist.
PARAMETERS FOR Section
DETAILS YES NO REMARKS RECOMMENDATIONS
EVALUATION Score
I. COMPLETENESS'OFTHE DOCUMENT 6
Indicate gresence 0;:
a. Endorsement from Province/HUC/ ICC, Transmittal
1.LIPH submitted to Center for
Health Development (CHD) for to the Provmce/City DOH Office
b. Results of LGU and Provmce/C1ty DOH Office
_

Final Appraisal
revrew attached
2. LIPH enhanced version
Isubmitted to CHD for Final LIPH signed by PHO/CHO and LCE
Concurrence (after CHD (soft copy)
Appraisal)
1. Plan development 1

11. Health situation of the Province/City 1

111. Local prioritiesMajorthrusts of the LIPH 1

3. Content/Parts IV. Monitoring & Evaluation 1

LIPH Form 1 1

LIPH Form 2 1

Other attachments, specify

II. TECHNICALCONTENT -

Part 1. Plan Develbpment (9 points) grad/Indicated: 9

1. Membership of the Core LIPH a. Composition 1
'
Planning Team b. inclusion of non-health staff, specify 1

a. Barangay/Municipal/City/ District/Others, as
1
applicable, specify
2‘ Consideration of health b. When available, consideration of health needs
Isituation and needs of different contained in the‘Ancestral Domain Investment Plan for
levels Health (ADIPH)/Ancestral Domain Sustainable 1
Development and Protection Plan (ADSDPP)
NOTE: If not available, item should not be part of the
denominator.
a. Non-health sector, specify 1

b. Special population groups, eg. GIDA, Indigenous

3. Consultation with! involvement Peoples, Urban Poor, PWDs, seniors, other vulnerable/ 1

of key stakeholders marginalized groups, specify

4'
Rezievnofrprevigus LIIPH
“no an 0t er L U p ans
c. Plan harmonization, integration, and synchronization 1
by LGU, CHD and other partners
a. Revisit/Review of rocesscs, ouWuts and outcomes of
the previous LIPH pegiod
1
b. Other LGU plans reviewed, specify 1

Part 11. Health Situation of the Province/City (14 points) Cited/indicated: 14

a. Data and data sources fiom:
i. Non-health sector, specify 1

ii. Special population groups eg. GIDA, IP, Urban

Poor, PWDs, seniors, other vulnerable/ 1

marginalized groups
1. Use of verifiable and validated b. Process of data collection 1

data c. Data/information clearly and logically presented 2

d. Following are used, as applicable: FHSIS, LGU
scorecard, surveillance unit reports, annual statistical
reports, health indices, emerging and rc-emerging
diseases (if any), hospital reports, equity statistics, best
practices, others

10f2
 l

PARAMETERS FOR Section

DETAILS YES NO REMARKS RECOMMENDATIONS
EVALUATION Score
a. Health and health-related threats/concerns and
l
situations backed up by appropriate data/evidence
b. Health systems problems/concems backed up by
1

2. Description and analysis of appropriate data/evidence

c. Level ofanalysis.
health and health-related threats
. . 1. Statistics eited 1
and Situations, and health systems .. . .
11. Comparison against standards, trends,
problems /concerns 1
benchmarks, targets
iii. Causes and contributing factors identified 1

iv. Linking of related gaps with health outcomes

1
and indicators
Situational and Gap Analysis
3‘ Summary of major
ii. Complete entries
I gaps/pr0blems / concerns
1

iii. Wholistic (systems-based) analysis 1

Part [IL Local Priorities/MajOrThrustsoi' the LIPH (4“20ints) Cited/Indicate :

“
4
a. List of Local Priorities/Major Thrusts consistent with
‘

1. Goals and objectives,

gaps problems/concems identified in the Health 2
priorities/thrusts, targets and Situation Section
indicators for the 3- year LIPH b. Aligned with/contribute to FOURmula One Plus,
period National Objectives for Health, Sustainable 1

Development Goals
2- Goals and objectives for L003] a. Goals and objectives to improve responsiveness of
Health Systems strengthening Local Health Systems, specify 1

Part IV Monitoring & Evaluation (3 points) Cited/Indicated: ' ‘

3
a. M&E process/activities (eg. systems or prograrn-
1
based, PIR, PBUR), specify
1. M&E Process b. Human resource involved in M&E, specify 1

c. Participation of other stakeholders (non-PHO/CHO

1
staff) in M&E activities, specify
Part V. Cost Matrices (13 points) Cited/Indicated: 14
a. Address gaps/problems/concems and priorities and 2
1' Strate gi es/activiti es
thrusts listed in Situational and Gap AnalySis
. .
b. Activmes listed realistic and implementable in time
2
frame given
a. Strategies/activities are costed 1
b. Costing of strategies/activities realistic and
1
appropriate to locality
0. Funding requirements consistent with priorities and
2. Costing of strategies 2
thrusts listed in Local Priorities/Major Thrusts Section
d. Strategies/activities for GIDA barangays costed 1

e. Strategies/actrvrties from ADIPH/ADSDPP oosted

NOTE: If not available, item should not be part of the 1

denominator.
3. LGU ownership of and a. Spectfied LGU over-all counterpart reflected in the
accountability for health LGU (Province/HUC/ICC) Comprehensive 2
operations and reforms Development Plan/ELA/LDIP/AIP
a. Bud et allocation 1
4' M&E component Timglines/schedule
b. 1
TOTAL 50 points Total YES Score: 50 0 (Yes Score/50) x 100 YES Percentage:
OVER-ALLRESULT: CI 85% or Better (43 & above): PASSED D For CHD Appraisal D For CHD Concurrence
CI 75-84% (3 8-42): PASSED with minor correction, For Enhancement
I] Below 75% (37 and Below): LIPH For Revision, Prov/CityDOH Office/CHD to provide special Technical Assistance
Other Comments:

APPRAISALTEAM: Date of appraisal:

Name, Signature, Position Name, Signature, Position Name, Signature, Position Name, Signature, Position

Name, Signature, Position Name, Signature, Position Name, Signature, Position Name, Signature, Position

CONCURRED: Date:
Name and Signatureof Director IV

20f2