Annex B.

LGU Information Sheet

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LGU HEALTH SCORECARD

INFORMATION SHEET
(Province)

(Region) (Name of Province)

GENERAL INFORMATION

Name of LCE : ____________________________________ Years in Position: ____________

Health Governance Training: Yes ( ) No ( ) If Yes, specify ______________________________________________________

Name of PHO/Designate:____________________________________ Years in Position: ____________

Health Governance Training: Yes ( ) No ( ) If Yes, specify ______________________________________________________

LGU Income Class: ________________________________________________

MORTALITY
(Previous Year) (Current Year)
No.
Diseases Actual Count Diseases Actual Count
1 Ischaemic heart diseases (I25) 1,038 Ischaemic heart diseases (I25) 979

2 Other forms of heart diseases (I30) 840 Other forms of heart diseases (I30) 731

3 Influenza (J09) 538 Influenza (J09) 564

4 Malignant neoplasms (C00) 420 Malignant neoplasms (C00) 396

5 Hypertensive diseases (I10) 308 Cerebrovascular diseases (I60) 313

6 Cerebrovascular diseases (I60) 282 Hypertensive diseases (I15) 303

7 Acute Upper Respiratory Infections (J00) 279 Tuberculosis (A15) 209

8 Tuberculosis (A15) 187 Other diseases of respiratory system (J95) 198

9 Diabetes Mellitus (E10) 166 Chronic lower respiratory diseases (J40) 162

10 Chronic lower respiratory diseases (J40) 154 Other bacterial diseases (A30) 146

Total Total

MORBIDITY
(Previous Year) (Current Year)
No.
Cases Actual Count Cases Actual Count
1 Acute Upper Respiratory Infections (J06) 59,194 Acute Upper Respiratory Infections (J06) 54,360

2 Symptoms and signs involving the 14,015 Symptoms and signs involving the 19,291
circulatory and respiratory system (R09) circulatory and respiratory symptoms
(R09)

3 Other acute lower respiratory infections 12,338 Hypertensive diseases (I15) 6,962
(J22)

4 Hypertensive diseases ( I15) 8,172 Injuries to unspecified part of trunk, limb 6,511
or body region (T08)

5 Injuries to unspecified part of trunk, limb 5,768 Other diseases of urinary system (N30) 4,756
and body region (T08)

6 Other diseases of urinary system (N30) 5,549 Other viral disease (B25) 4,737

7 Certain early complication of trauma (T79) 5,078 Other acute lower respiratory infections 4,707
(J22)

8 Influenza (J09) 4,063 Certain early complication of trauma (T79) 4,372

9 Intestinal infectious diseases (A09) 3,222 Intestinal infectious diseases (A09) 3, 094

10 Other viral diseases (B25) 2,792 Other and unspecified effects of external 3,058
causes (T78)

Total 120,191 Total +108,754

Note: Affix your signature above printed name.

Date Validated: _________________