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BARANGAY ALEGRIA HEALTH SYSTEM TECHNICAL ROADMAP 2018

JANUARY – DECEMBER 2017


Health Leadership Health Health Human Access to Health Information Health Service
and Governance Financing Resource Medicine System Delivery
Barangay health service
Sapat na Barangay Health Gumagana na Health delivery
Aktibo at Kumikilos Human Resource Information System
Alokasyon ng Bugdet Patient-centered care
Barangay Health
para sa Health ng
Governance Body o Feedback mechanism ng
BLGU Sistema sa pagrerehistro ng
Barangay Health Board mga pasyente at kliyente ng
Pagsasanay ng mga pasyente
Barangay Human BHS
Resource Paguulat at Paggamit ng Gumaganang Health
Madaling makuha na
Gamot at Supplies sa mga Data Facilities
Barangay Investment Paggamit ng Bugdet Barangay Health
Pangangalap, Naitatag ang Gatekeeping
Plan (na may Health para sa Health ng Facility Mortality Report
Pagrerehistro at at Referral System
Component) BLGU
Pagpapanatili ng mga Data sa Social Determinants
Barangay Health Workers Health Promotion Services
of Health
Mga polisiya sa angkop at Profiling ng mga Vulnerable Disease Prevention and
PhilHealth Coverage tamang oras na Population Control Services
Mga aktibidad na
para sa mga pagbibigay ng mga
kasama ang Komunidad Early Warning System para Curative Services
mahihirap honorarium ng mga
BHWs and BNS sa Emergencies o Sakuna Rehabilitative Services
Prepared by: Checked by: Approved by: Noted by:

MERRYBELL V. SALUDES,RN HON.FLOR M. RUFILA ROWENA C. GORGONIA, RN EDDIE L. CABANBAN, MD PRIMA J. PAGALAN,RN,MPH
NDP – NURSE KAGAWAD ON HEALTH PHN II MHO DMO IV
BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Aktibo at (1) May Barangay Ordinance sa pagpapatibay ng
kumikilos na kasalukuyang Barangay Health Governance Body
Barangay Health (BHGB)* o resolusyon sa pagtatatag ng Barangay
√ Copy of the policy
Governance Body Health Board (BHB) kung saan nasasaad ang mga
o Barangay Health tungkulin at responsibilidad ng Board at ng bawat
Board miyembro.
(2) Ang Barangay Health Governance Body (BGB)* o
BHB ay binubuo ng mga sumusunod:
a. Barangay Captain
b. Barangay Secretary
c. Barangay Treasurer
d. Midwife
Health
e. Kagawad on Health RED - 0-3/7
Leadership
f. Barangay Nutrition Scholar YELLOW - 4-6/7 Copy of policy stating the
and √
g. Brgy. Day Care worker (kung naangkop) GREEN - 7/7 members if the BHGB/BHB
Governance
h. SK Chairman
i. BHW President
j. 4Ps Parent Leader Representative
k. IP Leader (kung naangkop)
l. School Principal (kung naangkop)
m. AdHoc Member as sectoral representation (kung
naangkop)
(3) Ang BGB o BHB ay dapat may pagpupulong na hindi
bababa sa isang beses (o higit pa kung kailangan) sa Copy of
loob ng tatlong buwan at ang mga pagpupulong na ito √ minutes/proceedings of
ay dokumentado kung saan nasasaad ang mga napag the BHB meetings
sang ayunan na susunod na mga hakbang.
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Copy of
(4) Inilalatag ni Brgy. Kapitan ang mga isyu sa
minutes/proceedings of
pangkalusugan ng barangay sa buwanang pagtitipon √
the ABC meeting / Key
ng ABC (Association of Barangay Captains) informant interview
Copy of
(5) Nagbibigay ng accomplishment report si at minutes/proceedings of
inilalatag ni Midwife ang mga isyu sa pangkalusugan the RHU staff meeting

ng barangay sa buwanang pagtitipon ng mga RHU staff and/or PIR where the
at/o sa PIRs kasama si MHO issues were raised / Key
informant interview
(6) Meroong naipasa na hindi bababa sa isang (1)
Barangay Ordinance sa loob ng isang taon ukol sa
pagpapatibay ng Barangay Health System o ano mang √ Copy of the policy
polisiya sa kalusugan na pinagtibay ng Sangguniang
Barangay
(7) Pagtatasa o pagsusuri ng health system
Copy of assessment and
performance ng barangay gamit ang BHLMP roadmap √
updated roadmaps
at pagsumite ng nasabing roadmap sa munisipyo

(1) Pagkakaroon ng aprobadong Barangay Investment Copy of the approved



Plan development plan

(2) Dapat nasasaad sa Barangay Investment Plan ang


Barangay mga prayoridad na pangangailangang pangkalusugan Copy of the approved
RED - 0-2/5 development plan and
Investment Plan at mga hakbang kung paano ito malulutas. Ang mga
√ YELLOW - 3-4/5 minutes/ activity reports
(na may Health pangangailangang pangkalusugan na nakasaad ay GREEN - 5/5 of community
Component) dapat ring nakuha sa mga nagawang konsultasyon sa consultations done
komunidad (e.g. Brgy. Assemblies).
Minutes/documentation
(3) Nagsagawa ng Annual Brgy. Investment Planning
√ of the Annual Brgy.
kasama ang Barangay Development Council Development Planning
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Copy of the
(4) Naipapatupad ang Barangay Investment Plan √ accomplishment/activity
reports
Certificate of attendance /
(5) Pagdalo ng representative ng barangay sa
attendance sheet and or
konsultasyon ng munisipyo para pagplaplano o pagbuo √
activity report from the
ng MIPH mLGU
List of identified
(1) May listahan ng mga kasalukuyang mga leaders sa community leaders and

komunidad their represented
organization/group
Copy of the certificate of
(2) Tiyakin na ang mga naangkop na community
training / training
leaders ay nabigyang kapasidad sa pag-oorganisa ng √
attendance sheets /
Mga aktibidad na komunidad o community organizing RED - 0-1/4 training activity reports
kasama ang (3) Tiyakin na ang mga miyembro ng komunidad ay YELLOW - 2-3/4
Komunidad may mga tungkuling itinalaga sa pagpapatupad at GREEN - 4/4 Copy of implementation

pagsubaybay ng mga programang pang kalusugan sa plan
barangay
(4) Pagsagawa ng hindi bababa sa dalawang barangay
assemblies at/o public hearings para for
√ Copy of activity report
report/feedback local health data status of health
programs, health issues, policies, etc.
Hindi bababa sa 5% ng Brgy. Budget ang inilaan para sa
Alokasyon ng RED - 0-0.9%
Health Copy of approved and
Bugdet para sa √ YELLOW - 1-3%
Formula: signed Brgy. Budget
Health Health ng BLGU GREEN - 4-5%
(Brgy. Health Budget ÷ Total Brgy. Budget) x 100%
Financing Copy of signed brgy
Paggamit ng Hindi bababa sa 95% ng Brgy. Health Budget ang RED - <70%
financial utilization report
Bugdet para sa nagamit √ YELLOW - 70-94%
/ Copy of DILG budget
Health ng BLGU Formula: (Brgy. Health Expenditure ÷ Brgy. Health GREEN - 95-100% utilization forms
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Budget) x 100%
(1) Mayroong listahan ng mga maralitang pamilya sa

PhilHealth barangay RED – 0/2
Copy of list with receiving
Coverage para sa (2) Pagsumite ng listahan ng mga maralitang pamilya YELLOW – 1/2
signature of the MSWDO
mga mahihirap GREEN – 2/2
sa munisipyo bilang pagrerekomenda para sa indigent √
certification ng PhilHealth
Sapat na Barangay Sapat na Brgy. Health Workers gamit ang HR to population ratio na: RED - 0/2
List of existing human
Health Human (1) 1 BHW= 20 Households o Kabahayan X YELLOW - 1/2
resource
Resource (2) 1 BNS= 1 Barangay √ GREEN - 2/2
Ang mga kailangang pag-unlad ng kawani ay natugunan: Copy of Certificates of
(1) Lahat (100%) ng mga BHWs ay nakakuha na ng training; List of trained
√ staff, date of training, type
Basic BHW Training
(2) Ang BNS ay nakakuha na ng Basic BNS Training √ of training
(3) Lahat ng mga naangkop at lumalabas na bagong Copy of training needs
pagsasanay na pangangailangan (hal. Continuing assessment forms/report /
Health √
Professional Education) ng mga BHWs at BNS ay List of training need per
Human Pagsasanay ng RED - 0-1/
natutukoy staff
Resource mga Barangay YELLOW - 2-4/5
Human Resource (4) Lahat ng mga naangkop at lumalabas na bagong GREEN - 5/5 Copy of communication
pagsasanay na pangangailangan (hal. Continuing document that shows the

Professional Education) ng mga BHWs at BNS ay midwife coordinated the
naiulat sa MHO sa pamamagitan ni Midwife training needs to MHO
(5) Ang mga sharing sessions ng mga BHWs ukol sa
health education at preventive medicine ay Copy of activity report/

naisasagawa sa kanilang mga nakatakdang kabahayan attendance sheet
o households
Pangangalap, (1) May naipasang polisiya ukol sa BHW registration RED - 0-1/
√ Copy of the policy
Pagrerehistro at and accreditation YELLOW - 2-4/5
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Pagpapanatili ng (2) Paggaya at pagsunod sa sistema at pamamaraan ng GREEN - 5/5
mga Barangay munisipyo sa pangangalap at pagpapanatili ng BHWs
Health Workers √ Copy of the policy
sa pamamagitan ng pagpasa ng barangay
administrative issuance ukol dito
(3) Ang sistema at pamamaraan sa pangangalap at
√ Key informant interview
pagpapanatili ng BHWs ay naipapatupad
Copy of accreditation and
(4) Lahat ng accredited BHWs ay aktibo √ activity reports/ data
reports per BHW
Copy of proceedings/
(5) Lahat ng BHW na napaalis o natanggal sa serbisyo
document of the dismissal
ay dumaan sa patas at angkop na proseso o due √
case / Key informant
process interview

Mga polisiya sa (1) Pagkakaroon ng Barangay Resolution sa pagapruba


angkop at tamang ng pamamaraan at iskedyul ng pagbibigay ng BHW and √ Copy of the policy
oras na pagbibigay BNS honorarium RED - 0/2
ng mga YELLOW - 1/2
honorarium ng (2) Ang buong honoraria ng mga BHW and BNS ay GREEN - 2/2
mga BHWs and naibibigay sa tamang oras na naaayon sa naipasang √ Key informant interview
BNS resolusyon ng LHB o Brgy. Council

(1) Ang mga essential medicinesay makukuha sa


Madaling makuha √ Copy of inventory records
barangay 24hours a day, 7days a week
na Gamot at RED - 0-1/3
Access to (2) Mayroong buwanang physical count ng essential
Supplies sa √ YELLOW - 2/3 Copy of inventory records
Medicine medicine at supplies
Barangay Health GREEN - 3/3
Facility* (3) Ang pagkuha/pagbili ng supplies at medicines ay

base sa morbidity at moratlity data ng barangay
Health Gumagana na RED - 0-1/3 Copy of patient health
(1) Pagkakaroon ng patient health records sa mga BHS √
Information Health YELLOW - 2/3 records
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
System Information (2) Ang mga performance ng Barangay base sa Health GREEN - 3/3
Copy of
System data at mga problemang kakabit nito ay naiiulat kada
√ minutes/proceedings of
buwan sa barangay health governance body o the meeting
barangay health board para matugunan
(3) Pagkakaroon ng buwanang updated barangay
√ Site visit
health data board
Ang barangay ay may sistema para sa pagtatala ng mga
pasyente/kliyente ng mga sumusunod na serbisyo:
(1) Maternal Health Services √
(2) EPI √
(3) Under-five Nutrition √
Sistema sa (4) TB Control √ RED - 0-5/10
pagrerehistro ng (5) Notifiable/Communicable/Emerging Diseases (e.g. YELLOW - 6-9/10 Registry System

pasyente Leprosy, etc. except HIV due to confidentiality) GREEN - 10/10
(6) Non-Com Diseases √
(7) Drugs and Substance Abuse √
(8) Mental Health √
(9) Persons with Disabilities √
(10) Injuries X
Copy of health data forms
(1) Nasa oras na pagsumite ng buwanang health data
√ submitted with stamp on
Paguulat at (e.g. M1) ng barangay sa RHU/PHN/MHO RED - 0-1/4 receiving copy
paggamit ng mga YELLOW - 2-3/4
Data GREEN - 4/4 Copy of health data forms
(2) Nasa oras na pagsumite ng barangay quarterly
√ submitted with stamp on
health data (e.g. Q1) sa RHU/PHN/MHO receiving copy
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
(3) May bagong listahan ng mga pangunahing sanhi ng
morbidity at mortality at konsultasyon sa barangay √ Copy of list
kada taon
(4) Mayroon sistema sa pagsubaybay sa mga buntis at Check for a pregancy
kayang matukoy kung sino-sino ang: tracking system / List of
- nasa early risk detection, action and referral √ pregnant women
- kabilang sa teenage pregnancies disaggregaed by each
- mayroong Philhealth membership category

Buwanang pag-uulat ng maternal, infant and neonatal


RED: walang buwanang ulat
Mortality Report deaths gamit ang Maternal and Neonatal Death √ Copy of death reports
GREEN: may buwanang ulat
Report system c/o Midwife
Ang mga sumusunod na data ng Social Determinants of health
na galing sa munisipyo ay na-validate ng barangay kada taon:
(1) Male and female age groups √
(2) Population and residential density of barangay √
(3) Current labor force and employment including
Data sa Social X RED - 0-3/7
income class Copy of data forms
Determinants of YELLOW - 4-5/7
(4) Population, religious affiliation and indigenous submitted
Health √ GREEN - 6-7/7
people
(5) Elementary and secondary school participation and
X
completion rates
(6) Housing facilities and utilities situation √
(7) Hazard mapping √
Ang mga updated profiles o listahan ng sumusunod na
Profiling ng mga vulnerable populations ay nasusumite sa munisipyo sa tamang RED - 0-3
Vulnerable oras: YELLOW - 4-5 Copy of list/profiles
Population GREEN - 6-8
(1) Pregnant and lactating women (quarterly) √
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
(2) Under-five children (annual) √
(3) PWDs (annual) √
(4) Elderly (annual) √
(5) Out of school youth (annual) X
(6) Households in disaster-prone area (annual) X
(7) Households with IPs*, if applicable (annual) √
(8) Households in remote areas or GIDA*, if applicable
X
(annual)
Site visit / Copy of Manual
Early Warning (1) May naitatag na early warning system sa barangay X
RED - 0/2 of Operations
System para sa
(2) Ang barangay ay may mekanismo para maikalat YELLOW - 1/2
Emergencies o Site visit / Copy of Manual
ang mga impormasyon na nanggagaling sa early X GREEN - 2/2
Sakuna of Operations
warning system
(1) Lahat (100%) ng mga BHWs ay nagsasagawa ng
Copy of activity reports /
home vistits at, kung kailangan, i-refer ang mga
√ attendance sheets /
pasyenteng nangangailangan ng mas mataas na antas feedback forms
ng pangangalaga
(2) Ang Barangay nutrition scholar (BNS) ay
nagsasagawa ng buwanang operation timbang at RED - 0-1/3
Barangay health
Health pagsubaybay sa mga batang may edad na 0-24 months √ YELLOW - 2/3 Copy of OTP records
service delivery
Service at mga batang malnourished na may edad 0-59 GREEN - 3/3
Delivery months old
(3) Hindi bababa sa isang beses isang linggo na
Copy of communication
pagbisita ng nurse or RHM para magbigay ng health √
document/ records
services sa barangay na may koordinasyon sa BHB
Patient-centered (1) May nakapaskil na BHS citizen's charter na nasa RED - 0-3/7 Site visit/ Presence of a
X
care lokal na dayalekto YELLOW - 4-6/7 Citizen's Charter
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
(2) Pagsasagawa ng konsultasyon sa komunidad sa GREEN - 7/7
paggawa ng patnubay o protocols sa pagbibigay ng X Copy of activity reports
health services sa barangay
(3) Pagkakaroon ng patnubay sa BHS sa pag obserba Copy of protocols/

ng mga karapatan ng pasyente guidelines
(4) Pagsasagawa ng gender-sensitivity assessment
Copy of accomplished
para sa BHS (gamitin ang USAID tool para ma-assess X
assessment tool
ang gender sensitivity ng isang health facility)
(5) Pagsasagawa ng mga pamamaraan para malutas
Copy of strategies/ activity
ang mga kakulangan sa pagiging gender-sensitivity ng X
reports
BHS
(6) Pagsasagawa ng mga pamamaraan para mapataas
ang pag-access sa mga serbisyong pangkalusugan ng Copy of strategies/ activity

mga mamamayan sa GIDA, IP communites, at iba pang reports
sektor ng lipunan
(7) Pinagbibigay alam sa mga pasyente ng BHS ang
Key informant interview/
lahat tungkol sa kanilang sakit at ang iba't ibang
Focus Group discussion /
paraan ng paggamot (tradisyonal at western medicine) √
Patient records indicating
dito. Sila ay binibigyan rin ng kakayanang mag the consultations done
desisyon kung anung paraan ang kanilang nais gamitin.

Feedback (1) Ang BHS ay may satisfaction/feedback mechanism


√ RED - 0/2 Copy of feedbacks
mechanism ng para sa mga pasyente at kliyente
YELLOW - 1/2 Copy of BHB minutes
mga pasyente at (2) Ang mga feedbacks na nakuha sa mga pasyente ay
√ GREEN - 2/2 indicating the agenda
kliyente ng BHS kasama sa BHB agenda discussed
(1) Ang barangay ay mayroong isang health RED - 0-1/3
Gumaganang
station/center o kaya naman ay sila ay kasama sa isang √ YELLOW - 2/3 Site visit
Health Facilities
catchment area GREEN - 3/3
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
(2) Ang barangay health station/center ay bukas para
sa mga out-patient services (8 hours, 5 times a week)
at tuwing may emergency, disaster, at birthing
services* (24 hours, 7 times a week)

 Ito ay may fully functional health equipment at


supplies (thermometer, BP Apparatus, weighing scale)
 May Midwife na naka assign sa health facility (na may
hindi bababa sa isang beses sa isang linggo na √ Site visit
pagbibigay ng serbisyo at on call kapag may mga
sakuna)
 May BHW/BNS/RHMPP/NDP na naka-duty tuwing oras
ng serbisyo at on call kapag may sakuna
 May kuryente
 May supply ng tubig
*emergency and birthing services applicable only to GIDA
barangays
(3) Ang Barangay Health Station/ Center ay nagbibigay √
ng mga sumusunod sa serbisyo:
1. Pre-Natal
Site visit / Key informant
2. Postnatal
Interview / Focus Group
3. Family Planning
Discussion/ Patients
4. EPI Records
5. IMCI
6. IYCF
7. General Consultation (as needed)
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
(1) May sasakyan na nakatalaga bilang Emergency
transport vehicle* sa barangay na available 24/7 Site visit / Key informant
X Interview / Focus Group
*Transportation expenses e.g. fuel, driver, etc. should not be Discussion
shouldered by the indigent patients
(2) Mayroong madaling mapupuntahan na waiting
home/ halfway house para sa mga nasasakupan ng
Site visit / Key informant
barangay (if applicable especially if GIDA barangay).
X Interview / Focus Group
Discussion
**Ang halfway house ay pwedeng wala sa sariling
barangay

(3) Ang mga kabahayan ay napagbigyang alam kung


Naitatag ang RED - 0-3/7 Key informant Interview /
nasaan ang mga referral facilities at blood facilities na √
Focus Group Discussion
Gatekeeping at pwedeng gamitin ng mga nasasakupan ng barangay YELLOW - 4-5/7
Referral System GREEN - 6-7/7

(4) Mayroong two-way referral system sa pagitan ng


Copy of agreement/
barangay at RHU para masigurado ang tamang √
referral protocol
koordinasyon sa pagdala sa mga pasyente

(5) Palawakin ang gatekeeping at referral mechanism


List of first contacts per
sa pamamagitan ng pagaalam kung sino ang first √
family
contact of care sa bawat pamilya
(6) Bigyang kaalaman ang mga first contacts tungkol sa
Copy of the orientation
service delivery path at siguraduhing sila ay X
activity report
makakasama sa gatekeeping
(7) Pagkakaroon o pagpapaskil ng facility map at
X Site visit
service delivery map sa Barangay Hall
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
Ang mga sumusunod na serbisyo sa bawat programa ay dapat
naibibigay:
1)Maternal and Newborn Health (3)
a) Birth preparedness plan and referral

b) Nutrition promotion and assessment
c) Mothers class/Family development session
2) Child health (2)
a) Growth monitoring √
b) Promotion of infant and young child feeding
3) Family Planning (3)
a) Health education on family planning RED - 0-4/9
√ Copy of patients records
Health Promotion b) FP counselling YELLOW - 5-8/9 and promotional and IEC
Services c) Provision of FP commodities materials
GREEN - 9/9
4) ASRH (2)
a) IEC on ASRH, HIV, STI, Gender-based Violence (GBV) √
b) Counselling on prevention of teenage pregnancy
5) Oral Health (1)

a) IEC on oral health
6) Lifestyle-related or Non-Communicable Disease (2)
a) Presence of healthy lifestyle programs √
b) IEC of the healthy lifestyle programs
7) Environmental Health and Sanitation (4) √
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification

a) Promotion of water and air quality and food safety


b) Promotion of vector control and waste
management
c) Presence of road signages
d) Presence of road safety policies
8) Mental Health (1)
X
a) Promotion of awareness on mental health
9) Blood Donation (1)

a) Promotion of bloodletting activities
Ang mga sumusunod na serbisyo sa bawat programa ay dapat
naibibigay:
1) Maternal and Newborn Health (3-4)
a) Pregnancy Tracking
b) Antenatal/Prenatal care √
c) Post-partum Care
d) Safe labor and delivery (if birthing facility)
Disease RED - 0-3/8
2) Child health (2)
Prevention and YELLOW - 4-6/8 Copy of patients' records
a) EPI √
Control Services GREEN - 7-8/8
b) Injury prevention
3) Communicable Disease (2)
a) Active case finding and reporting for TB

b) Active case finding and reporting of other notifiable
diseases
4) Lifestyle-related or Non-Communicable Disease (1)

a) Routine screening for risk factor identification
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
5) Environmental Health and Sanitation (3)
a) Presence of vector control and waste management
b) Coordination with the MHO/RHU on the testing of

water source (safe water)
c) Coordination with the MHO/CHO/PHO on the zero
open defecation program/ provision of toilets
6) Mental Health (1)

a) Referral of identified cases to RHU
7) Drug and Substance Abuse (2)
a) Profiling of identified patients √
a) Referral of identified cases to RHU
8) Senior Citizens (1)

a) Immunization
Ang mga sumusunod na serbisyo sa bawat programa ay dapat
naibibigay:
1) Maternal and Newborn Health (2-3)
a) Referral to RHU
b) BEmONC services, if applicable X
c) Administration of lifesaving drugs for Midwives (AO
RED - 0-3/8 Copy of patients' records /
2010-0014)
Curative Service YELLOW - 4-6/8 accomplished referral
2) Child health (3) GREEN - 7-8/8 forms
a) CIMCI and IMCI

b) Provision of micronutrient supplements
c) Referral to RHU
3) ASRH (1)

a) Referral to RHU
4) Oral Health (1) √
Name of Barangay: ALEGRIA Name of Barangay Captain: VICTOR A. PULVERA
Municipality / City: SAN FRANCISCO Name of Assigned Midwife: MARY JANE T. LARANJO
Province & Region: CARAGA Name of DOH Representative: PRIMA J. PAGALAN, RN, MPH
Date Accomplished:
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Major Block Sub-Blocks Indicators √ OR X Standard of Performance Means of Verification
a) Referral to RHU
5) Communicable Disease (2)
a) Coordinate with TB-DOTS facility √
b) Referral to RHU
6) Lifestyle-related or Non-Communicable Disease (3)
a) Treatment for Hypertension

b) Treatment for Diabetes
c) Referral to RHU
7) Mental Health (1)

a) Referral to RHU
8) Drug and Substance Abuse (1)

a) Referral to RHU
Ang mga sumusunod na serbisyo sa bawat programa ay dapat
naibibigay:
1)Lifestyle-related or Non-Communicable Disease (4)
a) Monitor post stroke rehabilitation
b) Home visits for blood pressure monitoring,

c) Home visits for blood sugar monitoring
d) Home visits for monitoring of maintenance drugs RED - 0-1/4 Copy of patients' records /
Rehabilitative intake YELLOW - 2-3/4 accomplished referral
Services forms
2) Health for persons with physical disability (1) GREEN - 4/4

a) Community based rehab or referral to RHU
3) Mental Health (1)
a) Monitoring of treatment process of mental health √
patients
4)Drug and Substance Abuse (1)

a) Referral to RHU

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