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LEYTE PROVINCE

Health Investment Plan
2009-2013

Prepared by:
The Provincial Government thru the Provincial Health Office
And
The Ten (10) INTERLOCAL HEALTH ZONES of LEYTE

In cooperation with:
Dept. of Health Center for Health Development – Eastern
Visayas
Philippine Health Insurance Corporation - 8
German Technical Cooperation (GTZ)

TABLE OF CONTENTS
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Executive Summary
Introduction
The Province
3.1 Demographic and Ecological Profile
3.1.a Land ,Area, Location, and Climate
3.1.b Physical Environment
3.1 c Political Subdivision
3.1.d. Ethnicity and Religion
3.2 Socio-Economic Profile
3.2.a Economy, Trade and Industry
3.2.b Poverty Situation
3.2.c Literacy
3.2.d Peace and Order
Health Situation
4.1 Health Needs
4.1.a. Vital Health Indices
4.1.b Infant Mortality
4.1.c Maternal Mortality
4.1.d Morbidity
4.1.e Mortality
4.1.f Discharges (Hospitals)
4.1.g. Mortality (Hospitals)
4.2 Health Service Delivery
4.3 Health Financing
4.4 Health Governance
4.5 Health Regulation
Gaps and Deficiencies Identified
5.1. Health Service Delivery
5.2. Health Financing
5.3. Health Governance
5.4 Health Regulation
Overall Health Strategy and Specific Interventions
6.1 Health Service Delivery Component
6.2 Health Governance Component
6.3 Health Regulation Component
6.4 Health Financing Component
Critical Targets, Activities and Outcomes
Critical Investments
Financing
Timetable
Project Management

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9-10
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49-58

LIST OF TABLES
1A-1E

Profile of Municipalities
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2
3
4
5
6
7
8
9
10
11A-J
12
13
14
15
16

17

18

Population By Age and Sex Distribution
Vital Health Indices
Leading Causes of Infant Mortality
Leading Causes of Maternal Mortality
Leading Causes of Morbidity
Leading Causes of Mortality
Leading Causes of Discharges of Hospitals
Leading Causes of Mortality of Hospitals
Hospitals Accomplishment 2008
Accessibility of Health Facilities
Accessibility of Health Facilities
Selected Health Performance Indicators by ILHZ
Five Years Projected Hospital Income
Phil Health Membership by Sector, Leyte Province
Summary of FAP ‘S for the Health Sector, Leyte Province
Critical Investments, Service Delivery Component
16.1 Assumptions on the Cost Items in the Health Investment
Plan (Service Delivery Component)
16.2 Health Investment Costs by Activity by Year, Leyte
Province ( Service Delivery Component)
16.3 Health Investment Costs by Activity by Source of
Financing, Leyte Province ( Service Delivery
Component)
16.4 Health Investment Costs by Type of Expenditure by
Year, Leyte Province ( Service Delivery Component)
16.5 Health Investment Costs by Type of Expenditure by
Source of Financing, Leyte Province (Service Delivery
Component)
Critical Investments, Governance Component
17.1 Assumptions on the Cost Items in the Health Investment
Plan Leyte Province ( Governance Component)
17.2 Health Investment Costs by Activity by Year, Leyte
Province (Governance Component)
17.3. Health Investment Costs by Activity by Source of
Financing, Leyte Province ( Governance Component)
17.4 Health Investment Costs by Type of Expenditure by
Year, Leyte Province ( Governance Component)
17.5 Health Investment Costs by Type of Expenditure by
Source of Financing, Leyte Province ( Governance
Component)
Critical Investments, Regulation Component
18.1 Assumptions on the Cost Items in the Health Investment
Plan Leyte Province ( Regulation Component)
18.2 Health Investment Costs by Activity by Year, Leyte
Province ( Regulation Component)
18.3. Health Investment Costs by Activity by Source of
Financing, Leyte Province ( Regulation Component)
18.4 Health Investment Costs by Type of Expenditure by
Year, Leyte Province ( Regulation Component)
18.5 Health Investment Costs by Type of Expenditure by
Source of Financing, Leyte Province ( Regulation
Component)
3

1 Assumptions on the Cost Items in the Health Investment Plan Leyte Province ( Financing Component) 19. Leyte Province (Financing Component) 19.1 Health Investment Costs by Year.2 Health Investment Costs by Activity by Source of Financing. Province of Leyte 20. Leyte Province ( Financing Component) 19.3. Province of Leyte Projected Revenues.2 Health Investment Costs by Activity by Year. Leyte Province ( Financing Component) 19. Leyte Province. Leyte Province ( Financing Component Total Investment Costs of the Four F1 Components 20. Health Investment Costs by Activity by Source of Financing. Financing Component 19.4 Health Investment Costs by Type of Expenditure by Year.19 20 21 Critical Investments.5 Health Investment Costs by Type of Expenditure by Source of Financing. 2009-2013 LIST OF FIGURES 1 2 Map of Leyte Population by Age & Sex Distribution 4 .

Center for Health Development Common Health Trust Fund Chronic Obstructive Pulmonary Disease Clinical Practice Guidelines Department of Education Diabetes Mellitus Department of Health Department of Social Welfare & Development Early Childhood Care & Development Economic Development Fund Eastern Visayas Regional Medical Center Foreign-assisted Project Field Health Services Information System Fully Immunized Child Geographically Isolated & Disadvantaged Area Government Organization ILHZ for Alangalang. Tolosa and Dulag 5 . Leyte and San Isidro Community Based Management Information System Crude Birth Rate Carigara District Hospital Crude Death Rate Culion Foundation Inc. Matag-ob. Ormoc District Hospital Kananga Community Hospital Local Chief Executive Local Enhancement & Development ILHZ for Palo.Guarin Burauen District Hospital Barangay Health Council Barangay Health Station Barangay Health Worker Botika ng Barangay ILHZ for Calubian. San Miguel. Jaro and Tunga German Technical Cooperation Hypertensive Cardio Vascular Disease Hilongos District Hospital Hospital Enhancement for Leyte’s Progress Household Hospital Management Information System Hypertension International Classification of Diseases 10th Edition Information & Communications Technology Inter-local Health Zone Infant Mortality Rate Internal Revenue Allotment Kananga. Pastrana and Santa Fe ILHZ for Carigara. Tanauan. Merida. Barugo. Albuera.LIST OF ACRONYMS ADH AGE ARI BCG BDH BHC BHS BHW BNB CALESAN CBMIS CBR CDH CDR CFI CHD CHTF COPD CPG DEPED DM DOH DSWD ECCD EDF EVRMC FAP FHSIS FIC GIDA GO Golden Harvest Goodwill GTZ HCVD HDH HELP HH HOMIS HPN ICD -10 ICT ILHZ IMR IRA KAMMAO KCH LCE LEAD Leyte Gulf Abuyog District Hospital Acute Gastro Enteritis Acute Respiratory Infection Bacillus Calmette .

Mayorga and Macarthur Mahaplag. Inopacan.Private Mix Pulmonary Tuberculosis Rural Health Midwife Rural Health Unit Sangguniang Bayan Sectoral Development Approach to Health Sangguniang Panlalawigan Technical Assistance Tuberculosis Trained Birth Attendant TB . Veloso Memorial Hospital Doctor of Medicine Municipal Health Officer Maternal Mortality Rate Memorandum of Agreement Maintenance & Other Operating Expenses Management Services for Health Non-government Organization National Nutrition Council Northwestern Leyte District Hospital Ormoc District Hospital Out-patient Benefits Parallel Drug Importation Philippine Health Insurance Corporation Public Health Nurse Provincial Health Officer Philippine National Drug Formulary People's Organization Public . Javier. Hilongos ILHZ for Abuyog. Tabango and San Isidro Western Leyte District Hospital 6 .Directly Observed Treatment Strategy Tabango Community Hospital Traveling Expenses Voucher Technical Management Committee Upper Respiratory Tract Infection Urinary Tract Infection Villaba Community Hospital ILHZ for Palompon. Hindang. Isabel. Villaba. Baybay Manuel B.Leyte Plains LGU LHA LHSD LPH MABAHINHIL Maharlika MAINBAY MBVMH MD MHO MMR MOA MOOE MSH NGO NNC NWLDH ODH OPB PDI PHIC PHN PHO PNDF PO PPM PTB RHM RHU SB SDAH SP TA TB TBA TB-DOTS TCH TEV TMC URTI UTI VCH West Coast WLDH ILHZ for La Paz. Julita and Tabontabon Local Government Unit Local Health Accounts Local Health System Development Leyte Provincial Hospital ILHZ for Matalom. Bato.

Regulatory Component: Institutionalized regulatory mechanisms that will ensure affordable and quality health care services. Ensuring availability of affordable quality drugs and medicines. The cost of the interventions and activities is shared among the local governments – Municipal. 3. targets.6%). and the ILHZ Common Health Trust Fund (CHTF).5%). This will be realized through the Cooperative Mechanism of the Inter local Health Zone (ILHZ).096.EV and JICA for the Women’s Health Safe Motherhood Facility Network Investment Requirements and GTZ for Technical Assistance. Logistics and Financial Management.140.834 for Service Delivery (64.0. This will be achieve through licensing. Procurement.6%). health situation of the province. 7 . Networking. identified gaps and deficiencies of the health system as defined by the Department of Health Formula One (F1) Components in Service Delivery. Governance. Other sources include our development partners namely: the Department of Health .P711. It is our aim to present the PIPH document to other developing partners for them to fund some of the investments for the next five years. critical interventions and strategies are also included in the document. accreditation and certification of health facilities. The goals. The planning process participated by various stakeholders was done in a series of workshops conducted for the said purpose.619 shared by the 4 F1 components .720. P16.625.609.785 for Financing (32. effective and efficient health care system with active community participation.500 for Regulation (1. Regulation and Financing. Province. Information.500 for Governance (1. Financing Component: Optimize and sustained health care financing for the Province through the Universal Health Insurance Coverage and the rational use of government subsidies and resources generated by the local health facilities. Planning Human Health Resource. The investment amounted to P1.101. and Implementation of Health and Health-Related Laws. P13. Executive Summary The Province Investment Plan for Health (PIPH) a medium term five year period plan (2009 -2013) contains the profile.1. The proposed strategies and interventions in this plan are to be pursued in order to achieve the following goals of the four components: 1. Governance Component: Strong commitment and capacity to support a well coordinated. 2.2%) and P359.

Projects and Activities (PPA’s). the ILHZ and Provincial Health Boards will be responsible for formulating and passing policies intended for the implementation of the plan. the Municipal LGU Focal Person. 8 . The implementation of this plan will be managed by the Provincial Health Office together with the Ten (10) ILHZs. The Technical Management Committee (TMC) will carry out the Programs. Service Delivery Component: Improved access and coverage of quality health care. purchase of hospital equipments and machineries for the Provincial Hospital. The Hospital Enhancement for Leyte’s Progress (HELP) will continue to improve the delivery of hospital services by investing on infrastructure such as construction.4. The current Provincial Administration has made health services a top priority and will support the said investments in the plan. rehabilitation and improvement of hospital facilities. 8 District Hospitals and 3 Community Hospitals. The Provincial F1 Coordinator.

The Leyte Province-wide Investment Plan for Health (LEYTE PIPH) is a medium term plan that covers a five (5) year period starting from 2009 to 2013. The three pilot ILHZs namely MABAHINHIL. the SB passed two resolutions: 1. It presents an array of strategic interventions. This we considered a successful strategy for the province. MOA signing for all the stakeholders involved in the ILHZs commenced. In February 2006. The German Technical Cooperation (GTZ) funded our Province-wide Investment Plan for Health (PIPH) workshops initially. Resolution of Intent to join the ILHZ. All the ILHZ’s together with the MPDOs. 2008. Phase 1 was the Rationalization of Health Services and Situational Analysis done on October 6-7. After the orientation. the Vice Mayor and the Sanggunian Bayan (SB) of the member municipalities were oriented personally by the PHO team during their SB sessions.0. The DOH-EV provided both financial and technical assistance. duly supported by quantifiable targets. PHIC 8. 2007. East Samar and Southern Leyte who pioneered organization of the ILHZ in Eastern Visayas. 2008. As soon as the two resolutions were received at the PHO. Resolution authorizing the LCE to sign MOA with the other LCEs of other member municipalities. The remaining seven ILHZs were organized last October 16. The proposed interventions are based largely on the objective analysis and evaluation of the current situation and the intended goals to be achieved. In less than two years. a pre-MOA meeting was conducted to clarify all issues and concerns of the LCE’s regarding the MOA. MAINBAY and KAMMAO started the Fourmula 1 (F1) initiatives during the second half of 2007. The other seven ILHZs of Leyte started the F1 initiatives last 2008. Governor of Leyte. and the corresponding investment requirements for implementing the various programs. and Oct 15-17. The contents of the MOA were also discussed. 2008. the creation of three (3) Pilot ILHZ’s last February 15. We were four to five years behind the provinces of Biliran. The PIPH seed was planted on October 6-10. all ten ILHZ’s were organized with the pilot areas already in the implementation phase. Both agencies served as consultants during the workshops. Emphasis was made on the achievement of better health outcomes and the rationale behind investing on health. Introduction. and 2. projects and activities on health care that will be funded and implemented during the plan period. MHOs and the Chiefs of Hospital or 9 . The process was divided in four phases. this is aimed at achieving the desired state of a healthy and empowered Leyteños. After the preparatory phase. the Sanggunian Panlalawigan passed a resolution authorizing the governor to enter into a memorandum of agreement with the other LGUs of Leyte to organize the different ILHZs. The Local Chief Executives (LCEs). Further.2. and DOH-EV. Hence.

2009 when the province had a write shop and finalization on Women’s Health and Safe Motherhood Facility Network (WHSMFN) Investment Requirements for our twenty-nine facilities (18 BEMONC RHUs. Projects and Activities (PPA’S) of the F1 Components: Service Delivery. The work lasted for two months. 2 BEMONC Community Hospitals and 9 CEMONC Hospitals) last March 1April 2. The third revision was made last March 22. After prioritizing the PPA’s. Regulation and Financing. All Program Coordinators were also designated as F1/PIPH/ILHZ Coordinators. critical interventions and costing were identified for Table 1 Assumptions. This document was made in four (4) versions. This was presented during the PIPH Pre-Finalization Workshop for Leyte. 3 in 1 package. 2009. On April 15-17. level 2 for District and level 1 for Community. We also invited the PPDO and PBO of the province. the province presented Cost Tables 1-5. This is to have focal points responsible for the Province and the ten ILHZ’s implementation of the F1 Thrusts. number of functional BNBs. RHU with MCP. and EMONC facilities (BEMONC and CEMONC). OPB. From here. other preparations were made to include Financial. Hospitals either level 3 for Provincial. Baybay City Health Unit and selected hospitals in the province. AOP 2009. 10 . The coordinators of the PHO and DOH-EV acted as facilitators. Facilities were mapped as to which RHUs were SS II. At this point. 2008 for comments and refinement. 2009 Finalization Write shop . This was consolidated by the PHO F1 team and was included in the Provincial PPA’S with Critical Interventions and Costing.Technical Management Committee Chairperson. The second was on February 22. 2009. 2009. The first was during the PHO presentation to the DOH 8 Leyte F1 Team on February 6. Financial Management and 5 Year Health Income Projections to DOH-8 Leyte team for final comments and modification. The Provincial Health Office designated an F1 and PIPH Core Team headed by the PHO 1 for Field Operations. with the Chief of the Technical Section as alternate. Tables 2-5 were also prepared in the next three months. the ILHZ’s were directed to craft Programs. TB-DOTS. the PHO F1 team consolidated the ten ILHZ’s Strategic Plan 2009-2013 and Operational Plans 2009 which was use for the third phase. Planning and Management Systems. 2009 when we were advised to include in our investment the Health Facility Enhancement Project (HEFP) Budget 2009 for RHU Macarthur. The fourth version was made last April 5. In Phase 3. Governance. Phase 2 for the next three days was focused on the formulation of the ILHZ Strategic Plan 2009-2013 and Annual Operation Plan 2009. Samar and North Samar on March 10-12. DOH Reps identified the priority issues and challenges based on the LGU Score Card Results.

8 sq.712. NO. NO.641 BAYBAY INOPACAN HINDANG NAME OF ILHZ NAME OF ILHZ CALESAN CALESAN GOODWILL GOODWILL GOLDEN HARVEST GOLDEN HARVEST KAMMAO KAMMAO LEYTE GULF LEYTE GULF LEYTE PLAINS LEYTE PLAINS LEYTE LEYTE WESTCOAST WESTCOAST MAHARLIKA MAHARLIKA MABAHINHIL MABAHINHIL JAVIER MAHAPLAG HILONGOS BATO MATALOM 11 .FIGURE 1 LEYTE CALUBIAN SAN ISIDRO LEYTE MAP LEYTE BABATNG ON SAN MIGUEL CAPOOCA BARUG O TACLOBAN CITY N CARIGAR ALANGALANG MATAG-OB A STA. OF MUNICIPALITIES: 41 POPULATION 2008 1. FE PALO TUNGA PASTRANA KANANG TANAUAN JAR PALOMPON A TABON TOLOSA O ORMOC CITY DAGAMI DULAG JULITA ISABEL BURAU MERIDA MAYORGA EN LA PAZ ALBUER MACARTHUR A ABUYOG TABANGO VILLABA LAND AREA: 5. OF BARANGAYS: 1.km.337.616 POPULATION DENSITY 301/sq.km.

Two important plains sit on either side of the mountain ridge. 3. c. The coast is very much indented. Municipal and Barangay Levels. It is mountainous with a very rugged range cutting the province in half from the northwest to the southeast. 12 . Tanauan. Leyte has a total land area of 5. All the coastal Municipalities and barangays along the eastern side of Leyte. Abuyog. a. Dagami.70 square kilometers of Eastern Visayas. Tabontabon.0.7% of the total land area of 21. Health risk of flooding is expected to rise. 1. The municipalities of Burauen. 3. with several important bays: Ormoc Bay at the west. Julita. Pastrana. The need to activate and organize the Health Emergency Management Staff (HEMS) is of prime importance and likewise the preparedness and response of the Disaster Coordinating Councils (DCC) at the Provincial. Palo. LAND AREA. POLITICAL SUBDIVISION. DEMOGRAPHIC AND ECOLOGICAL PROFILE. The tectonic line of the Philippine Fault Zone bisects the island of Leyte with its splays and smaller tensional faults occurring in Samar. THE PROVINCE. PHYSICAL ENVIRONMENT. 3. 712 .1. AND CLIMATE The Province of Leyte lies South of the island of Samar. 3. 431. Jaro. The province is subject to seismic hazards as this is traversed by the Philippine Fault Zone and is within the vicinity of the Philippine Deep.1. LOCATION. Rain falls. facing the Pacific are prone to Tidal waves and Tsunamis.8 square kilometers. the Ormoc plain in the west and the Leyte plain in the east.1. more or less. and mostly affecting low-lying places along the coastal zones.3. b. This represents 26. Carigara Bay at the North and the Leyte Gulf at the east. South of it is the Province of Southern Leyte. Albuera and the cities of Ormoc and Tacloban are located in environmentallyconstrained areas where flooding is very severe which endanger lives and properties. separated by the narrow San Juanico Strait and east of the islands of Cebu and Bohol. steadily throughout the year and the northern part of the province is often visited by strong typhoons.

13%.3% are urban while 1. the capital of the province. Leyte has the highest population density of 301 persons per square kilometer of which figure is greater than the region’s population density of 174 persons per square kilometer. the Cebuanospeaking Leytenos are more restrained. inuman (drinking sessions). Leyte is considered as a First (1 st) class province with 41 municipalities.864 persons) over the 2000 population figure of 1. Tacloban City.01% of the total regional population. The Warays are refuted to be assertive and more free-wheeling than other Visayans. the island of Leyte was divided into the Provinces of Leyte and Southern Leyte.258 or 76. 2227 enacted on May 22. 13 .641 barangays. Biliran was taken out of the political jurisdiction of the Province of Leyte when it became a regular and independent province ratified through a plebiscite on May 11. Today. is also the capital of Eastern Visayas. POPULATION. three (3) cities and 1. 383 or 23. whether it be a party. 1992. Over the 7-year period. e.036 (including cities of Ormoc and Tacloban) based on 2007 census of population. The central mountains dividing the province have created different cultural and commercial orientations. while the west side for the Cebuano-speaking. 3. d. Christian observances also form some of the most colorful pageant of Leyte’s history and religion. Of these barangays. In 2007. an average annual population growth rate was registered at 1. The Pamalandong in the municipality of Palo during the Holy Week and the Sto Nino fiesta of Tacloban City towards the end of June entice devotees to these two places. In terms of population. ETHNICITY AND RELIGION.7% are rural.54% (or 129. On the other hand. The very reason traumatic injuries like stab and hack wounds are prevalent and are treated in the hospitals. Among the six (6) provinces in the region.592 million. with Biliran as sub-province of Leyte. In 1992.722.1. 1. 3. are very fond of gatherings. This implies the province need a big allocation for Health services compared to the other provinces. the population figure also showed an increase of 7. The province has a total population of 1. regardless of the dialects they speak. 1959. The province has five (5) Congressional Districts (See Table 1A-1E for the Profile of the Municipalities). The East side of the province is home for her Waray-speaking population (commonly called the Warays). or fiestas. Leyte is the largest province in Eastern Visayas and comprises 44. All Leytenos.By virtue of Republic Act No.

3. trade.526 or 47.7% or 331. dwelling.323). construction and electricity and water. POVERTY SITUATION. and storage. These giant corporations contribute approximately 93% of the total export earnings of Region 8. Cottage. manufacturing. ceramics molding and garments manufacturing.391 slightly lower than the region of 43% (1. food processing. This is increased in 2006 (40. Least concentration was in the industry sector at 11.2. real estate. 3. TRADE AND INDUSTRY.3%) while the region rate is 48. soft drinks. ECONOMY. copra oil and pellets. finance. This is lower than the Region’s 35. (The Source is National Statistics Coordination Board).288). The industry sector of Leyte includes large-scale corporations engaged in the processing of sugar and molasses. Established at the 435-hectare Leyte Industrial Development Estate (LIDE) are the Philippine Associated Smelting and Refinery Corporation (PASAR) and the Philippine Phosphate Fertilizer Corporation (PhilPhos).However. gifts/toys/house were making.423). communication. 5 of 10 every 14 . metal craft.Christian observances at times becomes a hindering factor in delivery of heath goods and services. small and medium-scale industries manufacture products utilizing indigenous raw materials.32% which household incomes were derived from mining and quarrying. the Poverty incidence among Families in Leyte is 34. industrial lime and phosphatic fertilizer.84%. This is also increased in 2006 (846.3% (266. the Hospital Enhancement for Leyte’s Progress (HELP) will continuously upgrade the said facilities.6% (117.619. SOCIO-ECONOMIC PROFILE. In 2003. copra. and government and private services.3% with a magnitude of 692. Since the province is economically stable and is capable of improving the 12 hospitals.08% comprised of household income derived from transport.900) and slightly approximating the region (40.2.2. 3. With this poverty incidence. bentonites. b. This is followed by the agricultural fishery and forestry sector sharing 19. refined copper.5% (1.731). a.426).5% or 147. handicrafts.947. The provincial economy’s concentration is predominantly in the services sector at 40. The poverty incidence among the population in 2003 is 42. These local producers are involved in the manufacture of furniture.

All the municipalities are accessible by land transportation and the Hospitals and the Rural Health Units can be reached by land. 3.7%. Peace and Order In 2008. 15 . Succeeding Tables 1A-1E describe the profile of the Municipalities in every district. The province showed an improved literacy rate (LR) within a period of two consecutive years from 88.2. The Average Monthly Crime Rate (AMCR) for the current year was posted at 3. a decrease of 16.3% for females or an average simple LR of 90. Other indicators on education which include simple literacy rate for males was lower at 87% and 93.96% were Index crimes and the remaining 44.Leytenos Health needs must be supported by the local health facilities and this add burden to the local government units.60 crime incidence per 100.1% for females or an average functional LR of 76.000 Population. In terms of health advocacies. c. Of this figure. only about 30% need to be help out understand Health advisories and the like. the pattern is similar at 71. d. LITERACY.1% for males and 82. a decline of 0.04% or 314 cases were Non-Index crimes. This information was based on the Functional Literacy Education and Mass Media Survey conducted by the NSO covering a sample population aged 10 to 64 years.05% in 2007 per records of the Department of Education Leyte Division.70 or 15. 399 or 55. 3.39.1% in 2007. 2.12% or 137 cases in crime incidence was seen. the Leyte Police Provincial Office (LPPO) reported a total of 713 cases.19% in 2006 and 95.94% from last year’s crime incidence of 4. On functional LR. As compared to previous year’s record of 850 incidents.

) Distance Number (person/sq.975 16.64 23. of from Brgys Tacloban City Alangalang Babatngon Palo San Miguel Sta.57 42. km.59 31.64 37.689 30.90 68.183 258 143 638 121 167 598 439 54 25 33 21 20 54 15 Congressional District 1st 1st 1st 1st 1st 1st 1st 29.6 120.340 18.9 160 39 148.9 38.028 47.27 33.236 205 181 350 100 18 20 18 8 43 27.57 40.806 28.5 137.5 148. of Distance Congres- Brgys from sional District 2nd 2nd 2nd 2nd 2nd 2nd 2nd 2nd 2nd 2nd Barugo Burauen Capoocan Carigara Dagami Dulag Jaro Julita Lapaz Macarthur th 4 2nd 4th 3rd 5th 4th 4th 5th 5th 5th 78.8 Table 1B: Profile of Municipalities – Second District Municipalitie Class s Land 2008 Area Pop Density No.688 6.70 43.65 District 3rd 3rd 3rd 3rd 3rd 16 .8 67.4 94.806 38.49 36.81 2nd 2nd 2nd 2nd Table 1C: Profile of Municipalities – Third District Municipalities Calubian Leyte San Isidro Tabango Villaba Class 4th 4th 4th 4th 4th Land 2008 Density No.716 343 265 149 458 153 997 252 227 103 347 37 77 21 49 65 45 46 28 35 31 Tacloban 51.511 29.60 27.014 30.6 48.660 48.726 16.6 238.33 Mayorga Pastrana Tabontabon Tunga 5th 5th 5th 6th 61. km) No.5 178 185.988 12.47 54.532 58.629 38.32 45.3 175.First District Municipalities Land 2008 Population Density Area Name Class (sq.98 59.5 48.3 22.87 159.114 16. of Distance Congres- Area POP (person/sq.3 109.20 126 30.762 17.7 53.km) Brgys from sional 137.2 129.Table 1A: Profile of Municipalities.95 33.796 17.20 13.10 31.10 81.05 11.21 44.60 79.092 207 148 269 243 268 53 30 19 13 35 Tacloban 157 86.622 40.161 35.813 24.42 21.27 17.251 9.499 46. Fe Tanauan Tolosa 4th 4th 3rd 5th 5th 3rd 5th 150.30 171.10 51.

912 656.258 20.379 62.620 174.56% 26.133 19.62 154.064 103. % 35.66% 10.02% 4.255 68. of Distance Brgy From sional Tacloban 61.7 130.08% BOTH SEXES NO.337. 2008 AGE GROUP Under 1 1–4 5 – 14 15 – 49 50 – 64 65 & Over TOTAL MALE FEMALE NO.69% 46.718 321.85% 4.7 104 39.00% Figure 2 POPULATION BY AGE & SEX DITRIBUTION LEYTE NORTE.37% 5.295 58.72 138. of Distance Congres- Area POP (person/sq.416 34.05 88.81 145.867 26.480 46.20 124.20 97.179 31.9 2008 POP Density 56.059 34.50 136.09 86.580 141.61% 49.921 40.29% 5.68 107.878 16.92% 17.5 101.365 60.3 134.515 54.9 127.616 2.55% 8.36% 2.4 182.43% 13.325 72.53% 4.114 1.49% 2.08% 50.40 122.291 301.2 75.420 52.62 153.536 27.660 118. % NO.320 27.51 410. % 18.8 172 110.20 District 5th 5th 5th 5th 5th 5th 5th 5th 5th 183 379 233 376 145 102 161 154 272 63 32 92 51 20 20 28 28 30 Congres- Table 2: POPULATION BY AGE & SEX DISTRIBUTION LEYTE NORTE.502 1.5 65.38 4th 4th 4th 4th 4th 4th 181.009 622.780 189 385 297 222 206 488 Table 1E: Profile of Municipalities – Fifth District Municipalities Class Abuyog Bato Baybay Hilongos Hindang Inopacan Javier Mahaplag Matalom Land Area 2nd 4th 1st 3rd 5th 5th 4th 4th 4th 294.360 23.633 182.253 357. 2008 17 .km) Brgys from sional District 18 24 23 21 22 50 Tacloban 123.735 1.Table 1D: Profile of Municipalities – Fourth District Municipalities Class Albuera Isabel Kananga Matag-ob Merida Palompon rd 3 1st 2nd 5th 4th 3rd Land 2008 Density No.13% 13.69% 100.03% 22.7 71.5 144.172 No.80 158.66% 24.4 141.823 681.

HEALTH SITUATIONER 4. per 1.91% belonging to the 0-14 years old. The target for the programs is dependent on the population. The Health accomplishment of the province greatly affects the Region.80) 18 .000 population CDR. 4. 4.17) National Data 29 132 (4.km.337.69% respectively). per 100.51 Regional Data (9. 616 (Population catered by the Provincial Health Office less the population of Ormoc and Tacloban City) in 2008 with a population density of 28. HEALTH NEEDS.000 live births MMR.0.66% and 4. a. North Leyte has the biggest population of 1.65 persons/ sq. per 1. per 1. It can also be gleaned that the under 1 and 65 and over comprises the least in the distribution (2. The Population by age and sex of the Province shows that there is no significant difference in number among males and females.1. The current year data is 2008 and the past five years data reflects 2003-2007.000 live births CBR.8) (122) (23.07 99 24 4.000 population Province 6. Table 3: Vital Health Indices 2008 LEYTE NORTE Indicator IMR.Among the provinces of Region 8. The Vital Health Indices of the province is taken from the Annual FHSIS and the Annual Hospital Statistical Report. Vital Health Indices.25) (4.1. It also depicts a young population predominating with 39.

Registered deaths in 2008 is 6.59 9.6% compared to 2007 which is 4. For the past five years (20032007). it could be opined that the monitoring of maternal deaths for the year would need enhancement.35 20 0.000 live births & Percentage Distribution 5-year Average (2003-2007).000 live births is low compared with the National data.111 births and registered a CBR of 24.000 live births.1. Heart and Cong.05/1000 population. This indicates less maternal deaths for the province.28 13 0.01/1000 population and showed an increase of 2.70 15% AGE w/ DHN 8 0.The vital events of the province are presented in Table 3.83 66% Cong.029 with a Crude Death Rate (CDR) of 4.83. Infant Mortality Rate (IMR) is 6.5% Sepsis Neonatorum (Non Umbilicus Site) 18 0.5% 4. This is lower than 2007 IMR of 6.63 13 0. This current year we had 32.Year AVERAGE (2003-2007) 2008 19 .1. & 2008 CAUSES 5 . MATERNAL MORTALITY Table 5: Leading Causes of Maternal Mortality Number and Rate /1.46 9. 4.72 91 2. Maternal Mortality Ratio of 99/100. 28. INFANT MORTALITY Table 4 : LEADING CAUSES OF INFANT MORTALITY NUMBER & RATE/1. However.17/1000 population.51/1000 population showing an increase of 2. b. c.84%.647 births were monitored with a Crude Birth Rate (CBR) of 21. This is high and this can be partly explained by a low CPR of 42%.000 LIVEBIRTHS & PERCENTAGE DISTRIBUTION 5-YEAR AVERAGE (2003-2007) & 2008 5 .07/1. Debility 10 0.Year AVERAGE (2003-2007) CAUSES 2008 Number Rate Number Rate Percent Pneumonia 78 2.

48 17.76 0.06 11. 4.484 109.0 3 2 0.726 801.03 1 0.5 Post Partum Hemorrhage 3 0.10 4 0.76 Eclampsia 3 0.76 2 0.681 124. 1.575 180.06 11.03 4 0.10 2 0. Among the infant deaths. Acute Pyelonephritis) 2008 Number Rate 47.644 121. & 2008 5 year .1 d. 4.000 population LEYTE Province 5 – year average (2003-2007).49 6.74 10. Nurses and Midwives).564.844 1.10 0.645 1. Pneumonia and diarrhea are still on the top three and therefore the IMCI training for Health Workers must be implemented. Hypertensive Cardiovascular 5.66 7. Kidney Disease (Renal Failure.86 117.Asthma 14. There will be regulation among TBA.5 Uterine Atony 1 0. AGE/Diarrheas 11.03 5.12 23. handling of deliveries will only be allowed for our Skilled Professionals or Skilled Birth Attendants (Doctors.32 137. High Risk mothers have to be followed up by the Health Workers.Bronchitis/Bronchiolitis/B. A number which were handled by them with delay referral to the ILHZ Referral Hospital resulted in maternal deaths.88 Placental Retention Post Partum Sepsis Ruptured Ectopic Pregnancy 1 1 Tables 4 and 5 illustrate data on infant and maternal deaths respectively comparing the 5 year average with that of the current year.332 1.295. The number of Maternal deaths for 2008 of 17 is minimal but deeper review would show the province has still Trained Birth Attendants (TBA) handling deliveries. MORBIDITY Table 6: Leading Causes of Morbidity Number and Rate per 100.average Causes Number Rate 1.062.895. The illnesses seen in the RHU facilities are shown in Table 6 and the Illnesses or other causes of death in Table 7.1.87 6.864 433.75 20 .12 23. d.33 Disease (Diseases of the Heart/HPN) 5. On Trends of Morbidity and Mortality in the Province.06 11.308 840.Number Rate Number Rate Percent 3 0.06 2.379 1.94 4.71 2. Diseases of the Skin (All Forms) 1.679 3. Acute Respiratory Infection 25.22 UTI. Wounds (All Forms) 1.925 517.412 1. Thus for the next five years.55 3. Delay in seeking care by pregnant mothers must also be addressed.

Hypertensive 479 8.009 18. Pulmonary Tuberculosis is the 9th leading cause of Morbidity with a rate of 94.84 349 5.12 Table 6 reflects the leading causes of Morbidity in 2008.263 550 107.097. 4.03 196 3. Pulmonary Diseases 213 3.82 483 8.42 (COPD. The other three are lifestyle related illnesses.395.average 2008 Causes Number Rate Number Rate 1.95 Failure.52 Complications 7.313 1.92 135.952.367. 8.38 Cardiovascular Diseases (Heart Diseases. 6. Cor Pulmonale. CVA 2. Tuberculosis w/ 338 6.063. and 9).00 1. Acute Pyelonephritis. Malignant Neoplasm (All 430 7.834 0 170. The most common reason for seeing the health facilities is still Acute Respiratory Infection. Influenza 9.91 203 3. Diabetes Melllitus w/ 172 3.030.00 178 2.935.1.01 1.011.173. Hypovolemia /Severe Blood 0 0.53 0.000 population Leyte Province 5 – year Average (2003-2007) & 2008 5 year . Bronchitis and Diarrhea are also included in the top three. This must be addressed in this plan. TB Respiratory 10.40 21 .65 94.440 1. 2.576. 70% of illnesses in the province are Communicable or Infectious in nature (1. Artery Diseases. This is one of the major public health problems in the province.01 1.42 per 100. Musculoskeletal Disease 2. MORTALITY Table 7: Leading Causes of Mortality Number and Rate per 100.697. Uremia 9. 5.99 3.10 265 4. Bleeding Peptic Ulcer 164 2. RHD.079. Kidney Diseases (Renal 173 3.813. Bronchial Asthma) 6.13 243 4.69 Complications 5.Pneumonia 1.156 19.788. 3.28 Forms) 4.8.42 41.06 Disease (BPUD) 8.520.542 25.000 Population.050.575. e.

f. 8. PTB 591 8. AGE/AGE w/ DHN 5.Loss 10. UTI 2. PUFT/Deliveries 5. 4. 10). HCVD?HPN 1. Malignant Neoplasm (Carcinoma or Cancer) is not detected at early stage thus not in the top ten morbidity. 6. Healthy lifestyle must be initiated among Leytenos so they will not die young. HOSPITAL DISCHARGES Table 8: Leading Causes of Discharges (Provincial. Hepatitis ) 0 0.1.1.794 3. Dengue Fever 242 4. Seven (7) are related to lifestyle (1. Traumatic Injury 441 9.163 6. APD/PUD 895 7. Acute Respiratory Infection 4. Incomplete Abortion 384 10. MORTALITY IN HOSPITALS Table 9: Ten Leading Causes of Mortality 22 . Diseases of the Liver (Liver Cirrhosis. 3. 7.438.00 147 2. Health workers get these patients during late stage and usually with fatal complications causing death.051 5.989 2. g. & 3 Community Hospitals) CAUSES NUMBER 1.32 Base on the above table. This has to be included as a priority program for the province. the Leading Causes of deaths in the province were more of noncommunicable diseases. 9.017 (Pneumonia/URTI/ARI) 4. 8 District . Only three are Infectious Illnesses.

53 45.84 13. UGIB/BPUD 7.62 50.93 3.890 16.018 1.46 52.44 379.30 1.341 (Sent) (Re ceived) Tables 8 and 9 are Hospital data on discharges and deaths.25 1.95 15.9 3.424 19. Hypertensive Cardiovascular Disease 2.8 2.39 74.79 35.830 10.585 3.284 36.44 4.93 20.193 Discharges Total In- 15.00 0.713 13.7 2.14 91.195 3.843 21.08 Rate Net Occupancy Rate Ave.44 379.076 Admission Total 3.412 138.269 35.822 5.88 2.PTB 4. 0.634 7 183 137 517 232 0 1 230 34 1.085 2.34 100. Daily 43.40 2.25 75.53 45.62 50.25 1.83 50.602 18.00 2.475 Patient Days Total 13.15 43.79 55.129 Consultation Total Deaths Referrals: 92 390 61 144 81 328 142 1.38 Patient Days Ave.495 107 37 98 0 35 44 287 12 182 184 1.15 43.542 1. Length 5 7 3 4 3 4 4 4 3 4 of Stay Ave.194 3.503 1.437 6.686 24.81 2.61 174.98 In- 43. Sepsis/Sepsis Neo NUMBER 342 173 46 36 31 Cerebral Hemorrhage 6.38 Census Gross Death 2. Pulmonary Diseases 8.854 15.054 172.16 2.985 20.41 1.421 17.643 3.568 27.437 7.036 1.436 7. Tetanus ACTIVITIES Authorized 6 ADH 75 Bed Capacity Percent TABLE 10: HOSPITAL ACCOMPLISHMENTS 2008 MBVM BDH CDH HDH LPH NWLDH H 75 25 25 50 75 75 ODH WLDH TOTAL 75 100 575 58.02 4.99 0. Table 9 shows that even normal deliveries are still admitted in the Hospitals.836 7.84 13. 8 District & 3 Community Hospitals) CAUSES 1.383 4.58 47. 23 .801 15.(Provincial.343 6. AGE/AGE w/ DHN 5.95 15.941 3.42 Rate Total Death 3. Diabetes Mellitus 31 22 13 8 7 Malignant Neoplasm 7 10.25 75. Renal Disease 9.121 5.841 4.79 55. This implies the need to capacitate BHS and MHC of the Rural Health Units in the province to manage deliveries with out complications in their areas and therefore lessening admissions in the hospitals.50 1.181 41.79 35. Severe Pneumonia 3.833 3.44 65.

35% Net Death Rate under 48 hours = 1. Gross Death Rate (Provincial and 8 District Hospitals) = 3.865 1 1 1 1 4 45 33 54 15 147 25 12 6 3 Land Land Land Land Land 2 1 1 1 5 YES YES YES YES All 4 TABLE 11-B: ACCESSIBILITY OF HEALTH FACILITIES GOLDEN HARVEST ILHZ ILHZ Core Referral Hospital: Leyte Provincial Hospital Municipalities POP No. Two (2) Municipalities with two Rural Health Units (Abuyog and Palompon) need to hire additional MHO to complete the required number.08% Net Death Rate under 48 hours = 1.5 -2. of Distance of Brgys (Km) from RHU MHO Means of RHU Transport to w/ RHU Ambulance Communication (No.) ILHZ w/ Facilities Hospital Alangalang Babatngon Pastrana 48.114 47.532 16. The accessibility is mapped per municipality to discover the gaps and deficiencies.251 1 1 1 54 25 29 18 45 16 Land Land Land 1 1 1 YES YES YES 24 .85% Based on the hospital performance indicator a net death rate between 0.02% Gross Death Rate (3 Community Hospitals) = 1.42% Net Death Rate beyond 48 hours = 0. Majority of the hospitals (6 out of 9) whose % bed occupancy is below 75%. The table also shows death rates as follows.806 58. HEALTH SERVICE DELIVERY.762 17. No.Table 10 summarizes the Hospitals accomplishments.813 24.183 163.2. TABLE 11-A: ACCESSIBILTY OF HEALTH FACILITIES LEYTE GULF ILHZ ILHZ Core Referral Hospital: Leyte Provincial Hospital Municipalities POP No.) toILHZ Communication Facilities Hospital Dulag Tolosa Tanauan Palo ILHZ 40. of Distance Means of RHU w/ RHU w/ of Brgys MHO (Km.)from Transport RHU Ambulance (No. No.42% Net Death Rate beyond 48 hours = 2. 4.5% is acceptable. The following Tables 11A-11J presents the Core Referral Hospital with the member municipalities in each of the Ten (10) Inter-local Health Zones of the province.

688 120.716 13.806 30. Lack 1 1 1 1 4 YES YES YES All 4  Water Abuyog has one MHO and by DOH standard another MHO has to be hired.536 17.252 No.028 100.624 1 4 20 128 9 Land Land 1 4 YES All 4 TABLE 11-C: ACCESSIBILITY OF HEALTH FACILITIES MAHARLIKA ILHZ ILHZ Core Referral Hospital: Abuyog District Hospital Municipalities POP No.416 Javier Macarthur Mayorga ILHZ 23. of MHO No. Fe ILHZ 16.643 1* 1 1 1 4* 63 28 31 16 1 Land.622 12. of Distance Means of RHU w/ RHU w/ MHO Brgys (Km) from Transport Ambulance Communication RHU to (No.) Facilities ILHZ Hospital Abuyog 56.) 1 1 1 1 1 5 RHU w/ Communication Facilites YES YES YES YES YES All 5 25 .340 18.  Mayorga has to hire an MHO. of Brgys 1 1 1 1 1 5 77 65 26 35 16 219 Distance (Km)fro m RHU to ILHZ Hospital 1 12 7 7 7 Means of Transport Land Land Land Land Land Land RHU w/ Ambulance (No.Sta.  Abuyog need another Ambulance for there are two (2) RHU’s. of No.975 111.  TABLE 11-D: ACCESSIBILITY OF HEALTH FACILITIES LEYTE PLAINS ILHZ Core Referral Hospital: Burauen District Hospital Municipalities POP Burauen Dagami Julita Lapaz Tabon ILHZ 48. 1 YES 8 14 19 Water Land Land Land Land.796 9.

511 1 30 35 San Isidro 29. Water RHU w/ Ambulance RHU w/ Communication Facilities 1 1 YES YES 1 1 1 1 6 YES YES YES YES All 6 TABLE 11-F: ACCESSIBILITY OF HEALTH FACILITIES CALESAN ILHZ ILHZ Core Referral Hospital: Northwestern Leyte District Hospital Municipalities POP No.236 164. Water Land. Water Land.161 1 53 1 Leyte 35.660 28.361 3 102 Means of Transport Land. of Brgys Distance (KM)from RHU to ILHZ Hospital Barugo Capoocan 27. Water Land Land Land Land Land. Water RHU w/ Ambulance RHU w/ Communication Facilities 1 YES 1 YES 1 YES 3 All 3 TABLE 11-G: ACCESSIBILITY OF HEALTH FACILITIES LEYTE WEST COAST ILHZ Core Referral Hospital: Manuel Veloso Memorial Hospital Municipalities POP Isabel Palompon 40. of MHO No.014 38. of MHO No.726 6. of Brgys 1 1* 24 25 Distance (Km)fro m RHU to ILHZ Hospital 20 1 Means of Transport Land Land RHU w/ Ambulance 1 2 RHU w/ Communication Facilities YES YES 26 .TABLE 11-E: ACCESSIBILITY OF HEALTH FACILITIES GOODWILL ILHZ ILHZ Core Referral Hospital: Carigara District Hospital Municipalities POP No. of Brgys Calubian Distance (Km)fro m RHU to ILHZ Hospital 30.988 16. of MHO No.123 1 1 1 1 6 49 46 21 8 182 1 9 8 5 Means of Transport Land Land. Water Land.780 No.689 1 19 13 ILHZ 95.480 52.499 1 1 37 21 4 8 Carigara Jaro San Miguel Tunga ILHZ 46.

Water Land Land.086 No.515 19. of MHO No. Water RHU w/ Ambulance RHU w/ Communication Facilities 1 YES 2 1 YES YES 1 YES 5 All 5 TABLE 11-J: ACCESSIBILITY OF HEALTH FACILITIES KAMMAO ILHZ ILHZ Core Referral Hospital: Ormoc District Hospital Municipalities POP Albuera Kananga Matag-ob Merida ILHZ 39. Water RHU w/ Communication Facilites 2 1 YES YES 1 4 YES All 4 TABLE 11-I: ACCESSIBILITY OF HEALTH FACILITIES MABAHINHIL ILHZ ILHZ Core Referral Hospital: Hilongos District Hospital Municipalities POP No. of Brgys Bato Distance (Km)fro m RHU to ILHZ Hospital 34. of Brgy Distance (Km)from RHU to ILHZ Hospital Baybay Inopacan 103.420 130.360 2 1 92 20 1 24 Mahaplag ILHZ 27. of MHO No.629 1 13 24 Land. thus the need to hire another MHO.258 20. Water Land.133 2 1 46 20 1 7 Matalom 31.092 1 35 15 Land 1 YES ILHZ 161.172 1 30 14 ILHZ 139.878 16.Palompon RHU 1 and 2 need 1 MHO for each.921 46.867 26. 054 1 4 28 140 30 Means of Transport RHU w/ Ambulance Land Land. 5 All 4 Water *. 1 YES Water Villaba 38.Tabango 30. TABLE 11-H: ACCESSIBILITY OF HEALTH FACILITIES MAINBAY ILHZ ILHZ Core Referral Hospital: Western Leyte District Hospital Municipalities POP No.179 150. of MHO No. Water Land. Water Land Land.064 1 32 7 Hilongos Hindang 54.981 4 97 Land. of Brgys Distance (Km)from RHU to ILHZ Hospital 1 1 1 1 4 16 23 21 22 82 14 20 25 25 Means of Transport Land Land Land Land Land RHU w/ Ambulance 1 1 1 1 4 RHU w/ Communication Facilities YES YES YES YES All 4 27 . At present only one.627 5 128 Means of Transport Land.

See Annex. CHD8 Director or Representative. Representative of PHIC8 are members of the Board. Efficiency.Table 12: Selected Health Performance Indicators by ILHZ.6 87. The ILHZ’s in Leyte is a cooperative arrangement among contiguous municipalities whose aim is to ensure the continuity of care and rationalize the management and delivery of health services to optimize efficient use of resources in a local health system that will have 4 E’s – Effectiveness.67 93 89. MHO of the member municipalities and an NGO Representative.8 49 66 66. Mayors of the member LGU’s .63 72 80.3 88 89. the Rural Health Units provide preventive services to their constituents to include preventive and curative management during Outbreaks or Epidemics.3 90 82.33 13. 2008 Indicators FIC (95%) PNV4 (80%) TB Cure Rate (85%) TB Case Detection Rate (70%) HH w/ Access to Safe Water (95%) HH w/ Access to Sanitary Toilets (90%) Combined BNL & BNVL (%) Leyte Gulf 87 Golden Harvest 98 KAMMAO 95 MAINBAY 89 83. The Public Health Care system in the province caters to Preventive and Curative service.16 85. 28 .02 13.6 85. Equity and Empowerment.52 26.6 89 91.37 MABAHINHIL 91 LGU Scorecard 2008 was the basis of looking into priority projects.57 Maharlika 100 West Coast 100 Calesan 100 Leyte Plains 100 Goodwill 100 72. Together with the network of the Barangay Health Stations.5 86 80 72 72 81 66. The TMC Chairperson. NGO Representative.75 83 76. Leyte Province.75 80 61.4 90. PHO2 or PHO1.92 17.5 18.6 74.6 66.57 18. programs and activities for the next 5 years (2009-2013).00 19. The TMC is chaired by the Chief of Hospital of the ILHZ Core Referral Hospital except for Leyte Gulf and Golden Harvest.3 18.6 56 56. The Board meets quarterly. The ILHZ Boards are chaired by the Governor of the province.26 20.75 78 86.18 88 87. Two hundred ninety three (293) Barangay Health Stations and 45 Rural Health Units are responsible for the Preventive Care and Curative Care.42 17. Other members include the DNS.

8 District and 3 Community Hospitals are readily available for those who need hospitalization. the Rural Health Units and Barangay Health Stations. Global Funds for Tuberculosis and German Technical Foundation for Technical Assistance ) and assistance from DOH through CHD 8.3. District and Municipal) from drugs. Phil Health reimbursement and facility revenues. Health Financing. Major sources of financing are through the government’s IRA. 4. billed admissions. Fifty percent is retained for hospital improvement – Capital outlay and MOOE. These deliveries should have been done in BHS or RHU Birthing Facilities. The income generated by all government hospitals of the province (Provincial. This is the present administration strategy on Income Retention Scheme of the Hospitals. laboratory fees. The Health Referral System Manual crafted by the Ten (10) Ilhzs will somehow enhance the continuity of quality. Health financing in Leyte is geared towards improvement of better services in all Hospital Facilities. There is the need to upgrade RHU’s as (Basic Emergency Management and Obstetric and Neonatal Care (BEMONC) facilities and the BHS as BHS Birthing facilities. 8 District and 3 Community Hospitals) at the Provincial Accounting Office. Hospital records have shown that uncomplicated. 29 . the Provincial. from dedicated Development Partners (Culion who just completed the Project. etc are remitted to the Provincial Trust Funds with separate accounts for each of the 12 Hospitals (Provincial.For Curative Care services needing confinement either for further evaluation and management and operative procedures . effective and efficient services of the existing referral being implemented province-wide. This poses a burden to resource-stricken hospitals and added services that need also manpower. normal spontaneous deliveries are one of the most common admissions.

82 3.775.591.084.88 133.087. 35 3.508.4 0 a .836.427.320.598.94 331.217.2 2 P 64.0 9 12. 11 4.010.75 53.6 7 9.084.419.386.629 .740. 36 14. 89 4.907.334.847 .7 6 1.303.292.70 381.14 56.838 .688.789.6 8 5.963.050.614.1 8 4.14 58.73 441.873.088.00 363.165.1 9 5.751.495.3 5 4.000.2 5 19.649.07 1.467.064. 65 12.738.851.921.50 126.481.596.037.368.9 9 1.51 263.662.25 27.5 5 5.282.3 0 9.934.544.3 7 5.006.2 7 4.544.3 4 1.985.4 1 10.239.731.610.295.506.278.966.266.989.417 .90 64.496.172.22 420.418.919. 68 KCH 115.670.30 290.038.468.8 9 5.540 .1 5 10.965.96 1.527.24 276.150.892.8 3 11.434.25 P 295.5 4 24.273.2 6 10.263.524.527. 96 3.28 VCH 346.505.322. 77 4.2 3 1. Leyte Province 2008 Philhealth Enrollment as of December 2008 (Number of Households) Leyte Province Government Private IPP NPM OFW SP Abuyog 724 Albuera 577 Alangalang 896 Babatngon 383 Total 30 .8 3 13.160.090. Table 14: Phil Health Membership by Sector.26 MCH 227.37 TCH 259. 78 3.5 6 1.00 238.114.590.6 5 1.747.49 300.479 .5 3 1.902.123.2 2 54.968.770.013. it can be gleaned that the Hospitals for the five year period (2009-2013) will be able to sustain its improvement and the maintenance of the facilities.613.969.386.234.158.393.309.010.798.4 8 11.800.69 400.7 0 1.845.321.353 .82 668.1 8 6.463.749.703.0 3 4.2 3 11.491.Table 13: FIVE YEARS PROJECTED HOSPITAL INCOME FOR LEYTE (2009-2013) PROVINCE OF LEYTE P R O J E C T E D H O S P I TA L I N C O M E CY 2009 TO CY 2013 Name of Hospit al Actual Income for 2008 Projected Annual Income a TOTAL 2009 2010 2011 2012 2013 ODH 952.54 146.051.984.00 61.1 7 13.047.722.605.840. 11 4. 86 3.982.593.842.104. 77 4.1 5 1.960.80 286.2 2 12.008.373.706.779.3 0 12.492.08 LPH P ADH WLDH BDH NWLDH CDH HDH MBVMH GRAND TOTAL P 11.417.00 272.908.243.866.764.921.968.215.52 139.929.067.053.966.00 120.952. 63 13.837.556.699.536.4 1 5.581.92 50.25 250.655.860.717.901.488.758. 80 4.565.059.394.731.963.060.Based on a 5% annual growth rate From Table 13.0 0 4.477.667.0 1 63.300.215.54 1.292.954.159.51 315.2 4 1.1 2 21.701.7 7 8.877.870.102. 74 3.3 2 11.157.906.694.90 2.533.571.0 8 4.488.

436 Macarthur 632 Mahaplag 438 Matag-ob 1.286 Burauen 678 Calubian 431 Capoocan 487 Carigara Leyte Province 142 Government Private IPP NPM OFW SP Dagami 499 Dulag 673 Hilongos 1.102 Tabontabon 538 Tanauan 734 Tolosa 1.109 Baybay 5.910 Palompon 665 Pastrana 961 San Isidro 3.005 Matalom 2.055 Tabango 1.739 Isabel 772 Jaro 744 Javier 475 Julita 264 Kananga La Paz Leyte Total 1.791 Tunga 226 Villaba 1.088 Hindang 847 Inopacan 1.158 283 1.Barugo 606 Bato 2.064 Palo 2.292 Mayorga 201 Merida 3.805 San Miguel 217 Santa Fe 1.164 31 .

000 Households.MABAHINHIL and KAMMAO) were formalized by entering into a MOA on February 15. The Hospitals underwent upgrading with improvement in the Infrastructures and also provision of needed supplies and equipments. The Public Health Reforms started with the initiation and establishment of 3 pilot ILHZ’s in 2006 in response to the fragmentation of Health services and also in consonance with RA 7160 mandate “government agencies can group themselves and organize for the benefit of the people”. 32 .5% of total Households to be enrolled. the seven (7) added ILHZ’s were formalized in September 16. Five (5) new ambulances for the Provincial and 4 District Hospitals were procured through the HELP program. a gap of 10% is still to be enrolled to reach the 85% enrollment. the present administration acted on it. Seeing the need to expand the ILHZ’s Province-wide.4. ARI.2008.337.496 Province Phil Health Indigent sponsored enrollment for 2009 is 166. Table 15: Summary of FAPs for the Health Sector Leyte Province As of 2008 Name of FAP Interventions/Programs Current Status Culion Foundation Inc. TB.00 and paid by the Provincial Government.097 222. Leprosy. 2007. The first three ILHZ (MAINBAY. various Foreign-Assisted Projects (FAP’s) for the health sector have invested in the province (Table 15). This is 74. 000. In order to meet the health demands of the province.616 184. CDD Completed GTZ Technical Assistance On-going World Vision NTP Completed 4. HEALTH GOVERNANCE. 000.936 1. This will be answered in the next 2 years. The total cost is P17.TOTAL TotalHousehold Population est. However. 2008 PhilHealth coverage (85% HH Enrolled) 45. The Hospital Reforms in the province started in 2004 through the Hospital Enhancement for Leyte’s Progress (HELP) Initiative whereby a Committee was organized to look at the status of the Hospitals and with their recommendations and consultation with the Chief of Hospitals and the Provincial Health officer.

it may be noted that the levels of maternal and infant mortality rates are lower than regional averages. The low percentage of Quality Prenatal Care (PNV 4 of 41%) is partly due to the lack of resources allocated for public health care by local government units. Private owned lying in Clinics). Gaps and Deficiencies Identified.5. The province with the 41 municipalities had enacted Health-Related Policies and Ordinances. and the maternal mortality rate is 99/100. HEALTH SERVICE DELIVERY. this is not implemented to the fullest.4.07/100. The 42 % Contraceptive Prevalence Rate in the province which is likewise low compared to the national target of 60% gives rise to high birth rates and increase of unmet needs in family planning. Other identified reasons are the poor health-seeking behavior of the clients and the availability of quality maternity care services at the RHU level. However. Food and Water Establishments will be utilized to upgrade the critical capacities of the facilities and establishments. RHU. Referral system within the Inter-local Health Zone that facilitates referral to the core referral hospitals (8 District and Provincial) from the respective RHU’s and barangay health stations is being implemented. HEALTH REGULATION.000 live births. The Drug Management System in the Government Hospitals is not yet in place.0.000 live births. Maternity Clinics. There is also the problem of accessibility on the part of health workers to access far-flung and hard-to-reach areas. peace and order situation also becomes a hindering factor. The ILHZ health Referral Manual to be reproduced and implemented on the third quarter of this year will somehow answer the institutionalization of the referral system. the functionality and institutionalization of the referral system has yet to be put in place. 5. The Province Health Care Delivery System envisions to adhere to the Inter-local Health Zone’s mandate wherein there is integration of hospital and public health for a more efficient and 33 . With the F1 Initiatives. These health workers are unable to extend basic health services in remote areas as part of their outreach program because of geographical constraints and the lack of transportation facilities and road condition. In some municipalities. The infant mortality rate is 6. 5. Fines are imposed on Violators. Curative services at the primary level need to be improved in terms of equipment and facilities. Concerning the quality of health care being provided in Leyte. Drug. However. BHS. Regulatory Standards of DOH for Health Facilities (Hospitals. Infirmary.1.

for managing these diseases. The high incidence of infectious disease is again due to lack of medicines and a poor existing system. Health facilities need to be upgraded. HEALTH FINANCING. the supply is still not enough for dog and human population. and communication (IEC) materials. With Rabies Control Program. In such state. or the absence thereof. Although at present. and strengthen health education at the primary level through the use of the trimedia. Out of pockets paying for health expenditures by the poor is burdened by several factors that include the lack of supply of drugs and medicines in government health facilities. For leprosy. several factors come into play preventing the successful elimination campaign for leprosy. 5. such as irregular supply for drugs and medicines from WHO and DOH. Majority of the municipal LGU’s have not attained a universal coverage for indigent sponsorship to PhilHealth of 85%. establish maternity care benefits in priority LGU’s. increased workload. education. both human and animal vaccine. and the high cost of health goods in the private sector. Although the National government through the Department of Agriculture and Department of Health provides for the vaccines.2. the Leyte Inter-local Health Zone is far from perfect. Apart from the insufficient supply of medicines and supplies for maternal and child health programs other reasons are poor social marketing by health workers and weak inter-agency participation and coordination. and manpower skills both in the hospital and RHU’s have to be improved so that competent workers will manage the clients. This delivery system is characterized by a functional referral system where there is inter-LGU collaboration and cooperation. lack of information. especially in areas for complementation with other stakeholders. the high incidence of emerging lifestyle diseases is due to unhealthy lifestyles of the affected population on the one hand and poor advocacy on the part of health workers due to inadequate knowledge and skills on lifestyle diseases. There is also the need to strengthen primary health care. and mobility on the other. However. the problem is the continuous availability of vaccines. the province in the next five years still need to attain a universal coverage for all sectors including formal and 34 . the restrictive ceilings of Phil Health benefits. There is therefore a need to shift the burden of payment from out-of-pocket and direct subsidies to insurance reimbursements. inadequate training of health personnel. and the social stigma experienced by identified cases. the major role players are working hard together for the enhancement of every component under the Health Sector Reform Agenda.holistic delivery of Health Services.

have left the country to work abroad or seek greener pastures in foreign lands primarily because of financial difficulties and work-related pressures. 5. networking. since the different therapeutic committees of the LGU’s play crucial roles in this particular aspect of health care. monitoring and evaluation 5. there’s a need for different cost-centers in the hospital to be computerized and linked to other services for efficient management. For this year. presentation and analysis that will be used for planning. each holding regular meetings. feedback mechanisms and trainings should be instituted to ensure their functionality.000. The province of Leyte requires effective regulatory schemes to ensure the availability and affordability of good quality health products and services. HEALTH GOVERNANCE. natality and mortality reports. Therapeutic Committee and Maternal Death Review Committee are among the priority committees in the hospital that need to be in place as of this time. reports on notifiable diseases. the provincial government enrolled 166. the use of ambulance. Proper drug management is another concern not only of the hospital but of the RHU’s as well. The health information system of Leyte builds upon the requirements of the DOH Field Health Information System. The Hospital Management Information System needs to be strengthened. and the like.00. The province of Leyte. 000. Health workers in the province. Further. and this is 75% and a gap of 10% has to be address to get 85% and over. needs to be improved. Other policy concerns are the clinical practice guidelines (CPGs) and compliance with Philippine National Drug Formulary (PNDF) of medical doctors. 35 . especially on TB program.3.4. various hospital committees should be organized and have regular meetings conducted. the health workers must have sufficient knowledge in data utilization. Municipal and ILHZ) must become functional. demographic data. Additionally. Furthermore. It consists mostly of the accomplishments of national health programs. The health policies in all hospitals of Leyte are satisfactorily implemented and such as policies on users’ fees (SP Ordinance 2004). Local Health Boards (Provincial.000 Households for Philhealth Indigency Program and cost P17. There is also a need to review the different national and local policies and ordinances for health.informal. especially doctors and nurses. like most LGU’s is likewise adversely affected by the devolution of health services. HEALTH REGULATION. Hence.

Regulations are likely to be less effective if enforcement strategies.Public health programs. A diverse array of strategies (financial and non-financial incentives as well as sanctions) should be backed up by regulations that are consistent with the overall aim of flexibility and equity. enforcement should use the minimum and yet sufficient interventions to secure compliance. like granting financial incentives. which is largely affected by socio-political factors. several regulatory mechanisms need sophisticated information systems. Additionally. do not motivate providers to function effectively. and adequate political support both at the local and national levels. rabies control. Furthermore. 36 . such as sanitation. shared values and societal norms. The effectiveness of these different regulatory measures also depend considerably on the wider external environment. and anti-smoking campaigns need enabling ordinances that will add teeth to their full enforcement and implementation. social acceptance. sound financial management.

The Overall Health Strategy and Specific Interventions proposed in this document are in consonance with the Mid Decade Goals (MDG) attainment and our 5 Year Provincial Strategic Plan 2009-2013.3. To reduce Infant Mortality by 10 % in 2013 (at 2 % per year for 5 years based on the 2008 Benchmark of 6. Eliminate the following diseases in the province by 2013: 4. 3. Regulated and Financed. These include the following: 1.6. Schistosomiasis 4. Leprosy 5.1. Sustain the prevalence of combined Below Normal Low (BNL) and Below Normal Very Low (BNVL) at a rate < 23 % in all 41 Municipalities by 2013. 8. Reduce death rates due to Infectious and Non Infectious Diseases 4.0 Overall Health Strategy & Specific Interventions Proposed. 6. Reduce the incidence of Dental Caries among school children and preschoolers by 50% by end of 2013. The F1 Components of the Health Sector Reform in the Province will initiate changes in the way our Health Care is Delivered. Increase Contraceptive Prevalence Rate (CPR) from 42 % in 2008 to 60% in 2013. 37 . (Baseline : 42% in 2008) Specifically. (Province rate is 18% but there are some municipalities with rate > 23%) 7.4. Rabies 4.000 live births in 2008 to 61 in 2013.5. Filariasis 4. the following strategies and specific interventions are proposed in order to attain major goals for each of the F1 four (4) components. Malaria 4.07 per 1.2. Increase Universal PhilHealth coverage to 85% in 2013. To reduce Maternal Mortality Ratio from 99/100. Governed.000 live births). 2. in addressing specific reform areas.

1. Matalom RHU and Baybay City Health Units 4. Improve Health Services by ensuring access to quality health care in all facilities in the province. Renovation/construction/upgrading of Leyte Provincial Hospital (level 2 to level 3). 3 in 1 Philhealth Accreditation. Capability Building/skills enhancement of health workers needed to become competent in the health facilities B. DOH Licensing Standard and PhilHealth Accreditation. Capability building / skills development on facility operations and management  Basic curative care  ICD 10  Financial Management  Disaster Preparedness and Response  Health Emergency Management  Basic and Advance Life Support  Clinical Practice Guidelines Goal 2. Renovation/construction of Macarthur RHU. A. 3 Community Hospitals (level1) 3. Upgrade critical capacities of health facilities at all levels of care at the right time. By end of 2013: 38 . BEMONC and CEMONC facilities. 2. SERVICE DELIVERY.Phase 2 (SSII) Level 1 certification by the end of 2011 so that all 45 RHU’s are SS II facilities. Goal 1. Reduce Maternal Mortality Rate by 10% until 2013. 5. Provision of Equipment packages for 12 Hospitals and 45 Rural Health Units for Sentrong Sigla Certification.1. 8 District Hospitals (level 2). Upgrading of 24 RHUs to achieve Sentrong Sigla. Improve capacities of Health Manpower (Hospital and RHU’s) on Basic Preventive and Curative Care 1.

e. Delivery of Comprehensive Newborn and Infant Care through: 2. Provision of Equipments to EMONC Facilities 1. Tetanus. Tuberculosis. 1. Decrease deaths from 7 Immunizable Diseases ( Primary Complex or Childhood TB. 3 BEMONC Community Hospitals and 293 BHS Birthing Facilities 1.1. a. c.2. Ensure timely and uninterrupted supply and distribution of Anti-TB drugs 2. Quality Prenatal (PNV4) is 80% or more Goal 3. Integrated Quality Assurance Measures and Monitoring System 1. Capability building 2.45 BEMONC RHU’s. 9 CEMONC (Provincial and 8 District Hospitals) . ODH. b.77% and Cure Rate =82%) 1. d.2. Accredit 35 RHUs as TB – DOTS Center by 2011 and all 45 RHU’s by 2013 1. Poliomyelitis. Diphtheria. Reduce Infant Mortality Rate (IMR) and Under Five Mortality Rate (UFMR) by 10% in 2013 1. Capability Building of Health Workers on Comprehensive Newborn and Infant Care 3. Sustaining Sputum positive TB case detection (notification) rate to 70% or more and TB cure rate of 85% (Baseline 2008: CDR. Enhanced DOTS implementation 1. 80% or more deliveries are attended by skilled birth attendants (SBA) 3. All RHU’s. Pertussis.1. BHS and Hospitals are EMONC Facilities . WLDH and MBVMH 2. Hepatitis B.1. 1. All deliveries are facility based 4. Reduce Public health threats of infectious and non –infectious diseases. Strengthen IEC activities and patient education 1. Regular Conduct of Maternal Death Review 5. Measles) 2. Strengthening of Referral System Goal 4. Organize the participation of both government and private practitioners in TB Control Program (PPM – DOTS or PPMD) 1. f. Integrated Management of Childhood Illnesses through the IMCI Approach 4. Provision of Equipments for Neonatal Intensive Care Units (NICU) of LPH. Pneumonia and Other Childhood Infectious Diseases:  Train HW and implement Integrated Management of Childhood Illness (IMCI) 39 .

Increase local budget for the purchase of post-exposure prophylaxis and dog vaccines c. Strict implementation of local ordinances on stray dogs - dog impoundment e. Ensure availability of affordable drugs for IMCI 3. Provision of drugs and supplies for leprosy. movement restriction of dogs) d. 2. Strengthen 3 – pronged approach in rabies prevention and control in the province (owner. Reactivate local rabies committee f. Intensify awareness campaign (Advocate responsible pet ownership (vaccination. Strengthen advocacy on lifestyle diseases b. community and government) b. Lifestyle and Degenerative Diseases a. filarial and Schistosomiasis d. Filaria and Schistosomiasis a. Dengue  Intensify source reduction of dengue through the implementation of the 3 o’clock habit and the organization of Brigada Pamilya in all Barangays  Implement 4S of Dengue Prevention  Early and Accurate Management of Cases 4. Strengthen collaboration with partners in services and other stakeholders for social mobilization and advocacy activities b. Declare Province as Disease Free for: 1. Annual mass drug treatment for Filaria and Schistosomiasis 40 . Capability building / skills enhancement of health workers on lifestyle diseases d. Enforcement of national and local laws related to lifestyle diseases c. leashing. Rabies a. Integration of leprosy and filaria program to other health services c. Intensify Surveillance of Rabies cases Leprosy. Establishment of Hospitals as Centers for Wellness - Smoking cessation program - CVD program Goal 5 .

e. etc) j. post-natal check up at least once within a month d. Capability building/skills enhancement of health workers on Emergency Management Obstetric and Neonatal Care (EMONC) for Provincial and 8 District Hospitals (CEMONC) and 3 Community Hospitals and 45 Rural Health Units (BEMONC) c. Request Municipal Sanggunian to pass a Resolution or Ordinance extending Mass Drug Administration (MDA) for Filariasis from 2009 to 2013 even if the Municipality has completed the five years MDA until 85% MDA is achieved. Intensify and initiate 85% or more MDA every year for the Municipalities of the province with boundaries of Southern Leyte. Renovation of BHS. Establish 9 CEMONC Hospitals (Provincial and 8 District) a. i. Women’s Health and Safe Motherhood Program (WHSMP) 1. Conduct Facility needs assessment and compute for Women’s Health and Safe Motherhood (WHSMP) Critical Investment Requirements 41 . Improve quality of prenatal. Enhance Survival and Management of these Programs A. natal and post-natal care a. Accredit 42 RHUs by 2010 as PhilHealth Maternity Care Package (MCP) Facilities b. Provincial. Bato and Matalom 3. Intensive advocacy for mothers: at least 4 prenatal visits. District and Community Hospitals for Maternal and Child Health Services e. Upgrade Abuyog District Hospital as Center for Management of Complicated cases of Filariasis (Lymphangitis. Sustain malaria free status (Disease surveillance activities) Goal 4. RHUs. Rehabilitation and prevention of disabilities of Leprosy patients g. Intensify active case finding and prompt treatment of leprosy f. Mahaplag.Abuyog. Provision of family planning commodities and supplies thru CSR+ strategy and POPDEV program (Province to augment but Municipalities to allocate and buy) 2. Sustain declaration of Leyte province as Malaria free even beyond 2013 a. Establish 45 BEMONC RHU’s and 3 BEMONC Community Hospitals. Provision of allowances for case finding and monitoring activities h.

ASIN Laws h. Promotion of exclusive breastfeeding age 0 – 6 months at all levels of health care e. Provision of Drugs and Medicines e. Food Fortification Act. Garantisadong Pambata (2x a year on April and October) 3.  Increase household with access to sanitary toilet facilities:  Advocacy activities with other health programs  Capability building of health workers Sustain high coverage of household with access to safe drinking water:  Regular chlorination of water  Construction of Level III in selected municipalities 42 . Clinical Supplementation of Vitamin A for High Risk/Sick Children d.e. Coverage of Vitamin A supplementation of 95% or more 1. B. Reduce public health impact of food and water-borne diseases 2. Child Health and Nutrition a. Renovation/repair of existing health facilities. cooking oil.b. Implementation of Newborn Screening Program in all 12 Hospitals and 45 Rural Health Units f. salt and sugar) g. Capability building of Health Workers on: a) Infant and Under-five mortality b) Infant and young child feeding c) IMCI for community training (enhanced child growth monitoring) C. Environmental Health & Sanitation 1. Achieving and maintaining Fully Immunized Child (FIC) coverage of 95% or more c. Fortification of foods (rice. Routine Vitamin A during Measles Vaccination 2. Implement the Province of Leyte Children’s Code 2008 b. Enforcement of nutrition – related laws i. Provision of equipment and supplies d. Training of BEMONC and CEMONC teams c.

Personal Protective Equipments (PPEs). EPI Info 1. PIDSR Training for Hospitals and RHU’s 1. Search and Rescue Team 8. Disaster Preparedness and Management 1. PDCC. e. and other logistics 5 . Designate Surveillance Sentinel personnel in the province (MESU. Orientation on the establishment of DESU. To sustain availability of Emergency Funds for Medicines and Supplies F. Earmarked budget for provision of Search and Rescue Equipment. Creation of Functional Epidemic Surveillance Units 1. and BHERT/BRIGADA PAMILYA 2. Creation of Emergency Response Team at the municipal level 9. RDCC) 3. MESU.g. Acute Meningococcemia and Influenza A (H1N1) 2. Provision of toothbrush and toothpaste c. Oral Health Program  Reduce incidence of dental caries among school children and pre-schoolers: a.3.Capability building for pre –disaster. Provision of Computer and Internet to all Hospitals and RHU’s 43 . disaster and post-disaster management 6. Implement Health Care Waste Management in all health facilities  Training of Hospital and RHU personnel  Purchase of house keeping supplies and materials  Encourage LGU’s to provide area for disposal of health care wastes D. Capability Building 1. Intensify prevention and control of newly emerging diseases such as Avian Flu. Regularly update the Disaster Management Plan for the province thru the Interlocal Health Zone 10. Conduct regular Disaster simulation exercises/drills during disaster month celebration (July of every year) 7. E.DESU.1. Regular Inter-agency /taskforce meeting (MDCC. Strengthen collaboration and partnership with DepEd b. SARS. Strengthen capability of the Provincial Emergency Response Team.PESU) 4. Provision of dental supplies for preventive and curative care.3.2.

2. Governance
Goal: Strong commitment and capacity to support a well- coordinated, effective and
efficient health care system through active community participation.
I. Increase technical and management capacities of Health Workers (HW) and Local Chief
Executives (LCE’s)
1.1 Capability building of LCE’s and HW’s on health leadership and management and
project development capability courses.
II. Systems development of the ILHZ
1. Enhanced functionality of the ILHZ and the Local Health Boards (Provincial and
Municipal)
1.1. Sustain the share of Province and Municipalities for the ILHZ Common Health
Trust Fund (CHTF) with the Province earmarking P50, 000.00 per member
municipality of the ILHZ for 2009-2013 while municipalities earmarked 1% of
20% EDF for 2009-2013.
1.2. Conduct of regular ILHZ and LHB meetings.
1.3. Conduct of Monthly TMC Meetings
2. Improve competence of HW at all levels of care
2.1. Technical assistance on Human Resource Development and Management
Plan
2.2. Continuing Health Human Resource Development Program, i.e. – In-ServiceTrainings,Short Courses, and Post Graduate Studies.
2.3. Implementation of Magna Carta Benefits – Hazard Pay (Phase In)
2.4. Provision of Incentives for Provincial paid Hospital Health Workers in the
province.
3. Improve Management Information System
3.1. Information Communication Technology (ICT) Literacy Program for HW.
3.2. ICT equipment package for RHU’s and Hospitals
3.3. Institutionalization of CBMIS, FHSIS and Hospital Statistics Report
3.4. Establishment of Hospital Operation Management Information System
(HOMIS)
44

3.5. Capacity building of HW and Planners on Data Utilization, Analysis and
Disease Surveillance.
4. Strengthen Referral System in the ILHZ and Province-wide
4.1. Production of Health Referral Manual of the ten ILHZ’s.
4.2. Provision of Health Referral Manuals to all health facilities and stakeholders
4.3. Implementation of two-way referral system.
4.4. Crafting and Production of Provincial Health Referral Manual.
III. Strengthen GO’s, NGO’s, PO’s Partnership
1. Increase involvement of different sectors through a regular Annual Provincial Health
Summit.
2. Regular Stakeholders Meeting
IV. Improve efficient and effective program management.
1. Sustain Semi Annual and Annual Program Implementation Review (PIR) of the ILHZ’s
with LGU Score Card as the Evaluation tool.
2. Presentation of LGU Score Card to LCE’s during the ILHZ Board Meeting
3. Local Chief Executives to in initiate Municipal Health PIR
3. REGULATION.
Goal: Institutionalized regulatory mechanism that will ensure affordable and quality Health
Care service.
I. Ensure availability and access to Low Cost Quality Drugs
1.1. Establishment of Botica Ng Barangay (BNB) in all 41 Municipalities and achieve 1:2
ratio
1.2. Organize functional Therapeutic Committees at the ILHZ and Provincial Level with
Monitoring as expanded role.
1.2 Earmarked specific budget allocations for Program Drugs and Medicines.
II. Enhancement of skills and capability towards Technical Efficiency in procurement
system.
1. Capability building through Technical Assistance) on rational drug use, drug supply
and drug management.
III. Develop mechanisms for Enactment, Implementation and Monitoring of National and
Local Laws.
1. Technical assistance on establishing provincial regulatory framework
2. Formulation of ordinances on :
2.1 Regulating practice of Traditional Birth Attendants (TBA’s)
45

2.2 Mandatory Dog Vaccination
4. FINANCING.
Goal: Optimized and sustained Health Care Financing for Leyte.
I. Increase and sustain enrollment of Health Insurance on different sectors.
1. Increase universal PhilHealth Insurance Coverage to at least 85% by 2013
2. Increase to at least 85% enrollment to indigency program (Baseline: 48 % in 2008).
3. Advocate Provincial and Municipla LCE’s to enroll indigents from 2009-2013.
4. Initiate establishment of PhilHealth enrollment desk in all 41 municipalities.
II. Maximize utilization and expansion of PhilHealth benefits
1. Use PhilHealth benefits as incentives and for other operating expenses
1.1. Capitation Fund
1.2. OPB Benefit Package
1.3. TB DOTS
1.4. Maternity Care Package
III. Increase share for health expenditures in LGU Budget
1. Advocacy during Health Board Meetings
2. Passage of ILHZ Board Resolution on Adoption of Incremental Increase of LGU
Health Budget and increase the base contribution of each municipality to > 1%.

46

47 .

TB registry -CBMIS .000 pop’n > morbidity due to infectious diseases reduced by 50% > death rate due to infectious diseases reduced by 5% every year .000LB. affordable. appropriate health systems installed.00 pop’n to 15/100.000 LB to 50/100. available and acceptable through an integrated and expanded service coverage. Table 12. increase access to quality health services especially by the poor and reduce financial burden on individual families. > MMR reduced from 240/100.Hospital Statistics Report > mortality rate due to lifestyle and degenerative diseases IMPORTANT ASSUMPTIONS/ RISKS Assumption: National and stability LGU Risk: Adverse national policy changes . supportive Local Chief Executives and other stakeholders. COMPONENT GOALS/OBJECTIVES: OBJECTIVELY VERIFIABLE INDICATORS (OVI) MEANS OF VERIFICATION (MOV) After 5 years. skilled and committed health workers.Baseline Monitoring Surveys (BMS) . LOGICAL FRAMEWORK NARRATIVE SUMMARY GOAL: Improve the health status of Biliranons through greater and more effective coverage of national and local health programs. > IMR reduced by 50% > TB death rate reduced from 29/100.FHSIS .VISION: Healthy and empowered Biliranons with access to excellent health services MISSION: To provide Biliranons with quality health services that are accessible. upgraded equipment and facilities.

2 Contribution of LGUS in the Common Health Trust Fund 2. SYSTEMS DEVELOPMENT OF ILHZ: II.GOVERNANCE COMPONENT: Strong commitment and capacity to support a wellcoordinated .Annual Accom Rpt .Aral II.4 to 65% > increased number of HH with access to sanitary toilet facilities from 71% to 90% . effective and efficient health care system with active community participation TARGETS / INTERVENTIONS CRITICAL ACTIVITIES I. Training 3.1 Capability building of LCE’s and health workers and LCE’s 1.Aral -Continued support of the new set of LCEs for 2007 election Availability of staff 49 . Monitoring and evaluation 1.1Regular stakeholders’ meetin 1.CBMIS . SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care REGULATORY COMPONENT: Institutionalized regulatory mechanism that will ensure affordable and quality health services/ reduced by 5% every year > rabies – free province by 2010 > eliminate leprosy and filaria > CPR increased from41. Health Leadership /Mgt. O. INCREASE TECHNICAL & MANAGEMENT CAPACITIES OF HEALTH WORKERS & LCEs I.1 Installation of Human Resource Management and Development System 1. TA on technical / mgt capacities 2. effective and efficient health care system with active community participation TARGETS / INTERVENTIONS CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE INDICATORS MEANS OF VERIFICATION IMPORTANT ASSUMPTIONS/RISKS GOVERNANCE COMPONENT: Strong commitment and capacity to support a well –coordinated.O on HRMD Training Certificate A.Baseline Monitoring Surveys . Lakbay .Hospital Statistics Report > reduced incidence of dental caries among school children by 50% > increased and sustained Philhealth coverage at 85% .TB registry . Coaching and tactic sessions done Biliran ILHZ functional per DOH criteria Monitoring/evaluation report/Feedback MOAs Minutes of ILHZ board and TMC meetings ILHZ Treasurer’s report TNA report -Training needs of health workers public health and IMPORTANT ASSUMPTIONS/RISKS Commitment of development partners to support training/Lakbay . Issuance of an A.1TA on human resource development / mgt.Local Health Accounts -Philhealth Reports GOVERNANCE COMPONENT: Strong commitment and capacity to support a well –coordinated.2 Improve competence of health workers at all levels 1. Orientation training of HRMD system 2.1 Enhance functionality of ILHZ and LHBs II.FHSIS . effective and efficient health care system with active community participation FINANCING COMPONENT: Optimized and sustained health care financing for Biliran Province. re: adoption/ installation of HRMD 3.O. plan OBJECTIVELY VERIFIABLE INDICATORS TA done Trainings and Lakbay – Aral done MEANS OF VERIFICATION TNA report Post – travel report Orientation training done Approved A. Project Development Capability Course 4.

4 Information dissemination on the referral system thru various community assemblies 5.Liquidation Report DOH –LHAD monitoring IMPORTANT ASSUMPTIONS/RISKS Availability of support package 50 .1 TA on Integrating gender responsive population and development (Popdev) approaches to local development planning processes 3. and integration of CBMIS. Naval .BMS . Maripipi. Culaba.Hospital Mgt.BPH report .4 Institutionalization of BMS.5 Provision of Medical Assistance Fund to EVRMC II.External reviews . Culaba.3 Implementation of Magna – Carta Benefits (full implementation) 2.II.Memorandum Receipt .Staff and client satisfaction increases -Annual Plan done -Approved Annual Plan 4.4 Provision of extra incentives for MDs on dispersal from EVRMC 3.4 To improve management information system 2.MOAs/Resolutions . Maripipi .equipment procured / installed -HOMIS installed Baseline Monitoring Survey .Number of referred patients given medical assistance by EVRMC .Inspection Report of equipment procured GOVERNANCE COMPONENT: Strong commitment and capacity to support a well –coordinated.Ambulance utilized by Biliran. Cabucgayan.POP Dev approach used in local planning process Technical support from DOH is available Availability of support package .2 Provision of 5 ambulances for timely referral 5. Info System operational .2 ICT Literacy Program for health workers 4.2.Reduction of inappropriate referrals to BPH .3 Providing TA on system improvement on referral system 5. Caibiran.1 Established HOMIS in the BPH 4.3 Capacity building of health workers and local planning officers on Data Utilization and analysis 4.improved primary health care MEANS OF VERIFICATION . Continuing health human resource dev’t program 2.5 Provision of ICT equipment .Integrated info system (CBMIS. Caibiran.1 Installation of communication equipment (VHF Radio) in 5 RHUs 5.Installed communication equipment in RHUs of Biliran.Post – Training Report . FHSIS) .1 Strengthening of primary health OBJECTIVELY VERIFIABLE INDICATORS .2 Annual Integrated Health planning hospital assessed . FHSIS et al 4. effective and efficient health care system with active community participation TARGETS / INTERVENTIONS CRITICAL ACTIVITIES II.6 Strengthen health care services 6. SYTEMS DEVELOPMENT OF ILHZ II.5 Strengthen referral system 5.3 Enhancing the capacity of LGU personnel/staff in their local development process II.

Summit. recognition given . Launching of Healthy Barangay 3. Local Health Board.sustained commitment of LCE’s to re-enroll indigents . Advocacy meetings during LHB and other fora 2.training of health workers /mgt. Orientation on LGU scorecard and other performance monitoring / evaluation mechanism 2.Vehicle purchased FINANCING COMPONENT: Optimized and sustained health care financing for Biliran Province. OBJECTIVELY VERIFIABLE INDICATORS MEANS OF VERIFICATION PHIC reports IMPORTANT ASSUMPTIONS/RISKS -Legislation passed for inclusion of premium payments in availing Mayor’s permit . Annual Provincial Health Summit 2. TA.Sustained commitment of LCE’s . Inclusion of PHIC Premium payment as a requirement for availing mayor’s permit for business establishment 1. MCP accredited RHUs .LGU scorecard implementation . I NCREASE & SUSTAIN ENROLLMENT OF HEALTH INSURANCE IN DIFFERENT SECTOR II. Provision of vehicle for field monitoring indicators at the RHU level . NGOs partnership IV. Resolution’s Financial statement Available technical support from DOH and other partners 85 % coverage by 2010 51 . Annual Program Implementation Review (PIR) 3.Philhealth members avail of benefits . CORPORATE RESTRUCTURING OF BILIRAN CRITICAL ACTIVITIES 1. MAXIMIZE UTILIZATION / EXPANSION OF PHILHEALTH BENEFITS III.Biliran Provincial Hospital corporatized MOA’s.PIR document report FHSIS. Capability building on hospital operations and financial mgt. Regular stake holders meeting III.Awards. Establish enrollment desk in 8 RHUs and hospital 4. Tap congressional fund for Philhealth enrollment of indigents 3. Launching of Healthy Municipality 4. Social Marketing 2.in GIDA areas care system in Maripipi & Higatangan islands 1. TARGETS / INTERVENTIONS I. Stakeholders’ meetings on resolution for adoption of incremental increase in LGU budget for health 1. IMPROVE EFFICIENT AND EFFECTIVE PROGRAM MANAGEMENT 1. INCREASE SHARE OF HEALTH EXPENDITURES IN LGU BUDGET IV.Incremental increase of LGU budget for health BMS result PHIC reports . ILHZ meetings & other scheduled fora & symposia conducted .TB – DOTS package.Drugs /medicines available at RHU and hospitals LGU annual budget . support personnel on maximizing Philhealth benefits and claims 1. STRENGTHEN GO. CBMIS report Minutes of meetings Documentation of event Internal / External Review Monitoring /Evaluation report Sustained support of different stakeholders Regular monitoring / evaluation .

2.Monitoring report . 2 Naval .3 Provision of equipment package for SS 2 Certification.TB registry .1 Upgrade RHU’s for SS Phase 2 level 1 certification 1. TA on development of mechanism to retain income 1.1 To upgrade critical capacity of health facilities at all levels of care I.SS2.3 BHS upgraded (1Maripipi. CHARGING OF USER FEES FOR NON-POOR 2.Client segmentation done .Philhealth/DOH accreditation Logistics available Inter and intra. Organize Public – Private Mixed DOTS 2. IMPROVE QUALITY OF HEALTH SERVICES I.a Regular meetings of Provincial TB OBJECTIVELY VERIFIABLE INDICATORS .2 Capability Building of BHC 2. DOH Licensing 1.Philhealth accreditation IMPORTANT ASSUMPTIONS/RISKS Manpower available Technical support available .2 To increase geographic access of the people by strengthening primary health care II. Capability building of support staff on user fees. SP/SB meetings on Resolution for adoption/implementation of user – fees .RHU 2 in Naval (see Sit Ana) Tuberculosis: .Achieved/maintained TB Case Detection Rate to 89.agency support 52 .5% and TB List of members Minutes of meetings Structures in place .License issued by DOH .BPH upgraded from 25 –75 beds and service capability as tertiary care hospital MEANS OF VERIFICATION . Provision of BCG vaccines and supplies 2.132 BHCs are functional by 2010 .Resolution passed for implementation of user fees Consultant’s report Supportive LCEs Copy of the resolution SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care TARGETS / INTERVENTIONS I. patient classification system 3.3 Upgrading of strategically located BHS 2. cost and rate setting.2Upgrading of Biliran Provincial Hospital from 25 -75 beds and capability as tertiary care hospital 1. TA on client segmentation (Social Marketing initiatives) 2.4 Capability building /skills development on facility operations and mgt. REDUCE PUBLIC HEALTH THREATS OF INFECTIOUS AND NON – INFECTIOUS DISEASES CRITICAL ACTIVITIES 1.1Organize 132 Bgy Health Council (BHC) 2.PROVINCIAL HOSPITAL V.8 RHUs are SS Phase 2 level 1 certified . TA on development of hospital business plan 3. Level 1 Certification .4 Construct additional RHU in Naval Tuberculosis: 1.

FHSIS Pneumonia other Childhood Infectious Diseases: IMCI implemented Death rate due to Pneumonia reduced by 5% every year Reduced morbidity due to infectious diseases by 50%by 2010 -FHSIS .Tuberculosis : .c Regular health education activities at all levels of care 1.Achieving and maintaining sputum positive case detection rate to 89.Minutes of Mtg . Capability building/skills enhancement of health workers on IMCI 2.External review .Philhealth/DOH accreditation 6.5% and TB cure rate to 88% (Baseline: 2004) . 4. REDUCE PUBLIC HEALTH THREATS OF INFECTIOUS AND NON – INFECTIOUS DISEASES Strengthen IEC activities and patient education Pneumonia and other Childhood Infectious Diseases Improve the implementation of Integrated Mgt of Childhood Illnsses(IMCI) Enhance mgt of infectious CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE INDICATORS MEANS OF VERIFICATION IMPORTANT ASSUMPTIONS/RISKS Tuberculosis: Logistics available .FHSIS SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care TARGETS / INTERVENTIONS II.Ensure BCG immunization of infants to 95% (Baseline: 2004 88.61%) .b Provision of lacking equipment 4.Monitoring Report 53 . TA on development of CPGs in RHU s and BPH.b TEV for monitoring activities 5.b Production of infomercial on priority public health program 6.agency support . Provision of CAT III Anti –TB drugs from LGU source.a Production of IEC materials in local language 6. Setting up of Integrated Quality Assurance Measures and Monitoring System 4. Skills development on mgt of infectious Inter and intra.Strengthen participation of both government / private practitioners on TB control program . Provision of drugs/ medicines and supplies 3.7 RHUs and 1 hospital – based TB DOTs accredited .a Continuing education/ skills enhancement of health workers 4.a Refurbishment of RHUs and BPH for TB DOTS accreditation 3.TB registry . Accredit 7 RHUs and hospital.basedTB DOTS centers 3. Philhealth benefits Cure Rate of 88% . Ensure timely distribution of anti – TB drugs Diagnostic Committee 3.

Advocacy activities on lifestyle diseases 2. Skills development of municipal agri tech and provincial vet med By the end of 2010 . Annual Mass Drug Treatment for filaria 2 years old and above 5.Health Mgt. Enforcement of Responsible pet ownership 2. DISEASE – FREE ZONE INITIATIVE RABIES: Strengthen 3-pronged approach in rabies prevention and control in the province. LEPROSY / FILARIA: Strengthen collaboration with partners in services and other stakeholders for social mobilization and advocacy activities and resource sharing Integration of leprosy and filaria program to other health services CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE INDICATORS MEANS OF VERIFICATION 1. Enforcement of national and local laws related to lifestyle diseases Lifestyle and Degenerative Diseases Mortality rate reduced by 5% every year SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care TARGETS / INTERVENTIONS III. Advocacy meetings 2. Active case finding for leprosy and prompt treatment of cases 6.and non. Provision of post-exposure prophylaxis immunization 4.infectious diseases and non-infectious diseases on adult Ensure the availability of affordable drugs for Pneumonia patients and other infectious diseases of all ages at the local level Lifestyle and Degenerative Diseases 1.FHSIS IMPORTANT ASSUMPTIONS/RISKS Logistics available 54 .Rabies –free province -FHSIS . Rehabilitation and prevention of disabilities . Provision of vaccines for dog 3. Provision of MDT drugs for leprosy 4. Training/skills development of health workers 3. Info system (HMIS) LGU Scorecard 1.Prevalence rate for leprosy is maintained to less than 1 case per 1000 population .Zero case of filaria .

CPR increased from 41. BHS) 1.Drugs and medical supplies provided . STRENGTHEN HEALTH PROMOTION AND DISEASE PREVENTION & CONTROL A.2 Capability building 2.NICU. OR/DR complex for MCH services 1. Improve access to reproductive health services and FP commodities and supplies 2. all RHU’s and BHS’s provided with MCH equipment .1 Refurbishment of 8 RHUs for Maternity Care Package (MCP)accreditation 1.FP commodities/supplies available .2 Provision of MCH equipment at all levels of care (Hospital. MR.4 Establishment of hospital NICU.Upgraded BHS for MCH services .3 RHUs accredited for MCP by 2006 . natal and post-natal care 1. RHU.3 Provision of family planning commodities and supplies thru CSR+ strategy and POPDEV program .4 to 65% In place Technical support and Logistics available RIV. PO Certificate Inter and intra-agency support In place RIV.5 Upgrading of BHS for MCH services 1. Improve quality of pre-natal. Women’s Health and Safe Motherhood Program: 1. PO FHSIS FHSIS FHSIS CDLMIS 55 .5 RHUs accredited for MCP by 2007 .Hosp.1 Advocacy meetings and activities 2.6 Provision of drugs and medical supplies 2. OR/DR complex constructed .3 Capability building of health workers at all levels on emergency obstetric care 1.SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care TARGETS / INTERVENTIONS CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE INDICATORS MEANS OF VERIFICATION IMPORTANT ASSUMPTIONS/RISKS IV.Midwives trained on emergency obstetric care Philhealth report CBMIS HOMIS .

Supplemental Feeding Program 8. Advocacy on exclusive breastfeeding . cooking oil. Enforcement of nutrition related laws and ordinances 6.Prevalence of underweight children reduced from 26. Discussion/consultaions on adolescent health with LGU’s and Partners. 2. Presentation of local study done to LGU’s and Partner’s 3.85% to 20% . Deworming 9. STRENGTHEN HEALTH PROMOTION AND DISEASE PREVENTION & CONTROL B. IEC on nutrition 12. 4. Youth access to information and services 2. Adolescent Health Improving youth access to information and services 1. Bio-intensive gardening & distribution of vegetable seeds 10. Childhealth and Nutrition Achieving and Maintaining FIC coverage to 95% Reduce prevalence of underweight children from 26. Baseline study reg. Animal dispersal to families with malnourished children 11. of LGU’s and Partner’s oriented Report of the study Attendance sheet Model for AH info and services 56 . 3. Regular Stakeholders’ meeting Provision of EPI vaccines Advocacy activities /counseling Implementation of Newborn Screening Program at BPH 5. salt and sugar) .FIC coverage & Vit. Provision of 66 weighing scales on identified BHS 7. Developed and test an appropriate model Study conducted No.% of infants below 6 mos exclusively breastfed Review of records FHSIS HOMIS monitoring report FHSIS C.85% to 20% Collaboration with other agencies re:Bright Child Approach IMPORTANT ASSUMPTIONS/RISKS Strong political support 1.SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE MEANS OF INDICATORS VERIFICATION TARGETS / INTERVENTIONS IV. 4. A supplementation at 95% .4 priority food fortified ( rice.

Oral Health Program Reduce incidence of dental caries among school children and pre-schoolers by 50% by 2010 Strengthen collaboration and partnership with Dep Ed Promotion of oral health at all levels of health facilities SERVICE DELIVERY COMPONENT: Improved access and coverage of quality health care CRITICAL ACTIVITIES OBJECTIVELY VERIFIABLE MEANS OF VERIFICATION INDICATORS 1. Advocacy activities 2. peer counseling. Construction of level III water in selected municipalities 5. Post training monitoring and coaching adopted Trainings conducted Institutionalized model Program implemented Certifcation.for providing AH info and services 5. human sexuality) 6. Capability building of service provider (e. Intensified orientation/advocacy activities in pre and elementary school 4. Attendance sheet 1. Regular stakeholders. Regular chlorination of water 4. Provision of toothbrush and toothpaste 5. Provision of toilet bowls -% reduction in diarrhea cases -HH with access to sanitary toilet facilities increased from 71% to 90% by 2010 . Environmental Health & Sanitation Increase HH with access to sanitary toilet facilities from71% to 90% by 2010 Increase HH with access to safe drinking water from 53% to 80% Inter and interagency collaboration TARGETS / INTERVENTIONS D. Trainings /skills enhancement of health workers 3.g. parent education. Provision of dental supplies for preventive and curative care . meeting 2.HH with access to safe drinking water increased from 53% to 80% by 2010 Monitoring tools C. Production of IEC materials(infomercials) 3.50% reduction of dental caries among pre-school and school children DEP ed Report FHSIS IMPORTANT ASSUMPTIONS/RISKS Strong political support Available manpower 57 .

disaster and postdisaster mgt .Hire/Designate Surveillance Sentinel personnel in the province 4. and other logistics 5. disaster and postdisaster management -Trained health personnel in pre-disater.Budget earmarked for disaster preparedness / mgt -Upgraded facilities to handle emergency response LHA HEMS report 58 . Capacity building for pre – disaster. Earmarked budget for provision of Personal Protective Equipments (PPEs). Disaster Preparedness & Management 1.Strengthen preventive and curative care E. Regular inter-agency / task force meeting 2. Strengthen Provincial Search and Rescue Team /BHERT 3.

Financial mgt. TA on establishing provincial regulatory framework 2. Regular stakeholders’ meeting on formulation of incentives/ disincentives scheme on various laws/ordinances i. DEVELOP MECHANISM FOR ENACTMENT.e. IMPLEMENTATION and MONITORING OF NATIONAL and LOCAL LAWS REGULATORY COMPONENT: Institutionalized regulatory mechanism that will ensure affordable and quality health services CRTICAL ACTIVITIES OBJECTIVELY VERIFIABLE MEANS OF VERIFICATION IMPORTANT INDICATORS ASSUMPTIONS/RISKS 1. SP/SB meetings on resolution to earmarked specific budget .Functional Municipal and Provincial Therapeutic 1. ENSURE AVAILABILITY AND ACCESS TO LOW – COST QUALITY DRUGS Development of drug procurement and distribution system Establishment of Functional Therapeutic Committee at the municipal and provincial level with expanded role in monitoring Earmarked specific budget allocation for program drugs /medicines II. mandatory dog vaccination.smoking Technical Reports Technical support from DOH Internal / External reviews Adherence to PNDF Minutes of meeting Baseline monitoring survey Philhealth report LHA Technical Reports Records Review Logistics available Technical report LGU commitment for the passage of health . TA on financial management system . Regular Meeting and monitoring activities 6. regulating TBAs. Establishment of BNBs 2. Organize Functional Therapeutic Committee 4. system in placed -Established provincial regulatory framework 1.Procurement system in the province in placed -80% Philhealth capitation fund being used for procurement of drugs .112 BNBs trained and seed capital available .Therapeutic committee trained on drug supply and management .TARGETS / INTERVENTIONS I. anti . TA on drug procurement and distribution system ( Pooled procurement. Capability building of Therapeutic committee 5. ENHANCEMENT OF SKILLS / CAPABILITY TOWARDS TECHNICAL EFFICINECY IN PROCUREMENT SYSTEM III. PDI. drug supply and management 2. drug consignment) 3.Trained health workers on rational drug use . Capability building on rational drug use.related ordinances 59 .

Project Development Capability Course 3.000 2nd Q of 2006 EC 10.25 /year - Regular stakeholders' mtg 10.A Increase technical and management capacities for health workers /LCEs Cost Item Description Type of Expenditure Timing and Duration Source of Financing Other Remarks MOOE 1.000 2nd Q of 2006 3rd Q of 2006 PLGU/MLGU PLGU/MLGU Travelling expense 800x2X25= 40. TA on technical/mgt capacities Firm contract with training institution 600. Health Leadership and Mgt b.000 3rd Q of 2006 LEAD 200. TEVs for Lakbay .000/mtg/x12 months= 120. Lakbay .000/ annually 2006-2010 DOH 60 .B Systems development of ILHZ MOOE 1.1 Assumptions on the Cost Items in the Health Investment Plan Version No. Date: Dec 14. Planning workshop 1%of the 20% EDF 669773.000 contract price including VAT 1st half of 2007 x 6 months GTZ Training cost for ILHZ board and TMC Training cost for ILHZ board and TMC Visit to best performing ILHZ for technical exchange 10. TEVs for Project Development Capability Course 3. Operating cost for stakeholders' meeting / orientation to new LCEs MOOE 1.000/pax/25pax= 250.000 800x2X25= 40.000 for 25 pax TMC /ILHZ Board 3rd Q of 2007 GTZ Travelling expense Travelling expense 800x2X25= 40.Critical Investments GOVERNANCE COMPONENT Table 13. Operating cost for ILHZ's CHTF 2.000 /year 2006 .2010 CULION/GTZ/LEAD/PL GU/MLGU Integrated annual planning workshop 75.000 3rd Q 2007 PLGU/MLGU 2. TEVs for Health Leadership Mgt 2.000/pax/25pax= 250.Aral 1. 2005 Unit Price/ Total Cost GOVERNANCE 1.Aral MOOE 1. Training on: a.

Installation of communication network 2-way radio system 2. Provision of service vehicle for monitoring For PHO technical staff use 1.000 TA 1. Training on data analysis and utilization 4. FHSIS.000 2009 CO 1.224.100 Skills training on Health human resource 300.000/annum RHU and hospital personnel 300.000/RHU(8) 10(IPHO) =1. HOMIS 3.000.000 1st Q of 2008 EC/Other Donors 3. Operating Cost for Institutionalization of BMS. ICT equipment package 3rd Q of 2007 EC CO 1. CBMIS. TA on Human Resource Dev't and Mgt.000 3rd Q of 2007 JICA/EC 61 .500.000 1st Q of 2006 LEAD 2.000 3rd Q of 2006 -2007 GTZ/LEAD/PLGU/MLG U/DOH 3500/pax/40pax= 140. Maintenance of new equipment Magna Carta benefits 1. Plan TA 2.180. Additional incentives for MD on dispersal from EVRMC Non-monetary incentives 1. Provision of 5 ambulances Purchase of 5 ambulances 4.2. Training on ICT Literacy Program 2.800.250.2010 PLGU 2006-2010 PLGU/MLGU PS MOOE 1.000 2nd Q of 2006 DOH 8% of acquisition cost 1 year after purchase 336000 /year Purchase of software/hardware 100. Installation of Human Resource Mx and Deve system 1. TA on Pop Dev approach MOOE 1.000 Free food accom Lodging Trans exp 2006 -2010 GTZ 2006 GTZ/PLGU 3rd Q of 2006 GTZ 2006 .500.

000 2006 . Construction of BHS Higatangan Island 2.000/annum 2009-2010 100. POs partnership MOOE 62 .000 4th Q of 2006 LEAD 200. Provision of sea ambulance .000 2008 Other Donors 3. TEVs for planning workshop 2. Strengthen GO/NGOs .000 2008 DOH BHS construction 300. Provision of basic equipment package Higatangan Island 2nd Q of 2006 Sea ambulance 1.000 annually 2006 .2010 PLGU OOE 1. Strengthening of systems in GIDA areas CO 1.000/annum 800x2x40= 64. TEVs for data analysis/utilization 2.000 2008 Other Donors Purchase of basic equipment package 200.MOOE 1.000/year 2008-2010 800x2x40= 64. Community assembly Community orientation on referral system 2.200.Maripipi Island CO 1.2010 PLGU 360. Maintenance of ambulances 4. Medical Assistance Fund to EVRMC 3. Maintenance of service vehicle 8% of acquisition cost 1 year after purchase 8% of acquisition cost 1 year after purchase 100.

6 16 1.000/yr 2007-2010 PLGU/MLGU 75.00 - 0 4. Annual Launching of Healthy Barangay 3. 2005 Component/ Subcomponent/ Activity GOVERNANCE 1.000 2007-2010 150.420. Date: Dec 14.000 annually 2006-2010 DOH 4.0% 4.000/mtg semiannually 2006-2010 PLGU/MLGU 2007 DOH 30.000 2007 2008 2009 8. Regular stakeholders' meeting 200. Biliran Province (Governance Component) Version No.723 580.763.72 3 - 2010 4.72 3 11.2 Health Investment Costs by Activity by Year.000/Q = 120.973. Annual Program Implementation Review 100.2% 4.1. Annual Launching of Healthy Municipality 4.000 2007-2010 LEAD/PLGU/MLGU/Other Donors PLGU/MLGU 150.000 2007-2010 PLGU/MLGU/DOH 10.0% 100.211.211.887. Annual Provincial Health Summit 2.998.7 23 - Total 33.723 840. Implementation of M & E of LGU scorecard 3.2% 63 . Improve efficient and effective Program management MOOE 1. 000 As a % of Componen t Total As a % of Grand Total 100.A Increase technical and management capacities for health workers /LCEs 2006 4. LGU orientation on LGU scorecard and other M & E tool 2.000 Annual PIR at Biliran Table 13.

000 000 b.180.723 1. 616 18.516.MOOE 1.8% 1.900.0 00 1.000 1.7% 0.000 1.000 1.723 1.1% 0.7 23 1.0% MOOE 1.000 000 2. Project Development Capability Course 250.723.000 000 3.00 40.114. TEVs for Health Leadership Mgt 40. 723 669.0 00 75.1% 000 0.723 . 250.123.516.180.00 0 1.B Systems development of ILHZ 1.Aral 40.000 250.0 00 669.3% 0.180. 000 MOOE 1.000 1.000 250.664.0% 9. 250. Operating cost for stakeholders' meeting / orientation to new LCEs 120.000 4.Aral 200. 0. 000 375.00 0 75.1% 0.00 0 1. Operating cost for ILHZ's CHTF 669. TA on Human Resource Dev't and Mgt.4% 0.0 00 1.000 3.723.1% 4.0% 31. Health Leadership and Mgt 250.180.6% 0.2 5 120. 0 000 1. Lakbay .120.000 75.72 3 1.7% 0. Additional incentives for MD on dispersal from EVRMC 2.000 000 3.000 669.7% 0. Plan 300.00 600. TA on technical/mgt capacities 600.0% 0. TA on Pop dev approach to local planning 75.114. 000 1.723.348.1% 40.00 0 669.7% 0.812.1% 0. 000 MOOE - 64 .0% 0.00 200. 616 600.8% 1.8% 2.000 500. Training on: a.8% 31.8% MOOE 1. Full implementation of Magna Carta (phase-in) 5. 0 000 MOOE 1.6% 40.8% 17.114.9% 0.180.25 2. 000 10.000 75. TEVs for Lakbay . 300.25 120.8% 0. 000 1.1% 6.9% 0.0% 18.1% 4.723.25 120.000 250. 0.500. Planning workshop 2.114.8% 9.000 000 2. 25 120. TEVs for Project Development Capability Course 40.3% 17.000 250. 0 1.480.4% 1.180. 000 PS 1.0% 0.0% 0. 000 1.

Provision of basic equipment package-Higatangan Island MOOE 1.000 00 64.0 00 724. 000 200. 000 100.500.0% 13.000. TEVs for data analysis/utilization 64.0% 1.6% 3.000 CO 1. Training on data analysis and utilization 140.3% 31. 000 5. TEVs for planning workshop 2.000 2.000 300.500.984. Provision of service vehicle for monitoring 1.HigatanganIsland 3.1% 2. 000 4.000.8% 0. 000 MOOE 1.Provisionof sea ambulance-Maripipi Island 2.5% 0. CBMIS.8% 3. Training on ICT Literacy Program 300.700.200.654.9% 2. 2.0% 5. 000 1.1. 000 300.0% 2.200.0 00 100.0 64.264. HOMIS 1.200.000 3. 000 2.00 0 10.2% 3.3% 2.000 724.000 200.9% 5.400.00 0 500.000 142.400.0% 7.000 3.0% 5.3% 7.800. 000 2. 000 0. 000 100.000 2.4% 0.Construction of BHS .9% 64. 000 360.0 00 360.000 200.800.0 00 336.9% 0.1% 0. 000 1.3% 0. Medical Assistance Fund to EVRMC 200.3% 5. 0.00 0 428. 000 1. 0.2% 0. Provision of 5 ambulances 4. Maintenance of ambulances 4.9% 0. ICT equipment package 1. Strengtheningof systems in GIDA areas - 1. 000 65 . 000 1.00 200.000 64.000 2. 000 300. Operating Cost for Institutionalization of BMS.200.7% 3. 000 000 CO 1. 000 OOE 1.9% 5.2% 0.000 0 200.0 00 200.9% 140.000 0 64.000 000 4. FHSIS.9% 0.3% 31.7% 0.9% 2.2% 13. 000 720.4% 672.000 7.500.00 64. 000 1.9% 0. 000 000 000 2.464. Installation of communication network 2. 0.9% 320.6% 0.5% 3.00 0 CO 1. Community assembly 100.000 300. Maintenance of new equipment 336. Maintenance of service vehicle 100.9% 0.0 00 142.

211. Annual program implementation review 100.100. 000 6. 000 000 150.3% 1.7 23 34. MOOE 200.000 1.72 3 75.0 00 20. maintenance of basic equipment 00 000 520.0% As a Percentage of Grand Total 14. 000 195. 000 000 150.0 00 195.1% 1.0 3. Improve efficient and effective program management MOOE 150.0 00 000 000 30.3.0 00 75. 0 2.000 0.000 100. maintenance of BHS 00 3.00 1.72 3 4.4% 12. 000 16.2% 6.96.211.0 00 150.2% 0. POs partnership 192.2% Table 13.048. 000 000 16.0% 100.3% 1. maintenance of sea ambulance 00 2.00 75. 1.2% 800.6% 0.0 96.000 195. annual launching of healthy municipality 4. 1.000 0 150.000 11.763.1% 30.00 20.8% 1.1% 0.NGOs.00 3. Regular stakeholder's meeting 200. 66 . 0.2% 32. annual launching of healthy barangay 0 4.6% 60.8% 2.000 150. Health Investment Costs by Activity by Source of Financing.Strengthen GO. Biliran Province (Governance Component) Version No.000 955.000 20. Quarterly M/E LGU Scorecard 000 120.8% 480. Annual Provincial Health Summit 0 150.000 0 20.3% 2.000 200.6 16 12.3% 0. 0.00 0 3.4% 25.723 0 8.8% 1.00 100.000 295. 000 000 75. 0. 1. 000 000 4.0 520.3% 600. 000 000 20.LGU Orientation on scorecard 200. 1. 2.000 75.4% 375.00 2.4% 100.3% 2.000 75.0 00 120.000 0 520. 000 520.973.887.8% 600.0 00 150.1% 2.00 20.000 Grand Total 4.7% 35. 000 120.8% 0.723 120.4% 0.

000 120.652.500. 14.0 00 250. 000 6.000 1.123.0 00 250. TA on technical/mgt capacities 600.000 6.000 MOOE - 1.75 6. 489 60. Operating cost for ILHZ's CHTF 2.000 12 0.616 - 1.000 200.Date: Dec.000 375.592.0 00 120.127 3.127 60 . 000 40. 000 2. Training on: - a. Lakbay . TEVs for Health Leadership Mgt 20. TEVs for Project Development Capability Course 3.0 00 GTZ 3.270.0 00 Culion Foundtn Philhealth Cap/Claims - 620.000 1.000 1.616 - MOOE 1.000 375.348.0 00 1.220.000 MOOE - 1. TEVs for Lakbay .000 2.000 b.0 00 600.500.000 Total 33.0 00 800.998.Aral 1.0 00 2.000 - 1.000 20.0 00 200.000 20 000 .A Increase technical and management capacities for health workers /LCEs Provincial LGU Budget Municipal LGU Budget 7.000 120. Plan 300.0 00 - EC Grant LEAD 5.616 60.250. 40.0 00 250. Operating cost for stakeholders' meeting / orientation to new LCEs MOOE 1.Aral 250.000 MOOE 1.000 DOH Budget 3.0 00 - 120.B Systems development of ILHZ 20 . 489 60.420.0 00 1.000 - Other Donors /JICA 5. TA on Human Resource Dev't and Mgt.000 67 .000 20.0 00 250.578. Planning workshop 375.127 40.000 20 . 489 1.470.000 120.87 0.920.81 6. TA on Popdev approach to planning 120. Project Development Capability Course 3. 2005 Component/ Subcomponent/ Activity GOVERNANCE 1.000 600.72 0.0 00 1.0 00 300. Health Leadership and Mgt 250.

000 1.000 00 3.812. 000 3.000 33 6. Training on data analysis and utilization 500.000 - 1.0 00 500. 000 140. TEVs for planning workshop 160. Additional incentives for MD on dispersal from EVRMC 3.000 2.53 6.800. Community assembly 2. Strengtheningof systems in GIDA areas CO 28 - 4.000 100.000 300.95 0. Maintenance of new equipment 336.900.000.000 CO - 1.200. ICT equipment package 1.500.000 140. 000 2.200.000 - PS 1. 000 300.0 00 2.50 0. HOMIS 250.000 2.000 1.0 00 1.000 CO 1. 000 16 .0 00 500.000.0 0.0 00 4.000 32.0 00 1.000 720.0 00 100. 000 288.0 00 800.0 - - - 00 3.400.000 32 64.0 00 2.000 OOE - 1.000 4. TEVs for data analysis/utilization 320. Full implementation of Magna Carta (phase-in) MOOE 5.000 68 .984.0 00 - - - - - 50 1. Installation of communication network 2.000 2.000 2.000 140.0 00 500.000 672.780.000. Training on ICT Literacy Program 300.0 00 1.000 0.000 1.000 1.000 43 2.604.000.000 0.950.800.90 0. CBMIS. Maintenance of service vehicle 2.000 1. Medical Assistance Fund to EVRMC 3. Maintenance of ambulances 10.000 - 1. Provision of service vehicle for monitoring MOOE 4.20 0. Provision of 5 ambulances 3.000 1.536.000 - 10.20 0.000 500.000 1.2. 000 62 - 4. Operating Cost for Institutionalization of BMS.800.200. 000 2. 000 100. 000 25 300.0 00 4. FHSIS.200.

127 20.270.000 30 300.000 20 200. Health Investment Costs by Type of Expenditure by Year.0 00 00 0.0 200.0 00 9. LGU Orientation on LGU scorecard 100.000 480. Quarterly M/E of LGU score card 00 3.000 16.000 0. Annual Provincial Health Summit 19 - - - - - 955.000 - - - 00 0.000 20 200.000 55 000 1. 200. annual launching of healthy municipality 4.470.000 .000 000 2. Provision of basic equipment packageHigatangan Island 0.000 1. 32 32.4% 1.6% 5.0 600.000 20 800. 2005 69 .NGOs.4.8% 33.0 600.998.0% 5.000 0.000 200.Provisionof sea ambulance-Maripipi Island 2.0 00 15.000 00 50 100. 489 22.0 00 9.200. maintenance of basic equipment .000 3.578. BILIRAN Province GOVERNANCE COMPONENT Version No.0% Table 13.0 375.Construction of BHS .Strengthen GO.2% 3.000 955. maintenance of sea ambulance 2. annual launching of healthy barangay 192. Regular stakeholders’ meeting 60 0.000 200.000 1. - - 20 2. Date: Dec.0 00 4.1.000 2. Program Implementation review 00 Grand Total As a Percentage of Grand Total 7.0 480.000 600.0 00 1.5% 620.100.000 375.0 100. maintenance of BHS .72 0. 200.000 3.000 00 2.250.616 100.3% 3.200. POs partnership MOOE 550.8% 0.0 00 0. 14.87 0.000 3. Improve efficient and effective Program management MOOE 60.3% 6.000 000 - 00 10 000 4.220.000 50.000 - MOOE 1.HigatanganIsland 1.000 000 3.0 20 200. 100.000 0.

000 00 250.000 2010 300.25 5.0 00 375.0 00 250.4% 1.2% 1.0 00 640. Stakeholder's meeting 2.0 00 00 000 0 As a % of Grand Total 20.2 5 5. 723 669. 75.000 00 120.0 00 2.Type of Expenditure MOOE .00 150.0 00 1. 00 789.000 00 20.72 3.500.00 0 120.000 - 250.0% 3.8% 150.000 2009 00 4.7 23 669. Plan 3.723.0 640.8% 000 150.6% 100.0 00 140.9% 1.000 00 75.000 00 200.723.0 00 300.0 20. 25 14.Meetings/Orientation 2007 00 600. 000 0 As a % of Type of Expenditure Total 000 0 75.0 200. 150.Operating Cost for ILHZ 2008 600. TA on Human Resource Dev't and Mgt. 000 - 200.8% 12. Operating cost for ILHZ Common Health 150.2% 21. 000 - 200.8% 0.6% 2.7 23 669.0 00 250.1% 17.Trainings/Workshops 1.0 00 100. Regular stakeholders meeting 00 150. Annual Launching of Healthy Barangay 1.000 00 150.0% 8.0 75.0% 1.0 00 800.TA/Consultancy 2006 1.8% 0.0 00 75.0 28.Lakbay-Aral 1.723.6 16 100.000 240. Annual Health Summit 6.00 789. Program Implementation Review 5.6% 0.0 00 250.0 00 140.0 00 200.00 0 200.000 Technical exchange to best performing ILHZ MOOE . TA on Pop Dev approach MOOE .723 669. 000 100.8% 0.928.8% 70 .00 75. Community assembly 3.3% 800.0 00 75.0 00 20.0 150. Project Development Capability Course 3.0 850.690.0 00 600.00 0 250.800.4% 1.0 1. Course 2.4% 56.090.8% 00 000 0 100.00 0 500.0% 0.00 150.4% 100.0 00 2.0% 25.6% 0.72 3 669.7% 22.0 640.0 00 300.1% 22.0 00 200.000 20.0 00 300.169.3% 0.6 16 3.0 5.0 00 150.6% 100.2% 1.3% 100. ICT Literacy Program 6.00 0 250.9% 8.0 3. Planning Workshop 4.0 00 62.0 250.0 00 600. 25 2. Health Leadership & Mgt.348.0% 200.5% 4. TA on technical/mgt capacities 2.400.000 00 75.0 00 250.5% 0.723.389.00 0 75. 000 75.0 00 375. Annual Launching of Healthy Municipality MOOE .0 21.0% 17.3% 600.0 1.000 00 150.25 789.7% 14.00 0 120.0 21.0 00 250.0% 0.5% 9.4% 1. 000 120. 150.0% 7.0 00 640.4% 100. 000 250. Data analysis and utilization MOOE .000 00 120.

000 4. Maintenance of service vehicle 33.650.000 - 3.0 200.000 100. Construction of BHS .0 00 200.050.3% 3.0% 1.0 00 15.0 00 300.0% 36.00 0 200.00 100.600. Purchase of basic equipment package Higatangan 7.0 00 192.0 1. 000 30. 000 0 1.4% 2.0% 13. 000 200.5% 2.6% 0.000.0 00 16.000 208.0 00 - 100.0% 5.0% 2.9% 0.0 00 100.Higatangan 6.000 00 100.0 00 1.7% 0.1% 00 000 336. 000 - 1.00 0 00 5.000 100.0 00 64.1% 9. 000 0 4.0 00 20.000 - 2.0 00 8.0 00 1.Incentives 120.Equipment 500. Purchase of service vehicle 1.0 200. 360.7% 3.0 00 200.00 0 30.5% 7.000 40.00 96.7% 00 120.9% 1.0 00 60.0 00 40.250.1% 300.500.000 1.3% 2.Equipment/Ambulances 938.5% 5.200.3% 480.0 00 32. TEVs for Lakbay-Aral 360. LGU scorecard and other M & E tool for implementation MOOE .000.200.00 0 200.0 96.500. Orientation on LGU Scorecard 4. Maintenance of basic equipment package 6.2% 0.4% 1.500. Maintenance cost for ambulances 1. Medical Assistance Fund for EVRMC 938.0 00 300.2% 15. 000 0 200. 000 71 . Maintenance of sea ambulance CO .0 104.0 00 3. 000 16.9% 100.0 00 10.2% 10.1% 1. Operating cost for institutionalization of integrated health info system 3.7% 100. Maintenance cost for equipment MOOE . Purchase of sea ambulance 5.0 00 1.000.800.9% 100. Maintenance of BHS OOE .0% 2.6% 38.200. Purchase of communication equipment 2.9% 120.2% 1.0 00 200.9% 100.400.8% 34.TEVs 336.7% 0.000 4.400.0% 2.0 00 11.6% 1.7% 0.0 00 00 64. Purchase of ambulances 4.0 8.6% 3.0 00 720.6% 0.976.00 0 1.00 3. 000 200.000 1.00 2.00 0 00 5.0% 0.0% 34. Purchase of ICT equipment package 2.6% 7.00 0 64.0 00 1.0 00 200.0 00 1.0 00 672.0 00 504. 000 0 200.00 0 100.000 120.Trust Fund (CHTF) 2.800.

000 1.180.0% 17.3% 100.763. 000 Grand Total 100.900. 000 1.723 12.0% 4.211.887.0 00 64.0 00 7.00 0 1.0 00 5.9% 40.0 00 64. TEVs for Project Devt. TEVs for planning workshop 3.000 1.211.180.9% 0. 000 40.0 63.4% 4.3% 1.5% 0.180.180.0 00 1.180.900.4% 8.180.180.723 As a Percentage of Grand Total 14. Capability Course 5. Biliran Province (Governance Component) Version No.180.0 00 1.180.0 00 64.0 7.723 25.000 00 64. 72 . Magna Carta benefits 64.7% 11. TEVs for data analysis/utilization PS 1.0% 17.0 7.180.1% 00 00 40.1% 00 40.998. TEVs for Health Leadership Mgt 4.723 12.9% 0.973.0 00 320.00 0 1.1% 100.4% 33.0 00 5.0% Table 13.2.00 0 64.2% 4.0 64.616 100.0 00 1.9% 0.723 35.0 00 1.5 Health Investment Costs by Type of Expenditure by Source of Financing.

000 5.4% 600 21. Course 2.000 Technical exchange to best performing ILHZ 1. Data analysis and utilization MOOE .400.000 5.000 120.000 250 . Annual Health Summit - 1.000 200. Project Development Capability Course 550.000 375 .000 3.000 140 .000 200.000 200.000 60.00 0 60.00 0 600.000 250 .000 100 .000 14.0 00 - 320.4% 200.000 600 .0 00 1. Community assembly 3.00 0 200. 2005 Type of Expenditure MOOE .500 .000 200 . Regular stakeholder's meeting 4.000 50. TA on Human Resource Dev't and Mgt.2% 17.8% 8. Program Implementation Review 375.0 00 120.000 - - - 610. Health Leadership & Mgt.000 120. 14.000 100.5% 12.000 .TA/Consultancy LEAD 100.000 Total As a % of Type of Expenditure 1.2% 22.000 200 .000 Culion Foundt n GTZ - 375. TA on Popdev approach to local planning - - - 610. ICT Literacy Program - - - - - 2.000 250. Plan 300.000 .4% 3.0% 100.000 300 .0 00 250. Annual Launching of Healthy Barangay - 200.000 4. Operating cost for stakeholders' meeting - 140.000 600.690 .000 600 .800 . Planning Workshop MOOE .000 300 .000 200.Lakbay-Aral - Philhealth Cap/Claim 250.5% 100.Trainings/Workshops Provincial LGU Budget - Municipal LGU Budget DOH Budget EC Grant - 890.0% 35.6% 600 21. TA on technical/mgt capacities MOOE .000 120.000 1.000 100.8% 14.000 120.000 3.000 73 .0% 100.3% 100. Annual Launching of Healthy Municipality - - - 200.8% 22.000 1.00 0 200.000 375 .000 200.000 6.Date: Dec.00 0 200.0% 800 28.0% 21.000 2.000 120.6% 3.000 100 .Meetings/Orientation - Other Donors /JICA 300.000 2.400 .000 2.000 6.500.000 50.000 2.000 - 420.6% .00 0 100.

000 1.928 .000 - 500. TEVs for Lakbay-Aral 1.000 1.000 1.7% 10.976 .000 . Purchase of ambulances 4.00 0 32.1% 100. Purchase of sea ambulance - 5.00 0 3. Purchase of service vehicle 200.7% 38.7% 3.000 500.000 500.000 CO . Maintenance cost for equipment 336.000 2. Maintenance of basic equipment package 6.00 0 - - - - - - - 100. Maintenance of BHS 5.200 . Operating cost for institutionalization of integrated health info system 1.000 2. Operating cost for ILHZ Common Health Trust Fund (CHTF) 2.000.5% 20.000 32 .0% 100.000 4.200.6% 15.616 2.000 500.0 00 2.000 300 .0% 7.00 0 432.000 192 . Purchase of communication equipment 3.Higatangan 300.756.000 500.0% 36.500.9% 74 .000 1.592.6% 1.12 7 250.0 00 1.200.000 2.0% 1.000.0% 100 1.0 00 5.000 252.000 924.3% 2.800.000 OOE .5% 33.Equipment/Ambulances 1.800 .000 .006.400 .MOOE .000 720 .000 20.200.400.0 00 1.616 3.000 1.000.000 1.000 8. Orientation on LGU Scorecard 580. Maintenance cost for ambulances 288.200.200.00 0 - - - - 1.000 MOOE .000 4. Purchase of basic equipment package Higatangan 7.000 672 .00 0 60.0 00 - - 500.000 2.842.000 60 .000 200 .348 .000 300 .000 6.12 7 1.Incentives 1.0% 100.4% 9.000 100.00 0 336.Operating Cost for ILHZ 1.0 00 - - - - - - - - - 5.7% .200 .000.Equipment 480.000 1.000 1.000 5.000 56.60 0.000 11.489 250.0% 34.8% 10.489 1.00 0 20.500 . Construction of BHS . Medical Assistance Fund for EVRMC 1.000 1.7% 480 . Maintenance of sea ambulance 4.0% 15.00 0 192.2% 100.052.000 252.TEVs 1.000 1. Maintenance of service vehicle - - - - - - - 300.3% 100. LGU scorecard and other M & E tool for implementation MOOE . Purchase of ICT equipment package 2.000 504 .000 40 .000 3.000 1.000 .

000 20.0% 5.5% - - 620.00 0 6. TEVs for planning workshop 3. TEVs for data analysis/utilization 160.4% - - 1.000 5.00 0 32.950.00 0 33.489 As a Percentage of Grand Total 22.2.00 0 20.9 98. TEVs for Health Leadership Mgt 4.000 Grand Total 7. Magna Carta benefits 2.000 1.5% 40 7.000 32.000 12.00 0 20.1 Assumptions on the Cost Items in the Health Investment Plan Biliran Province FINANCING COMPONENT 75 .720.00% 100.000 4.000 - 3.0 00 1.000 .7% .900 .950.8% 100.270.000 .220.616 16.000 5.950. Capability Course 5.000 PS 2.250. FINANCING COMPONENT Table 14.3% 160.578.000 20.900 .9% 64 .0% 100.00 0 2.00 0 9.950.870.8% - 0.1 27 20.6% - 5.00 0 2.3% 9.470. TEVs for Project Devt.2% 320 63.9% 40 7.00 0 3. 000 15.0% Critical Investments.

000/ mtg X 2 = 30. Incremental premiums 35. Advocacy during LHB meetings and other fora Twice a year advocacy before budget preparation 76 .673.000 / orientation 2006 PhilHealth 8 2006 .2010 PhilHealth 8 100.200 Maximize utilization and expansion of PhilHealth benefits MOOE 1.a Training of LGU point person In-house training 5/ LGU by PhilHealth officer 4.period = 36.training of health workers / mgt support personnel on maximizing PhilHealth benefits and claims Training for RHU and hospital personnel Increase share of health expenditures in LGU Budget MOOE 1.200 Philhealth premiums on top of premiums currently paid to achieve yearly targets for indigent population 2. TA .Version No.000 15 establishments x 2pax = 30 x 3 orientation = 5.500.173. 2005 Changes from the Previous Version Cost Item Description Type of Unit Price/ Total Expenditure Cost FINANCING Increase and sustain PhilHealth insurance coverage to 85% 1. Congressional funds for 300.2010 PLGU/MLGU 2006 -2010 Congressional Fund 60 pax including hospital personnel= 50.000/annum = PhilHealth enrolment 1. Establishment of enrolment desk in 8 RHUs and BPH 3. Date: December 14.2010 PLGU/MLGU Other Remarks Total premiums for 5 year .000 3. Orientation to business establishments on inclusion of premium payments for availing mayor's permit Series of orientation at the start of the year Timing and Duration Source of Financing 2006 .000/yr 2006 .000 / year 2006 -2008 PhilHealth 8 15.

000 Firm contract : 200.000 2006 GTZ TA / consultancy 2006 GTZ 2006 EC Training on hospital and financial mgt.000/mtg=4 mtgs 2007 PLGU/MLGU 7. Training of hospital staff on hospital operations and financial management TA / consultancy Firm contract : 300. Stakeholders' meeting on resolution for adoption of incremental increase of LGU budget for health Stakeholders' meeting 4 meetings: 2.000/ mtg=8000/yr 2006 -2010 PLGU/MLGU Corporate re-structuring of Biliran Provincial Hospital Resource Mobilization for RHUs MOOE 1. TA on client segmentation for charging of user fees 6. TA on development of a Hospital Business Plan 3. Date: December 14.2. Meetings on passage of resolution on user fees TA / consultancy Firm contract:400. TA on cost-recovery scheme for Biliran Prov'l Hospital 2.000 Training cost: 3500/pax Biliran for 25 pax 2006 DOH 5. TA on development of mechanism to retain income 4.2. Health Investment Costs by Activity by Year.0000 2006 PLGU/MLGU TA / consultancy MOOE 1. Biliran Province (Financing Component) Version No.000 2006 GTZ Series of meetings Meetings: 2. to include cost and rate setting Individual contract 300. TEVs for project proposal development writing Table 14. Capability building on project proposal dev't Training workshop on project proposal development Training cost: 3500/pax Tacloban for 25 pax 2006 LEAD Travel allowance 800 X25 pax 2 days = 40. 2005 77 .

0 00 15.6% 94.0 00 100.868.200. Advocacy during LHB meetings and other fora 2.0 00 8.3 00 300.1% 75.487.0 00 As a % of Grand Total 100.0 00 8.0 00 00 - 1.0% 0.0 00 100.2 00 35.0 0.0 00 100.0 00 MOOE 30.00 Increase share of health expenditures in LGU Budget 0 100.911.0 00 30.2% 500.034.0% 94.367.96 0 11.training of health workers / mgt support personnel on maximizing PhilHealth benefits and claims 100.6% 90.0 00 150.9% 0.Component/ Subcomponent/ Activity FINANCING Increase and sustain PhilHealth insurance coverage to 85% 1.32 0 3.3% 0.0 00 0 30.5% 0.0 1.96 0 10.9 80 5.515.016.0 0.4% 0.a Training of LGU point person 2008 5.00 0 15. Establishment of enrolment desk in 8 RHUs and BPH 3.0 00 38.0 00 38.701.1% Total 11.321.9 80 5.0 00 38.00 0 3.00 0 4.3% 1.9 80 300.0 00 40.3 00 9.2 00 36.2% 0.0 00 100.661.0% 0.1% 0.00 0 30.0 00 30.0% 100.500. Incremental premiums 2.173.1% 0. Congressional funds for PhilHealth enrolment 2006 2007 5.0 00 100.0 00 38.0 00 100.2 00 1.0% 0.00 300.0 00 8.0 00 38.3% 0. Stakeholders' meeting on resolution for adoption of incremental increase of LGU budget for health 500.0 00 8.732.6 40 7.183.32 0 3.00 1.0 00 38.0 00 2009 7.0% 1.798.0 00 15.154.349. TA .4% 0.0 00 - 50.0 00 00 100.0% 50.9 60 300.6 40 7.285.0% 0.0 00 8.00 0 15.9% 3.4% 90.0 00 2010 9.320.0 00 190. Orientation to business establishments on inclusion of premium payments for availing mayor's permit Maximize utilization and expansion of PhilHealth benefits MOOE As a % of Component Total 00 15.00 0 100.0 00 78 .5% 0.4% 3.6 40 300.3% 1.3 00 8.

7% 0.7% 3.96 0 28.5 0.0% 0.9 80 14.50 0 00 400.0% 0. TEVs for project proposal development writing Grand Total As a Percentage of Grand Total 40.0 0.00 0 3.0 00 - 3. Date: December 14. Training of hospital staff on hospital operations and financial management 5.0% Table 14.3. Biliran Province (Financing Component) Version No.0% 1.2% 0.415.5 0.0 0. Health Investment Costs by Activity by Source of Financing.911. TA on development of a Hospital Business Plan 300.0 0.0 00 - - 1.1% 0.8% 300.661.50 0 00 OOE 1.00 0 00 8.0% 0.0 00 7.154.00 0 8.5% 87. TA on development of mechanism to retain income 4.00 0 00 300. Meetings on passage of resolution on user fees 00 200.0% 100.0% 11.321.00 0 5.6% 7.32 0 13.0 1.0% 8.2% 0. TA on client segmentation for charging of user fees 6.8% 0.2% 0.0% 300.8% 200.0% 0.Corporate re-structuring of Biliran Provincial Hospital Resource Mobilization for RHUs MOOE 1.487.5% 0.8% 0.6% 5.6 40 19.0 00 38.0% 87. TA on cost-recovery scheme for Biliran Prov'l Hospital 2. 2005 Component/ Subcomponent/ Activity Provincial LGU Budget Municipal LGU Budget DOH Budget EC Grant LEAD GTZ Culion Foundtn PhilHealth Capitation/ Claims Other Donors /JICA Total 79 .3 00 24.423.7% 40.00 0 00 87.1% 1.2% 9.285.2% 400.2 00 100. Capability building on project proposal dev't 00 87.0 0.

000 - 625.00 0 MOOE - 1.173.0 00 87 . 000 2.254.500. 000 Increase and sustain PhilHealth insurance coverage to 85% 23. 200 - 125.500 - 1.0 00 - 3.2 00 1.500 1.training of health workers / mgt support personnel on maximizing PhilHealth benefits and claims Increase share of health expenditures in LGU Budget 500.000 - - - 1.37 3.00 0.000 20. 000 - - 1.000 - 38.911.2 00 - 35.419. Establishment of enrolment desk in 8 RHUs and BPH 3.00 0 80 . 000 95.000 50.00 0 MOOE - 1. Congressional funds for PhilHealth enrolment 8 7.53 8. Advocacy during LHB meetings and other fora 2.000 87.FINANCING 23.00 0 - - - - 500.919. TA on development of a Hospital Business Plan 0 30 0. 200 13.500.798.254. 000 87. TA on development of mechanism to retain income 300.a Training of LGU point person 50. TA .000 3.000 75.00 0 200. 200 1.0 00 300. 000 000 20. 75.000 150.0 00. Orientation to business establishments on inclusion of premium payments for availing mayor's permit Maximize utilization and expansion of PhilHealth benefits 75.200 13. 000 13.000 - 36.000 24. Stakeholders' meeting on resolution for adoption of incremental increase of LGU budget for health Corporate re-structuring of Biliran Provincial Hospital Resource Mobilization for RHUs 75.5 00 200.000 - - 500.000 2.00 0 40. Incremental premiums 21. TA on cost-recovery scheme for Biliran Prov'l Hospital 30 0.00 0 95.0 00 MOOE - 1.423.00 200.000 500.00 0 4. - - 000 - - - - 190.50 0 200. 000 24.

00 0.500 0.5% 87 .50 0 5.00 00 0 7.0 00 0.0% 38.000 1.00 000 13.538.500 87. TEVs for project proposal development writing 20. 200 60. Biliran Province (Financing Component) Version No.4% 0 87. 000 0 4. Date: December 14.0 8.6% 0.911.50 0 87. 2005 81 . TA on client segmentation for charging of user fees 40 400.50 0 OOE - 1.000 2.5% 20.4. 000 Grand Total As a Percentage of Grand Total 23. Capability building on project proposal dev't 87 .2% 1.6% 0. 40.000 6.20 0 100.373. Training of hospital staff on hospital operations and financial management 87.50 0 0.0% 625.4.00 0. 000 34. Meetings on passage of resolution on user fees 4.2% 200.0% Table 14. Health Investment Costs by Type of Expenditure by Year.

000 - - - 1. 000 000 00 30.0 00 300. 960 36.000 00 100.Training Training of LGU point person Training of health workers in maximizing PhilHealth claims and benefits Training on hospital and financial management Training workshop on project proposal dev't 53 .0% 95. 000 000 000 15.000 100 .9% 0.9% 0.000 300.0 27.300 8.1% 500.8% 16. 000 30.1% 0.640 7.000 . 1.980 5.2% 2006 2007 2008 2009 2010 Total 3.9% 0.0% 1.000 100 .7% 0.3% 1. 53 . 000 30.0 000 325 .Type of Expenditure MOOE .0 69.1% 3.9% 0.667 .0% 725 100.9% 50.0 6. 000 400. 53 . 000 30. 8.1% 0. 000 00 87.0 00 200. 000 300.TA / consultancy TA on cost recovery scheme in BPH TA on development of Hospital Business Plan TA on dev't of mechanism to retain income TA on client segmentation for charging user fees 1. 000 100. 8. 000 30.Advocacy meetings/ orientation Orientation to business establishments for inclusion of premiums on business permit Advocacy during LHB meetings and other fora Stakehoders' meeting on resolution for adoption of incremental increase of LGU budget Meetings on passage of resolution on user fees MOOE .200 .0% 3.4% 40.500 .168 .320 5.500.0% 0.2% 87. 000 300. 000 100. 00 00 8.0 14.5% 0.Incremental premiums/ congressional fund PhilHealth premiums Congressional fund As a % of Type of Expendit ure As a % of Grand Total 100.1% 2.868.334 .200 .0% 0. 980 7.000 15.000 61 .2 00 300.034.200 35.173. 300 11.673 .0 00 - MOOE .4% 4.0 54.5 12.000 000 000 15. 8.0 0 300. 8.5 12. 8. 000 000 MOOE . 53 . 000 00 100 .200.000 15.1% 25.0% 0.0% 0.0% 0.0% 100.000 000 000 15.701.2% 150.0 00 3. 8.8% 25.5% 33. 640 9.0% 273 100.001 .960 10.000 300. 000 300.000 000 000 . 000 100.0% 1.0% 0. 000 200.3% 87. 000 300. 000 100. 82 .7% 75. 500 00 87.367.000 100 .7% 0.320.9% 94.0 00 400.2% 90.000 50.

000 38.154.2% 24.321.0% Table 14. 00 Grand Total 5.200 100.6% 19.1% 40.7% 40 100.980 7.000 000 - - - - 40.300 As a Percentage of Grand Total 13.960 28.0% 0.640 9.661.500 00 - OOE - TEVs Travel allowance for training workshop on project proposal dev't 40 .0% 11.487. 83 .0% 0.5. Biliran Province (Financing Component) FINANCING COMPONENT Version No.0% 100.285.0 100.1% .6% 14.911.320 5. Health Investment Costs by Type of Expenditure by Source of Financing.

Incremental premiums/ congressional fund 23.000 200.673. 000 500.254.000 4. - Orientation to business establishments for inclusion of premiums on business permit Advocacy during LHB meetings and other fora Stakehoders' meeting on resolution for adoption of incremental increase of LGU budget Meetings on passage of resolution on user fees - 273.000 35.000 0 40.500 84 .00 0 300.254.00 20.919.Date: December 14.419. 000 50.500.500.000 0 20.200 PhilHealth premiums 21.200. 000 75.000 - MOOE .Training - - 87.000 0 4.000 87.000 TA on client segmentation for charging user fees 400.50 0 - 550.000 99.173.000 000 75.00 0 MOOE .00 0 - 300.000 75.000 - MOOE .00 0 TA on development of Hospital Business Plan TA on dev't of mechanism to retain income 1.500 Training of LGU point person Training of health workers in maximizing PhilHealth claims and benefits Training on hospital and financial 87.Advocacy meetings/ orientation 99.200 1.000 DOH Budget - EC Grant - LEAD Culion Foundt n GTZ - PhilHealth Capitation/ Claims - Other Donors /JICA Total - - 36.00 150.000.000 400.TA / consultancy - - - 200. 000 725. 2005 Type of Expenditure Provincial LGU Budget MOOE .000 50.000 200.000 300.000 - - - - 75.000 500.000 75.200 Congressional fund 1.000 - TA on cost recovery scheme in BPH 1.000 Municipal LGU Budget 13.000 300.200 - 13.00 8.

6% 0.538.6% 38. 000 1.management 87.0% 625.50 0 87.000 Travel allowance for training workshop on project proposal dev't 20.000 23.50 0 0.0% Critical Investments. Assumptions on the Cost Items in the Health Investment Plan SERVICE DELIVERY 85 .4% 0.500 Training workshop on project proposal dev't 87.000 - - - - - Grand Total As a Percentage of Grand Total 40.000 0.0% 100.2% 200.500 60.200 0.000 20.373.5% 34.911.000 87.000 40.TEVs 20.200 13.00 0 2.5% 87. Service Delivery Component Table 15.000 20.2% 1.000.1.500 - OOE .

400. 2005 Changes from the Previous Version Cost Item Description Type of Expenditure Unit Price/ Total Cost Timing and Duration Source of Financing Subcomponent 1. equipment package for hospitals MAINTENANCE OF RENOVATED/CONSTRUCTED AREAS and MACHINERIES AND EQUIPMENT P15M for 1+E for community hosp. provision of equipment in compliance to deficiencies building and other structure outlay 4.764.000 of Hospitals Following Standards structure outlay 2010 HFEP 2. Date: December 14. construction of tb rooms for 42 rhu's excluding (bato.842.724.000 2009 HFEP improvement of existing rooms to meet tb standards for accreditation construction of sink. LGU (42) Excluding Baybay 1. 764. UPGRADE CRITICAL CAPACITIES OF HEALTH FACILITIES AT THE RIGHT LEVELS AND RIGHT TIME 1.67 2010 HFEP 3. Funds PROVISION OF BUDGET FOR MAINTENANCE OF STRUCTURES 3% INVESTMENT COST and EQUIPMENTS 10% PURCHASED VALUE BEGINNING SECOND (2ND) YEAR AFTER REPAIRS AND MAINTENANCE P122. Renovation / Construction/ Upgrading Upgrade Physical Structure building and other 111.Version No. baybay i and merida) 5. CONSTRUCTION OF CITY HEALTH Upgrade Physical Structure Following Standards building and other structure outlay 4. cabinets and paintings.000.94 P132. division. Bato and Merida machineries and equipment outlay 97.800 2010-2013 Prov/ District Hosp Other Remarks SERVICE DELIVERY UNIT 4.000 2009-2010 HFEP/Cong.000 2009-2010 MUN. 648. Construction of RHU'S Upgrade Physical Structure Following Standards building and other structure outlay 9. 094. P15M for 1+E for MBVMH & Kananga Community Hospitals 86 .00 2010-2013 2010-2013 Macarthur LGU Baybay LGU P9.200.

improvement of 8 RHU's to become Sentrong Sigla Phase 2 Level 1 certification 1.500 / RHU X 8 2006 . New equipment for 8 RHU's for SS certification Lacking equipment in SS quality standards list in each of the 8RHU's (see annex_for details) Facility upgrading required to meet maternity care package standards (see annex_for details) Capital Outlay 304. New equipment for 8 RHU's for Maternity Care Package Lacking equipment in maternity care package standards list in each of 8 RHU's (see annex_for details) Capital Outlay 216.500 2010 JICA P 6.700 2010 WHSMFN INVESTMENT 2006-2007 MLGU Subcomponent 2.600. New equipment for 8 RHU's and hospital .000 700T/RHU 2006-2008 EC/JICA 4.000 2010 MUN LGU P1. 296.2M Level SS certification meet SS quality standards (see annex_for details) 2. 078.based TB-DOTS Lacking equipment in TBDOTS standards list in each of 7 RHU's (see annex_for details) and hospital .000.000 2010 WHSMFN INVESTMENT P 69.800.based Capital Outlay 600.EQUIPMENT PACKAGE FOR 24 RHU'S SS PHASE 2 EQUIPMENT PACKAGE FOR (5) BIRTHING BHS FACILITIES EQUIPMENT PACKAGE FOR 20 BEMONC FACILITIES (18 RHU'S AND 2 COMMUNITY HOSPITALS) EQUIPMENT PACKAGE FOR 9 CEMONC HOSPITALS Provision of budget for equipments EQUIPMENT PACKAGE AS BHS BEMONC EQUIPMENT OUTLAY FOR BEMONC FAC ILITY ( RHU AND HOSPITAL) SEE ANNEX FOR SPECIFIC EQUIPMENT EQUIPMENT OUTLAY FOR CEMONC HOSPITAL EQUIPMENT OUTLAY EQUIPMENT OUTLAY MACHINERIES AND EQUIPMENT OUTLAY MACHINERIES AND EQUIPMENT OUTLAY 4.572.2007 MLGU Capital Outlay 5.00 2006 CULION 3. Facility upgrading required to Capital Outlay 200T/RHU/1. Expansion of 8 RHU's to avail of Maternity Care Benefits & TB-DOTS Packages 87 . Upgrading of 2 RHU's for Phase II.500/ RHU X 8 2006-2007 EC/JICA/PHILHEALTH 5. Upgrading.

000 Pop 1 Med. 000 Pop 2. Maintenance of renovated areas (See Annex _ for details) MOOE 84.000/ RHU MOOE 8.2007 LGU/DOH/ Yearly beginning January 2009 MLGU 2009 2009-2010 2nd half of 2009.00O 170.6.000/ RHU Yearly from year after renovation (2008) Respective MLGU 7.00 Capital Outlay Capital Outlay MOOE MHO: 335.000. ARI. New equipment for new Naval RHU 4. Establish Barangay Health Councils provincewide 88 .300/yr 2. Maintenance of new equipment 7. Sputum Microscopy (MHO.500. 2010 EC EC/MLGU DOH Personal Services 1. Training of RHU personnel 8 RHU's on SS 8 RHU's on MCP 7 RHU's /1 hosp basedon TBDOTS Subcomponent 3.000 2009-2010 MLGU Subcomponent 4.Tech) 5. Maintenance of equipment a. SS certification (See Annex _ for details) 30. TB-DOTS Package (See Annex _ for details) 6. Med. Tech: 20.000 1. New plantilla position for MD.650 / RHU c. Maintenance of newly constructed RHU 6.000 Yearly for 4 years beginning year after purchase (2006) 8% acquisition cost Respective MLGU 2006-2007 2006-2007 2006 . FP. Medical Ideal ratio of health worker Technologist population 1 Doctor: 20.700/yr MT: 179. Construction of new RHU 3. Create additional RHU in Naval 1.450/ RHU b.000. CDD.000. Maternity Care Package (See Annex _ for details) 21.000 300.000 2010 MLGU MOOE MOOE 200.00 MOOE 400.030. Incremental supplies Add'l supplies required by the projected increasing clients MOOE 500.000 800. Training of personnel in new RHU Basic training onL EPI.

000/Q 2006-2010 DOH/CFI/LEAD Skills/Traing cost Provision of drugs/meds for Category III patient (See annex_for details) MOOE MOOE 105.00 2006 DOH/Culion/JICA/ EC/LEAD PLGU/MLGU/Phil Health Capitation Firm contracts MOOE 00 300.00 Quality assurance activities OOE 3.00 2006-2007 MOOE 905. Multimedia set for IMCI Purchase of Multimedia set use of information with other programs Capital Outlay 600.300. Organize PPM . TA .000. Provision of drugs & medicines for Category I.2010 LEAD/Other Donors 00 Tng Cost on-Enhance Mgt Leadership Tng Subcomponent 5. & III patients 2006 .000. covering installation of councils.0 2006 . On Tuberculosis Prevention and Control 1.00 2007 onwards LEAD MOOE 200.900.000 Subcomponent 6: On Pneumonia and other childhood infectious diseases. II.000.000. Capability building of BHC's MOOE 1. TEV s for monitoring 25 pax 800x 2 6. and other infectious/ non . Regular meetings of provincial TB diagnostic committee Operating Expense on meeting MOOE 15.2010 2006 onwards 3 personnel x 400x4 2006 onwards (QUARTERLY 5.DOTS Operating Expense on organizing MOOE 350. organizing and training of council members to implement the system 3.Organization of BHC's Firm contracts.000. TEVs for training Travelling allowance OOE =P40.1. Provision of drugs & medicines for pneumonia patients 4.00 2006 EC/JICA 2. Capability building of health workers on basic health care & infectious diseases 4.00 2006 DOH/CFI/LEAD 2. Capability building of health workers on IMCI 3.328. TA on development of CPGs in RHUs and BPH (see summary of trainings)M WITH tevS (See annex_for details) MOOE 500.infectious on adult LEAD PhilHealth/CFI/LGU PLGU MLGU/PLGU 1. 2006 89 .

Capability building for health workers with TEVs Operating expense (See annex_for training details) 3. On Lifestyle and Degenerative Diseases 1. Provision of vaccines for dogs 3.filaria drugs MOOE 800.000 / yr 2006 onwards PLGU/MLGU 90 .00 400. Regular active case finding activitiy Operating expense Subcomponent 10: Women's Health & Safe Motherhood Program MOOE 75.00 2006 .000. Medicines for Annual mass drug treatment for filaria 2 y old and above 5. Provision of drugs. veterinarians & AT's Provision of vaccines for dogs MOOE 200.000 / RHU /yr and Hosp 300. Training / skills development of health workers 3. Provision of post .000/yr 2006 onwards CFI Training cost /TEV inclusive MOOE 112. Training / skills development of health workers 3.000.00 400.000 75.00 2006 LGU MOOE MOOE 600.exposure prophylaxisanti-rabies vaccines through animal bite centers Training of mun. Advocacy meetings 2.500 2006 onwards CFI Provision of drugs MOOE 766666/ yr x 3 years 2006 onwards CFI Provision of anti . Provision of MDT drugs for leprosy 4.000. Advocacy activities Operating expense MOOE 2. medicines for lifestyle & degeneratives diseases MOOE MOOE MOOE 20. Advocacy activities 2.00 ONGOING 2006-2010 LGU LGU Operating expense MOOE 50.000.000 for 3 yrs 2006 onwards DOH 2006 onwards CFI Subcomponent 9 : On Leprosy and Filaria 1.000.2010 2006-2008 PLGU/MLGU EC/PLGUMLGU/DOH 2006 onwards PLGU/MLGU/DOH Subcomponent 8: On Rabies 1.Subcomponent 7.

Advocacy activities Training cost inclusive of TEV Operating expense Capital Outlay 2006-2008 JICA JICA Capital Outlay 35 BHS @ 200.000. Regular stakeholders' meeting incorporated in MCH activities 2. Refurbishments of8 RHUs for MCP accreditation Renovation cost 2.00 2006 PLGU/JICA/DOH MOOE MOOE 200.Advocacy actvities/ counselling incorporated in MCH activities 4. Operating expense on maternal death review 3. Operating expense on enforcement of nutrition related laws andordinances 6.800.00 3000000: P600. Childhealthand Nutrition Incorporated in SS refurbishments Hospital Renovation includes MCH program of work 1.000.000.00 2006-2007 ECCD MOOE 80. Trainors' Training of BNS (Nutrition) include reagents /transport MOOE MOOE 200. Provision of appropriate equipment at all levels of care Purchase of equipment MCH 35 BHS renovation cost 3. Training of health workers on emergency obstetric case 2. Training of Barangay Nutrition Scholars (BNS) (Nutrition) 7. Provision of family planning commodities and supplies Subcomponent 11.00 2006 ONWARDS DOH/PLGU/MLGU 4.000/YR 2006 2006-2010 LEAD PLGU/MLGU/ Philhealth capitation MOOE 19.00 2006 LEAD MOOE-TA 40.000.1.000/BHS last Q of 2006 JICA MOOE 160.000/YR BPH/ PLGU For the BNS of the 8 municipalities Modular courses for BNS trainors MOOE 500.000.00 2006 ECCD 91 .000. Renovation of BHS and hospital for MCH 1. Operating expense for implementation of Newborn Screening 5.Provision of EPI vaccines and supplies 3.

000 P60. Capability building for Provincial Search and Rescue Team 3. Purchase of 66 weighingscales on identified BHS(Salter type) 330.000 PLGU/MLGU PLGU 2006 2006 -onwards GTZ Rural Dev't EC /DOH Province will designate Sentinnel Officer 92 . Purchase of toothbrush / toothpaste for school children collaboration with Dep ed Production of (INFOMERCIALS) advocacy activities in school and food establishments purcase of toothbrush/ toothpaste 5. Advocacy activities incorporated in other public health programs 2.236 HH witout sanitary toilets 3. Production of IEC materials 3.000/yr P206.800/yr total eligible pop'n 8270 MOOE 75. Regular stakeholders' meeting 2. Training / skills enhancement of incorporated in other public health workers health programs 3. PLGU/MLGU PLGU/LEAD MOOE 50. Purchase of PPEs and other supplies inter-agency meeting on disaster preparedness Basic and Advance Lif eSupport Training see Disaster Preparedness Plan __ MOOE 2006 15000/LGU Capital Outlay ECCD PLGU/MLGU 2009 OTHER DONOR 2006-2010 DOH/PLGU/MLGU Capital Outlay 8.8. Construction of level III water selected municipalites identified see annex___ 5..500 per batch Estimated : PPE s/ LGU: 200. 200. Regular stakeholders' meeting 2. Purchase of dental supplies for preventive / curative care supplies et al Subcomponent 14: Disaster Preparedness & Management 1.00 Subcomponent 12:Environmental Health& Sanitation 1.000 2007 GTZ MOOE 2006 onwards 2006 onwards DEPeD. Provision of toilet bowls Subcomponent 13: Oral Health Program 1. Operating expense on regular chlorination of water 4. Orientation / advocacy activitiies 4.000/yr.000/yr QUARTERLY mtg 2006 onwards GTZ MOOE MOOE 700.000.000/yr quarterly mtg 3 batches 25 pax/batch at P87. per RHU & province MOOE MOOE MOOE 60.

994.67 14.2.961.411. Designate Surveillance Sentinel Officer ASSUMPTIONS: 2006 PLGU Province will designate Sentinnel Officer Maintenance Cost of Civil Works at 8% per annum Maintenace cost of equipment is at 10% acquisition cost VAT. 2005 Component/ Subcomponent/ Activity SERVICE DELIVERY 2006 39.494.541.Freight & Handling incllusiveof the equipment cost Training by other donor agencies inclusive of TEVs Table 15. Province of Biliran (Service Delivery Component) Version No.428.645.00 100. Date: December 14. Health Investment Costs by Activity by Year.361.3.33 146.411.33 2008 2009 2010 Total As a % of Component Total 14.240.33 2007 65.0% As a % of Grand Total 100.33 11.961.884.0% 93 .

00 40.00 970.000.040.000.333. Training of RHU personnel Subcomponent 3.00 48.4% 0.00 1.4% 1.33 1.00 613.00 0.1% 12.00 46.0% 0.00 0.4% 0.250.000 13.000.3% 0.2% 1. New equipment for 7 RHU's and hospital based TB-DOTS 600.00 1. Medical Technologist Capital Outlay 1. Upgrading of 8 RHU's for SS certification 2.00 160. SS certification b.00 515.9% 1.00 2.000.500.7% 0.000.369.200. Maintenance of RHU renovated areas 2.00 243.0% 10. New plantilla position for MD.450. Create additional RHU in Naval Personal Services 1.000.000.33 3. Maintenance of new equipment 3.00 500.00 11.0% 1.00 0.0% 0.3% 0.00 487.000.00 4.540.000.600. Const. New equipment forNaval RHU 2 970.8% 4.33 1.4% 0.Subcomponent 1.2% 0.2% 0.450.00 346.000.900.8% 0.030.000. Maternity Care Package c.000.500.00 2.515.0% 2.000 9.00 3.7% 3.8% 0.200.000.00 320.000.33 67.00 4.940. Expansion of 8 RHU's to avail of Maternity Care Benefits & TB-DOTS Packages MOOE 1.000.4% 0.0% 0.333.500. New equipment for BPH MOOE 1.00 1.2% 5.00 500. TB-DOTS Package 3.00 1. & renovation of BPH 2.180.00 613.00 2.093.0% 1.00 1.00 94 .3% 3.00 0.000.4% 46.3% 0.000.333.00 8.00 48.2% 0.040.500.000.33 1.1% 1.333.7% 0.250.000.500.160. Equipment package for 8 RHU's for Maternity Care Package 649.00 0.000.000.3% 3.140.00 1.0% 1. Upgrading.00 1.7% 0.00 515.840.00 243.8% 0.000. Maintenance of equipment a.010.00 2.600.0% 30.100.1% 1. Construction of new RHU 2.793.00 96.000.000.800. Increase bed capacity of Biliran Provincial Hospital from 25 to 75 and upgrade capabilility to tertiary care hospital Capital Outlay 1.00 5.000.530.333.988.000.00 0.919. New equipment for 8 RHU's for SS certification 3. Maintenance of constructed & renovated areas of BPH 2.0% 2.9% 7.33 1.00 1.500.00 1.00 1.7% 0.4% 0.480.00 0.1% 12.000.000.732.000.793.1% 0.000. Training of hospital personnel 22.600.000 6.000.197.00 160.0% 30.152.000.333.015.00 600.00 5.8% 0.000 18.000.000.140.00 1.00 173.180.00 15.600.800.200.140.500.00 576000 576000 1.0% 10.00 2.600.00 1.4% 1.000.7% Subcomponent 2.7% 0.793.436.00 613.000.082.00 173.2% 0.000.600.00 600.934.500.0% 0.180.400.8% 0.7% 3.1% 0.000.357.000 44. improvement of 8 RHU's to become Sentrong Sigla Phase 2 Level 1 certification Capital Outlay 1.989.436.0% 1.00 18.3% 0.00 1.

4% 0.1% 300.900.0% 905.00 0.00 905.2% 0.0% 0.4% 0.00 4.0% 0.000.9% 0.2% 0.2% 300.000.0% 0. Incremental supplies Subcomponent 4.000. TEVs for training Subcomponent 6.00 350.000.00 1.1% 170.diagnostic committee 3.5% 100.0% 0.00 0.900.00 60.000.00 0.00 600.00 0.929.00 1.000 105.128.00 60.000.1% 40.5% 0. Capability building of BHC's Subcomponent 5.900.000.000.00 4.1% 0.000.640.00 1.00 270. Maintenance of newly constructed RHU 3. Multimedia set for IMCI 2.500.000.1% 1.2% 400.0% 0.00 2.00 270.128.00 1.500.000 100.800. Regular meetings of provincial TB .000.00 105.640.00 0.00 0.900.00 24.9% 0.Organization of BHC's 3. Provision of drugs & medicines for pneumonia patients 200. & III patients 5.0% 0.9% 0.755.00 800.0% 0.0% 905.00 4.000 60.529. and other infectious / non -infectious diseases on adult 1.000. II.00 0.328.00 4.650.00 0.000.0% 4.328.1% 0.00 105.3% 3.2% 0.00 0.00 105.00 60.300. TA . On Pneumonia and other childhood infectious diseases.00 1.000.00 905.128.000.00 1. Provision of drugs & medicines for Category I.00 4. Maintenance of new equipment 4.390.000.0% 200.000.455.00 600.000.00 95 .DOTS 2.0% 0.000.00 905.00 105.00 350.00 905.000.0% 0.128.00 60.300.000 100.900.00 0.00 905. Organize PPM .900. Training of personnel in new RHU 400.2% 0.00 4.0% 0.800.128.00 170.800.000.000.00 500.4% 4.00 MOOE 1.000 1.0% 0.800.0% 0.800.000.1% 0.00 250.00 905.328. Establish Barangay Health Councils provincewide MOOE 1.000.328.00 5.00 0.00 40.900. On Tuberculosis Prevention and Control 1.MOOE 1.00 0. Capability building of health workers on IMCI 3.0% 0.000 100.9% 0.4% 0. Capability building of health workers on basic health care & infectious diseases 4.900.328.900.000.000.00 200. TEV s for monitoring 6.0% 0.00 100.00 0.00 510.900.00 250.650.00 526.3% 3.

Renovation of BHS and hospital for MCH 2.666.000.000.160.000 4.00 195.00 480.00 600. Provision of vaccines for dogs 3.000.00 2.6% 0.1% 2.00 125.000.5% 0.000 3.0% 0.560.000.000.000.2% 1.0% 75.000.00 200.000.33 50.000.000.0% 14.00 320.2% 75.1% 1.000.00 120.00 400.270. TA on development of CPGs in RHUs and BPH Subcomponent 7.00 480.712.000.2% 1.300.00 475.666.0% 0.000. Advocacy meetings 2.000.00 160.000.000.000.00 400.000.00 2.00 400.000.666.3% 0.00 660.000.000. Advocacy activities 2.960.1% 0.000.00 0.000 4.000. Veterinarians & Agricultural Technicians 2.000.00 400.000.00 0.00 160.00 50.000 3. Medicines for Annual mass drug treatment for filaria 2 y old and above 5.00 80.000.000.00 120.00 80.000.00 80.0% 4. Advocacy activities 5.00 400.00 1.00 180.960.000.00 640.00 120.00 75.00 80.00 3.00 3.00 200.6% 0.000.000.00 80.6% 2.000.000.000.333.000.3% 1.0% 0.67 800.000.00 75.2% 0.500. Regular stakeholders' meeting 75.000.000.000.000 21.000.1% 0. Provision of drugs. Provision of MDT drugs for leprosy 4.00 4.4% 0.00 120.00 600.1% 1.000. Advocacy activities Subcomponent 9 : On Leprosy and filaria 1.00 275.1% 2.00 75.000.67 266.00 3.158.00 1.000.0% 0.4% 200.00 0.310.640.000.Training of health workers on emergency obstetric case 3Operating expense on maternal death review 4.0% 14. Training / skills development of health workers 3.000.0% 0.4.410.000.000.67 112.000.00 80.000.00 1.00 480.00 600.5% 0.333.000.3% 1.0% 4.00 40.000.00 40.000.00 40.000.000.000.00 766.00 2.00 600.500.000. Provision of family planning commodities and supplies Subcomponent 11.000.000.000.158.5% 266.00 600.666.2% 7.000.1% 0.000.0% 4.000.1% MOOE 1.00 40.00 0.00 400.000.000.666.000.000.33 50.000.2% 0. Childhealthand Nutrition MOOE 1.8% 0.00 40.833.00 80.00 75.000.00 300. Training of Mun.000.00 600.2% 7.00 200.000.495.3% 1. On Lifestyle and Degenerative Diseases 300.0% 0.5% 0. Provision of anti-rabies vaccines through animal bite centers 180.000.000.00 2.00 300.33 50.4% 0. Regular active case finding activitiy Subcomponent 10: Women's Health & Safe Motherhood Program 1.1% 0.000.00 275.000.820.4% 0.000.000.00 0.1% 0.67 266.000.000.00 200.000.0% 0.000.666.8% 0.1% 1.000.00 80.00 200.00 1.000.0% 0.00 75.67 112.000. medicines for lifestyle & degeneratives diseases Subcomponent 8: On Rabies MOOE 1.1% 0.6% 0.00 80.8% 0.000.000.000. Capability building for health workers 3.8% 0.67 766.1% 0.2% 7.580.00 766.000 4.00 75.000.00 640.00 0.000.000.00 120.00 96 .640.00 3.00 275.00 4.00 480.00 10.00 1.000.500.0% 0.00 375.00 0.

800.000.000.0% 97 .1% 0.875.960.00 316.000.960.5% 0.0% 87.500.000.240.00 941.00 347.00 3.000.00 60.00 2.3% 0.000.00 0.2% 0.00 700.000.Training of Barangay Nutrition Scholars (BNS) (Nutrition) 5.00 200.000.2% 14.000.0% 330.600.0% 14.00 60.000.000.000.00 60.00 200.000.000.00 0.000.800.00 1.000 200.00 135.9% 0.541.00 19.5% 0.000.000.500.735.800.67 10.00 135.00 675.00 135. Provision of toilet bowls Subcomponent 13: Oral Health Program 3.6% 135.000.00 50.00 0.2% 0.5% 0.00 3.800.800.428.00 0.00 0.000.000 80.0% 0. Purchase of 66 weighingscales on identified BHS Subcomponent 12:Environmental Health& Sanitation 1.2% 135.0% 0.00 87.500.00 600.9% 100.960.00 1.000.1% 0.000.5% 0.000.000.00 330.2% 0.000.000.0% 0.00 3.1% 0.800.4% 11.000 200.000.2% 0.884.2% 0.000. Purchase of dental supplies for preventive / curative care Subcomponent 14: Disaster Preparedness & Management 1.000.494.00 3.000.000.Provision of EPI vaccines and supplies 3.00 60.00 60.2% 2.961.0% 0.000.600.00 3.00 250.7% 2.000.00 260.411.000. Regular stakeholders' meeting 2.960.000.00 60.000.800.000. Purchase of toothbrush / toothpaste for school children 5.960. Capability building for Provincial Search and Rescue Team 3.000.000.00 316.000.800.33 9.1% 0.4% 0.00 135.00 60.00 206.361.00 266.000.00 206.00 700.Trainors' Training of BNS (Nutrition) 4.27 200.484.000.33 45.00 135.9% MOOE 1.00 1.411.00 3.4% 0.00 13.000.00 100.000.00 987.961. Operating expense for implementation of Newborn Screening Capital Outlay 1.800.2% 2.000.800.00 3.33 7.00 60.00 206.994.0% 80.000.000.000.000.000.5% 1.00 206. Purchase of PPEs and other supplies 4.Advocacy actvities/ counselling 4.00 300.000. Production of IEC materials 3.00 1.00 60.000.00 300.000.7% 60.500.034. Orientation / advocacy activitiies 4.000.645.00 1.00 0.00 100.33 0.8% 146.200.00 0.000.00 260. Operating expense on regular chlorination of water 2.4% 0.000.1% 200.00 39.641. Designate Surveillance Sentinel Officer Grand Total As a Percentage of Grand Total 50.00 60.00 600.00 0.7% 0.4% 0.00 1.6% 2.00 0.00 675.00 65.735.000.000.4% 0.0% 0.7% 206.00 500.350.000.2.00 60.00 675.0% 0.0% 0.00 250.000.00 135. Regular stakeholders' meeting 2.800.00 2.

00 CULION Foundation PhilHealth Cap/Claims 2.000.Table 15.0 0 JICA/Other Donors (ECCD) Total 31.00 146.870.900.00 GTZ 1.500.500.428.000.00 5.177. Health Investment Costs by Activity by Source of Financing.196.00 54.667.250.933. Date: December 14.387.00 15.934.00 10.036.961.800.800.00 67.00 22. Increase bed capacity of Biliran Provincial Hospital from 25 to 50 and upgrade capabilility to secondary care hospital Provincial LGU Budget Municipal LGU Budget DOH EC Grant LEAD 10.206. 2005 Component/ Subcomponent/ Activity SERVICE DELIVERY Subcomponent 1.478.900.800.00 17.00 98 .500.962. Province of Biliran (Service Delivery Component) Version No.3.800.0 0 320.00 40.380.132.00 2.240.140.

Capital Outlay
1. Const. & renovation of BPH

22,056,800.00
18,140,000.00

2. New equipment for BPH

22,036,800.00

MOOE
1. Maintenance of constructed &
renovated areas of BPH
2. Maintenance of new equipment

3,540,000.00
1,840,000.00

3. Training of hospital personnel
Subcomponent 2. Upgrading,
improvement of 8 RHU's to become
Sentrong Sigla Phase 2 Level 1
certification
MOOE

320,900.00
10,667.00

2,670,933.00

600,000.00

1. Upgrading of 8 RHU's for SS
certification
2. New equipment for 8 RHU's for SS
certification
3. Expansion of 8 RHU's to avail of
Maternity Care Benefits & TB-DOTS
Packages

1,970,000.00

5,836,000.00

970,000.00

0.00

4,532,000.00

2,436,000.00

2,436,000.00

2,800,000.00

600,000.00

b. Maternity Care Package

10,667.00

5,600,000.00

1,732,000.00

1,732,000.00

0.00
1,152,000.00
0.00
487,200.00
346,400.00
96,000.00
0.00

2. Maintenance of equipment
a. SS certification

2,800,000.00

600,000.00

1,152,000.00

1. Maintenance of RHU renovated areas

1,840,000.00
320,900.00
0.00
15,989,600.00

0.00
1,600,000.00

MOOE

3. Training of RHU personnel

0.00

1,000,000.00

4. Equipment package for 8 RHU's for
Maternity Care Package
5. New equipment for 7 RHU's and
hospital - based TB-DOTS

c. TB-DOTS Package

0.00

0.00
44,093,600.00
18,140,000.00
0.00
3,540,000.00

487,200.00
346,400.00
85,333.00

970,000.00

970,000.00

1,940,000.00

99

Subcomponent 3. Create additional
RHU in Naval

0.00

1,430,000.00

800,000.00

3,300,000.00

0.00

0.00

0.00

Personal Services
1. New plantilla position for MD, Medical
Technologist
Capital Outlay
1. Construction of new RHU
MOOE

800,000.00

2. Maintenance of newly constructed
RHU
3. Maintenance of new equipment
4. Incremental supplies

0.00
200,000.00
0.00

200,000.00

Subcomponent 4. Establish Barangay
Health Councils provincewide

1,650,000.0
0

1,650,000.00
0.00
1,300,000.00

MOOE

1,300,000.0
0
350,000.00

1. TA - Organization of BHC's
3. Capability building of BHC's
Subcomponent 5. On Tuberculosis
Prevention and Control

32,000.00

32,000.00

500,000.00

826,640.00

350,000.00
0.00
1,390,640.00

300,000.00

0.00
200,000.00
300,000.00

MOOE
1. Organize PPM - DOTS

200,000.00

2. Regular meetings of provincial TB diagnostic committee
3. Capability building of health workers on
basic health care & infectious diseases

300,000.00

4. Provision of BCG vaccines and
supplies; drugs for TB patients
5. TEV s for monitoring
6. TEVs for training

300,000.00
526,640.00

24,000
8000

32000

5,530,000.00

0.00
2,500,000.00
1,000,000.00
0.00
800,000.00
0.00

2,500,000.00
800,000.00

200,000.00

1. Training of personnel in new RHU

0.00

0.00
1,030,000.00

1,030,000.00

2. New equipment forNaval RHU 2

0.00

526,640.00
24,000.00
40,000.00
0.00

100

Subcomponent 6. On Pneumonia and
other childhood infectious diseases;
and other infectious / non -infectious
diseases on adult
Capital Outlay

500,000.00

600,000.00

4,529,500.00

0.00
600,000.00

500,000.00

2. Capability building / skills enhancement
of health workers on IMCI

500,000.00

3. Provision of drugs & medicinesand
supplies

4,529,500.00

Subcomponent 7. On Lifestyle and
Degenerative Diseases

90,000.00

90,000.00

1. Advocacy activities
2. Capability building for health workers

90,000.00

90,000.00

400,000.00

3. Provision of anti-rabies vaccines
through animal bite centers
4. Advocacy activities
Subcomponent 9 : On Leprosy and
filaria
1. Advocacy meetings

5. Regular active case finding activitiy

2,000,000.00

2,580,000.00

2,000,000.00

180,000.00
400,000.00
2,000,000.00

0.00

425,000.00

400,000.00
320,000.00

200,000.00

600,000.00
320,000.00

150,000.00

225,000.00

0.00

0.00

375,000.00
0.00
3,712,500.00

800,000.00

0.00

0.00

0.00

0.00

0.00

2,912,500.00
200,000.00
112,500.00

0.00

0.00

0.00

0.00

0.00

0.00
1,495,000.00
200,000.00

1,070,000.00
200,000.00

2. Training / skills development of health
workers
3. Provision of MDT drugs for leprosy
4. Medicines for Annual mass drug
treatment for filaria 2 y old and above

300,000.00

400,000.00

3. Provision of drugs, medicines for
lifestyle & degeneratives diseases

2. Provision of vaccines for dogs

4,529,500.00
300,000.00

4. TA on development of CPGs in RHUs
and BPH

1. Training of Mun. Veterinarians &
Agricultural Technicians

5,929,500.00

600,000.00

1. Multimedia set for IMCI and other public
health programs
MOOE

Subcomponent 8: On Rabies

300,000.00

0.00

200,000.00
112,500.00

2,300,000.00
800,000.00
300,000.00

300,000.00

101

800. Advocacy activities 5.00 3.00 1.000.920.920.000.000.050.980.00 0.034.000.00 0.00 500.00 1.00 910.00 800.00 675.00 4.00 4.560.400.500.200.00 330.000.200.00 200.000.00 50.00 0.00 450.875.000.000.00 0.000.00 330.000.350.00 0.200.00 1. Renovation of BHS and hospital for MCH 3.00 102 .000.000.00 Capital Outlay 1.000.00 3.000.00 1.00 50. Provision of toilet bowls Subcomponent 13: Oral Health 75.00 0. Provision of family planning commodities and supplies Subcomponent 11.580.Trainors' Training of BNS (Nutrition) 500.00 80.900.00 1.00 0.00 3.00 100.00 21.0 0.00 0.000.000.Training of health workers on emergency obstetric case 3Operating expense on maternal death review 4.200.000.00 3.00 600.00 1.000. Purchase of 66 weighingscales on identified BHS Subcomponent 12:Environmental Health& Sanitation 1.000.00 0.000.00 0.000.00 7.00 600.000.000.000.000.000.00 0.000.000.00 3.000. Regular stakeholders' meeting 2.000.00 0.000.000.00 MOOE 2.00 6.00 0.00 1.00 200.000.484.00 1.000.00 1.00 0.000.000.00 0.000.000.00 9.00 7. Childhealthand Nutrition MOOE 160.00 200.000.200.000.000.00 260.000.000. Operating expense for implementation of Newborn Screening 600.000.000.Training of Barangay Nutrition Scholars (BNS) (Nutrition) 5.00 1.000.00 1.00 75.000.000.Subcomponent 10: Women's Health & Safe Motherhood Program 450.000.00 2.000.000.00 9.050.900.00 0.00 80.000.000.000.00 3.310.00 19.000.000. Operating expense on regular chlorination of water 2.Advocacy actvities/ counselling 4.00 0.000.000.00 160.00 1.00 0.000.000.00 7.500.00 Capital Outlay 1.000.Provision of EPI vaccines and supplies 1.00 1.000.00 100.000.00 250.000.00 50.000.00 10.

0% 2.034. Purchase of toothbrush / toothpaste for school children 5.350. Regular stakeholders' meeting 2.500. Designate Surveillance Sentinel Officer Grand Total As a Percentage of Grand Total 240.0 0 0.00 600.933.500.00 2.500.000.500.034.428.800.000.9% 31.000.00 87.00 60.000.387.00 700.900.500.4% 11.00 60.177.00 1.250.00 240.000.000.000.00 100.500.000.000.0% 7.00 21.0 0 2.206.5% 100.00 300.00 1.000.667.00 600.Program 0 MOOE 1.0% 2.00 10. Purchase of PPEs and other supplies 4. Regular stakeholders' meeting 2.140.000.132.0% 103 .000. Capability building for Provincial Search and Rescue Team 3.000.0% 1. Orientation / advocacy activitiies 4.00 54.350.00 100. Purchase of dental supplies for preventive / curative care Subcomponent 14: Disaster Preparedness & Management 0.8% 37.00 0.00 15.870.00 300.00 300.800.00 1.000.00 987.00 1.00 146.000.00 700.00 87.00 87.000.00 17.000. Production of IEC materials 3.00 600.000.000.5% 10.00 MOOE 1.00 7.00 10.961.478.962.240.

7% 3.900.600. Date: December 14.5% 0.4.00 320.00 800.950.750. 2005 Type of Expenditure MOOE .922.00 0.00 0.000.000.900.00 0.00 0.00 100. Biliran Province (Service Delivery Component) Version No.9% 0.00 0.00 480.000.3% 0.9% 6.2% 104 .00 160.1% 0.450.00 180.00 400.450.00 0.00 0.000.00 350.00 1.000.940.000.00 13.000.00 0.6% 33.00 970.000.00 350.00 160.00 480.Table 15.000.00 0.00 970.00 1.450.00 400.00 0.Training/Workshops Training of BPH personnel Training of RHU personnel on SS.00 5.00 0.000.0% 5.2% 1. Health Investment Costs by Type of Expenditure by Year.000.00 0. Maternity Care & TB-DOTS packages Training of personnel in new Naval RHU Capability building of BHC's 2006 2007 2008 2009 2010 Total As a % of Type of Expenditure As a % of Grand Total 2.

000.000.000.00 0.00 0.00 87.1% 0.00 1.00 200.00 160.5% 0.3% 0.00 0.300.00 50.1% 75.00 250.0% 0.00 0.0% 0.00 300.00 60.000.600.000.00 60.000.000.00 17.00 0.diagnostic committee Advocacy activities on lifestyle and degenerative diseases Advocacy activities on rabies Advocacy activities on leprosy / filaria Advocacy activities on women's health and safe motherhood Regular stakeholders' meeting on childhealth and nutrition Advocacy activities and counselling on childhealth and on nutrition 935.00 0.000.00 250.000.00 75.00 305.000.Technical Assistance/Consultancy TA .00 0.000.00 0.00 80.000.3% 0.00 100.00 100.00 50.00 0.2% Capability building of health workers on IMCI Capability building of health workers on lifestyle & degenerative diseases 250.00 0.3% 13.8% 0.00 0.000.000.00 0.000.000.000.00 0.00 60.500.000.00 75.00 200.00 80.000.000.500.00 0.00 0.00 0.00 0.1% 0.000.00 305.000.1% 112.0% 100.00 375.000.000.Organization of BHC's Regular stakeholders' meeting on oral health program 60.000.00 200.00 0.1% 250.00 255.00 0.000.00 100.2% 180.000.000.000.00 200.000.00 50.00 8.00 0.00 50.3% 9.000.00 500.00 60.000.000.000.00 200.00 500.00 0.Capability building of health workers on basic health care & infectious diseases 100.3% Training of municipal veterinarians & agricultural technicians Capability building for health workers on filaria / leprosy Capability building for health workers on emergency obstetrics Training of BNS Trainors' Training of BNS Capability building for Provincial Search /Rescue Team 200.00 13.0% 81.00 0.00 80. Orientation. Advocacy.00 0.000.00 60.8% 0.000.00 0.000.00 405.000.00 400.000.000.00 0.9% 0.00 75.00 2. Organize PPM -DOTS Regular meetings of provincial TB .00 2.00 60.00 0.0% 0.600.00 300.000.4% 1.00 0.00 0.00 0.00 60.0% 9.00 0.5% 0.00 60.00 0.000. etc.000.0% 1.00 0.000.300.2% 0.00 0.000.3% 0.00 18.00 1.00 0.000.2% 0.500.00 8.00 80.7% 7.000.00 50.00 0.000.1% 112.00 0.00 0.000.00 0.00 0.000.00 2.000.00 160.000.00 80.000.5% 0.000.00 75.000.Meetings.000.00 0.155.00 80.000.500.1% 0.000.1% 1.00 300.3% 1.00 300.00 0.000.1% 0.00 1.3% 0.0% 0.00 0.4% 9.000.00 0.00 5.00 180.00 80.000.000.7% 1.4% 0.00 0.00 60.000.0% MOOE .00 8.00 87.00 0.0% 0.00 0.1% 0.000.00 MOOE .00 3.00 200.9% TA -on development of CPGs in RHU and BPH 300.9% 105 .

000.00 1.666.00 4.00 905.900.0% 3.2% 1.180.180.1% 52. & III TB patients Provision of drugs.2% 766.9% 1.666.33 7.000.180.00 0.900.328. other supplies for immunization 50.00 1. medicines for Filariasis Provision of drugs.00 173.00 105.5% 106 .411.00 400.180.00 24.33 613.666.00 2.00 6.00 100.00 905.000.67 266.00 105.00 1.000.00 105.00 0.666.00 173.756.000.00 80.5% 13.500.33 243.000.0% 25.00 0.00 96.5% 1.33 243.078.000.000.00 120.67 266.00 60.328.33 7.333.000.000.00 Regular stakeholders' meeting on disaster preparedness and management 60.00 526.133.Buildings and Structures Maintenance Maintenance of constructed & renovated areas of BPH Maintenance of RHU renovated areas Maintenance of newly constructed Naval RHU MOOE .00 400.000.000.8% 0.478.Equipment Maintenance Maintenance of new equipment for BPH Maintenance of equipment for SS certification Maintenance of equipment for Maternity Care Package Maintenance of equipment for TB-DOTS Package Maintenance of new equipment in new Naval RHU MOOE .180.000.000.00 0.00 MOOE .00 1. medicines for Category I.00 3.600.00 120.152.1% 0.4% 1.000.000.00 0.00 48.00 100.398.4% 0.328.00 0.4% 120.8% 0.00 3.000.6% 0.00 80.000.00 613.900.000.00 576.00 600.00 487.180.4% 2. medicines for pneumonia patients Provision of drugs.000.00 320.6% 60.078.33 100.00 905.67 3.00 100.3% 0.960.00 576.00 75.00 1.333.760.00 1.6% 0.361.000.028.000.00 3.00 120.0 0 6.00 0.5% 1.6% 12.0% 3.000.361.000.000.00 766.4% 1.00 2.000.960.00 2.200.333.1% 1.000.000.600.Supplies Incremental supplies for new Naval RHU Provision of drugs.00 0.333.67 3.00 346.00 4.000.00 1.3% 1.000.5% 0.600.00 100.000.00 60.000.9% 1.67 3.1% 400.00 800.000.00 766.00 5.00 400.692.000.028.67 266.00 1.2% 3.540.00 105.000.960. II.00 905.769.00 1.00 105.140.900.000.00 19.840.000.666.00 60.000.000.000.00 0.00 12.00 300.300.00 0.180.328.000. medicines for lifestyle & denegerative diseases Provision of vaccines for dogs Provision of anti-rabies vaccines through animal bite centers Provision of MDT for leprosy Provision of drugs.000.960.8% 100.00 4.400.640.000.6% 0.Orientation / advocacy activitiies on oral health program 50.411.4% 7.000.529.0 0 200.666.200.4% 0.00 80.200.900.00 120.000.4% 17.00 80.00 13.00 400.3% 0.000.1% 2.00 0.33 6.361.000.000.00 37.000.800.000.00 905.0% 66.960.000.00 576.000.328.000.411.133.00 48.33 613.000.000.000.33 613.

Provision of FP commodities & other supplies
Provision of toothbrushes, toothpaste to pre and
schoolchildren
Production of IEC materials
Purchase of dental supplies for preventive /
curative care
Purchase of PPEs and other supplies
OOE - Other Expenses
Active case finding on leprosy
TEV for monitoring
TEV for training
Operating expense for newborn screening
Operating expense for maternal death review
Operating expense forregular chlorination of
water
Capital Outlay - Buildings and Structures

200,000.00
119,800.00
75,000.00
4,800.00
40,000.00
200,000.00
40,000.00
135,000.00

Construction & renovation of BPH
Upgrading of 8 RHU's for SS certification
Expansion of 8 RHU's for Maternity Care & TBDOTS
Construction of new RHU in Naval
Renovation of BHS and hospital for MCH
Capital Outlay - Machineries and Equipment
Equipment for BPH
Equipment for 8 RHU's for SS certification
New equipment for 8 RHU's for Maternity Care
Package
New equipment for 8 RHU's for TB-DOTS
Package
New equipment for new Naval RHU
Multimedia set for IMCI
Provision of weighing scales
Provision of plastic bowls
PS - Salaries, Other Benefits
New plantilla position for MD, Medical

600,000.00
206,800.00

600,000.00
206,800.00

600,000.00
206,800.00

600,000.00
206,800.00

600,000.00
206,800.00

3,000,000.00
1,034,000.00

7.9%
2.7%

2.0%
0.7%

700,000.00
675,000.00

0.00
0.00

0.00
675,000.00

0.00
0.00

700,000.00
1,350,000.00

1.9%
3.6%

0.5%
0.9%

0.00
79,800.00
75,000.00
4,800.00

200,000.00
79,800.00
75,000.00
4,800.00

0.00
79,800.00
75,000.00
4,800.00

200,000.00
4,800.00
0.00
4,800.00

200,000.00
40,000.00
135,000.00

200,000.00
40,000.00
135,000.00

0.00
40,000.00
135,000.00

0.00
40,000.00
135,000.00

600,000.00
1,839,000.00
300,000.00
24,000.00
40,000.00
600,000.00
200,000.00
675,000.00

1.6%
100.0%
16.3%
1.3%
2.2%
32.6%
10.9%
36.7%

0.4%
1.3%
0.2%
0.0%
0.0%
0.0%
0.0%
0.0%

24,736,800.00

30,556,800.00

3,000,000.00

2,500,000.00

0.00

100.0%

41.5%

22,036,800.00

22,056,800.00

0.00

0.00

0.00

72.5%

30.1%

600,000.00
2,100,000.00

1,000,000.00
3,500,000.00

0.00
0.00

0.00
0.00

0.00
0.00

60,793,600.0
0
44,093,600.0
0
1,600,000.00
5,600,000.00

2.6%
9.2%

1.1%
3.8%

0.00
2,179,500.00

0.00
4,000,000.00
21,658,500.00

0.00
3,000,000.00
0.00

2,500,000.00
0.00
500,000.00

0.00
0.00
500,000.00

4.1%
11.5%
100.0%

1.7%
4.8%
19.1%

0.00

18,140,000.00

0.00

0.00

0.00

64.7%

12.4%

0.00
649,500.00

2,436,000.00
1,082,500.00

0.00
0.00

0.00
0.00

0.00
0.00

2,500,000.00
7,000,000.00
28,038,000.0
0
18,140,000.0
0
2,436,000.00
1,732,000.00

8.7%
6.2%

1.7%
1.2%

600,000.00

0.00

0.00

0.00

0.00

600,000.00

2.1%

0.4%

0.00
600,000.00
330,000.00

0.00

0.00

500,000.00

500,000.00

0.00
1,600,000.00
0.00
0.00

0.00
1,600,000.00
0.00
0.00

0.00
0.00
515,000.00
515,000.00

0.00
0.00
515,000.00
515,000.00

1,000,000.00
600,000.00
330,000.00
3,200,000.00
1,030,000.00
1,030,000.00

3.6%
2.1%
1.2%
11.4%
100.0%
100.0%

0.7%
0.4%
0.0%
0.0%
0.7%
0.7%

0.00
0.00

107

Technologist
Grand Total
As a Percentage of Grand Total

41,338,911.33

62,510,411.33

12,869,494.67

13,115,961.33

10,410,961.33

28.2%

42.7%

8.8%

9.0%

7.1%

146,428,240.
00
100.0%

100.0%

100.0%

108

Table 15.5. Health Investment Costs by Type of Expenditure by Source of Financing, Biliran
Province (Service Delivery Component)
Version No.
Date: December 14, 2005

Type of Expenditure

MOOE - Training/Workshops

Provincial
LGU Budget

Municipal
LGU Budget

200,000.00

800,000.00

DOH

EC Grant

2,650,900.00

Training of BPH personnel

320,900.00

Training of RHU personnel on SS, Maternity Care &
TB-DOTS packages

970,000.00

Training of personnel in new Naval RHU

0.00

LEAD

1,320,000.00

CULION
Foundation

PhilHealth
Cap/Claims

112,500.00

0.00

GTZ

87,500.00

JICA/Oth
er
Donors
(ECCD)
580,000.00

Total

5,750,900.00
320,900.00

970,000.00

1,940,000.00

800,000.00

800,000.00

Capability building of BHC's

350,000.00

350,000.00

Capability building of health workers on basic health
care & infectious diseases

300,000.00

300,000.00

Capability building of health workers on IMCI

500,000.00

500,000.00

Capability building of health workers on lifestyle &
degenerative diseases

400,000.00

400,000.00

0.00

200,000.00

Training of municipal veterinarians & agricultural
technicians
Capability building for health workers on filaria /
leprosy

200,000.00

112,500.00

112,500.00

160,000.00

160,000.00

Capability building for health workers on emergency
obstetrics
Training of BNS

500,000.00

500,000.00

80,000.00

80,000.00

Trainors' Training of BNS
87,500.00

87,500.00

Capability building for Provincial Search /Rescue
Team
MOOE - Technical Assistance/Consultancy
TA - Organization of BHC's
TA -on development of CPGs in RHU and BPH

1,300,000.00
0.00

0.00

0.00

0.00

1,300,000.00

300,000.00
0.00

0.00

0.00
300,000.00

0.00
0.00

1,600,000.00
1,300,000.00
300,000.00

109

200.200.00 10.000.00 200.00 180.760.00 Maintenance of newly constructed Naval RHU 0.00 346.00 300.000.000.00 60.333.00 200.Equipment Maintenance 1.00 0.000.529.00 200.00 0.000.000.000.00 110 .540.140.000.000.640.152.00 300.000.00 0.000.000. medicines for lifestyle & denegerative diseases 11.00 200.00 300.00 0.00 0.00 200.00 200.667.00 0. medicines for Category I.00 Maintenance of new equipment for BPH 1.000.000.00 200.00 Advocacy activities on leprosy / filaria Regular stakeholders' meeting on oral health program Regular stakeholders' meeting on disaster preparedness and management 200.00 MOOE .000.00 9. Advocacy.152.000.000.300.00 0.00 4.000.370.906.000.00 526.00 487.000. & III TB patients Provision of drugs. etc.000.00 90.300.00 0.000.00 225.000.000. Orientation.000.000.540.00 0.000.000.00 200.00 2.00 Maintenance of equipment for Maternity Care Package Maintenance of equipment for TB-DOTS Package 346.000.640.769.00 200.00 Maintenance of new equipment in new Naval RHU MOOE .00 Advocacy activities on women's health and safe motherhood Regular stakeholders' meeting on childhealth and nutrition Advocacy activities and counselling on childhealth and on nutrition Advocacy activities on oral healthprogram 200.00 240.00 100.000.540.Buildings and Structures Maintenance 3.600.000.000.850.00 85.000.933.Meetings.400.00 1.diagnostic committee Advocacy activities on lifestyle and degenerative diseases Advocacy activities on rabies 480.667.00 Maintenance of constructed & renovated areas of BPH Maintenance of RHU renovated areas 3.000.00 4.500.840.00 526.00 0.00 300.00 0.500.00 9.000.00 MOOE .000.000.00 375.000.00 2.00 700.00 4.840.400.00 37.000.00 100.000.00 0.00 1.00 475.000.00 1.00 300.000.00 2.00 Maintenance of equipment for SS certification 487.000.000.00 90.00 2.000.00 0.00 150.00 0.000.692. medicines for pneumonia patients Provision of drugs.000.MOOE .152.00 1.000. II.00 2.00 0.00 0. Organize PPM -DOTS Regular meetings of provincial TB .00 4.00 918.00 96.529.184.00 0.Supplies Incremental supplies for new Naval RHU Provision of drugs.155.140.000.000.00 3.00 300.00 300.00 0.00 0.

000.140.300.000.00 24.00 1.00 22.800 .000.000.800.00 7.000.000.00 Operating expense for maternal death review Operating expense forregular chlorination of water 3.000.000.200.00 3.00 600.000.00 675.038.00 Active case finding on leprosy TEV for monitoring 2.00 600.732.00 1.00 600.00 600.00 0.000.00 Construction & renovation of BPH Upgrading of 8 RHU's for SS certification 700.500.062.000.800.00 50.00 200.00 600.000.00 1.Provision of vaccines for dogs 400.00 5.000.00 Multimedia set for IMCI 44.000.00 28.00 8.350.000.000.000.00 111 .00 600.00 2.732.000.00 50.000.140.000.000.00 1.000.00 2.00 707.056. 00 18.600.00 24.200.000.00 600.000.000.200.00 300.00 4.000.000.600.036.000.000.00 600.000.050.000.839.000.00 800.00 1.00 800.Other Expenses 600.00 2.000.00 New equipment for new Naval RHU 350.00 Renovation of BHS and hospital for MCH Provision of plastic bowls 0.00 3.00 1.000.00 0.00 Expansion of 8 RHU's for Maternity Care & TBDOTS Construction of new RHU in Naval Capital Outlay .000. other supplies for immunization Provision of FP commodities & other supplies Provision of toothbrushes.00 75.00 32.000.00 2.00 19.500.00 800.000.000.000.600.000.00 2.000.200.000.000.000.356.000.800 .00 450.000.00 600.300.000.000.000.00 1.00 9.000.376.000.00 300.00 New equipment for 8 RHU's for Maternity Care Package New equipment for 8 RHU's for TB-DOTS Package 60.000.000.000.00 600.034.00 TEV for training Operating expense for newborn screening 700.000.000.000.436.000.000.920.00 200.00 30.00 1.000.000.00 18.436.000.00 800.00 0.00 22.000.00 0.00 330. medicines for Filariasis Provision of drugs.00 Capital Outlay .000.000.00 330.000.000.000.000.00 Provision of weighing scales 600.000.800.00 40.00 28.00 200.00 1.350.000.Machineries and Equipment 1.093.000.00 Provision of drugs.00 1. 00 600.00 7. 00 2.000.000.500.00 50.00 100.800.00 1.034.00 1. toothpaste to pre and schoolchildren Production of IEC materials 1.000.000.00 2.Buildings and Structures 632.000.000.00 Provision of anti-rabies vaccines through animal bite centers Provision of MDT for leprosy 320.836.000. 00 2.793.000.000.000.000.00 100.00 1.00 320.000.000.00 Purchase of dental supplies for preventive / curative care Purchase of PPEs and other supplies OOE .980.000.000.000.000.00 1.00 1.00 1.000.000.000.00 Equipment for BPH Equipment for 8 RHU's for SS certification 24.000.600.900.800.

962.9% 21.00 0.000. 31.732.00 0.00 15.0% Grand Total As a percentage of grand total 112 .00 1.00 1.000.800 146.030.00 2.000.00 0.00 10.800.00 54.00 0.0% 2.933.450.00 1.0% 7.00 1.00 New plantilla position for MD.5% 100.00 0.PS .Salaries.5% 10.478.00 0.870.428.000.9% 11.00 1.00 0.206.00 0.000.030.961. 7.00 0.030.2% 37.140.00 0.977.00 2.900.667.030.240.00 16. Other Benefits 0.00 0.00 0.0% 0.00 0.00 10.00 0.500.4% 2.387. Medical Technologist 0.500.

Source of Financing B.2010 DOH/PCSO 5 days training for BNB operators in Biliran Training Cost: 2500/pax 110 operators x 2 per BNBs =550.500. Establish a functional Drug Management System B. Training of BNB operators At least 1 BNB in every barangay. 110 BNBs in 5 years.500. 25. Seed capital for BNBs 2. Regulatory Component Table 16.1. 2005 Changes form the Previous Version Cost Item Description Type of Expenditur e Unit Price/ Total Cost Timing and Duration Source of Financing Other Remarks REGULATORY Subcomponent 1: Ensure availability of low-cost quality drugs A.Critical Investments.000 2006 -2010 PLGU/MLGU 700. Date: December 14.000 2006 2006 -2010 GTZ PLGU/MLGU 300. Assumptions on the Cost Items in the Health Investment Plan : REGULATORY Version No. Purchase of drugs and medicines Consultancy Drugs/Meds B.000 3. Establishment of BNBs MOOE 1.1.000/year for 5 years = 3. Organizational/consultative meetings of Therapeutic Committee Cost Item Description Type of Expenditur e Unit Price/ Total Cost Timing and Duration Other Remarks 113 . TA on pooled/bulk procurement 2.000 2006.2010 PLGU/MLGU TA cost = 600.000 seed capital per BNB = 2. Functional Therapeutic Committee MOOE 1. Earmark specific budget allocation for drugs and medicines MOOE 1.2.000 2006 .750.000 2006 -2010 LEAD for organization /DOH for consultative mtgs.

500 4th quarter 2006 EC 5. Stakeholders' meetings for adoption of laws and ordinances Stakeholders' meeting 15.000 per pax for 25 pax = 125.2. smoking . TA for health workers Consultancy incentives/disincentives mechanism for TBAs.500 TA Consultancy: 200.00 2007 DOH 2.000 2006 .REGULATORY 2.pax x 15 pax x 3days= 157. Training on drug supply and management 5 days training for Pharmacist. TEVs for training of BNB operators TEV allowance 800/dayx2x110= 176. AO .free province 2.000 2006 GTZ 3.500.000 2006-2010 PLGU/MLGU 200. mandatory dog vaccination. Develop Mechanisms for Enactment / Implementation of National and Local Laws MOOE 1. TEVs for Therapeutic Committee Subcomponent 2. TA for Therapeutic Committee to include training on rational drug use TA and 5 days training for Therapeutic Com and TMC in Biliran Training Cost: 2500/pax 25 pax= 87. Health Investment Costs by Activity 114 . Writeshop on the formulation of ordinances and resolutions 3 days writeshop at Biliran 3.000 / mtgs 4Q/yr = 300.2010 PLGU/MLGU/ Capitation Fund 4.000.000 2006 PLGU/MLGU TEV allowance 800/dayx2x25= 80. TEVs for writeshop TEV allowance 800X2X15 pax= 24. Budget Officer.000. COH and MHOs in Tacloban 5.000 2006 DOH / EC MOOE 1. TA on establishing provincial Training workshop regulatory framework 3.00 1st quarter of 2006 LEAD 125.000 4th quarter 2006 PLGU/MLGU Table 16.

1. 000 B. 000 110. 2008 2009 2010 Total 80. 000 000 0.9% 2. 000 50.0% 0.000 2. Establish a functional Drug Management System B.by Year.0% 0.470 . 000 700.0% 30.0% 6. 000 550.0% 0.0% 0.2.4% 1.0% As a % of Grand Total 100. 115 . 000 000 000 500 OOE 1.000 1. Organizational/consultative meetings of Therapeutic Committee 100.4% 287. 3.000 1.9% As a % of Grand Total 0.170 . 000 700. 000 110.000 1. 000 110.0% 6.17 As a % of Componen t Total 100.000 110.3% 125. 000 700.2% 91. TEVs for training of BNB operators Component/ Subcomponent/ Activity 2. Date: December 14.0% Total 5.470 . Earmark specific budget allocation for drugs and medicines MOOE 1. 000 600. TA on pooled/bulk procurement 2. 000 2006 176.0% 0.5% 38.410 .0% 30. 500 50.0% 8.0% 1.470 . Functional Therapeutic Committee MOOE 1. 000 110. 000 287. 000 2. TA for Therapeutic Committee to include training on rational drug use 125. Seed capital for BNBs 2. 000 550.1% 38. 000 700.5% 6.000 1.000 1.500 1.410 .1% 0.0% 0. 550. Training of BNB operators 550. 000 700. 000 50.0% 0. 000 50.9% 1.3% 3.595 .000 1. 000 3.000 8.0% 0.1.000 9.2% 0.0% 0. Establishment of BNBs 2006 2007 2008 2009 2010 3.410 .410 .500. 000 550. 000 2007 80.0% 6. Training on drug supply and management 3. TEVs for Therapeutic 176. 000 B.0% 0.750. 000 550.1% 3.0% 0.0% 0. 3. 2005 Component/ Subcomponent/ Activity REGULATORY Subcomponent 1: Ensure availability of low-cost quality drugs A.0% 300.000 1.500 MOOE 1.728 . Purchase of drugs and medicines 600.1% 0.36 91.9% As a % of Componen t Total 0. Biliran Province (Regulatory Component) Version No.

470.8% 0. Health Investment Costs by Activity by Source of Financing.0% 100. 000 1. 3.3% - 2. 000 100.4% 1. 000 Grand Total 3. 000 60 .4% 300. mandatory dog vaccination.3% 3.500 1.6% 17. 000 60.470.2% 125. Writeshop on the formulation of ordinances and resolutions 157. 000 500 24.470. 1. 0. 000 1. Biliran 116 .0% 16. TA on establishing provincial regulatory framework 3.2% 2.8% 8. Develop Mechanisms for Enactment / Implementation of National and Local Laws MOOE 441 .0% Table 16.7% 24.3.0% 200. 000 As a Percentage of Grand Total 34.175. 000 60.0% 16.3% 0.0% 9. Stakeholders' meetings for adoption of laws and ordinances 000 4. TA for health workers incentives/disincentives mechanism for TBAs.3% 157.595. 000 1. smoking .000 6.4% 16.7% 1. 1. 000 125. 000 1. 000 60.170.000 60 .0% 0. 2.free province 200. 000 000 000 60. TEVs for writeshop 185 .Committee 000 000 Subcomponent 2. 500 5.500 80 8.000 60 .000 000 60.

5% 6.0 00 275. 000 - PCSO 1.000 3.0% 0.165.000 8.0% 100.500 .00 0 2.0% 0.662. Establishment of BNBs Provincial LGU Budget Municipal LGU Budget 2.000 1.000 - 1.0% 30.5 00 EC Grant 357. 2005 Component/ Subcomponent/ Activity REGULATORY Subcomponent 1: Ensure availability of low-cost quality drugs A.750.00 0 - Component/ Subcomponent/ Activity Provincial LGU Budget Municipal LGU Budget DOH Budget EC Grant LEAD GTZ CULION Fndtn PhilHealth Capitation /Claims PCSO Total 117 .Province (Regulatory Component) Version No. Purchase of drugs and medicines B.0% 6. 000 275.0% 0.5 00 1.0% 0.00 0 600 .2% 0. Earmark specific budget allocation for drugs and medicines MOOE 2.375.00 0 B.500 200. Date: December 14.0% 0.00 0 DOH Budget 1.0% 0.0% 30. 000 100. TA on pooled/bulk procurement 2.175 .500 As a % of Component Total As a % of Grand Total 100. Establish a functional Drug Management System B. Functional Therapeutic Committee OOE 600. Training of BNB operators 1.0% 6. 000 Total 9.5% 38.00 0 1.750 .153. 000 1.0% 0.000 550 . 000 725.00 0 2.0% 6.375.375.165. 000 GTZ 725.0% 0.000 LEAD 300.0% 91.0% 0. 000 CULION Fndtn - PhilHealth Capitation /Claims 300.2% 91.2. 000 1. Seed capital for BNBs 2.375.0% 0.1% 38.1% 0.0% 0.750.1.368 .0% 0.0% As a % of Component Total As a % of Grand Total MOOE 1.787.153.00 0 2.

000 500 300 .000 3. TA on establishing provincial regulatory framework Component/ Subcomponent/ Activity 3.free province 2. 000 125. 000 157.3% 3.9% 0.00 0 Subcomponent 2.000 0 40.7% 1. Training on drug supply and management 200.4% 1. 000 PCSO Total 118 .4% As a % of Component Total As a % of Grand Total 300 .500 1.9% 0.9% 1. TA for health workers incentives/disincentives mechanism for TBAs.0% 0. 000 3.0% 1.500 LEAD GTZ CULION Fndtn PhilHealth Capitation /Claims 300.000 1.0% 8. TEVs for training of BNB operators 2.3% 157 . 000 100. mandatory dog vaccination.500 200. 000 - 300.000 8 0.8% 0.2% 125 .3% 3.3% 125 . Organizational/ consultative meetings of Therapeutic Committee 2. smoking . 000 Provincial LGU Budget Municipal LGU Budget DOH Budget EC Grant 157.00 0 88.1% 0.4% 1. Develop Mechanisms for Enactment / Implementation of National and Local Laws MOOE 12.1.500 3.0% 0.00 176 .0% 0.000 2.000 1.2% 2.000 3. 000 125.9% 0.7% 1. 000 - 806 .500 1.00 0 40.0% 200 .00 0 12. 200.8% 8. Stakeholders' meetings for adoption of laws and ordinances 4. Writeshop on the formulation of ordinances 200.1% 3.00 0 125. TA for Therapeutic Committee to include training on rational drug use OOE 87. TEVs for Therapeutic Committee 88.4% 287 .

3% 1.5% 357.787.0% 9.0% 100.00 2 0 2.000 1.00 0 23. 000 3.3% 0.00 0 23.0% 119 .6% 12. TEVs for writeshop 12.0% 300.9% 0.175 . 000 15.5 00 19.3% 725.000 100.500 3.165.and resolutions 5.6% 0. 000 7. 000 3.3% 4.165.9% 300.375.00 0 Grand Total As a Percentage of Grand Total 2.

000 TA for Therapeutic Committee 200.000 1.000 110. 000 - 50. 000 550.7% 100. 000 220 .000 110. 000 50. 000 125.000 200.Training/Meetings 2006 TA on bulk/pooled procurement 640 . 17.000 550.125 .250 . 000 60.000 550.250 .2% 11. 000 157.000 1.000 700.750. smoking . 000 550.Technical Assistance TA on incentives/disincentives scheme for TBAs.0% Total 1. 000 125.4% 5.2% 1.Table 4.0% 19.7% 3. 000 50.000 50.0% 30.000 700.0% 8.000 600. 000 125 . 000 - 60.250 .4% 100. mandatory dog vaccination. 500 1. 000 220 . 000 6.500. 000 550.000 110.0% 38.2% 6.250 .000 120 .0% 12. 000 1.000 700.8% 2.000 600.1% 1.000 700.000 110.1% 44. 500 1.000 . 000 157.3% 10.free province TA on establishing provincial regulatory framework MOOE Supplies/Drugs/Medicines/Seed Capital Purchase of drugs and medicines Seed capital for establishment of BNBs 2007 2008 2009 2010 220 . 000 550. 000 300.0% 16.000 200.8% 2.520 .250 .3% 19. 000 60.000 3. Biliran Province (Regulatory Component) Version No. 500 100.3% 53.4% 1.000 Training of BNB operators Training on drug supply and management Training on rational drug use Organization /Consultative Meetings of TC Stakeholders' meeting for adoption of laws Writeshop on the formulation of laws/ordinances MOOE . 2005 Type of Expenditure MOOE . Date: December 14.000 As a % of Grand Total 36.250 .000 As a % of Type of Expenditu re 100.000 125. 000 60. 000 87.8% 1. 000 87. Health Investment Costs by Type of Expenditure by Year. 000 - 700.2% 200.1% 56. 000 220 .5% 17.3% 6.7% 3. 000 2.000 1.0% 68.6% 000 125.000 110. 500 300. 000 60. 000 1.

000 176.1% 100.0% 2010 - 1. 000 80.0% As a % of Type of Expenditu re 100.000 17.000 16.000 100.9% 28. 000 80.4% 2008 - 1.0% As a % of Grand Total 62.470 .Type of Expenditure OOE .470 .0% 2009 - 1. 000 24. 000 3.170 .0% Total 28 0.470 .000 176.0% 121 .595 .000 16.6% 0.3% 3. 000 9.9% 8.6% 2007 - 1.6% 0.175 .000 16. 000 24.Other Expenses TEVs for BNB operators TEVs for Therapeutic Committee TEVs for writeshop Grand Total As a Percentage of Grand Total 2006 280 .9% 1.000 34.

000 125.750.Technical Assistance TA on incentives/disincentives scheme for TBAs.0% 300.00 0 550.000 125.000 As a % of Grand Total 1.1% 1.000 3.000 1.00 0 125.00 0 2.3% 6.4% 1.520.500 20 0.0 00 600. 000 Training on drug supply and management Training on rational drug use DOH Budget 28 7.3% 19. 000 - 10 0.5 00 GTZ 10 0.00 0 100.3% 53.750.0% 8.0% 16.2% 11. mandatory dog vaccination.00 0 87.0 00 MOOE .free province TA on establishing provincial regulatory framework MOOE Supplies/Drugs/Medicines/Seed Capital Purchase of drugs and medicines PhilHealth Capitation/ Claims CULION Fndtn LEAD 600.37 5.5 00 200.37 5.750.3% 10.8% 1.0% 30.0 00 Organization /Consultative Meetings of TC Stakeholders' meeting for adoption of laws Writeshop on the formulation of laws/ordinances MOOE . 275.00 0 44.5% 17.1% 1.5.4% 5.0 00 8 7. 000 1.1% 56.000 157.2% 6.2% 1.2% 17.50 0 300.000 1.6% 36.0% 38. 000 - - 12 5.0 00 20 0.50 0 1.0% 12.00 0 100.8% 2.000 1. 2005 Type of Expenditure Provincial LGU Budget Municipal LGU Budget 275.4% 1.000 300.00 0 300.7% 100.8% 2.37 5.00 0 200. Health Investment Costs by Type of Expenditure by Source of Financing.00 0 157.37 5.0% 68.Table 16.0 00 - - 200.000 TA on bulk/pooled procurement TA for Therapeutic Committee Seed capital for establishment of BNBs - As a % of Type of Expenditure PCSO 125.0 00 275.0 00 20 0.7% 3.00 0 6.750.500.00 0 600.125.750. 000 1.500 EC Grant 157.0 00 1.7% 3.00 0 200. smoking .0% 19.000 - - - Total 122 .0 00 12 5.Training/Meetings 000 Training of BNB operators 275. Date: December 14.250. Biliran Province (Regulatory Component) Version No.

6% 0.884.00 4.00 11.00 1.198.0% 300.000 3.713.960.9% 30 0.6% DOH Budget EC Grant LEAD - - PhilHealth Capitation/ Claims CULION Fndtn GTZ - PCSO - - - As a % of Type of Expenditure As a % of Grand Total 280.00 7.285. Health Investment Costs by Year.9% 24.513.Other Expenses 000 TEVs for BNB operators 88.000.494.3% - #REF! Total - 0 0 0 0 1.00 33.857. 140.000.925.500 19.67 29. 000 23.487.1% 176.984.175.240.973.000.644.154.321.165.00 0 100.0 00 23.723.361.300.00 FINANCING 5.5 00 3.411.661.0 00 OOE .00 62. Province of Biliran 2006 2007 2008 2009 2010 Total GOVERNANCE 4.470.00 5. 000 3.00 28.0 00 12.0 00 40.34 11.000.00 52.00 39.33 35.211.0 00 Grand Total As a Percentage of Grand Total 2.0% TOTAL INVESTMENT COSTS OF THE FOUR F1 COMPONENTS Table 17.541.3% 1.000.200.Type of Expenditure Provincial LGU Budget Municipal LGU Budget 140.6% 2.1.00 8.855.00 38.00 1.0% 0.0 00 88.00 228.980.00 123 .470.211.33 65.723.961.411.0 00 TEVs for write-shop 12.00 3.00 4.887.723.33 146.470.640.320.428.9% 0.9% 80.055.78 7.9% 1.0 00 7.544.3% 725.33 SERVICEDELIVERY REGULATORY 9.34 28.6% 0.0 00 TEVs for Therapeutic Committee 40.0% 3.723.615.000.595.00 1.911.67 14.00 9.00 11.0% 100.00 100.988.165.994.723.37 5.000 15.114.645.170.961.998.33 14.00 1.5% 357.175.0% 9.454.33 81.00 8.

00 10.00 4.500.177.00 2.00 15.961.000.140.00 87.00 725.00 6.240.000.000.165.00 Total 33.00 228.500.250.00 10.00 357.00 31.870.00 1.00 13.870.00 6.000.00 1.000.500.00 GTZ 3.131.727.2 Health Investment Costs by Activity by Source of Financing.538.373.578.300.00 3.000.500.000.00 1.800.00 54.900.00 3.Table 17.500.00 87.573.000.500.00 TOTAL 44.900.00 38.332.00 300.056.000.140.00 1.513.132.616.582. Province of Biliran Component/ Subcomponent/ Activity Provincial LGU Budget Municipal LGU DOH EC Grant LEAD GOVERNANCE 7.00 REGULATORY 2.00 FINANCING SERVICE DELIVERY 23.00 17.000.00 5.000.200.356.800.998.206.00 JICA/Other Donors (ECCD) 5.00 2.060.489.500.000.000.00 59.000.787.220.720.500.00 37.000.911.00 9.375.00 38.00 200.00 124 .667.933.243.175.000.165.500.962.586.000.000.395.250.200.00 146.470.428.00 1.00 625.00 CULION Foundation PhilHealth Cap/Claims 620.478.940.387.00 22.127.800.270.000.00 11.00 300.00 2.

*100%RHU accredited: 6/8OPB.282 1.TB DOTS 6/8MCP *Hospital Tertiary (Philhealth) *4th to 5th class Municipalitie s *100% SS certified.155 1.498 1.408 2010 125 .277 1.010 8 8 16.709 2.198 1.607 1.671 1.458 545 598 604 611 2.120 1.513 1.315 BILIRAN MARIPIPI 5th 8.253 1. *100%RHU accredited: 6/8OPB.250 3.744 2.TB DOTS 6/8MCP *Hospital Tertiary (Philhealth) *4th to 5th class Municipalities 1.771 YEAR OF IMPLEMENTATION CONDITIONS AND ASSUMPTIONS 2 538 2.106 1. *100%RHU accredited: 8/8OPB.089 1.033 1.265 1.256 1.378 1.396 1.133 8 BILIRAN KAWAYAN 5th 18.Table 18.TB DOTS 6/8MCP *Hospital Tertiary (Philhealth) *4th to 5th class Municipalities 2009 *100% SS certified.586 598 BILIRAN NAVAL 4th 43.890 1.TB DOTS 6/8MCP *Hospital Tertiary (Philhealth) *4th to 5th class Municipalities 1. PROJECTED REVENUES BILIRAN PROVINCE 2006 – 2010 PRO Province MUNICIPALITY PROJEC TED Indigent Househo ld Income Class Popn AREA OF CONCERN: CY 2005 YEAR NUMBER OF IMPLEMENTATION 1 8 BILIRAN ALMERIA 5th 8 BILIRAN BILIRAN 5th 18. *100%RHU accredited: 6/8OPB.240 1.156 3 4 2006 2007 2008 *100% SS certified.688 1.736 2.183 1.228 1.425 1.020 1. *100%RHU accredited: 6/8OPB.365 1.TB DOTS 6/8MCP *Hospital Secondary(Philhealth) *4th to 5th class Municipalities *100% SS certified.859 1.533 925 937 1.439 1.054 1.542 8 BILIRAN CULABA 5th 16.040 ENROLLED FAMILIES: 5 *100% SS certified.007 1.259 8 BILIRAN CABUCGAYAN 5th 19.710 906 1.382 8 BILIRAN CAIBIRAN 5th 22.

poor 332.531.690.075 2.900 62.431 735.350 504.553.Emergency 2006 2007 2008 2009 2010 19.677 5.178 2.811 8.456.274 2.179 TOTAL FORMAL & IPP 8.221 9.386.Donations Sub-total PROJECTED TOTAL REVENUES To be initiated.290 439.779 1.975 6.271.791 5.585 1.129 9.533.696 8.010.591.059 51.516 553.784.577 9.653 4.853 64.921 15.951 2.Project Grants .707 72.486 2.896 55.105.766.098 5.445 7.871.236 0 PHILHEALTH PAYMENTS: SPONSORED SECTOR -OPB Capitation PCF LESS PREMIUM PAYT'S YEAR OF IMPLEMENTATION -Maternity Care -TB DOTS -Admission -Day Surgery and Procedures (DSP) .997 2.835.664.801.283 1.393.088.785 Sub-total SS FORMAL AND INFORMAL SECTOR Enrolled Formal -Admission Sub-total formal & IPP OTHER POTENTIAL INCOME .562 60.517 25.104 Enrolled Informal (IPP) 5.196 5.394 2.407.022 3.111 17.Pharmacy .163.247.849 1.095.242.215 5.938.128.990 434.508.965 2.067 7.982.682.163 1.520.119.282.256 976. 126 .001.689 24.730.814 6.643.003.450 3.148 2.188 -DSP 611.305.678 1.081.832 356.555 20.275 2.125 1.565.432.426.963 1.453 1.894.363 2.108 -Emergency 407.363.980 909.658 2.726 7.681.334.269.654 48.790 2.199.541.015.801.646 827.941.521 2.358 2.222.025 756.244 3.308.186 1.204.242.072 6.171.171.161 1.147 6.537 5.373 1.781 1.878 55.212.450 2.Laboratory User Fees for non.367.851.970 1.631 25.942 2.278 2.915.016 4.713 11.428.452.325 2.079.559 1.690 2.939 3.353 7.879.576 25.515 4.597 52.738.880 20.647 1.273 5.816 1.299.068 .625 1.833.39 5 Total Sponsored sector enrolled BILIRAN PROVINCE 7.766.184 66.414 6.390.876 5.950 2.585 2.036 19.856 429.139.138 2.272.339 PREMIUM LGU SHARE 120 120 180 240 300 TOTAL PREMUIM REQUIREMENT 847.149.649.408 5.356.846.

8% POPULATION GROWTH RATE 1.POVERTY INCIDENCE LEVEL CONSTANT AT 34.28% 127 .

The Sangguniang Panlalawigan through a resolution authorized the creation of the ILHZ in Biliran Province. regional agencies of the national government like the DOH-CHD and PHIC Regional Office. To lend legitimacy to the plan document. the GTZ.11. PhilHealth. that are currently in use.0 Program Management The ILHZ Board. To ensure effective and responsive local health governance. The management structure shall be so designed that decisions are made with proper consultation and involvement of concerned stakeholders. a Memorandum of Agreement among local chief executives. especially the institutions at various levels of governance such as but not limited to existing health boards. . and shall complement and integrate information systems. It shall oversee the smooth and efficient implementation of the different interventions and projects under a unified health program. Considering that the province has a lone ILHZ. the DOH. Budget support intended to make the plan fully operational shall be channeled directly from the central office to the provincial government through the Department of Budget and Management. Where appropriate. Further. shall provide the direction and set the policies for the successful implementation of this plan. It shall evolve from previously adopted systems that have been proven to work for the health sector. the Health Investment Plan shall be endorsed by the Provincial Development Council to the Sangguniang Panlalawigan upon the recommendation of the Interlocal Health Zone Board. Further. and the GTZ for the establishment of an effective and efficient ILHZ in the province already exists. the SP has to adopt it and approve its implementation. a reliable and updated management information system need to be established in order to provide informed decisions to the members of the Board. The information system to be adopted should facilitate the integrated and synchronized implementation of interventions. and that the Governor chairs the Board with all the municipal mayors sitting as members. such as the FHIS. and private sector providers. the institutionalization of the management structure shall be consistent with that of Fourmula One implementation. being the highest body for health concerns at the local level. the Board is in the best position to manage the implementation of this investment plan.

The Provincial Health Officer chairs this body. PhilHealth and GTZ. 129 . the implementing arm of the ILHZ Board. the money for such purpose shall be allocated directly to the provincial government from the central office to avoid delays in implementation.Enforcement of agreements shall be in the form of contract of services between the DOH and the LGU that shall implement the project. the Chief of Clinics and the Senior Supervising Nurse of the BPH. and representatives of the DOH Reps. Monitoring tools prescribed for the project shall be adopted. which is consists of Municipal Health Officers. Monitoring and accounting shall be adopted based on the Memorandum of Agreement formulated to implement the plan. Project monitoring shall be in accordance to a monitoring and evaluation system that shall be developed for the Fourmula One for Health and the Sectoral Development Approach for Health. The task of actually carrying out the interventions in term of specific projects and activities that are proposed in this Health Investment Plan shall be vested upon the Technical Management Committee (TMC). In case there shall be a start-up fund.