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OUTLINE OF THE PUBLIC HEALTH DRRM-H PLAN

STEP 1. PREPARING TO PLAN


Step 1 deals with administrative prerequisites in planning. The Health Offices at different levels need to organize a DRRM-H Planning
Committee and seek the approval of the Head of their respective Institutions6 for the conduct of DRRM-H Planning.

1. Get the approval of the Head of Institution on DRRM-H Planning

2. Organize a DRRM-H Planning Committee through an Executive Order containing the roles of each member

3. Draft a DRRM-H Planning Schedule.

I. Message from the Local Chief Executive/Municipal Health Officer/ (1-2 page/s)

- The City/Municipal Mayor shall sign a letter of approval in support of the DRRM-H Plan.

II. Goals of the Health Sector on Emergencies and Disasters (1- 2 page/s)

- This section highlights the three DRRM-H Plan goals, namely: to guarantee uninterrupted health service delivery during emergencies and disasters,
to avert preventable morbidities, mortalities and other health effects secondary to emergencies and disasters, and to ensure that no outbreaks
secondary to emergencies and disasters occur.

STEP 2. DATA GATHERING AND ANALYSIS


Step 2 of DRRM-H Planning looks at factors affecting health when a disaster hits the area. This is done using various hazard,
vulnerability, and risk (HVR) assessment tools. It is crucial that baseline data be updated regularly to aid planning and estimate the
effects of a disaster.

For this step, the Planning Committee shall convene to generate the HVR using the assessment tools used in the Public Health and
Emergency Management in Asia and the Pacific (PHEMAP) trainings

III. Background (2-6 pages)


I. BACKGROUND

A. Name of Agency

B. Geographic Description
The original native name of the municipality of Carmen was “Bagho”. How it was changed to Carmen is told in the following:

After the coming of the Spaniards, baptism was held as one step taken to Christianize all the natives of “Bagho”. During the first baptismal
ceremonies, only one woman was baptized. She happened to be wearing during the ceremonies a necklace bearing the name, “ Birhen sa
Carmen”. A Spaniard who served as a recorder to take down important notes asked her before the ceremonies for the name of the village. She
thought he was referring to her necklace because he was looking at it. She answered “ Birhen sa Carmen”. Not long after that, the town was
named Carmen by the Spaniards.

Until at present in Barangay Luyang an old watch tower which was built to enable sentinels to constantly scan the sea for Moro pirate
raiders still exist. So important was that, on the course of time an interesting legend developed over it. It is told on several successive occasions
that Moro marauders who used to land near the outpost finally decided not to attack Carmen because of physical fatigue they suffered from
maneuvering their “Kumpits” which were lashed up and down by strong waves. On their last attempt to land, they were met by the same strong
waves which compelled them to sail away. They never came back after that. The barangay was named “Luya”, meaning weakness. This was in
memory of the occasion when the people of the village were saved from the piratical attacks of the Moros. “Luya” is now called Luyang.

Carmen has numerous caves. Many of these are located in Barangay Corte and contained rich deposits of guano, a bat manure which is rich
in phosphates and used as a fertilizer.
Two mountains named Cantipay and Cansaguiring tower side by side just half a kilometer northeast of the town hall. Old folks on proper occasions
never tired of telling stories of the cave on top of Cantipay Mountain being inhabited and ruled by a strange person with supernatural powers
named Pipay. Similarly, another strange person named Sering also inhabited the Casaguiring Mountain.

In those days, it was customary for persons who were to be married but could not afford to buy wedding clothes, to borrow their wedding
dresses from the rulers of either mountain. The procedure was for the borrowers to write down on paper what he wanted to borrow and place the
note at the mouth of the cave. In the following morning, the things desired were already beautifully packed in a box. It went without saying that
the borrowed items were to be returned. On one occasion, the borrowers did not return the items. This brought down the wrath of the cave
rulers. All who were responsible died. Moreover, never again did the rulers of the caves make the items available to the townsfolk.

The founding of Carmen. Carmen as a town was founded in 1870. The founder was known to be Fabio Buot, the first acknowledged Municipal
President. Unlike most of the municipality today that their creation is supported with laws such as Republic Act (RA) or Executive Order (EO),
Carmen is not covered by both because it was founded during the Spanish era wherein the basis of declaring a municipality is the population
concentration of a certain locality.

The delineation of the political boundary is very difficult unlike the present system, that before a municipality will be created, the political boundary
will be established first in consultation with the adjacent barangays.

The original people of Carmen. Based on the 1990 census, the original people of Carmen, Cebu are Cebuanos. These include the families of the
Buot, De Dios, Cuenco, and Villamor. The Buot’s siblings are now holding barangays and municipal positions, the De Dios family is acknowledge as
the strong political clan; the Cuenco’s though originate in Carmen settled in Cebu City and hold sensitive position in the Province of Cebu and in the
Philippines; while the Villamor’s are also one of the political clan in the municipality

Carmen is a third class municipality situated on the eastern coast of the Island of Cebu. The municipality comprises of 21 barangays and has a total
land area of 8, 674, 57 hectares. Its southernmost boundary is 386 kilometers north of Cebu City while its northernmost boundary is 45.8
kilometers north of Cebu City.

Carmen latitude extends approximately from 10⁰54′ to 124⁰02′ E. It is bounded in the north by the Municipality of Catmon, City of Danao to the
south, Municipality of Tuburan to the northwest, municipality of Asturias to the southeast, and in the east by the Camotes Sea. Carmen has 14.2
kilometers of coastline.

The total land area of the municipality of Carmen as certified by the bureau of lands Cadastral Survey Division, the total land area of Carmen is
8,674.57 hectares. There are eighteen (18) barangays with approved land area and (3) barangays with land areas due for correction (Poblacion,
Dawis Norte, and Ipil).

- This chapter includes the City/Municipality’s geographic description, demographic profile, health statistics, socio-economic situation, and
information and lessons learned from previous disasters. An inventory of resources and possible partners, and information should also be included.
The gathered data must be evidence-based and presented in narrative, tabular, and/or graphical form.

- Gather baseline data using the table in Annex 2 as a reference. Adopt the data used in the DRRM plan if available. Documents such as post
incident evaluations (PIEs), inventory of resources including mobilized teams and possible partners in times of emergencies and disasters,
commodities, list of functional health facilities, and previous HEPRP can be used as baseline data.

- Conduct a situational analysis during one of the meetings of the DRRM-H Planning Committee to process the data gathered and provide
information for planning.

A. Geographic Description
1. Topography

Geography and Location

Carmen is a third class municipality situated on the eastern coast of the Iland of Cebu. The municipality comprises of 21 barangays and has a total
land area of 8,674,57 hectares. Its southernmost boundary is 386 kilometers north of Cebu City while its northernmost boundary is 45.8 kilometers
north of Cebu City.

Carmen latitude extends approximately from 10⁰54′ to 124⁰02′ E. It is bounded in the north by the Municipality of Catmon, City of Danao to the
south, Municipality of Tuburan to the northwest, municipality of Asturias to the southeast, and in the eastby the Camotes Sea. Carmen has 14.2
kilometers of coastline.

2. Geo-hazard mapping (i.e., areas prone to erosions and flooding, presence of fault lines and volcanoes)
3. Location of communities and health facilities vis-à-vis this map

4. Risks or hazards (i.e., occurrence of typhoons, storm surge, disease outbreaks)


RISK OR HAZARDS IN CARMEN
Hazards Vulnerable Areas

I. Natural

Typhoon 21 Barangays

Flood TRIUMFO, Poblacion, IPIL, BARING, COGON WEST, COGON EAST, LUYANG, PUENTE, DAWIS NORTE,
DAWIS SUR

Earthquake 21 Barangays

El Nino/ DROUGHT 21 Barangays

STORMSURGE LUYANG, PUENTE, COGON EAST, DAWIS NORTE, DAWIS SUR, POBLACION

2. Biological

Dengue 21 BARNGAYS

Water Pollution 21 BARANGAYS

Drowning HAGNAYA, POBLACION, TRIUMFO, IPIL, DAWIS NORTE, DAWIS SUR, COGON EAST, LUYANG,
CANTUMOG, CORTE, CANTIPAY, PUENTE

III. Technological

Fire 21 Barangays

Land Transpo. Accident 21 BARANGAYS

IV. Societal
Social Gathering 21 Barangays

Stampede (Schools) Elementary and National High School

SINULOG CELEBRATION 21 BRGYS

5. Disasters that have occurred with lessons from previous disasters and gaps in response

B. Demographic Profile

1. Population

2. Population density
3. Number of households
4. Number of barangays
5. Death rate
6. Vulnerable populations

POPULATION 52
POPULATION DENSITY
NUMBER OF HOUSEHOLDS 8 816
NUMBER OF BARANGAYS 21
DEATH RATE
VULNERABLE POPULATIONS

C. Health Statistics
1. Three- to five-year year reports on leading causes of morbidities and mortalities
1.A) Top 10 Leading Causes of Morbidity
1. INJURY OF UNSPECIFIED BODY REGION
2. COUGH
3. BACTERIAL PNEUMONIA, NOT ELESWHERE CLASSIFIED
4. ACUTE RESPIRATORY INFECTIONS OF MULTIPLE AND UNSPECIFIED SITES
5. VIRAL INFECTION OF UNSPECIFIED SITE
6. OTHER DISORDERS OF URINARY SYSTEM
7. HYPERTENSIVE HEART DISEASE
8. FEVER OF UNKNOWN ORIGIN
9. RASH AND OTHER NONSPECIFIC SKIN ERUPTION
2.A. Top 10 Leading Causes of Mortality
1. PNEUMONIA, ORGANISM UNSPECIFIED
2. COMPLICATIONS AND ILL DEFINED DESCRIPTIONS OF HEART DISEASE
3. OTHER CEREBROVASCULAR DISEASE
4. BACTERIAL PNEMONIA, NOT ELSEWHERE CLASSSIFIED
5. HYPERTENSIVE HEART DISEASE
6. ACUTE MYOCARDIAL INFARCTION
7. ASTHMA
8. MALIGNANT NEOPLASM OF LIVER AND INTAHEPATIC BILE DUCTS
9. STATUS ASHTMATICUS (ACUTE ASTHMATIC BRONCHITIS)

2. Infant mortality rate

3. Maternal mortality rate

4. Nutritional status/ Malnutrition rate

5. Vaccination coverage

6. Indicators for basic health services and preventive health programs

7. Environmental sanitation, sources and status of potable water

8. Health human resource (number and capacity for health)


Classification/Position Name/Number Organic Yes or Contact Details
No
Doctor ELMER BATAO YES
PHN CAMEA ELENA VILLAMOR YES
PINKY CAPANGPANGAN YES
RHM CHITA MANGUILIMOTAN YES
PAULINA PERALTA YES
AIRENE BANGA YES
WILMA CURAYAG YES
MELVIE CASAS YES
BERNADETH PASAOL YES
JODILYN CARDINES NO

Sanitary Engr./Inspector EMMANUEL RIVERA YES


Nutritionist
Dentist JANE PESIAO YES
HEPO

9. Health facilities
a. Hospitals, lying-in, laboratories, blood banks
b. Hospitals with special areas and services

D. Socio-economic Situation

1. Major economic activities


2. People’s sources of income
3. Poverty incidence and areas of concentration
4. Education
5. Peace and order
6. Source(s) of food such as agricultural or fishing industry
7. Support facilities such as transportation, communication, access to information
MAJOR ECONOMIC ACTIVITIES
PEOPLE’S SOURCES OF INCOME
POVERTY INCIDENCE AND AREAS OF CONCENTRATION
EDUCATION
PEACE AND ORDER
SOURCES OF FOOD SUCH AS AGRICULTURE OR FISHING
INDUSTRY
SUPPORT FACILITIES SUCH AS TRANSPORTATION
E. Hazard, Vulnerability, and Risk Assessment

- Review previous disasters and lessons during the incident as well as identify resource networks and possible partners in times of emergencies and
disasters.
What were the actions/interventions done What were the
before, during and after the disaster learnings/realizations
Who were the
(event/Incident, victims, service providers, information from managing this
Effects system, non-human resource) players at
Disaster disaster? Specifically,
(consider natural, each specific
what are the gaps and
biological, Year time frame?
societal, weaknesses that need to
technological be addressed?
disasters) Who were affected? What were the How Before During After
effects? much
was the
damage
in peso
terms?)
NATURAL 04/16/2017 21 BARANGAYS FLOOD, 7M MDRRMC MONITORING RECOVERY, BFP, POLICE, COMMUNICATIONS,
HAZARD DAMAGE TO MEETING REHABILATATI DRRMO, DSWD, MISINFORMATION ON THE
(TYPHOON INFRASTRUCT ON TO MHO, HAZARD COMING,
CRESING) URES, DAMAGE TO VOLUNTEERS,
LIVELIHOOD INFRASTRUCT MUNICIPAL
AGRICULTURE URES, OFFICIALS, BRGY
AND FISHERY, CONDUCT POST OFFICIALS
DEATHS DISASTER
NEEDS
ANALYSIS,
STRESS
DEBRIEFING,
ON SITE
MONITORING
AND
INSPECTION,
DISTRIBUTION
OF GOODS
FLOODIN 2017 POBLACION FLOOD, 7M MDRRMC MONITORING RECOVERY, BFP, POLICE, COMMUNICATIONS,
TRIUMFO, DAWIS DAMAGE TO MEETING REHABILATATI DRRMO, DSWD, MISINFORMATION ON THE
G NORTE, PUENTE, INFRASTRUCT ON TO MHO, HAZARD COMING
LUYANG, COGON URES, DAMAGE TO VOLUNTEERS,
EAST, DAWIS LIVELIHOOD INFRASTRUCT MUNICIPAL
SUR, IPIL, AGRICULTURE URES, OFFICIALS, BRGY
BARING, AND FISHERY, CONDUCT POST OFFICIALS
CANTUMOG DEATHS DISASTER
NEEDS
ANALYSIS,
STRESS
DEBRIEFING,
ON SITE
MONITORING
AND
INSPECTION,
DISTRIBUTION
OF GOODS

Table 1. Public Health - Previous Disasters and Lessons Learned


- Conduct a hazard identification, prioritization, and mapping using the matrices below:

1. HAZARD IDENTIFICATION AND PRIORITIZATION


Table 2. Hazard Prioritization Matrix

MUNICIPAL CATCHMENT AREA


I. Natural Severity Frequency Extent Duration Manageability Total Ranking

(A) (B) (C) (D) (E) (A+B+C+D)- E

 Typhoon 3 2 2 1 2 10 4th

 Flood 3 3 2 1 2 11 3rd

 Earthquake 1 1 1 1 1 5 7th

 El Nino / 2 2 2 2 1 9 5th
Drought

 Storm surge 1 1 1 1 1 5 7th

2. Biological

 Dengue 4 4 2 3 3 16 1st

 Water Pollution 2 1 2 1 3 9 5th

 Cardiovascular 4 3 1 1 3 12 2nd
diseases

 Drowning 2 1 2 1 1 7 6th

III. Technological

 Fire 1 1 1 1 1 5 7th

 Land 2 2 1 1 1 7 6th
Transportation
Accident
IV. Societal

 Social Gathering 1 1 1 1 1 5 7th


(Fiesta,
Motorcade)
 Provincial Meet 1 1 1 1 1 5 7th

 Sinulog 2 1 1 1 1 6 7th

 Stampede 1 1 1 1 1 5 7th
( Esp. Schools)

2. HAZARD MAPPING

- Secure the appropriate maps of your specific area. This may be acquired/viewed in the internet website of Department of Environment and Natural
Resources (DENR) of the National Mapping and Resource Information Authority (NAMRIA) or that of the Mines and Geosciences Bureau.
1. Identify and mark areas likely to be exposed to hazard.
2. Enumerate specific hazard/s on exposed areas.
3. Represent each specific hazard in codes through symbol or number for ease of referencing

3. VULNERABILITY ASSESSMENT

- Ascertain the areas most at risk for the top hazards and determine characteristics of the people, environment, property, services and livelihood that
make the area more vulnerable to the hazard. Refer to the matrix below for the vulnerability assessment.

Table 3. Vulnerability Assessment Matrix

Vulnerability Assessment Matrix for Municipal Catchment Area


Hazard Vulnerable Vulnerabilities
Areas
People Properties Services Environment Livelihood

BIOLOGICAL:

DENGUE 21 BARANGAYS -People living in -Household with -Poor health seeking -Unsanitary Economic loss
water reservoir behavior condition
unsanitary Loss of life
“barrel” which are
condition. improperly or not
covered at all -Lack of capacity to -Flood prone area
-All ages manage severe case
of DHF
-Stagnant water
-Malnourished temporary
children excavation -Lack of laboratory
services

-Poor health -Unused tires


seeking behavior. -Lack of disease
surveillance

-Delayed access to
medical
consultation

Natural:

Flood POBLACION
- Farmers - Displacement, loss -Damage of lifeline -ground collapse -Economic loss
and damage of services (water in slope areas
TRIUMFO, DAWIS
NORTE, PUENTE,
properties facilities, electrical
LUYANG, COGON -Vulnerable facilities, telephone -Loss of Life
EAST, DAWIS SUR,
IPIL, BARING, Groups (very facilities)
CANTUMOG young and very -Shanty houses or - Damage to
made of very light properties
old) will be -Increase Morbidity
affected materials
-Delayed access to or medical cases
- medical intervention
-Damage to
-People with agricultural crops.
-damage to
immune- -Inaccessibility of farmland
compromised health personnel to
conditions provide basic health -Damage to
fisheries.
services to areas -damage to working
affected by flood edifice

-Damages to
- Health facilities
and other
government
properties

TECHNOLOGICAL: -
-Lack of education
Land 21 BARANGAYS on traffic rules and -Lack of road safety -Lack of trained -Slippery road Economic loss
Transportation regulation signages personnel that can when wet
accidents attend to vehicular
accidents. Interrupted work
-Minors driving -Poor barangay -Poor road
with no drivers road conditions maintenance
license Loss of life

-no helmet
-Absence of street
lighting

-alcohol
intoxication

SOCIETAL:

Social Gathering 21 Barangays -Fiesta goers -Damage to lights -Accidents and - Disruption of the - Economic loss
(Fiesta, and sound system injuries event
Motorcade)
-Disco goers - Loss of income
- Damage to -Psychological
physical setup of trauma arising from
-Local Officials the event. the commotion of
the event.
-

-Barangay Tanod
-

- Police

-Vendors

Vulnerability Assessment Matrix for Municipal Catchment Area

Hazard Vulnerable Vulnerabilities


Areas
People Properties Services Environment Livelihood

-
-Lack of education
Land 21 barangays on traffic rules and -Lack of road safety -Lack of trained -Slippery road Economic loss
Transportation regulation signages personnel that can when wet
accidents attend to vehicular
accidents.
-Minors driving -Poor barangay -Poor road Interrupted work
with no drivers road conditions maintenance
license
Loss of life
-Absence of street
-alcohol lighting
intoxication

Dengue 21 barangays -People living in -Household with -Poor health seeking -Unsanitary economic loss
water reservoir behavior condition
unsanitary “barrel” which are
condition. improperly or not Loss of life
covered at all -Lack of capacity to -Flood prone area
-All ages manage severe case
of DHF
-Stagnant water
-Malnourished temporary
children excavation -Lack of laboratory
services

-Poor health -Unused tires


seeking behavior. -Lack of disease
surveillance

-Delayed access to
medical
consultation

Typhoon 21 Barangays -People living in -Shanty houses or - Disruption of the -Damaged to


coastal and storm made of very light delivery of health agricultural crops
- Severe economic
surge prone areas materials services
loss

-People living in - Insufficient -Non-survival of


slopes and medicines to cope up Hogs and swine
- Loss of life
landslide prone with the demand during typhoon
areas.

-Increase Morbidity
- Damage of lifeline -Damage to
services (water poultry. or medical cases
facilities, electrical
facilities, telephone
facilities) -Damage to
infrastructures
(Houses,
Government and
private facilities)
-
El Niño /Drought 21 Barangays -Farmers

- Dry Lands - Reduced water -Reduced supply Economic Loss


supply to Houses of agricultural
-Vulnerable Group and Farmlands products
(very young and
- Plants gets dried Loss of life
very old) will be
affected
- Increase demand of
medical services

-People with
immune-
compromised
conditions

-Prisoners
-People working
under extreme
heat condition

Malnutrition

Earthquake 21 Barangays -People w/ no Houses, buildings Damage of lifeline -Building -economic loss
knowledge of fault and other services (water constructed using
line infrastructures facilities, electrical substandard
facilities, telephone materials -damage to
facilities) farmland
-Unprepared to
manage in times of -ground collapse
disaster in slope areas -damage to working
edifice

Floods Dawis sur, - Farmers - Displacement, loss -Damage of lifeline -ground collapse -Economic loss
Dawis norte, and damage of services (water in slope areas
Triumfo, Ipil, properties facilities, electrical
Poblacion, -Vulnerable facilities, telephone -Loss of Life
Cogon East, Groups (very facilities) - Damage to
Baring, Luyang, young and very -Shanty houses or properties
Puente, old) will be made of very light -Increase Morbidity
Cantumog affected materials -Delayed access to or medical cases
medical intervention -Damage to
-
agricultural crops.
-People with -damage to
immune- -Inaccessibility of
compromised health personnel to farmland
conditions provide basic health
services to areas -Damage to
fisheries.
affected by flood -damage to working
edifice

- -Damages to
Health facilities
and other
government
properties

Social Gathering 21 Barangays -Fiesta goers -Damage to lights -Accidents and - Disruption of the - Economic loss
(Fiesta, and sound system injuries event
Motorcade)
-Disco goers - Loss of income
- Damage to -Psychological
physical setup of trauma arising from
-Local Officials the event. the commotion of
the event.
-

-Barangay Tanod
-

- Police

-Vendors

House Fire 21 Barangays Anyone around in -Displacement of -Increase need to -Disruption of - Economic loss
areas with Fire people living medical attendance Household chores
around the area to victims of burns

-No evacuation - Loss of income


centers
-Loss and damage -Inequipped to give
of properties immediate medical
attendance. -Loss of Life

4. RISK ASSESSMENT

- Identify the health risks associated with the vulnerabilities identified and the existing capacities of the institution.

- 4.1. Inventory of Capacity.


- Evaluate the internal and external capacities of the area by using the matrix provided.
4.1.1. To assess the level of internal DRRM-H institutionalization, refer to the HEMB monitoring and evaluation plan and its tools.
4.1.2. For the external DRRM-H institutionalization inventory, use the matrix below:
Table 4. Inventory of Resource Networks

Government agencies/Non-
government organizations/Civil
Society Organizations Services/products that may be utilized in
Contact person/s Contact details Focal person
times of disasters/emergencies
MDRRM- CARMEN ERT SeaRch, Rescue and Emergency Assistance CARMEN ERT 09224059860 ROGER SUICO/ DR.
ELMER F. BATAO

MEDICAL HEALTH OFFICER MEDICAL ASSISTANCE MEDICAL TEAM 09399140330 DR. ELMER F. BATAO

PNP CARMEN PEACE AND ORDER POLICE ON DUTY SPI. RAMIL MORPUS

MSWDO CARMEN STRESS DEBRIEFING, SOCIAL MSWDO MARICHU MANINGO


SERVICER
Bureau of Fire and Protection Fire Control and Emergency services Firemen
Municipal Engineering’s Office Clearing Operations MUNICIPAL ENGR. MINERVA
ENGINEER SARANA/ MDRRMO
Municipal Agriculture Office Livelihood Program, Monitoring of Damage to Municipal Agriculturist MR. RAMERO
Agriculture/ Fishing/ Livestocks PUNGTOD
Dep Ed San Remigio District I and II Information Education Campaign District Supervisor
RELIGIOUS GROUPS COUNSELING, STRESS DEBRIEFING RELIGIOS HEADS

Table 5. External DRRM-H institutionalization Matrix

Health Health Emergency


DRRM-H Emergency Emergency Operations
Region / Head of the
Plan Response Commodi- Center
Province / Health
Head of Team ties
City/ Office of Available
Institution
Muni- the DRRM Plan
cipality / Institution
Barangay

HON. DR.
MARTIN ELMER ONGOING ONGOING √ ONGOING √
GERARD F.
VILLAMO BATAO
R

Categories Bases
□ □ □ □
Updated Approved by the Disseminated Tested annually
DRRM-H Plan authority of the
organization

□ □ □
Health Emergency Organized to provide Trained on BLS Trained on SFA
Response Team initial basic services

√ √

□ □
Health Emergency Available Health
Accessible within 24 hrs
Commodities Emergency Medicines*

√ √ √

□ □ □
Functional Emergency
Command and Control Communication Coordination
Operations Center
*Health Emergency Medicine may pertain to anti-infectives, analgesics, antipyretics, fluid/electrolytes, respiratory drugs, dietary/nutritional products
essential for emergencies/disasters (e.g. cotrimoxazole, amoxiccilin, mefenamic acid, paracetamol, ORESOL, lagundi, vitamin A and skin ointment)

- 4.2. Identification of Health Risks.


- Risks must be assessed based on the characteristics of the hazards, the vulnerability of the area, and the institution’s capacity to reduce
the vulnerabilities. Use the matrix below to assess the health risks.
- In a narrative form, fill in Table 6 following the instructions below:
4.2.1. Cull out the hazards and vulnerabilities in Tables 2&3.
4.2.2. Identify capacities including the internal and external DRRM-H institutionalization status on previous matrices.
4.2.3. Determine the health risks by considering both the vulnerabilities and the capacity of the institution to address them.

Table 6. Health Risk Assessment Matrix


Hazard Vulnerabilties Capacity Risk
Flood Spread of communicable and non-
communicable diseases:
Educating families and individuals on
proper hygiene and sanitation Increase in morbidity and death

Cough and colds Cleanliness drive

Weak immune system Out-patient check-up

Leptospirosis Water testing/Water treatment/WASH

LBM or other water-borne diseases

Natural hazard

Typhoon PWD’s, Basic first aid Trainings Death

Earthquake infants, Damage of property,

Landslide senior citizen, Standard First Aid livelihood, business, infrastructure,


bridges and roads.
Thunderstorm lactating and BLS & CPR

Drought / El Niño pregnant women


Inaccessible communication system
malnourished children, Mass casualty incident training

weak immune system,

dehydration, Ambulance operations

Incident Command System(Basic)

REDAS

(Rapid Earthquake Damage assessment


System)

Water Search and Rescue


Advance rope Rescue

Advance Fire Fighting

RDNA

(Rapid Damage Need Assessment)

Weather Forecasting and Monitoring

Contingency Planning

Alternative livelihood

Feeding program

Technological hazard All people, all ages Basic first aid Death

Vehicular accident Trainings Damage of property,

Livelihood, business, infrastructure.

Fire Standard First aid

BLS & CPR Inaccessible communication system

Mass casualty training Lack of equipment can lead to more


injuries to the victim and to the
responder and worse could lead to
death to the victim.
Ambulance operations

Incident Command System(Basic)

Advance rope Rescue

Advance Fire Fighting

(Rapid Damage Need Assessment)

Weather Forecasting and Monitoring

Contingency Planning

Biological Hazard

All people, all ages Consultation Death

Dengvaxia
controversy
Medication and Vaccination Emotional Stress
TB cases

Animal bite cases


Information dissemination May cause complications
Hypertension &
Diabetic cases

Referrals or Counseling Changes in Lifestyle

Displacement
Hazard Vulnerabilties Capacity Risk

STEP 3. DEVELOPING/UPDATING THE PLAN


This step of planning is the actual development of strategies and activities to address the hazards, vulnerabilities, and risks identified
in the previous step.
Further, it guide planners to determine areas of focus in terms of disaster response, and recovery & rehabilitation. This step requires
the development of four plans based on the four thematic areas namely, prevention and mitigation, preparedness, response, and
recovery & rehabilitation plans.
Strategies for each of the thematic areas shall focus on the health quad cluster namely Medical and Public Health to include Minimum
Initial Service Package - Sexual and Reproductive Health (MISP-SRH); Water, Sanitation, and Hygiene (WASH); Nutrition; and Mental
Health and Psychosocial Support (MHPSS)

IV. Plan per Thematic Area (5-10 pages)

- The content of this chapter puts focus on the four (4) plans per thematic area with long-term goals, strategies, objectives, and outcomes.
A. Prevention and Mitigation Plan

- This section describes applicable strategies and activities to reduce the likelihood of emergencies, and will be based on the Hazard and
Vulnerability Assessment.

- The Prevention and Mitigation Plan is a combined hazard exposure prevention and vulnerability reduction plan. It consists of strategies that aim to:
1. Reduce risks in health infrastructure through engineering and maintenance
2. Strengthen day-to-day operations of different health programs (Tuberculosis, Malaria, Expanded Program on Immunization, etc.) at
the community level.
3. Prepare systems to address chemical and biological hazards (malaria, emerging and re-emerging diseases, etc.)
Table 7.Prevention and Mitigation Plan
Resource
Strategies and Time Agency/ Office/
Hazard Vulnerability Indicator
Activities Frame Person in charge
Required Source*

Hazard prevention strategy 1

Activity 1.1 2019- Manpower, Materials, LGU Funds MHO, SWMO Information
2022 Foods Disseminated
Information Education
Campaign

People Activity 1.1 2019- Manpower, Fuel, LGU Funds MHO Reached out
2022 Vehicle communities
Availability of materials for MEO
IEC

Conducts regular
entomological survey

Service Provision of antimos, ovi 2019- Manpower, LGU Funds RHU Availabilily of
trap and misting chemicals 2022 Equipment, Financial anti-mosquito
products
distributed in
every barangay
Purchase of misting
DENGUE machine

Property Activity 1.1 2019- Manpower, Training LGU Funds MHO Well equipped
2022 materials, Foods educators
Trainings for educator GAD Funds SWMO
team (integrated vector
management quarterly) MAYOR

Environment Activity 1.2 2019- Household, Materials LGU Funds MHO Implemented
2022 Solid Waste
Strict implementation of SWMO Management
Solid Waste Management
Purok Levels MAYOR

MEO

Livelihood program using 2019- Household, Materials GAD Funds SOLID WASTE Recyclable
recyclable materials such 2022 materials were
Livelihood as bag weaving produced

Activity 1.1 2019- Household, Materials, LGU Funds MDRRMO Awareness


*Fund sources can be obtained from the 5% allotment for Regional Offices or 5% calamity fund of the LGU and other funds

B. Preparedness Plan

- This section contains strategies and activities that will be carried out to build and strengthen capacity to respond to emergencies. This will be based
on the DRRM-H Institutionalization Inventory.
- The Preparedness Plan aims to:
1. Increase capacity to efficiently manage the health risks of emergencies and disasters and achieve orderly transition from response until
recovery.
2. Ensure DRRM-H institutionalization internally and in constituent Cities/Municipalities or Barangays.
3. Build health system resilience by mainstreaming DRRM-H in all health programs.

- Preparedness Plan: Risk Reduction Matrix.


1. For the identified health risk of the community in Table 6, identify one strategy and key activities to address the health risk.
2. Determine the timeframe (specify the year and quarter), resource requirement and its source of fund and the person in charge to
implement the activity.
3. Formulate an indicator to track the accomplishment for the specific activity. Repeat the process for the next strategy.

Table 8. Public Health - Preparedness Plan Matrix 1: Risk Reduction


Strategies and Resource Person in
Risks Time Frame Indicator
Acitivities Required Source charge

Strategy 1

1.Cleanliness
drive in affected Families Clean and safe
Manpower,
Strategies and
areas 2018-2023 Resource LGU Funds affected and surroundings;
Risks Time Frame Logistics Person in charge Indicator
Acitivities Required Source
LGU decreased morbidity
Strategy 1
Community
(people, services, Resource
Activity 1.1 Time 1.1 Source 1.1 In charge 1.1 Indicator 1.1
property, 2.Conduct Requirement 1.1
Increased Information
environment, information
Activity 1.2 Time 1.2 Resource 1.2 Source 1.2 In charge 1.2 Indicator 2.1
Morbidity
livelihood) and Manpower, MHO and dissemination
dissemination
Strategy 2
to 2018-2023 LGU Funds
deaths due to logistics LDRRMO conducted in
affected Resource
spread of Activity 2.1 Time 2.1 Source 2.1 In charge 2.1 Indicator 2.1
barangays
Requirement 2.1
barangays
diseases Resource
Activity 2.2 Time 2.2 Source 2.2 In charge 2.2 Indicator 2.2
Requirement 2.2
3.Conduct mass Manpower, MHO, DOH, Mass vaccination
2018-2023 LGU Funds
vaccination logistics BHW, BNS conducted

Strategy 2

1.Provision of Manpower, Safe and potable


access to safe and 2018-2023 Equipment, LGU Funds MEO, MHO water provided to
potable water Logistics affected communities

LOSS OF LIFE Strategy 1

PHYSICAL 1. Adopt the A.O 168 LCE, MHO,


INJURIES Nat. Policy on Quarterly Attendance of the
2018-2023 MDRRMO,SB
Disaster/Emergency meetings meeting
DAMAGE OF management Member
PROPERTIES 2.Enactment of the
DUE TO policies and LCE, MHO,
DISASTER ordinances and
2018-2023 Meetings LGU Funds ABC,
institutionalization of
MDRRM-h Plan to the MDRRMO
barangays

3. Training of Basic
Life Support and First MDRRMO,
Manpower,
Aid in community RHU,
2018-2023 Equipment, LGU Funds
organizers, purok Community
leaders and barangay Logistics
members
volunteers
- Preparedness Plan: DRRM-H Institutionalization Matrix.
1. From the analysis of Table 5: External DRRM-H institutionalization matrix results and the results of HEMB institutionalization
monitoring tool, identify priority areas to improve or strengthen the internal and external DRRM-H institutionalization.
2. Craft strategies and key activities to improve the identified priority for internal DRRM-H institutionalization.
3. Determine the timeframe (specify year and quarter), resource requirement, fund source, person in charge, and the indicator to measure
performance.
4. Repeat the process for the next strategy.

Table 9. Public Health - Preparedness Plan Matrix 2: Minimum Requirements of DRRM-H Institutionalization

DRRM-H Resource
Institutionalization Strategies and Activities Time frame Person in charge Indicator
Priorities Required Source

Internal Strategy 1 Organizational Structure/ Functionality

Organized Barangay/ Purok Disaster 2019 Snacks and DRRM Fund DRRMO
Barangay Committee Transportation OFFICER

Formulate Barangay Purok Disaster 2019 Snacks and DRRM Fund DRRMO
management plan Transportation OFFICER

Orientation and training on Family 2019 Meals, Food Venue DRRM Fund DRRMO
DRMM orientation Plan accommodation and OFFICER
Transportation

Strategy 2 Capacity Building

Conduct of Drills Through Purok 2019-2021 Training materials, DRRM Fund DRRMO
System snacks and meals OFFICER
ongoing

Conduct Community Basic First Aid 2019-2021 Training materials, DRRM Fund DRRMO
Training snacks and meals OFFICER

Training on Family Disaster 2019-2021 Training materials, DRRM Fund DRRMO


Management plan snacks and meals OFFICER

Establishment of Barangay Baseline 2019-2021 materials, snacks DRRM Fund DRRMO


data through family distribution card and meals OFFICER
Quarterly
updating

External Strategy 1 Information management

Strategy 2 Capacity Building

Sector wide stakeholders’ 2019-2021 materials, snacks and DRRM Fund DRRMO
engagement on disaster management meals OFFICER
program with business
establishments, schools and NGO’s.

Training of Trainers of CBDRRMO 2019-2021 Training Materials, DRRM Fund/ DOH/ PRC
personnel Meals, Food Venue National Fund
accommodation and
Transportation
Strengthen the Service Delivery 2019-2021 materials, snacks and DRRM Fund DRRMO
Network among Referring Hospitals meals OFFICER
and Facility
DOH

PHO

RHU

- Aside from the matrices above, part of the preparedness plan is conducting a contingency planning wherein strategies to address specific hazards
are delineated, considering detailed resources of the organization or institution.

C. Response Plan

- This section plots out the utilization of the existing capacities to deliver response using the Problem and Gap Analysis and Risk Analysis. The
contingency plans will also be included in this section.
- The Response Plan aims to:
1. Ensure availability of critical lifelines related to health (e.g. safe water, electricity/fuel, communication devices)
2. Guarantee physical and mental wellness of affected communities through quad-cluster response (Medical and Public Health, Water
Sanitation and Hygiene, Nutrition, and MHPSS)
- The Response Plan is a compendium of Standard Operating Procedures (SOPs) that must be activated or followed once an emergency or a disaster
occurs. Table 10 lists the core or minimum activities during response.
- There are five major components of Response that need be effectively managed. These are: (1) management of the event/incident;
(2) management of the victims;
(3) management of the service providers;
(4) management of the information system; and
(5) management of the non-human resources.
- Activities for each component must be properly implemented during the following timeline: pre-impact (0 days), during impact (0-48 hours), and
post impact (>48 hours) (see Annexes 4 & 5).

- Response Plan Matrix.


1. For each of the core/minimum activity enumerated, list the steps to be undertaken by the institution pre-disaster impact, during impact,
and post-impact. Please refer to Annex 5 for the response management per phase.
2. Identify the responsible person, institution or agency for each step.
Table 10. Public Health - Response Plan

Steps to be undertaken
Responsible Person/
Activity Pre- Impact (0 Impact Post- Impact Institution/ Agency
day) (0-48 hrs) (>48 hrs)
Management of the Event/ Incident
Activate Operation Center (OpCen) on a 24/7
basis and Incident Comand System (ICS) √ √ √ MRRMO
Raise appropriate code alert √ MRRMO
Inform higher level of OpCen, if not DOH-
OpCen of the Incident through fastest means √ PDRRMO
of communication
Coordinate with respective DRRM Office,
with partner agencies, and attend/conduct DRRMO, MHO, MSWD, and

meetings as necessary (DRRMC, health stakeholders
sector, cluster partners)
Management of Information System
Gather information regarding the event
-Coordinate with health representative and
get initial report
-Deploy Rapid Health Assessment (RHA)
Teams when no communication/ report from √ MHO, DRRMO and stakeholders
the health representative in 6 hours post
impact
-Submit initial assessment report using
official RHA form.
Continuous monitoring and dissemination of
√ PIO, DRRMO
information updates
Submission of daily situation report or
√ MPDO
HEARS report to the upline
Surveillance in Post extreme Emergencies
√ MPDO
and Disaster (SPEED) activation
Management of Service Providers
Check status of health personnel in affected
√ MHO, DRRMO
areas
Mobilize own human resources or request
assistance for:
Additional RHA team
Emergency medical and public health team
WASH team MHO, MSWD, DRRMO, DOH,

MHPSS team MPDO, MENRO
Nutrition team
RESU team
Other teams that may be needed
(maintenance, admin support, etc.)
Steps to be undertaken
Responsible Person/ Institution/
Activity Pre- Impact Impact Post- Impact
Agency
(0 day) (0-48 hrs) (>48 hrs)
Management of Non-human Resources
Update/check status/inventory of logistics
Preposition logistics as per result of inventory

Mobilize own non-human resources or


request assistance for:
Medicines and medical supplies
WASH supplies and equipment
Nutrition commodities
-MHPSS supplies and commodities
Funds
Others

Management of the Victims


Provide pre-hospital and hospital care
Provide quad cluster health services
(e.g. general consultation and treatment,
vaccinations, reproductive health
services,chemoprophylaxis, health education,
promotion and advocacy including hygiene,
nutrition and psychosocial support)
*Department of Health (2017). Activity checklist in emergencies and disasters (Department Memorandum 2017-0168). Manila, Philippines

D. Recovery and Rehabilitation Plan

- This section specifies activities to restore services and replace damaged facilities during the disaster. The post-incident evaluation shall be used to
prepare this.

- The Recovery and Rehabilitation Plan aims to:


1. Assess long-term health needs of community to guide recovery efforts.
2. Maximize opportunities to further increase community health resilience.

- There are two matrices of the Recovery and Rehabilitation Plan.


- One of which is crafting the SOPs on main recovery and rehabilitation activities, as shown in Table 11 below.
- The second matrix is used in planning for the recovery and rehabilitation of the affected area after a disaster occurs. (See Annex 6).This should
take into consideration different factors depending on a specific disaster.

- Response and Rehabilitation SOPs Matrix.


- Identify the steps to be undertaken for the set of activities that must be done during recovery and rehabilitation phase, and determine the
responsible person/agency.
Responsi
Programs/ ble
Physical Target Fr Funding Requirement Source of
Projects/ Unit Rate Office/
Strategy eq (Php) Funding
Activities Agency/
Person

Y1 Y2 Y3 T Y1 Y2 Y3 T
Basic Services and Referrals
MHPSS
Enable the Training of 38 25 25 88 pax 300 1 11,400 7,500 7,500 26,400 Mental MHO
community RHU staff in Health
to be mhGAP and Funds
resilient in stress
addressing debriefing
mental Table 11. Public
health and
psychosoci
Health - Recovery and
al needs Rehabilitation Plan: Standard
WASH
4,5 5,0 5,5 15,0 tablets 20 1 90,000 100,000 110,000 300,000 WASH MHO
Operating Procedures
Provison of
chlorine 00 00 00 00 .00 .00 .00 .00 Program
Responsible Person/
Provide tablets Activity Steps to be undertaken
access to Conduction 1 1 1 3 Tarpaulin 1000. 1 1,000. 1,000.0 1,000.0 Institution/
3,000.0 Agency
WASH MHO
Postanddamage
safe assessment and needs assessment
of health 00 00 0 0 0 Program RSI
potableincident
Post evaluation 25
education 25 25
and documentation of 750 IEC 50.00 1 12,500 12,500. 12,500. 37,500. WASH MHO
water on WASH 0 0 0 materials .00 00 00 00 Program RSI
lessons learned
to
Review and updating of DRRM-H plan
evacuees
Psychosocial
Medical and Publicinterventions
Health
1,0 1,0 1,0 3,00 Paracetam 5.00 1 5,000. 5,000.0 5,000.0 15,000. Medicatio MHO
Responsible
Repair of damaged health00facilities
00 and 00 0 ol 500 00 0 0 00 ns
Programs/ Source of Office/
lifelines Physical Target mg/tablet Unit Rate Freq Funding Requirement
Projects/
50 50 50 1,50 Oral 15.00 1 7,500. 7,500.0(Php) 7,500.0 FundingMedicatio
22,500 Agency/
MHO
Strategy
Repplenishment of utilized resources Person
Activities
0 0 0 0 rehydratio 00 0 0 ns
Compensation and recognition of responders n salt,
powder for
Y1 Y2 Y3 T
oral
Y1 Y2 Y3 T
Basic Services and Referrals solution Table 12: Recovery
MHPSS
packets
(for 1 liter)
and Rehabilitation Plan Matrix
Activity
Strategy 1 1 2,0 2,0 2,0 6,00 Amoxicilli 1.26 1 2,520. 2,520.0 2,520.0 7,560.0 Medicatio MHO
Activity 00
2 00 00 0 n 00 0 0 0 ns
trihydrate
WASH 500
Activity 1 mg/capsul
Strategy 1 e
Activity 2
50 50 50 150 Fusidic 30.00 1 1,500. 1,500.0 1,500.0 4,500.0 Medicatio MHO
Medical and Public Health acid 00 0 0 0 ns
Activity 1 ointment
Strategy 1 15mg tube
Activity 2
Health Facilities,
Provison of Commodities, and Equipment
10 10 10 300 Salbutamo 50.00 1 5,000. 5,000.0 5,000.0 15,000. Medicatio MHO
basic
Ensure that Activity 01
medication
0 0 l 2mg/5ml 00 0 0 00 ns
Strategy
health care 1 syrup
s Activity 2
needs are 60ml
Operations center and
addressed information management
bottle
in a timely
manner Activity 1
Strategy 1 10 10 10 300 Amoxicilli 30.00 1 3,000. 3,000.0 3,000.0 9,000.0 Medicatio MHO
Activity 02 0 0 n 00 0 0 0 ns
Health Promotion and Advocacy 250mg/5m
l syrup
Activity 1 60ml
Strategy 1 bottle
Activity 2
10 10 10 300 Paracetam 15.00 1 1,500. 1,500.0 1,500.0 4,500.0 Medicatio MHO
Management of Human
0
Resources
0 0
for Health ol 00 0 0 0 ns
Activity 1 100mg/ml
Strategy 1 drops
Activity 2
STEP 4. TRANSLATING AND INTEGRATING THE PLAN
Upon completing the DRRM-H Plan, activities must be prioritized in order to craft the operational plan for the year. This will ensure
the implementation of the set strategies for each of the thematic areas.
In order to craft the operational plan of the DRRM-H Plan, follow the steps below using the operational plan matrix:
1. List down priority activities for each of the thematic area.
2. Indicate the timeframe (specify the quarter or month) of the activity.
3. Formulate the performance indicators for each of the activity. More than one performance indicator may be listed for
each.
4. Indicate the target per quarter for each of the indicator. Compute for the total.
5. Indicate the frequency of the activity and specify the unit cost of the target item.
6. Compute for the total cost following this formula:
total physical target x frequency x unit cost
7. List the source of funds (e.g. GAD, LIPH, CCAP, etc.) and indicate the responsible agency/office/individual.
8. Have the plan approved by the head of institution.

Ensure integration of the plan with budgeted plans like Work and Financial Plan of the City/Municipality, Annual Operational Plan of
the Local Investment Plan for Health (LIPH) of the LGUs, Disaster Risk Reduction and Management Plan (DRRMP) of the DRRM
Council, Local DRRM Plan, Gender and Development (GAD) Plan, Climate Change Action Plan (CCAP), and other development plans.

Table 12. DRRM-H Operational Plan Matrix


Priority Time Performanc Physical targets Fre- Unit Total Source Responsible Agency/
activities e Indicators quency Cost Cost of Fund Office/Person
frame Q1 Q2 Q3 Q4 Total

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)

Prevention and Mitigation Plan

Conducts First 2019 Certificate of 126 126 126 0 378 monthly


Aid/ BLS Training Participation
on different given on the
sectors of the participants
community for First Aid
and BLS
Training

Seminars on 2019 Attendance


road safety. and
Certificate of
Installation of Participation
road safety
signs.

Preparedness Plan

Conducts
quarterly DRRM
–H committee
meeting

Updating of
DRRM-H plan

Dissemination of
DRRM-H Plan to
the barangay
level

Response Plan

Activity 1

Activity 2

Recovery and Rehabilitation Plan


Agency/ Office: __________________________________
Financial Year: _______________
Priority Time Performanc Fre- Unit Total Source Responsible
activities frame e Indicators Physical targets quency Cost Cost of Fund Agency/
Office/Person
Q1 Q2 Q3 Q4 Tota
l
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
Prevention and Mitigation Plan
Activity 1
Activity 2
Preparedness Plan
Acitivity 1
Activity 2
Response Plan
Activity 1
Activity 2
Recovery and Rehabilitation Plan
Activity 1
Activity 2

V. Monitoring and Evaluation Plan (2-3 pages)

- This chapter contains the systematic monitoring and evaluation plan that shall be based on the indicators, targets, and activities in the four thematic
areas.

VI. Appendices (3-5 pages)

- The appendices include supporting documents for the DRRM-H Plan.


- Legal Bases

Planning the DRRM-H Activities and Target Setting


DRRMH Planning Time Budget Responsible
J F M A M J J A S O N D
Activity Frame Person
Consultative Feb 13-16 Php 5,000.00 Dr. Oliver Earl
Meeting 1 Snacks and Alino
Lunch

Consultative Mar 5 Php 5,000.00 Dr. Oliver Earl


Meeting 2 Snacks and Alino
Lunch

Workshop 1 Mar 23-25 Php Dr. Oliver Earl


15,000.00 Alino
Snacks,
lunch, snacks Ms. Mae
x 3 days Listones
Office
supplies Php Mrs. Ofelia
1,500.00
Dotillos
Writeshop 1 Mar 31- Php Mr. Oliver Earl
Apr 2 20,000.00 Alino
Snacks,
lunch, snakcs
x 3 days

Presentation Apr 10 Php Dr. Jake Lester


c/o LHB Villanueva
Meeting

Php 2,500.00
snacks
Writeshop 2 T
Roll-out June 5-7, Php Dr. Oliver Earl
2019 30,000.00 Alino

Dr. Jake Lester


Villanueva

Ms. Mae
Listones

Mrs. Ofelia
Dotillos
M&E Septembe Php 5,000.00 Dr. Jake Lester
r and Villanueva
December
2019 Ms. Mae
Listones
Total Php
84,000.00

Table 13: Sample Gantt Chart for DRRM-H Planning Activity

DRRMH Planning Time Budget Responsible


J F M A M J J A S O N D
Activity Frame Person
Consultative Feb Php xxx Dr. X
Meeting 1 13-16
Consultative Mar 5 Php xxx Dr. X
Meeting 2
Workshop 1 Mar Php xxx Ms. Y
23-25
Writeshop 1 Mar Php xxx Mr. D
31-
Apr 2
Presentation Apr Php xxx Hon. K
10
Writeshop 2
Roll-out
M&E
Total Phpxxxxxx

Table 14.ROLL-OUT PLAN FOR DRRMH PLANNING

Facilitating Team
Projected
Batch Province/ Hospital Venue Date Resource Support Fund Source
Cost
Person Staff
Table 15.Target Setting

Target
Indicator
2018 2019 2020 2021 2022

Outcome: Number of Local No: _____ No: _____ No: _____ No: _____ No: _____
Government Health
Facilities (MHO, CHO,
hospitals) with
institutionalized DRRM-H <line list> <line list> <line list> <line list> <line list>

Prepared by: Approved by:

________________________ ______________________________
<Planning Officer> <Governor/Mayor>

<Position/Designation>

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