Dm2023-0323 Directions For LGU Development of 2025 AOP

Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY
September 14, 2023
DEPARTMENT MEMORANDUM
No. 2023 - 0323
FOR: ALL UNDERSECRETARIES, ASSISTANT SECRETARIES,
DIRECTORS OF BUREAUS AND SERVICES, DIRECTORS OF
CENTERS FOR HEALTH DEVELOPMENT, MINISTER OF
HEALTH-BANGSAMORO AUTONOMOUS REGION IN MUSLIM
MINDANAO AND OTHERS CONCERNED
SUBJECT: Directions for LGU Development of 2025 Annual Operational Plans
In 2019, Republic Act No. 11223 or the Universal Health Care (UHC) Act highlighted the
significance of Local Investment Plans for Health (LIPH) and Annual Operation Plans (AOP)
as the basis for grants from the national government.
In order to fully realize the UHC goals, the DOH issued

Administrative Order No. 2023-0015
adopting the 8-Point Action Agenda as the Medium-Term Strategy of the Health Sector for
2023-2028, aligning with the Philippine Development Plan 2023-2028.
This Department Memorandum provides directions to Provinces, Highly Urbanized Cities

(HUC), Independent Component Cities (ICC), Municipalities, and Component Cities, in the
development of their respective 2025 AOPs and emphasizes specific processes and procedures,
and roles of key players, current priorities and thrusts of the health sector.
CHDs and MOH-BARMM and all

other concerned offices are directed to provide technical
assistance to LGUs in
the development and submission of their 2025 LGU investment needs
and AOPs. Directions, prescribed forms and timelines are attached as Annexes and may be
accessed online at Bit.ly/AOP2025Annexes.
By the Authority ofthe Secretary of Health:
LILIBETH C. DAVID, MD, MPH, MPM, CESO I

Undersecretary of Health, Health Systems Development Team
Building !, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 11 13, 1108, 1135
Direct Line: 711-9502; 711-9503 Fax: 743-1829e URL: http://www.doh.gov.ph; e-mail: dohosec@doh.gov.ph
LIST OF ANNEXES:
Annex A Directions for the Development of 2025 AOP
Annex B 2025 AOP Timelines, Roles and Responsibilities
Annex C 2025 AOP Content Outline
Annex D AOP Situational and Gap Analysis Summary
Annex E 2025 AOP Cost Matrices

AOP Form 1: Summary of Investment Cost by Health Systems Building
Block and Fund Source
AOP Form 2: Cost Assumptions by HS Building Block, PPAs, Quarter
and Fund Source (Mother Plan)
AOP Form 3: Summary of LGU Investment Needs
AOP Form 3.1: LGU Investment Needs for Health Facility Development
and Information Communication and Technology
AOP Form 3.2: LGU Investment Needs for Human Resources for Health
AOP Form 3.3: LGU Investment Needs for Commodities
AOP Form 3.4: LGU Investment Needs for Other Technical Assistance
Annex F Regional Summary of LGU Investment Needs
Annex G 2025 AOP Appraisal Checklist

ANNEX A
Directions for the Development of 2025 AOPs
A. Directions for the Development of 2025 AOPs
The development of LGU 2025 AOP shall adopt the guidelines, provisions, procedures and
processes as outlined in Administrative Order No. 2020-0022 on Guidelines on Local
Investment Plan for Health, and detailed in the LIPH Handbook on Principles, Guidelines,
Procedure and Process 2022 Edition. The LIPH Handbook may be accessed through:
https ://bit.ly/LIPHHandbook2022.
Particulars/ Details Prescribed

Process Timelines
1. Pre- planning a. DOH Menu of Assistance September 2023
1, DOH National Program Managers (NPM)/
Focals shall coordinate with their
counterpart CHD Program Managers/
Focals/ units in the CHD/MOH-BARMM
and provide the following prior to the
call/start of LGU planning:
- Program directions and priorities;
- DOH Menu of Assistance and costing/
formula of program packages;
- CHD/MOH-BARMM budget
allocation, with LGU breakdown, if
available.
ii. The CHD/MOH-BARMM éshall develop
of
their own Menu Assistance based on the
submission of the NPMs/Focals which shall
serve as guides for LGUs, during the plan
development, on specific assistance to be
provided by the DOH and CHD/MOH-
BARMM.
iii. CHD/MOH-BARMM_ Focals shall be
responsible for Province/HUC/ICC
disaggregation of budget allocation/
assistance.
iv. In the absence of ceiling/ allocation for 2025
AOP, CHD Focals may use the following as
bases/guides/ references for LGU allocation
of commodities/ technical assistance:
- Most recent National Expenditure
Program (NEP);
- Current year General Appropriations
Act (GAA);
- Current year DOH Work and Financial
Plan Guidelines;
In the absence of ceiling/allocation for 2025

for BARMM LGUs, MOH-BARMM Focals
may use the following as_bases/guides/
Process Timelines
references for LGU allocation of
commodities/ technical assistance:
- Most recent Bangsamoro Expenditure
Program (BEP);
- Current year Bangsamoro
Appropriation Act (BAA) and;
- Current year MOH-BARMM and DOH
Work and Financial Plan Guidelines
v. Provincial, HUC and ICC Health Offices

shall also provide their LGU Menu of
Assistance to their component LGUs as
guide for plan development of their
respective component LGUs.
vi. A Planning Toolkit for LGUs shall be
provided separately; this contains the DOH
Menu of Assistance, Sample LGU
Activities, Service Delivery Targets,
Formula, among others.
b. Planning Forms and AOP Content

i. Updated 2025 AOP Proposed Timelines and
Roles, Content Outline, Situational and Gap
Analysis Summary, Cost Matrices and
Appraisal Checklist are attached as Annexes.
ii. Specifically, the updates are:
- Incorporation of current health
directions, priorities and thrusts
{Annexes A and C)
- Inclusion of fund sources for the Special
Health Fund, and subsidiary ledgers in
the cost matrices (Annex E).
2. Call to Plan a. The CHDs and MOH-BARMM issue the call to September-
plan to their respective LGUs in the 4" Quarter
2023. Program directions, DOH and CHD/MOH
October 2023
BARMM Menus of Assistance, and budget

allocations (as applicable), prescribed timelines
and roles (Annex B) are cascaded to the LGUs.
b. The Provincial/HUC/ICC Health Offices in turn
shall lead the planning for their component
LGUs/Barangays. They shall issue the call to plan
to their Component LGUs/Barangays and
partners.
For BARMM, the MOH-BARMM shall

lead the
planning for the non-devolved Provinces and
Cities.
Process Timelines
. LGUs are urged to engage the private sector, Non-
Government Organizations and other stakeholders
in health planning, review, implementation and
monitoring.
. The representative of the district legislator/s may
be invited to be part of the LGU Planning Team/
participate in planning workshops so_ that
legislators are informed on health priorities and
plans.
3. LGU . The LGU Health Planning Team is convened to October 2023
Planning lead the process of LGU health planning.
. The Provincial/HUC/ICC Health Office and the
Province/HUC/ICC Planning Team shall steer the
Province/HUC/ICC-wide planning for the AOP,
mobilizing the participation of all component
LGUs and health facilities, and providing
provincial/HUC/ICC health directions and targets.
. Situational Analysis (SA)

A review of the LGU’s health system performance
and current health situation is undertaken in the
following areas:
i. Performance on LGU Health Scorecard (LGU
HSC), Local Health Systems Maturity Level
(LHS ML), Field Health Service Information
System (FHSIS), and other targets for UHC
implementation;
ii. Accomplishments/status vis a vis program
plans, targets, standards and guidelines;
iii. Delivery of integrated primary care services
including Konsulta registration;
iv. Additional targets relative to the participation
of the LGU as Primary Care Provider
Network (PCPN) Konsulta Sandbox Site or
Health Care Provider Network (HCPN)
Demonstration Site, as applicable.
. Identification of Gaps, Strategies, LGU

Investment Needs and Cost Requirements
i, The result of the SA becomes the basis for
identification of gaps, prioritization, and
identification of appropriate interventions.
ii. The following are references that may be
used:
- DOH and CHD Menu of Assistance for
LGUs;
- Philippine Health Facility Development
Plan;
Process Timelines
- Human Resource for Health Master
Plan;
- Disaster Risk Reduction and
Management for Health Plan;
- Others
iti, Inthe absence of ceiling/ allocation for 2025
AOP, LGUs may use historical documents
such as the Previous Year’s Health
Expenditure (HE) from the LGU Integrated
Financial Tool (LIFT) System
(https://blef. gov.ph/lgu-fiscal-data/), Current
National Tax Allotment (NTA)
(https://www.dbm.gov.ph/index.php/national-
tax-allotment-nta), and commodities
allocation as guide to ensure that the AOP
cost is realistic.
e. Alignment with Pertinent National and Local

Plans
i. LGUs
are enjoined to adopt and align their
respective LGU 2025 AOP with the:
- DOH 8-Point Action Agenda (AO 2023-
0015)
- Bawat Pilipino ramdam ang
kalusugan
- Ligtas, dekalidad at
mapagkalingang serbisyo
- Teknolohiya para sa mabilis na
serbisyo
- Handa sa Krisis
- Pag-iwas sa sakit
- Ginhawa ng isip at damdamin
- Kapakanan at karapatan ng health
workers
Proteksyon sa anumang pandemya
National
- Objectives for Health 2023-
2028.
ii, The P/CHB and the LGU Planning Team shall
also ensure the harmonization/
alignment/inclusion of the LIPH/AOP with
other local development plans, e.g. Annual
Investment Program (AIP), Local
Development Investment Program (LDIP);
Comprehensive Development Plan (CDP);
other LGU health-related plans, among
others.
iii. In particular, PPAs in the AOP with LGU
commitment are to be reflected in the LGU
AIP.
Process Timelines
f. Consolidation and submission

i. Consideration and consolidation of health
situation and needs of different levels, and
different population groups; incorporation of
Barangay Health Plans into Municipal and
Component City AOPs; incorporation of
Municipal and Component City AOPs into the
Province-wide AOP; OR barangay health
plans into the HUC/ICC-wide AOP.
ii. Municipal and Component City AOPs shall be
endorsed by the Health Officers/Local Chief
Executive to the Provincial Health Office on
or before December 31, 2023.
. Review of . Review of LGU investment needs and AOPs by November 2023
LGU Province/ HUC/ICC Planning Team
Investment i. The Municipal/Component City/HUC/ICC
Needs and Health Office shall consolidate the
AOPs, and Barangay Health needs/plans and identify
Submission which to incorporate in the
to CHD Municipal/Component City investment
needs/AOP.
ii. The Province Planning Team, led by the
Provincial Health Office, shall review the
Municipal/Component City investment
needs/AOP with the Province/City DOH
Officers (PDOHO) and identify
strategies/PPAs, from the Municipal/
Component City investment needs/AOPs,
which may be included in the province-wide
investment needs/AOP.
. The Province/HUC/ICC Planning Team shall
submit the Province/HUC/ICC-wide LGU
investment Needs to the CHD/MOH-BARMM,
through the P/-CDOHOs.
. CHD and MOH-BARMM Review of LGU December 2023 -

Investment Needs and Incorporation te DOH January 2024
Budget
i, Province/HUC/ICC-wide investment needs
are summarized into the Regional LGU
investment needs for review of the
CHD/MOH-BARMM Focals and
NPMs/Focals. (See Annex F Regional
Summary of LGU Investment Needs.)
iii CHD and MOH-BARMM Focals shall
assess the PPAs and funds requested from
the CHD/MOH-BARMM and
DOH Central
Office against the DOH and CHD Menu of

Process Timelines
Assistance, program priorities and
directions for duplication and overlaps to
ensure efficient fund allocation.
iii. For CHD and MOH BARMM where
program budget allocations are already
known
in the latest NEP available, the LIPH
Coordinator, Planning Officer and CHD/
MOH BARMM Focals can already
deliberate within the region which LGU
investment needs they can already include in
the CHD/ MOH BARMM Work and
Financial Plan (WFP) and which investment
needs they need to elevate to the
NPMs/Focals.
iv. Otherwise, the CHD/ MOH BARMM
Focals shall elevate and discuss most/all
LGU investment needs with their
NPMs/Focals to be considered in the overall
DOH budget proposal.
d. NPMs/ Focals Review of Regional LGU
Investment Needs and Incorporation to DOH
Budget
i. LGU investment needs may be accessed January 2024
through the following:
- Online Platform for CHD Tier 2
Budget Proposal of the Health Policy
Development and Planning Bureau
(HPDPB) for vetting of LGU
investment needs incorporated in the
CHD Tier 2 by DOH Clearing Houses
- LGU investment needs Google Folder
of the Bureau of Local Health Systems

Development (BLHSD)
- LIPH Information System
ii. NPMs/Focals shall coordinate with their
respective CHD/MOH BARMM Focals for
the details of LGU requests;
iii. NPMs/Focals shall consider the LGU
investment needs in their respective Bureau
budget proposals.
e. Feedback to LGUs on LGU Investment

Needs/AOPs
i. The importance of timely feedback to LGUs
on the result of the review of LGU
investment needs is reiterated. This is to
enable the LGUs to revise and update their
AOPs in time for the local budget call in
of
June each year.
Process Timelines
ii. Immediate feedback shall be provided by
the P/-CDOHO, CHDs and MOH-BARMM
PMs
to their respective LGUs during their
review of the LGU investment needs.
iii. NPMs/Focals shall provide timely feedback
through their CHD and MOH-BARMM
counterparts using the LIPH-IS or separate
documents.
5. Appraisal and a. AOP Appraisal 3rd Quarter
Concurrence i, Only Province/HUC/ICC-wide AOPs with 2024
of Province/ complete contents/parts shall be appraised
HUC/ICC- by the CHD/MOH-BARMM Appraisal
wide AOPs Team.
ii. Review and appraisal shall include a check
for financial and technical soundness of the
AOP.
iii. Review and appraisal shall include ensuring
the completeness of the appraisal checklist
for the following:
(Annex G), particularly
Names, designation, signatures and the
date of the LGU and P/CDOHO review
and CHD/MOH-BARMM appraisal;
- Remarks to expound on the scores
given to guide LGUs in the
enhancement and finalization of the
AOPs.
Concurrence of AOPs
i. The submitted appraisal checklist shall bear
the signature of the CHD Director/ MOH-
BARMM designated representative and the September 2024
date of concurrence.
ii. Concurred AOP and appraisal checklist
shall be submitted to BLHSD through a
shared Google Drive on or before December
31,2024.
6. Execution
Terms of
of The Terms of Partnership shall be executed
between the DOH, represented by the CHD
Partnership Director’ MOH-BARMM designated
(TOP) representative and the Province/HUC/ICC Local
Chief Executive.
LGUs with funds co-managed by CHDs shall still
execute a TOP with the CHD.
a9
The TOP process is guided by AO 2020-0018.
A separate 2025 TOP template shall be issued.
7. Monitoring AOP monitoring shall be conducted by both the
National and CHD/MOH-BARMM AOP
Monitoring Teams in accordance with the process
stipulated in DOH Department Memorandum
Process Timelines
2023-0125 entitled, “Implementation of the
Revised LGU Annual Operational Plan
Monitoring Tool”.
8. Use of the LGUs shall use the LIPH IS for encoding,
LIPH consolidation and review of LGU investment
Information needs and AOPs. This shall not replace the actual
System conduct of theCHD
planning activities.
and MOH-BARMM
(LIPH IS) . P/CDOHOs, Focals,
and NPMs/Focals_ shall access the LGU
investment needs and AOPs through the LIPH IS
to facilitate the review and appraisal, and feedback
processes.
BLHSD shall provide continuing orientation and
"updates on the LIPH IS to CHD and MOH-
BARMM LIPH Coordinators and LIPH IS
Administrators, and National Focals.
. In tum, CHDs and MOH-BARMM shall ensure
that relevant users at the region and LGU levels
are oriented on the LIPH IS, and their pertinent
roles.
B. Roles of key stakeholders
The following roles are reiterated and emphasized:

Key Stakeholders Roles
BLHSD a. Steer the LIPH/AOP process
b. Issue planning guidelines and tools for LGUs
c. Share LGU investment needs/AOPs/LIPHs with NPMs/Focals,
and with other relevant stakeholders, as requested
HPDPB a. Issue planning guidelines for DOH CO, Bureaus and CHDs
b. Ensure review and consideration of LGU investment needs are
incorporated in the DOH budget proposal process
c. Provide update/feedback to NPMs/Focals and CHDs on the DOH
budget proposal/approved budget
National Program a. Fumish CHDs and MOH-BARMM with specific program
Managers/Focals directions and Menu of Assistance including guidance on
allocation and costing of program packages.
b. Review the LGU Investment Needs as a basis for allocation of
assistance and preparation of their respective budget proposals.
c. Coordinate with CHD and MOH-BARMM counterparts for
program directions, details of LGU investment needs and provide
timely feedback.
Field
a. Oversee the development, implementation, monitoring and
Implementation and
evaluation of LIPH through the CHDs/MOH-BARMM.
Coordination Team
CHD and MOH- a. Provide CHD/MOH-BARMM Menu of Assistance, additional
BARMM Program program directions and LGU allocation of assistance for LGU
Managers/ Focals guidance in plan development, as needed andas
applicable.
Key Stakeholders Roles
. Review and give immediate feedback to LGUs on the LGU
investment needs/AOPs through the LIPH IS.
Provide technical assistance to LGUs in LGU plan development
and review.
Province/City DOH
Officer and DOH AOP
to
Provide technical assistance their respective LGUs on LIPH and
and in
development, implementation monitoring,
Representatives coordination with the CHD/MOH-BARMM LIPH Coordinators.
. Review and validate LIPHs, LGU investment needs and AOPs.
. Access the LIPH IS to view, review and validate the LGU
Investment Needs and AOPs.
LGU Health Lead the development and implementation of the LIPH/AOP
Officers and . Participate in the monitoring and evaluation of the LIPH/AOP.
Planning Teams The Health Office, with the Local Health Board, shall ensure that
the LIPH/AOP
is taken up in health board meetings and aligned
with the CDP/LDIP/AIP and other LGU health-related plans.
ANNEX B
2025 AOP Planning Timelines, Roles and Responsib
set
Responsible Unit
AUGUST BS SS OCTOBER
OAS DECEMBER PAWNS
HPDPB
[AUG W4
-
Guidelines
SEP W4] Issuance of 2024 WFP.
[Week 2] Issuance of 2025 DOH
[W2] Issuance of 2025 DOH Budget Proposal
Guidelines
[W3] DBM 2025 National Budget Call for dissemination
Ongoing 2024 Budget Deliberations Budget Proposal Guidelines [W1] CY 2025 Budget Forum
DOH-CO Programs/ Focals Provision of 2025 [W2] Submission of WFP

Menu of Assistance to
LGUs [Week 3-4] Review and vetting of CHD Tier 2 proposal
[Week 3-4] Review of 2025 LGU Investment Needs for

inclusion in National Proposal Tier & 2
1
BLHSD Opening of 2025 LGL [Week 3] BLHSD closing of 2025 LGU Investment Needs
Bene BEESD Casi Af4084
closii encoding
Crctelllg ir PeRILIPHPIAS
i
HS) 2024 AOP

ADE IS
Needs in the LIPH IS IS

(SD e
Investment VaseodtAgih the LIPH
[Week 1-4] Encoding of Tier 2 budget proposal via [W1-W2] Encoding of 2025 Tier 2 budget proposal via
Online Platform (Note: 2025 Tier | activities shall be |Online Platform (Note: 2025 Tier | activities shall be based on
based on 2024 NEP WFP) 2024 NEP WFP)
JW21 Submission of WEP.

[Week 1-4] Review of 2025 LGU Investment Needs: [Week 1-2] Review of 2025 LGU Investment Needs
for consideration in CHD
eae Se
ja. Identify LGU proposals
|Po
Ties
Vee 2, egions Semi oaie
Sobeaislonor Rewiiteah aries 2025 Let
use
of
:
5 Jee! 91 LGU
LGU orientation on 2025 AOP development GHD Closing of Encoding for Provide initial feedback to LGUs on investment needs
proposals
:
CHDs lb.
2025 investment Needs
3
considered in the CHD Tier | Budget

é
,
Call to Plan
ic.
Identify and prioritize Tier 2 proposals to be [Week 4] Submission of RDC-endorsed 2025 Budget Proposal
submitted to DOH CO Clearing Houses (through online
platform)
LGUs
Start of LGU planning for 2025
Investment Needs (and Encoding Eye ST
We
Spee
ts f 2025
LGU Investment Needs to CHDs
in the LIPH Information System)
AOP/Investment Needs Process

LGU internal process
Iwi} [W1-W2] ExeCom Approval of the
[MAR W3 - APR W1] [MAR W3- APR W1]
Consultative Meeting DOH
Budget Proposal [Week 2] Release of Draft 2025 NEP
Issuance of 2025 DBM Budget Priorities
from DBM
Framework and Official Tier level per PAP
1
[Week 1-2] CY 2025 Technical Budget
HPDPB [W3-W4] Submission of 2025 DOH Budget
Hearing with DBM
Proposals to DBM [Week 3] Submission of Budget
[W3-W4] Consolidation of CY 2025 budget
(based on Draft NEP) to DBM
Appeal
proposals
DOH-CO Programs/ Focals [Week 1-2] Review and vetting of CHD Tier 2 [Week 1-2] Review and vetting of CHD Tier 2 [Week 1] Feedback of DOH Programs to [Week 3] Inputs for Budget Appeals to
proposal proposal HPDPB and CHDs on the inclusion the of DBM
proposed CHDs budget for CY 2025 through
[W4] Resource Person during Civil Society [Week 3] Submission of BD forms, including BP Form or
other channels (e.g. PIRs,
Organization Consultation Meeting feedback of DOH Programs on the inclusion of the TGRO)
proposed CHDs budget
Review of 2025 LGU Investment Needs for
inclusion in National Proposal Tier & 21
Consultation on 2026-2028 LIPH and 2026 AOP
BLHSD
BLHSD Opening of 2025 AOP Encoding in
the LIPH IS
{W1] Coordination with Central Office Program |[W1] Coordination with Central Office Program [Week 4] Feedback to LGUs regarding
counterparts for initial feedback on considered counterparts for initial feedback on considered disaggregated budget proposal (based on
Tier 2 proposals in the National Proposal Tier 2 proposals in the National Proposal original budget proposal submission)
[Week 1-4] Submission of RDC-endorsed 2025

Budget Proposal
CHDs
LGUs AIP
preparation Ropero and
Local Budget Call (June 16)
Page 2
[Preparation for CY 2025 Budget
Deliberations in Congress
[Week 2] Release of 2025 Official NEP after SONA
HPDPB
[Week 4-SEP W4] Release of DM on
Feedback to RDC-endorsed Budget Proposals
included in the CY 2025 NEP
DOH-CO Programs/ Focals [Week 4] Submission of NEP-level BP 202 and other Submission of 2025 WFP Menu of
Related Docs to Congress
Budget Assistance based on NEP to HPDPB
[Week 4] Feedback to HPDPB on proposed CHD 2026 Menu of Assistance to LGUs

budgetincluded in the 2025 NEP thru BP Form C
2026-2028 LIP.
BLHSD Opening of 2026 LGL BLHSD closing of 2025 AOP
in LIPH
ia
BLHSD 5
rientati
Orientation on 2026-2028 LIPH and 2026
2026 AOP
AOF
Wieser Evoke LIBIETS ie :
F
simieh A
[Week 4] Feedback to on LGU disaggregated [Week 3-4] Review of 2025 LGU Investment Needs:
budget proposal (based on 2025 NEP) a. ID of PPAs for incorporation in CHD Tier Budget
1
b. Initial feedback to LGUs

ic.ID of PPAs for CHD Tier2 proposal
a Oe
See een Ea
Review and Appraisal of 2025 AOP
of clan AOE, to
5
r
i.
Review by Prov/HUC/ICC Planning Team and P/C DOH Reps Concurrence of 2025 AOP
ii. CHD/ MOH-BARMM appraisal
oe 2026 Menu of Assistance to
LGUs
LGU Orientation on 2026-2028 LIPH and
2026 AOP
Call to Plan
Enactment of an
|4ppropriation Ordinance _|{Week 3] Submission of
Start of LGU planning for 2026
‘
Investment Needs (and encoding
izii
@thorizing the Annual 2026 LGU Investment
Dept Heads submit Budget Proposals: ‘ July 15
;
LGUs (October 17 Needs
in the LIPH Information System)
Pues,
onwards)
Execution of 2025 TOP between CHD/ MOH-BARMM and Province/HUC/ICC
Page 3
=
ANNEX C
2025 AOP Content Outline
NOTE: The Year 3 AOP updates the LIPH, highlighting enly changes and investments not
previously indicated in the LIPH.
I. Introduction
Updates on composition of Local Health Board, planning team, new Local Chief
Executives, priorities and directions, new partners/stakeholders, new sources of funds,
emerging/re-emerging diseases, calamities, unimplemented PPAs, etc.
II. Health Situation of the Province/HUC/ICC/Municipality/Component City

Accomplished AOP Form: AOP Situational and Gap Analysis Summary
II. Local Priorities/Major Thrusts of the AOP

Goals and objectives, priorities/thrusts, targets, indicators and means of verification
(MOV) for the year
Consistency with gaps/problems/needs identified, and aligned with the UHC Act,
Health Sector 8-Point Action Agenda, National Objectives for Health 2023-2028,
Sustainable Development Goals, Ambisyon Natin 2040
Implementation of integrated primary care services and Konsulta registration;
For UHC-IS: Status of Province/City-wide integration of the local health systems
(LHS ML)
IV. Monitoring & Evaluation

Monitoring Team, participation of other stakeholders
Monitoring process, activities, coverage, and timelines
Vv. Cost Matrices

& Cost matrices containing PPAs and costs to implement strategies indicated in the
Year 3 of the LIPH and address gaps/problems/concerns and priorities based on the
current situational analysis, Joint DOH - NNC DTP, DOH and CHD Menu of
Assistance, and GAD plan related to health
@ PPAsfor GIDA Barangays, IP Communities, if applicable
@ Alignment of the AOP with the LGU Annual Investment Program
2025 AOP Cost Matrices

® AOP Form I: Summary of Investment Cost by Health Systems Building Block and
Fund Source
AOP Form 2: Cost Assumptions by Health System Building Block, PPAs, Quarter
and Fund Source (Mother Plan)
AOP Form 3: Summary of LGU Investment Needs
AOP Form 3.1: LGU Investment Needs for Health Facility Development.
Information Communication and Technology and Operations Cost
AOP Form 3.2: LGU Investment Needs for Human Resources for Health
AOP Form 3.3: LGU Investment Needs for Commodities

AOP Form 3.4: LGU Investment Needs for Other Technical Assistance
VI. Other Attachments (as applicable)

ANNEX D
AOP Situational and Gap Analysis Summary
AOP Year: 2025

LGU Profile
Region No. of Primary No. of BHS/ Health
Care Facilities Centers
Province/ HUC/ ICC No. of Hospitals No. of BHWs
Municipality/ Component No. of No. of

if
City (indicate Name of LGU
Mun/CC Plan; indicate number
Physicians Pharmacies
if
of LGUs Province Plan)
Population No. of Nurses No. of primary

and Elementary
Schools
No. of Households No. of No. of Secondary

Midwives Schools
No. of Barangays No. of other Government

Health Offices
Affiliates
—
Identified PRIORITY Health Description of the Problems/ Issues/ Contributing Factors/Gaps
Problems/ Concerns/ Areas Underlying direct or indirect factor/s influencing/affecting a particular health
problenvissue
Issues/Concerns/Areas © Citation of latest status, reports, records, sex-disaggregated Causes/factors for the high/low/equal status compared to standards/benchmarks
® From Performance (LGU HSC,
LGU data with verifiable & validated data sources, if any, such as ¢ Brief discussion on relationships of different outcomes and indicators
FHSIS), causes of Morbidity and LGU HSC, FHSIS, annual statistical reports, health indices,
non-health sources, others
© Gaps in the health system
Mortality, gaps in addressing health
problems of vulnerable groups (GIDA, & Citation of latest reports, status, record on LHS ML
# Indigenous Cultural characteristics
Communities/Indigenous Peoples and
part of latest status against
Comparison standards, benchmarks, ”
®@
Urban Poor), and Other priority

Bal
he
targets (NOH, LGU HSC, LHS ML. Omnibus Heaith
gaps/concems which have a major
.
toeimpact
Gaps inLHS ML. ®
Guidelines, etc.)
Comparison against priorities indicated in these plans:
HRH
-
Service delivery
-
-
Commodities
Other Technical
-
e characters DRRM-H Plan, Phil. Health Facility Development Plan,

.
Social Determinants of Health
:
©
S
HRH Master Plan, ICT Plan, Health Promotion Framework Capacity

Strategy, DTP, others Building
Standard/Target Actual/Latest
1 Low coverage of immunization FIC: 90% FIC: 50% Lack 2 nurses © 3 BHS needing @ Lack @ Lackof
Nurse ratio - 1:10,000 Nurse to pop - 3:50,000 Lack 1
repair MMR training of
Physician — 1:20,000 Physician- 1:50,000 Taunicipal ® Need | new BHS vaccines vaccinators
physician e RAHU
for repair e Procurem @ lack of info
1BHS: 1
barangay and provision of ent issue disseminatio
PCF needed - (Yoof equipment nand
population w/o access to ® Lack of referral campaign
RHU/HC within 30 mins of system, patient
travel }*population size) / navigation
20,000
-based on PHFDP
2 Low registration to primary y care
provider
w
|
in)
od)
/W]oO;S]
RP
CO
NOTE:
The Situational and Gap Analysis presents the whole picture of the LGU’s (Province/Highly Urbanized City/Independent Component City/Component City/Municipality)
health and health system situation, according to the WHO building blocks of health systems, namely: Leadership and Governance; Financing; Health Workforce; Information;
Medical Products, Vaccines and Technology; and Service Delivery, and characteristics of the Local Health System Maturity Level (LHS ML), namely: Unified Governance
of Local Health System; Strategic and Investment Planning; Financial Management; Human Resource for Health Management and Development; Information System;
Epidemiology and Surveillance System; Procurement and Supply Chain Management; Referral System; Disaster Risk Reduction Management in Health System; Health
Promotion Programs and Campaigns.
The purpose of this table is to list the identified PRIORITY gaps/problems/issues/concers and contributing factors and link these with the appropriate investment needs,
interventions, programs/projects/activities indicated in AOP Forms 2, 3.1, 3.2, 3.3, 3.4. Programs/Projects/Activities/Interventions shall be identified based on gaps and
priorities. Thus, using a health systems approach, investment needs, PPAs/interventions will be more targeted and responsive.
ANNEX E 2025 AOP Cost Matrices
AOP Form 1, Summary of Investment Cost by Health Systems Building Block and Fund Source
Reglon: REGION
ProvinceyHUCACC: PROVINCE ¥
Municipality/Component City:
AOP CY: 2025
Fund Sources
TOTAL per
Block TOTAL per

Heaitn Systems Bullaing BiocKs Building
Unfunded ofBuilding Building Block
f EXCLUDING Remarke
Special Heath ‘Trust Fund for (PhP) toGrand Total (INCLUDING
Trust
rat Fund for Fund (SHP*) Central Office Unfunded)
General Fund in
us eal Seperale Book ot
General Fund Health (SHF Sub
PAP)
{PhP)
Unfunded) (PhP)
aldiary Ledger)
4A
25,048,
13,818,1)
8,
‘Supply Chain & Logistics Management
5. 1,890,432 250, 10,
Total per Fund Source

Unfunded) (PhP)
36,411,313 48,821,982 4,263,450 3,871,270 15,134,720 18,703,084 143,766,710 ATT ASAT
a of Total a% 44%
{1) Health Systems Butlaing Blocks:

*
Health Service Delivery; Health Workforca; Health Information System; Supply Chain & Logistics Mat and Health Requlation (Medical products, vaccines and technology); Financing; Leadership and Govemanca
(2) Fund Sources in PhP: Identify specific Fund Source and amount in PhP assigned/proposed to implement the PPA.
“LGU ~ Costin PhP assigned/proposed for funding ofbocal Goverment Units: Province/HUCACC LGU (General Fund and Trust Fund for Health/Special Health Fund); Municipatity/Component City LGU (General Fund and Trust Fund for Health}; Barangay LGU
General Fund - Fund which is
available for any purpose and is
composed of all receipts and revenues which are not otherwise accruing fo other funds
*Trust Fund - Fund which accounts for the raceipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligatians
*Speciat Health Fund - pool of financial resources at the P/CWHS (Province/HHUCACC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
health workers and incentives for all health workers. Spacify which Fund Source/Baok of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF.
“DOH — Cost in
PhP assignediproposed for funding of Central Office or Centers for Health Development;
“Others - Cost in PhP assigned/proposed fos
funding of Other Fund Sources, such as Official Development Assistance (eg. UN Agencies, development partners}; other national agencies; NGOs/CSOs; private and other sectors
(3) Total per Building Block (EXCLUDING Unfunded} - Sum in PhP of
all funding sources for a particular Building Block excluding Unfunded
{4) Unfunded in PhP - Costin PAP of PPAs with identified funding source
NO
(6) % of Building Block to the Grand Total

(6) Total per Building Block (INCLUDING Unfunded) - Sum in PhP of all funding sources for
(7) Remarks - Notes or comments; may specify Other fund sources
a particular Building Block including Unfunded
|__
ANNEX E 2025 AOP Cost
Matrices
AOP Form 2. Cost Assumption by HS Building Block, PPAs, Quarter and Fund Source (AOP Mother Plan)
Region: REGION A
Province/HUCIICC: PROVINCE Y
Municipality/Componen
AOP CY: 2025
Strategy/Program Fund Source

\ctivities
Province/HUCACC LGU Mun/CC LGU
Total Cost Total
Performance Component
DELIVERY Distict Total items Expense (UnitCost x}
‘Special Unfunded INCLUDING
a
“tndicator "Chey Unit Cost Quantity Others Remarks
Target Description Catogory Health Fund (PhP) Unfunded
pene
Quantity) General Trust Fund
(PhP) Fund forHealth (SHF") (PhP)
Separate Book
SERVICE
‘Sub-total for Major!
Total for (Building
NOTES:
(1)
+
Heath Systems Building Block: Service Delivery; Health Workforce; Health Information Systems; Supply Chain & Logistics Mgt and Health Regulation (Medical products, vaccines and technology); Financing; Leadership & Governance
Strategies Identified priority interventions that address health needs and health inequities, such as
~Construction; Repairirenovation/expansion of health facies; Procurementrepar of equipment: Hiring of health workforce; Retention of health workforce; bing
devepment
Procurement/provision of commodities, medical supplies;
Capaciy
systems; Monitoring; Policy Sectoral collabor A promotion
« ProgramProject/Actvity (PPA) activites to implement the Sttogy
(2) Performance indicator - Measurable value/performance measurement to evaluate the success of the PPA
(3) District - The legislative district where the PPA will be appied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(4) Municipaity/Component City/Barangay - Specific area where the PPA will be applied/conducted, indicate if area covers GIDAJIP/Urban poor and other vulnerable population
(5) Name of Health Facility - The exact name of the facility where the PPA will be applied/conducted
(6) 3,
Target - Quantifiable physical target in relation to the performance indicator of a particular PPA. Specify targets for Q1, Q2, Q4,
(7) Total Target - Sum of quarter targets
(8) Resource Requirement Inputs needed to conductiproduce the PPA

—
§ Items Description - specific description ofthe items/units to be costed (eg. Capsules, tablets, meals, activity cost, etc )
§ Expense Category: PS, MOOE, CO (Infrastructure, Equipment, Motor Vehicle, Others)
§ Unit Cost - Estimated Cost to produce/conduct the PPA
§ Quantity - Total Number ofthe Units to be costed, matched to Total Targets
(9) Fund Sources in PhP: Identity specific Fund Source and amount in PhP assigned/proposed to implement the PPA
§ LGU—Cost in PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Heath/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
“General Fund - Fund which is for any purpose and is ofall receipts and which are not accruing to other funds
available otherwise
+Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
+Special Health Fund - pool of resources at the P/CWHS (Province/HUCIICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
financial
health workers and incentives health workers. Specify which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF
for all
§ DOH ~ Costin PhP assigned/proposed for funding of Central Office or Centers for Health Development;
§ Others - Cost in PhP assignediproposed for funding of Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(10) Unfunded - Costin PhP of PPAs with NO identified funding source
(11) Total INCLUDING Unfunded - Sum in PhP of all funding sources including Unfunded
ANNEXE 2025 AOP Cost Matrices
AOP Form 3. Summary of LGU Investment Needs
Kegion: REGION A
Province/HUU/ILU: PROVINCE Y
Municipality/Component City:
AUP Year: zuzZd
Cost per Fund Source (PhP)

LOCAL GOVERNMENT UNITS DOH
Province/HUC/ICC LGU Mun/CC LGU
of Investment Total Unfunded Total Remarks
Special Health Trust Fund for Others
'UstFund for} Fund (SHF) Barangay Central Office CHD excluding (PhP) INCLUDING
General Fund Total General Fund Health (SHF Sub
Health Separate Book of sidiary Ledger) unfunded Unfunded
Accounts
Other facilities (please specify)

ing
LGU
Hospital
(please specify)
facilities (please
.
LGU
Hospital
(please specify)
im
of Investment i Total Unfunded Total Remarks
Special Health Others
Trust Fund for!
Trust Fund for Barangay Central Office CHD
i
excluding (PhP) INCLUDING
General Fund Fund (SHF) Total General Fund Heatth (SHF Sub Total
Accounts
(please
3.*Human Resource for Health

|. HRH Deployment
amount per
specify
b. Existing Plantilla Items
(Lumped)
4. Commodities (Drugs/Vaccines/Med. Supplies)

Please indicate commodities/ drugs/ vaccine under each program. Commodities cited in this template are EXAMPLES only.
Responsible Parenting
ning
Health
a.
Trust Fund for
Trust Fund for] Fund (SHF) Barangay Central Office CHD excluding (PhP) INCLUDING
General Fund Total General Fund Health (SHF Sub Total
Accounts
icronutrient
ron
and
istosomiasis
infectious Diseases
Prevention and Control

and
‘ernance
LOCAL GOVERNMENT UNITS
Trust Fund for Fund (SHF)
Trust Fund
for Barangay Central Office CHD excluding (PhP) INCLUDING
Accounts
(PhP) Phi
/AOP development and monitoring
ICC/IPS, Urban Poor activities/projects
and Governance strengthening activities
Health Workers (BHWs) activities

best practices
nization
Rabies Prevention and Control

and control of Infectious Diseases
HIV/STI
Prevention and
Non-communicable Diseases
and Occupational Health
Emergency Management
NOTES:
(1) Fund Sources inPhP: Identify specific Fund Source and amount in PhP assigned/proposed
to implement the PPA
§ LGU -Cost in PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
+General Fund - Fund which is available for any purpose and is composed ofall receipts and revenues which are not otherwise accruing to other funds
*Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
*Special Health Fund
- pool of financial resources at the P/CWHS (Province/HUCI/ICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
health workers and incentives for all health workers. Specify which Fund Source/Bookof Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF.
§ DOH -Cost in PhP assigned/proposed for funding of Central Office or Centers for Health Development;
§ Others - Cost in PhP assigned/proposed for funding of Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(2) Total (EXCLUDING Unfunded) - Sum in of all funding sources excluding Unfunded
PhP
(3) Unfunded - Cost in PhP of PPAs with identified funding source

NO
(4) Total INCLUDING Unfunded - Sum in PhP of

all funding sources including Unfunded
AOP Form 3.1. LGU Investment Need for Health Facility Development, Information & Communication Technology and Operations Cost
NOTES:
(1) District - The logislatve district where the PPA will be appliedlconducted. In a province, this excludes the legislative districts covered by the HUC/ICC which willbe reflected in the HUC/ICC’s respective plans
(2) Municipalty/Component City/Barangay - Specific area where the PPA will be applied/conducted, indicate if area covers GIDAIP/Utban poor and other vuinerable population
(3) Category -
(4) Name of Health Facility - The exact name of the facility where the PPA willbe applediconducted
(6) Project Description
(6) Bed increase - The requested increase # of beds
(7) Climate Change Intervention: Project being proposed for health facility development. Indicate type: Structural, Non-structural, Energy, Water, Sanitation, and Hygiene (WSH), Health Care Waste Management (HCWM)
(8) Infrastructure - Refers to the cost in PhP of construction, repair, rehabilitation, upgrading of faciities
(9) Medical Equipment - The cost in PhP of specific equipment needed forthe faciity
(10) Motor Vehicle - The cost in PhP of specific vehicle needed forthe facility
(11) Information, Communication & Technology Equipment - The cost of ICT, such as hardware; software; databases; registries; capacity building
(12) Others - The cost in PhP of non-medical equipment, non-ICT items and operations/overhead costs to cover day-to-day requirements of facilites
to cary out their reguiar operationssuch as water utiles, electricity, regular office supplies, rents, gasoline, other maintenance and operating expenses
(13) Total CostFaciity - Costin PhP ofall interventions forthe facility
(14) Fund Sources in PhP: Identify specific Fund Source and amount in PhP assigned/proposed to implement the PPA -
§ LGU-Costin PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipalty/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
General Fund - Fund which is available for any purpose and is composed of ail receipts and revenues which are not otherwise accruing to other funds
“Trust Fund - Fund which accounts for the receipts by any agency of goverment or by a public oficer acting as a trustee, agent. or administrator for the fulfilment of some obligations
“Special Health Fund pool of financial resources at the PICWHS (Province/HUC/ICC level) intended to finance populaton-based and individual health services, health system operating costs, capital investments, and remuneration of additonal
-
health workers and incentives for all health workers. Specty which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/F aith-based Org: LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF
§ DOH Costin PhP assigned/proposed for funding of Central Ofice or Centers for Health Development
§ Others - Costin PhP assignediproposed for funding of Other Fund, Sources such as Oficial Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOsICSOs; private and other sectors
(@) Untunded - Costin PhP of PPAs with NO identified funding source
(11) Remarks - Notes or comments; may specity Other fund sources
per
ANNEXE 2025 AOP Cost Matrices
AOP Form 3.2. LGU Investment Need for Human Resource for Health
Region: REGIONA
Province/HUC/I PROVINCE Y
Municipality!
AOP CY: 2025
Cost Fund Source

District Province/HUCIICC LGU MunICC LGU Total

Municipality!
Component City!
Name of Health HRHICadre Number
Salary Total Salaries
Unfunded INCLUDING
os
Facility Grade and Benefits Special Health Trust Fund for
Barangay Trust Fund| Barangay (PhP) Unfunded
Fund (SHF) ® eneral HeatnisHF
for Health Total
Sub sldery
Total (PhP)
Fund Separate Book of Fund
Accounts Ledger)
|. HRH
a. Physician
. Nurse
Midwife
|.
Medical
echnologist
Dentist
|.
Pharmacist
. Nutritionist-
Dietician
Other HRH,
‘Sub-total
LGU
a. Need for New Piantilla Items*
b. Plantilla Items
for New Job Order/Casual
d. Job OrderiCasual
Sub-total
otal
(1) - The legislative district where the PPAwill be applied/conducted. In a province, this excludes
District the
legislative districts covered by the HUC/ICC which will be reflected in the HUC/ICC’s respective plans
(2) Municipality/Component City/Barangay - Specific area where the PPAwill be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(3) Name of
Health Facility - The exact name the
of
facility where the PPA will be applied/conducted
(4) HRH/Cadre
(5) Number
-
-
Specific item/type of the Human Resources
# of specific
/Cadre requested
HRH
for
Health needed/requested
(6) Salary Grade - Predetermined compensation level for a given position or cadre
(7) Total Salaries and Benefits - Sum in PhP of
salaries and benefits of a specific HRH/Cadre
(8) Fund Sources in PhP: Identify specific Fund Source and amount in PhP assigned/proposed to implement the PPA
§ LGU-—Cost in PhP assigned /proposed for funding of
specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for
Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund
for Health); Barangay LGU
+General Fund - Fund which is
available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to
other funds
‘Trust Fund - Fund which accounts for the receipts by any agency of government or
by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health
health workers
Fund
and
- pool
incentives
of financial resources at the P/CWHS(Province/HUC/ICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
for all health workers. Specify which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF.
§ DOH-Cost in PhP assigned/proposed for funding of Central Office or Centers for Health Development;
NO
per
AOP Form 3.3. LGU Investment Need for Commodities
Region: REGION
ProvincelHUCIICC: PROVINCE
Municipality!
‘Component City:
AOP CY:
Cost Fund Source
gatlame .
alco; ProvinceHUGICC LGU
MuniCC LGU
Total
ae,
Target Estimated Unit (Unit Costx INCLUDING
‘ems! Description Quantity Unfunded Remarks
City! Population “cos: (php) Quantity) Special Health Others Unfunded
General TrustFund
‘Trust Fund for Barangay Central (PhP)
Barangay (PhP) Fund (SHF) Total Health (SHF Sub Total (PhP)
Fund for Health Separate Book of
siary Ledger)
‘Accounts
(1) Commodities - Drugs, vaccines and their corresponding medical supplies

(2)District - The legislative district where the PPA will be applied/conducted. In a province, this excludes the legislative districts covered by the HUC/ICC which will be refiected in the HUCIICC’s respective plans
(3) Municipality/Component City/Barangay - Specific area where the PPA will be applied/conducted, indicate if area covers GIDAIP/Urban poor and other vulnerable population
(4) Name of Health Facility - The exact name of the facility where the PPA will be applied/conducted
(5) Target Population - Specific group of people who are recipients or beneficiaries of the identified commodity
(6) Items/Description - Specific description of the commodity
(7) Quantity - Number of commodities neededirequested
(8) Estimated Unit Cost - Cost in PhP of a unit of commodity
(9) Total Cost - Unit cost in PhP multiplied by the Quantity
(10) Fund Sources in PhP: Identify specific Fund Source and amount in PhP assigned/proposed to implement the PPA
§ LGU-Costin PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for
Health); Barangay LGU
*General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
“Trust Fund - Fund which accounts for the receipts by any agency of government or by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
*Special Health Fund - pool of financial resources at the P/CWHS (Province/HUC/ICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
health workers and incentives for all health workers. Specify which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for
allowable expenses chargeable against SHF.
§ DOH— Costin PhP assigned/proposed for funding of Central Office or Centers for Health Development:
§ Others - Cost in PhP assigned/proposed for funding of Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs: private and other sectors
(11) Unfunded - Cost in PhP of PPAs with NO identified funding source
(12) Total INCLUDING Unfunded - Sum in PhP of

AOP
Form 3.4. LGU Investment Need for Other Technical Assistance
Region: REGION A
Province/HUCIICC: PROVINCE Y
Municipality!
Component City:
AOP CY: 2025
Resource Requirements (PhP) Fund Source

LOCAL GOVERNMENT UNITS (LGU) DOH
Total
Municipality! Total Cost Province/HUC/ICC
ee Mun/CC LGU
INCLUDING
e
Component City! (Unit Cost x Special Remarks
Barangay Qi
pencoet Quantty)
(PhP)
General
Fund
Trust Fund
forHeatth
Health Fund
(SHF) ia General
Fund
Heats
Subsidiay
Total
Barangay —
‘Separate Book Ledger)
of Accounts
& Logistics
1
Sub-total Chain &

Fund Source
LOCAL GOVERNMENT UNITS (LGU) DOH
Total
Municipality! Province/HUCICC LGU Mun/CC LGU
|
INCLUDING
Component City! Special Unfunded Remarks
Others Unfunded
neon
Trust
Fund Central
Barangay Qi Health Fund
22997) CHD (PhP)
Trust Fund
for Health
nee, Book
| General
Fund Subsidiary
tots Ottice (PhP)
Ledger)
of Accounts
(1) Activities - Specific action/intervention to be undertaken

(2) Municipality/Component City/Barangay - Specific area where the PPA will be applied/conducted, indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(3) Target - Quantifiable physical targetin relation to the performance indicator of a particular PPA. Specify targets for Q1, Q2, Q3, Q4.
(4) Total Target - Sum in PhP of cost of fund sources, including Unfunded
(2) Fund Sources in PhP: Identify specific Fund Source and amount in
PhP assigned/proposed to implement the PPA
§ LGU Costin PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund for Health); Barangay LGU
*General Fund - Fund which is available for any purpose and is composed of all receipts and revenues which are not otherwise accruing to other funds
«Trust Fund - Fund which accounts for the receipts by any agency of government or by public officer acting as a trustee, agent, or administrator for the fulfillmentof
some obligations
*Special Health Fund - poo! of financial resources at the PICWHS (Province/HUC/ICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
health workers and incentives for all health workers. Specify which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to
JMC 2021-0001 on SHF for
allowable expenses chargeable against SHF.
-
§ DOH Cost in PhP assigned/proposed for Central Office or Centers for Health Development;
funding of
§ Others - Cost in
PhP assigned/proposed for funding of Other Fund, Sources such as Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs; private and other sectors
(9) Unfunded - Cost in
PhP of PPAs with identified funding source
NO
(10) Total INCLUDING Unfunded - Sum in PhP

of
ANNEX F, 2025 AOP Cost Matrices
Form 4, Regional Summary of LGU Investment Needs
Consolidation of AOP Form ofProvinces, HUC, ICC in the Region.

details, please refer to Form 3 of Provinces, HUCs, ICCs.
For
Region: REGION A
Year: 2025

Provinces/HUCs/ICCs LGU LGU Total
Categories of Investment Needs Total INCLUDING
EXCLUDING Unfunded REMARKS
Special Health Unfunded (PhP)
Trust Fund for
Trust Fund Fund (SHF) Barangay Central Office CHD Unfunded (PhP)
General Fund Total General Fund| Heath (HF sub Total
for Health Separate Book of
sidiary Ledger) (PhP)
Accounts
Health Facility Development

LGU Total
Special Health Unfunded (PhP)
Trust Fund for Central Office CHD Unfunded (PhP)
Trust Fund Fund (SHF) Barangay
for Health Separate Book of
sidiary Ledger) (PhP)
‘Accounts
Family Planning & Reproductive Health

LOCAL GOVERNMENT
Provinces/HUCs/ICCs LGU
Total
Special Health ‘Trust Fund for Others Unfunded (PhP)
Trust Fund Fund (SHF) Barangay Central Office CHD Unfunded (PhP)
Inst
General Fund Total General Fund
eae Total
Fund
Sul to
for Health Separate Book of Ledger| (PhP)
Accounts
Environmental and Occupational Health
Health Regulation
NOTES
(1) Fund Sourcesin PhP: Identify specific Fund Source and amount in PhP assigned/proposed to implement the PPA
§ LGU — Cost in PhP assigned /proposed for funding of specific Local Government Units: Province/HUC/ICC LGU (General Fund and Trust Fund for for
Health/Special Health Fund), Municipality/Component City LGU (General Fund and Trust Fund Health); Barangay LGU
General Fund - Fund which is
“Trust Fund - Fund which accountsfor or
the receipts by any agency of government
to
available for any purpose and is composed of all receipts and revenues which are not otherwise accruing other funds
by a public officer acting as a trustee, agent, or administrator for the fulfillment of some obligations
Special Health Fund
- pool of financial resources at the P/CWHS (Province/HUC/ICC level) intended to finance population-based and individual health services, health system operating costs, capital investments, and remuneration of additional
health workers and incentives for all health workers. Specify which Fund Source/Book of Accounts: DOH; PhilHealth income; Development Partners/NGO/Faith-based Org; LGUs. Refer to JMC 2021-0001 on SHF for allowable expenses chargeable against SHF.
§ DOH — Cost in PhP assigned/proposed for funding of Central Office or Centers for Health Development;
(2) Total (EXCLUDING Unfunded) - Sum in PhP of all funding sources excluding Unfunded
NO
ANNEX G:t
2025 AOP APPRAISAL CHECKLIST SCORING GUIDE
Review of 2025A0P
Province/City:
INSTRUCTIONS:
1. Only plans with COMPLETE contents/parts shall be reviewed. The Completeness of the Document parameter has no score points, The presence of all prescribed farms are PRE-REQUISITES before proceeding
2. If required data/ information is found in the expected section/ part of the AOP, put the score under the Actual Score column based on the maximum score indicated under the Points column,
3. Indicate comments/ revisions needed in the Remarks/ Recommendations column, Shaded areas are NOT to be
filted-up,
4, Indicate the Total Score and compute for the Percentage. Cheek the appropriate Over-all Result at the end of the checklist.
5. The LGU and Provincial/City DOH Office (P/CDOHO) review resul/document is
to be used for the next round/ level of review/ appraisal.
6. The Appraisal Checklist provides the minimum criteria. Additional criteria/documents/evidences may be required by the Appraisal Team, as deemed necessary.
7. The members of the Review/Appraisal Team indicate their names, signatures and the dates of the review/appraisal.
CHD/MOH-BARMM
PARAMETERS FOR
DETAILS
MEANS OF SCORING GUIDE
EVALUATION VERIFICATION
Recommendations Recommendations
F THE
situation o!
A, ContenvParts
|B. Properly Fitled-up Forms
a Letter or
D.
I.
A. Health Team
1B. Consideration of health situation
Consultation with stakeholders
0
and other LGU
E. with
F, Use of LIPH Information
reference to the AOP Content
IB. Updates on Gaps/Status on on: Form S
Score 2 points for each.

2. Infrastructure and equipment Brief update on the status of each
3. Service capabilities (status of DOH licensing and
management system and
4, Management support systems:
characteristics of PPCWHS
b. Information management/Electronic Medical Record (EMR),|
integration with citation of latest
lc. Procurement and supply chain management
d. Referral system status, reports, records, sex-

le. DRRM-H system disaggregated data with verifiable &
f. Epidemiologic surveillance system validated data sources,if any, such
Page 4
Aph LGU AND P/CDOHO CHD/MOH-BARMM
. PA
EVALUATION DETAILS
Vea ON
jas Local Health Systems Maturity
Points Actual
Score
Remarks/
Recommendations
‘Actual
Score
Remarks/
Recommendations
SCORING GUIDE
Levels (LHS ML) Monitoring

2
g. Proactive and effective health promotion programs/ results (if applicable), annual
campaigns statistical reports, health indices,
1.Clear and logical description of health and health system ‘Citation of latest statistics in the 1
0 - no statistic cited
2. Comparison against standards, trends, benchmarks, targets_|SGA Form: 10
- no benchmarks
a, National Objectives for Health (NOH)/Health Sector Citation of latest NOH, LHS ML 2 2. - standards, benchmarks
etc cited are
C. Levels of analysis:
b, LGU Health Scorecard
" "
monitoring results, LGU HSC 2 updated but with no comparison with

c. Others targets vis-a-vis latest health 2 local health cituation
3. Causes and_contributing factors identified Causes/factors for the 6 0 - no causes/factors Identified
Part 111. Local Priorities/Major Thrusts of the AOP. Cited/indicated: 15
A. Goals and objectives, prioritie: 1, Local Priorities/Major Thrusts consistent with gaps List of Local Priorities/Major 6 0 - no list of ariaritie
thrusts, targets and indicators for |2. Integration of Health Systems
as
priority (as applicable)
3. Aligned with/contribute to Universal Health Care (UHC)
Thrusts 4 2 - with local prioritles/major thrusts on
the year Specific contributions cited 5 10
- alignment with any health reform is not
Part IV Monitoring & Evaluation Cited/indicated: 6
EO, Personnel Order, other issuance 3 0 - no citation
A. M&E: Process
I List of M&E process/activities and 3 0 - no citation
Part V. Cost Matrices Cited/indicated: 44
A. Identification of PPAs 1, Address gaps/problems/concems and priorities based on. Forms reflecting: 6 0 - no PPAs identified based on SA
2. PPAs listed realistic, reasonable and implementable in time |AOP Forms reflecting PPAs that are 8 Add the following points:
1B. Costing of interventions 1. PPAs are aligned with the Joint DOH NNC Devolution Forms reflecting: 8 10
- 100% of PPAs that should be fully or
2. Costing of PPAs are realistic, reasonable, and appropriate to 10
- amount requested fram DOH (CO & CHO)
a. Total amount requested from DOH (CO & CHD) docs not__|i. Comparative analysis of 2024 4 exci
i
4 11
- less than 50% of total LGU fund
3. PPAs for GIDA barangays costed AQP Forms reflecting PPAs for 2 INA - not applicable (no GIDA)
4. PPAs from ADIPH/ADSDPP costed AOP Fomnms reflecting 2 INA - not applicable for ADIPH/ADSDPP (no
IC. LGU ownership
of and Horizontal integration with other LGU plans, i.e.
1. M&E PPAs costed are consistent with the planned M&E
Copy of the AIP reflecting the LGU.
—_[AOP Forms reflecting the M&E
6
2
O - PPAs in AIP are not found in the AOP
0 - no M&E PPAs in cost matrices

or.
D. M&E component
activities as per Part IV of AOP
:
2, With Budget allocation. 2 O- no MRE PPAS in cost matrices
TOTAL SCORE 142
[Percentage 100% 100%
I. RESULT OF LGU PLANNING € 85%
or Better.
PASSED: For CHD Appraisal
TEAM REVIEW (with € 75-84% ‘With Minor Correction, For Enhancement
P/CDOHO) € 74% and Below For Major Revision, PPCDOHO/CHD
Other Comments:
to
provide special Technical Assistance
REVIEW TEAM: Date of Review:
PHO/CHO name, signature DOH

Representative name, signature Name, signature, position
Name, signature, position Name, signature, position Name, signature, position
Il, RESULT OF CHD/MOH- ‘ 85% or

75-84%
BetterPASSED: For (CHD/MOH-BARMM Concurrence
RETURNED: With Minor Correction, For Enhancement
BARMM APPRAISAL € 74% and Below RETURNED: For Major Revision, PDOHO/CHD
Other Comments:
to | —
|
provide special Technical Assistance
,
ICHD/MOH-BARMM APPRAISAL TEAM: Date of Appraisal:
Asst. CHD Director/MOH-BARMM LHSD Division Chief name. signature LIPH Coordinator name, signature
Program Manager name, signature Program Manager name, signature DOH Representative name, signature
Name, signature, position Nome, signature, position Name, signature, position
IIT, CHD/MOH-BARMM
Name and Signature of CHD Director IV/ Date
Page 2

Dm2023-0323 Directions For LGU Development of 2025 AOP

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Dm2023-0323 Directions For LGU Development of 2025 AOP

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Republic of the Philippines

September 14, 2023

SUBJECT: Directions for LGU Development of 2025 Annual Operational Plans

In order to fully realize the UHC goals, the DOH issued

This Department Memorandum provides directions to Provinces, Highly Urbanized Cities

CHDs and MOH-BARMM and all

By the Authority ofthe Secretary of Health:

LILIBETH C. DAVID, MD, MPH, MPM, CESO I

Annex B 2025 AOP Timelines, Roles and Responsibilities

Annex C 2025 AOP Content Outline

Annex D AOP Situational and Gap Analysis Summary

Annex E 2025 AOP Cost Matrices

Annex F Regional Summary of LGU Investment Needs

Annex G 2025 AOP Appraisal Checklist

A. Directions for the Development of 2025 AOPs

Particulars/ Details Prescribed

In the absence of ceiling/allocation for 2025

v. Provincial, HUC and ICC Health Offices

b. Planning Forms and AOP Content

BARMM Menus of Assistance, and budget

For BARMM, the MOH-BARMM shall

. Situational Analysis (SA)

. Identification of Gaps, Strategies, LGU

e. Alignment with Pertinent National and Local

f. Consolidation and submission

. CHD and MOH-BARMM Review of LGU December 2023 -

Office against the DOH and CHD Menu of

of the Bureau of Local Health Systems

e. Feedback to LGUs on LGU Investment

B. Roles of key stakeholders

The following roles are reiterated and emphasized:

DOH-CO Programs/ Focals Provision of 2025 [W2] Submission of WFP

[Week 3-4] Review of 2025 LGU Investment Needs for

HS) 2024 AOP

Needs in the LIPH IS IS

Investment VaseodtAgih the LIPH

JW21 Submission of WEP.

considered in the CHD Tier | Budget

AOP/Investment Needs Process

Consultation on 2026-2028 LIPH and 2026 AOP

[Week 1-4] Submission of RDC-endorsed 2025

[Week 4] Feedback to HPDPB on proposed CHD 2026 Menu of Assistance to LGUs

b. Initial feedback to LGUs

Execution of 2025 TOP between CHD/ MOH-BARMM and Province/HUC/ICC

II. Health Situation of the Province/HUC/ICC/Municipality/Component City

II. Local Priorities/Major Thrusts of the AOP

IV. Monitoring & Evaluation

Vv. Cost Matrices

2025 AOP Cost Matrices

AOP Form 3.3: LGU Investment Needs for Commodities

VI. Other Attachments (as applicable)

AOP Year: 2025

Province/ HUC/ ICC No. of Hospitals No. of BHWs

Municipality/ Component No. of No. of

Population No. of Nurses No. of primary

No. of Households No. of No. of Secondary

No. of Barangays No. of other Government

Urban Poor), and Other priority

e characters DRRM-H Plan, Phil. Health Facility Development Plan,

HRH Master Plan, ICT Plan, Health Promotion Framework Capacity

Block TOTAL per

‘Supply Chain & Logistics Management

5. 1,890,432 250, 10,