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    DALAGUETE HEALTH ANNUAL OPERATIONAL PLAN 2011

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF SU

    GOALS, STRATEGIES & ACTIVITIES ITEMS

    A. HEALTH CARE FINANCING

    1800000 780000 1200000 3,7

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    securing progressively higher, better & sustainable health investments to effect equity and health ouimrovement especially for the underprivileged and marginalized.

    I. Enrollment ofindigents, IPP &

    SME employees- advocate &ensure sustainednational & LGUenrollment of realindigent familiesincludingindividual payingmembers &employees fromlocal small

    businessenterprises.

    Continuingvalidation,enrollment &renewal ofindigent families

    Jan-Dec.2011

    from 33barangays

    equitablyspread,apoliticallyvalidated &

    SpecificAppropriation

    Setting-up ofmembercounterpartingschemes

    Apr-Jun2011

    Memberscounterpartfunds held intrust

    MembersTrust Fund

    sectorsenrollment /

    legislatedmandatoryemployeeenrollment fromlocal smallbusiness

    Jan-Dec2011

    Increase

    enrollment inIPP sectors &employees fromlocal businessenterprises

    Ena ingord.

    requiringestablishmnts for PHICenrollmentof theirem lo es

    II. InternalRevenueGeneration

    Socializedindividual user &regulatoryservice fees

    Jan-Dec2011

    Cost recoveryfrom user andregulatoryservice fees

    RevisedMunicipalTax Code

    Rational use of

    PHIC capitation

    Jan-Dec

    2011

    PHIC capitationjudiciously

    utilized

    Submissionof PHIC

    reports

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    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    B. HEALTH REGULATION ensuring access to qualtiy and affordable essential health care goods, facilities and services.

    III.AugmentationFund Sourcing

    Active search forgrants &subsidies fromthe PLGU, CDF,NGAs & NGOs

    Jan-Dec2011

    Augmentationfunds for healthprogrrams andprojects

    ProjectProposal &MOA withfundingagencies

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    I. Compliance toHealth Laws &

    Standards-Implementationand enforcementof existingnational & localhealth and healthrelatedlegislations andstandards

    Enforcement ofnational health

    legislation &standards andlocal healthordinances

    Jan-Dec2011

    Health Laws &

    standards andlocal ordinancesenforced

    Copies ofHealth Laws& Standardsand LocalOrdinances

    Resolution insupport of the 5-year Province-wide InvestmentPlan for Health(PIPH)

    Oct-Dec2010

    PIPH resolutionpassed & copyfurnished CHD

    Draft copyofResolution

    II.Passage ofordinances - insuppport ofrelevant nationallaws andstrenghtening ofnational healthpolicies relating tobut not limited tosafe motherhood,child survival andenvironmentalsanitation

    (SM)SafeMotherhood,(CSR)ContraceptiveSelf Reliance &(CS) ChildSurvival

    Oct-Dec2010

    ComprehensiveSM-CSR-CS

    Ordinancepassed & copyfurnished CHD

    Draft copyofSM-CSR-CSOrdinance

    Resolution on theCreation ofBarangay

    CommunityHealth ActionTeams (CHAT)

    Jan-Jun

    2011

    CHAT Resolutionpassed,organized &

    made functionalin everybarangay

    Draft copyof

    Resolution

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    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF S

    GOALS & ACTIVITIES ITEMS

    18000 50000

    10000

    4000

    10000 10000

    8000

    Resolution on theestablishment ofMunicipalVoluntary BloodAccessingServices (MVAS)

    Jan-Jun2011

    MVASResolutionpassed & copyfurnished CHD

    Draft copyofResolution

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    III. Access to

    Essential Drugs& Commodities -assuring theavailability of andsustained accessto low-pricedhence affordablequality essentialmedicines.

    Lobby withLCE/ABC andinstallation ofmore BnBs &maintenance ofexisting BnBs.

    Jan-Jun2011

    7 existing BnBswell maintainedand 10 moreBnBs opened

    Supervisingpharmacisthonorarium&renovationcost

    Training of newBnB operators

    Jan-Mar2011

    20 new BnBoperatorstrained

    TEV for the20participants

    Coinductt of

    regularmonitoring ofBnB outlets

    Jan-Dec2011

    BnB monitoringdone quarterly

    FuelTranspo cost

    IV. MunicipalVoluntary BloodAccessingServices-establishingenough municipalblood pool &emergency fund

    in times of needand promotingawareness and

    Municipal-wideconduct of bloodtyping &masterlisting ofpotential blooddonors

    Jan-Dec2011

    Masterlist ofrepresentativeblood donor-types fromevery barangay

    Blood typingsera

    Advocacy &Conduct of blood

    letting activitiesin everybarangay

    Jan-Dec2011

    Blood-lettingactivites in 4

    batchesinvolving 200donors

    Mobilization

    & Transpocost

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    15000 1

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF SU

    GOALS & ACTIVITIES ITEMS

    C. SERVICE DELIVERY

    I. INTENSIFIED DISEASE PREVENTION & CONTROL

    5000 5000 5000

    its people. Setting-up ofEmergency BloodAssistance Fund

    Jan-Mar2011

    EmergencyBloodAssistance Fundfor 10

    recepients/year

    Approriationfor possible10recepients

    TIME

    FRAME

    EXPECTEDOUTPUT

    RESOURCERQRMENT

    PLGUPHO

    DOH

    MNCHN/HFEP

    LWUA &

    OtherSources

    PERFORMANCETARGETS

    GeneralFund

    BrgyFund

    Sen.Zubiri

    Cong.Garcia

    improving the availability and accessibility of basic and essential health care for all with prefoption for the underprivileged and marginalized and facilitating a continuum of health servichi her levels of care.

    1. TuberculosisControl Program- To Increase Case

    Detection Rate(CDR) from 50%to 60% and TBCure Rate (CR)from 80 % to 85%by 2011

    Activecasefinding

    among old & newTB case contacts

    Jan-Dec

    2011

    Househodcontacts of oldand new TB

    cases arescreened foractive infection

    RecordsReview &continuing

    masterlist ofcontacts

    Active tracking ofdefaulters &caseholdingstrategies

    Jan-Dec2011

    Lost patientskept at a veryminimum of 1 /year

    TreatmentRecordsReview

    Mantoux testamong children& purchase of

    Jan-Mar2011

    Childrencontacts of TBcases screened

    PPD testingkit

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    5000 5000

    5000 25000

    1500

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF S

    GOALS & ACTIVITIES ITEMS

    TEV 5000 15000

    300000 75000

    10000 10000

    11000

    Provision ofadequatereagents andother NTPsupplies &equipments

    Jan-Mar2011

    5 Ethyl alcohol,2,000 sputumcups, 10 box.glass slides,reagents forAFB staining

    Reagents,supplies &equipments

    Provision ofsupplementaryTB drugs foradult & children

    Jan-Mar2011

    10 TB casesprovided withTB drugs

    Fixed doseanti-TBdrugsintensive,Pedia Kit

    Purchase ofdrugs for adversereaction

    Jan-Mar2011

    Prednisone &antihistaminespurchased forpossible ADR

    Prednisone,Antihistamines

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/HFEP/LWUA

    GeneralFund

    BrgyFund

    Sen.Zubiri

    Cong.Garcia

    2. DenguePreventio &Control ProgramTo DecreaseIncidence ofDengue FeverCases by 2011

    Entomologicalsurvey trainingfor RMT & RSI

    Jan-Mar2011

    RMT & RSItrained inentomologicalsurvey

    Equip.

    procurement forCBC, centrifuge,test strips,misting machine

    Jan-Mar2011

    Ancillaryequipment &suppliesprocured

    3. RabiesElimination &Control Program- Total control &eradication ofHuman Rabies by2015 thru yearly

    decrease ofAnimal BiteCases.

    Reproduction ofIEC materials onRabies Control &Prevent.

    Jan-Mar2011

    1000 leafletsand 1000postersreproduced

    Leaflets &Posters

    Training/Orientati

    on on Rabies

    Jan-Mar

    2011

    33 BrngyLivestock Aide

    (BALA), 7 DogElim. ControlTeam (DECT)

    Food &

    Trainingmaterials

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    90000

    25000

    4. Information Education Campaign-Behaviour Change Communication

    30000

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF S

    GOALS & ACTIVITIES ITEMS

    II. MATERNAL HEALTH CARE Ultimate Goal: Reduction of Maternal Mortality Ratios.

    15000 30000 15000

    260000 260000

    180000

    Primary Pre-Esposureimmunizations

    Jan-Mar2011

    30 HealthPersonnel, 33BALA, 7 SIKUP

    Vaccines &syringes

    StrictImplementationof existing

    Rabies ControlOrdinance

    Jan-Dec2011

    Regular andsustained SIKUPround-up ofstray dogs.

    Dogcatchingparaphernalia & transpo

    To intensify ondisease & healthprogramawarenessleading to actualbehaviouralchange

    Quarterly healthfora on commondiseases andhealth programactivities

    Jan-Dec2011

    Heath foraconducted on all33 barangays

    Multimediaequipment& Transpo.

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    1. BEmONC - To

    establish &maintain BEmONC

    / BirthingFacilities, increase

    facility baseddeliveries from

    12% to 20%, andto reducematernalmortality.

    Reproduction of

    PregnancyTracking Form"Mother & ChildBook"

    Jan-Dec2011

    Mother & Childbook providedto AP

    Mother &Child Book(1500 AP)

    CapabilityBuilding(BEmONC)Training

    Jan-Dec2011

    2 RHP, 3 Nursesand 25 RHM'swith BEmONCtraining

    Trainingexpenses

    Provision ofLogistics forFacility BasedDelivery

    Jan-Dec2011

    600 or 40% ofPregnantwomen provided

    with the neededlogistics forfacilitydeliveries

    ,Oxytocin,Vit.K, GauzeMag.Sulfate,Antibiotics,guaze,btadine

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    100000

    60000 66000

    592893

    100000

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    93000

    42000 82500 42000

    112500

    90000

    12000

    Procurement offetal heartmonitoringequipment

    Jan-Mar2011

    Fetal Monitoringis facilitatedduring labor

    DopplerMachine

    Establishment ofMunicipal

    NetworkingAmbulanceServices

    Jan-Mar2011

    egu arambulances &brngy multicabs

    utilized foremerg. transpo.of women inlabor

    MOA,

    Gasolinecost

    Filling-up ofvacant RHM, Hire1 MD

    Jan-Mar2011

    RHM vacantposition filled-up, 1 MD hired

    Salaries &wages

    Provision forovertime pay

    Jan-Dec2011

    BEmONCduty/rotationwell

    compensated

    Salaries &wages

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    2. Prenatal andPostpartum

    Care

    Provision oflogistics andsupplies for AP &PP care

    Jan-Dec

    2011

    Vit. A 10,000 &200,000 IUs

    provided to AP& PP

    Vit. A10,000 IU =45000

    200,000 IU= 1500 ca s

    Goal: To increasequality prenatalcare from 38% to50%, reduceperinatal &puerperalmorbidity,increase earlybreastfeeding

    initiation from87% to 95 %

    Jan-Dec2011

    Ferroussulfate/folic acidprovided to 750AP & 350 PP

    IRON w/ folicacid tablets= 166,5000

    Jan-Dec2011

    Antibiotics forUTI procuredand provided for500 AP & 250

    PP

    Cep a exin= 37,500ca s

    Cefixime =1500 caps

    Jan-Dec2011

    TT vacc. givento AP (2000doses)

    Syringes &needles

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    500000 130000

    6000

    Advocacy on FP 10000

    250000

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    III. CHILD HEALTH CARE & NUTRITION Goal: To reduce Child Morbidity and Mortality thru increase in EPI coverage from 86% to 90%, IMCI stra

    Posters 2000 2000 2000

    TEV 100000

    Earlybreastfeedinginitiation

    Jan-Dec2011

    95% of PPwomen haveinitiated earlyBF

    3. FamilyPlanning

    Procurement ofFP contraceptive& supplies,

    Jan-Dec2011

    FP commoditiesprovided to New& Cur. Users(2100)

    Pills =25,200cycles

    To increase (CPR)contraceptiveprevalence ratefrom 17% to 30%.

    Provision ofTransportationfor BTL purposes

    Jan-Dec2011

    Transportationprovided tothoseundergoing BTL

    Gasolinecost

    Jan-Dec2011

    Educationalmaterialsprovided for FPadvocac

    Posters,leaflets

    Basic/RefresherTraining forArtificial andNatural FPmethods

    Jan-Dec2011

    100 % BasicTraining forthose who havenot undergonetraining

    TrainingCost

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    1. ExpandedProgram ofImmunization

    IEC materials onvaccinepreventable

    Jan-Mar2011

    33 BHSprovided w/ IECmaterials on EPI

    Provision of TEVto personnel intheimplementationof EPI & other

    programs

    Jan-Dec2011

    32 health staffgiven transpoallowance/mo

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    Vaccines 600000

    30000 27000 30000

    75000

    60000 60000

    22000

    88000

    MOOE

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    26400

    200000 600000 1000000 1

    IV. HEALTHY LIFESTYLE

    Provision ofvaccines andsyringes

    Jan-Dec2011

    =amps. PentaVax= 3600 vls OPV= 360 vialsMMR = 360vials, TT=240vials

    Jan-Dec2011

    Auto disabledSyr. 1ml = 1500pcs., 2ml =13000 cs.

    Syringes &needles

    2. EssentialNewborn Care

    ImmediateNewborn Care &

    Treatment ofPerinatal

    Infection

    Jan-Dec2011

    1500 Newbornsare givenimmediateessential careincl. Tx of

    perinatalinfection

    Gentamicininj & eyedrops,Vitakay,

    NewbornScreeningfor 200 NB

    3. IntegratedManagement ofChildhoodIllnesses

    Treatment ofPneumoniaCases

    Jan-Dec2011

    4000Pneumoniacases aretreated

    Cotrimox for2,000 cases

    Amox. for2,000 cases

    IMCI Training,Basic/Refresher

    Jan-Mar2011

    HW's capabilityenhanced

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

    Treatment ofDiarrhea Cases

    Jan-Dec2011

    arr eacases aretreated

    ,Hydrite,Glucol te

    SupplementalFeeding

    Jan-Dec2011

    1000 UW havesupplem.

    feeding

    PrescribedMenu, Milk

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    16000

    10000

    400000

    2. Environmental Sanitation

    33000

    ###

    50000 50000

    3000 3000

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    V. BEmONC HEALTH FACILITIES DEVELOPMENT

    1. Cancer andCardiovascularPrevention

    AdvocacyCampaign ForRisk Behaviours

    Jan-Dec2011

    Smokingcessation &reglar hatawactivities of HWimplemented

    Joggingpants

    Goal: To increasecommunityawareness onhealthy lifestylerelated diseases.

    Reproduction ofIEC materials

    Jan-Mar2011

    500 IECmaterialsreproduced

    EquipmentPurchase forFBS, Chlesterol,Creatinine andUric acidscreening

    Jan-Mar2011

    FBS,Cholesterol,Creatinine andUric acidscreening madeavailable

    BloodChemistryEquipments

    Goals: To increaseaccess to sanitarytoilet facilitiesfrom 55 % to 70%(2000 HH) and topotable waterfrom 81% to 90%

    Request ToiletBowls fromPLGU for indigentfamilies

    Jan-Dec2011

    2000 HHprovided withtoilet bowls set

    Resolution /Barangay

    Transpo.Cos

    Development ofnew potablewater sources

    Jan-Dec2011

    water sourcedeveloped inupland

    Physico-chemicalsampling of LevelII-III water

    sources

    Jan-Dec2011

    50 watersampling done

    Chorination ofpositive watersources

    Jan-Dec2011

    50 watersources treated

    Chlorinegranules

    TIMEFRAME

    EXPECTEDOUTPUT /

    PERFORMANCETARGETS

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/

    HFEP

    LWUA &Other

    SourcesGeneral

    FundBrgyFund

    Sen.Zubiri

    Cong.Garcia

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    1000000 5000000 500000 6

    2100000 250000 2

    2000000 2

    VI. EPIDEMIC SURVEILLANCE AND DISASTER RESPONSE SYSTEM

    3500

    TEV 50000

    25000

    PROGRAMS & PROJECTSFINANCING SOURCE

    MLGU/BLGU PDAF

    GOALS & ACTIVITIES ITEMS

    Goal: To establish& maintainBEmONC and/orBirthing facilitiesthereby reducingInfant & Maternal

    Mortality Ratios.

    Basic EmergencyObstetric &Newborn CareInfratructure

    Upgrading

    Jan-Jun2011

    Office -BEmONCComplexconstructed &

    ProjectProposal &supportingdocuments

    RHU II & 5

    BHCsinfrastructureare upgraded

    Local

    resolutionl &supportingdocuments

    BEmONCEquipmentUpgrading

    Jan-Mar2011

    2 RHU's/5 BHCsw/ basicequipments

    BEmONCEquipt.Menu

    Goal: Tostrengthenepidemic

    surveillance anddisaster responsefrom the barangayto the municipallevel.

    n of theCommunity

    BasedSurveillance &Info.ManagementSystem (CBS-

    Jan-Dec2011

    Functional CBS-IMS thru the

    Linkage ofBarangayComputers thruthe Municipal-Wide WIFI

    Locally

    developedReportingSystemSoftware

    Conduct of inter-agency meetings& disaster drills

    April -Sep2011

    2 SemestralMeetings &Disaster Drillsconducted

    Meals &Snacks

    Basic &Advanced LifeSupport Training

    Jan-Jun2011

    10 First AidResponse Teamtrained

    Procurement ofFirst Aidequipment andtools for disasterresponse

    Jan-Jun2011

    First AidEquipment &Tools madeavailable

    First Aidequipment& supplies

    TIME

    FRAME

    EXPECTEDOUTPUT

    RESOURCERQRMENT

    PLGUPHO

    DOHMNCHN/HFEP

    LWUA &OtherSources

    PERFORMANCETARGETS

    GeneralFund

    BrgyFund

    Sen.Zubiri

    Cong.Garcia

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    D. HEALTH GOVERNANCE

    LGU Sectoral Management

    6000 6

    Semestral PIR 20000 20

    (GRAND TOTAL: ) 3327000 4575293 349000 8369000 ### 500000 1000000 28

    PREPARED & SUBMITTED BY: (NOTED AND REVIEWED BY: )

    OSE EDGAR V. ALONSO RONALD ALLAN G. CESANTE

    Municipal Health Officer Municipal Mayor

    improving overall health system performance which involves interventions that cut across all aof health mechanism objectives

    Goal: To improvehealth systemmanagement forbetterperformanceoutcomes

    Reactivation ofLHB & ILHZStrengthening

    Oct-Dec.2010

    LHB reactivated& ILHZstrengthened

    Meals &Snacks

    ICD 10 & VitalStatisticsOrientation

    Oct-Dec.2010

    Program

    ImplementationReview (PIR)

    Start of

    semester

    Meals &

    Snacks for60 pax

    Systems Devt:Monitor. &Evalua. forEfficiency &Effectivity (ME3)

    Jan-Dec2011

    RegularMonitoringmonthly,quarterly,semestral &annual

    Regular TEVceiling