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BHLMP Form 1.b.

Barangay Health System Development Six Building Block Indicators


Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
Health Aktibo at (1) May Barangay Ordinance sa pagpapatibay ng RED - 0-3/7 Based from the Best
Leadership and kumikilos na kasalukuyang Barangay Health Governance Body YELLOW - 4-6/7 Practice among the
Governance Barangay (BHGB)* o resolusyon sa pagtatatag ng Barangay Health √ GREEN - 7/7 Copy of the policy ZFF Cohort
Municipalities
Health Board (BHB) kung saan nasasaad ang mga tungkulin at
Governance responsibilidad ng Board at ng bawat miyembro.
Body o (2) Ang Barangay Health Governance Body (BGB)* o Copy of policy - Best Practice
Barangay
√ stating the among the ZFF
BHB ay binubuo ng mga sumusunod:
Health Board a. Barangay Captain members if the Cohort
b. Barangay Secretary BHGB/BHB Municipalities;
- Adopted and
c. Barangay Treasurer
modified based
d. Midwife from R.A. 7160 Title
e. Kagawad on Health V;
f. Barangay Nutrition Scholar - Philippine Health
g. Brgy. Day Care worker (kung naangkop) Agenda 2016-2022
h. SK Chairman – Guarantee 1
i. BHW President - WHO Primary
j. 4Ps Parent Leader Representative Health Care Core
k. IP Leader (kung naangkop) Principles
- R.A. 8425
l. School Principal (kung naangkop)
- 1987 Constitution
m. AdHoc Member as sectoral representation (kung
Sec. 13-16, 22-23
naangkop)

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 1 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(3) Ang BGB o BHB ay dapat may pagpupulong na hindi
Copy of Adopted and
bababa sa isang beses (o higit pa kung kailangan) sa
minutes/proceeding modified based
loob ng tatlong buwan at ang mga pagpupulong na ito X s of the BHB from R.A. 7160 Title
ay dokumentado kung saan nasasaad ang mga napag meetings V
sang ayunan na susunod na mga hakbang.
Copy of R.A. 7160 Title VI
(4) Inilalatag ni Brgy. Kapitan ang mga isyu sa minutes/proceeding Chapter 1 Article 1
pangkalusugan ng barangay sa buwanang pagtitipon ng √ s of the ABC Section 495-e
ABC (Association of Barangay Captains) meeting / Key
informant interview
Copy of Board of Midwifery
(5) Nagbibigay ng accomplishment report si at inilalatag minutes/proceeding Code of Ethics
s of the RHU staff Sections X and XII as
ni Midwife ang mga isyu sa pangkalusugan ng barangay
√ meeting and/or PIR supplementary
sa buwanang pagtitipon ng mga RHU staff at/o sa PIRs where the issues document to RA
kasama si MHO were raised / Key 7392
informant interview
(6) Sa loob ng isang taon, merong nailatag na isa o R.A. 7160 Chapter 3
mahigit pa na BHGB or BHB Resolution sa Sangguniang Section 54-c
Barangay na naging basehan upang magkaroon ng
√ Copy of the policy
Barangay Ordinance ukol sa pagpapatibay ng Barangay
Health System o ano mang polisiya sa kalusugan na
pinagtibay ng Sangguniang Barangay
(7) Pagtatasa o pagsusuri ng health system X Copy of assessment Best practice from
performance ng barangay gamit ang BHLMP roadmap and updated the HLGP Cycle 1
at pagsumite ng nasabing roadmap sa munisipyo roadmaps

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 2 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
Barangay RED - 0-2/5 - R.A. 7160 Section
Copy of the
Development (1) Pagkakaroon ng aprobadong Barangay Development YELLOW - 3-4/5 approved 106
Plan (na may Plan √ GREEN - 5/5 - JMC No. 1 Series of
development plan
Health 2007
(2) Dapat nasasaad sa Barangay Development Plan ang Copy of the R.A. 8425 Section 2,
Component)
mga prayoridad na pangangailangang pangkalusugan at approved 4 (b)
development plan
mga hakbang kung paano ito malulutas. Ang mga
pangangailangang pangkalusugan na nakasaad ay dapat √ and minutes/
activity reports of
ring nakuha sa mga nagawang konsultasyon sa community
komunidad (e.g. Brgy. Assemblies). consultations done
Minutes/ R.A. 7160 Section
documentation of 109b
(3) Nagsagawa ng Annual Brgy. Investment Planning
kasama ang Barangay Development Council √ the Annual Brgy. IRR R.A. 7160 Article
Development 88-b7
Planning
Department of
Copy of the Budget and
(4) Naipapatupad ang Barangay Development Plan √ accomplishment/ac Management 2012
tivity reports Primer On Barangay
Budgeting
(5) Pagdalo ng representative ng barangay sa Certificate of - Department of
X attendance / Budget and
konsultasyon ng munisipyo para pagplaplano o pagbuo
ng MIPH attendance sheet Management 2012
and or activity Primer On Barangay
report from the Budgeting
mLGU - Recommendations
from consultations

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 3 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
List of identified WHO Primary
community leaders Health Care Core
(1) May listahan ng mga kasalukuyang mga leaders sa
komunidad
√ and their Principles
represented
organization/group
Copy of the IRR R.A. 7160 Article
certificate of 64
(2) Tiyakin na ang mga naangkop na community leaders
training / training
ay nabigyang kapasidad sa pag-oorganisa ng √ attendance sheets /
komunidad o community organizing training activity
Mga aktibidad RED - 0-1/4
na kasama ang YELLOW - 2-3/4 reports
Komunidad GREEN - 4/4 1987 Constitution
(3) Tiyakin na ang mga miyembro ng komunidad ay may
Copy of Sec. 13-16, 22-23
mga tungkuling itinalaga sa pagpapatupad at
pagsubaybay ng mga programang pang kalusugan sa
√ implementation
plan
barangay
R.A. 7160 Section
(4) Pagsagawa ng hindi bababa sa dalawang barangay 397b; Section 398c
assemblies at/o public hearings para for Copy of activity IRR R.A. 7160 Article
report/feedback local health data status of health
√ report 194a; 195c
programs, health issues, policies, etc.
Health Financing Alokasyon ng Hindi bababa sa 5% ng Brgy. Budget ang inilaan para sa Based on ZFF
RED - 0-0.9% Copy of approved experience
Bugdet para sa Health
Health ng Formula:
√ YELLOW - 1-4% and signed Brgy.
GREEN - 5% Budget
BLGU (Brgy. Health Budget ÷ Total Brgy. Budget) x 100%
Paggamit ng Hindi bababa sa 95% ng Brgy. Health Budget ang √ RED - <70% Copy of signed brgy
Bugdet para sa nagamit YELLOW - 70- financial utilization
report / Copy of

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 4 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
94%
Health ng Formula: (Brgy. Health Expenditure ÷ Brgy. Health DILG budget
GREEN - 95-
BLGU Budget) x 100% utilization forms
100%
(1) Mayroong listahan ng mga maralitang pamilya sa IRR R.A. 7160 Article
PhilHealth
barangay
√ RED – 0/2 Copy of list with
122a3-xi
Coverage para
(2) Pagsumite ng listahan ng mga maralitang pamilya sa YELLOW – 1/2 receiving signature IRR R.A. 7875 Rule
sa mga GREEN – 2/2 of the MSWDO
mahihirap munisipyo bilang pagrerekomenda para sa indigent √ IV Section 22-23
certification ng PhilHealth
Health Human Sapat na Brgy. Health Workers gamit ang HR to population ratio na:
Resource DOH Standards -
Sapat na Manual of
RED - 0/2 Operation on
Barangay (1) 1 BHW= 20 Households o Kabahayan x YELLOW - 1/2
List of existing
Maternal, Newborn,
Health Human human resource
GREEN - 2/2 and Child Health
Resource
and Nutrition
Presidential Decree
(2) 1 BNS= 1 Barangay √ No. 1569
Pagsasanay ng RED - 0-1/ Copy of Certificates
mga Barangay Ang mga kailangang pag-unlad ng kawani ay natugunan: YELLOW - 2-4/5 of training; List of
Human GREEN - 5/5 trained staff, date of
training, type of Training courses
Resource (1) Lahat (100%) ng mga BHWs ay nakakuha na ng Basic based from DOH
BHW Training x training
BHW Training
Manual
(2) Ang BNS ay nakakuha na ng Basic BNS Training Presidential Decree
√ No. 1569

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 5 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(3) Lahat ng mga naangkop at lumalabas na bagong Copy of training Republic Act 7883
needs assessment Section 6-c
pagsasanay na pangangailangan (hal. Continuing
Professional Education) ng mga BHWs at BNS ay x forms/report / List Presidential Decree
of training need per No. 1569
natutukoy staff
Copy of Republic Act 7883
(4) Lahat ng mga naangkop at lumalabas na bagong communication Section 6-c
document that Presidential Decree
pagsasanay na pangangailangan (hal. Continuing
Professional Education) ng mga BHWs at BNS ay naiulat x shows the midwife No. 1569
coordinated the
sa MHO sa pamamagitan ni Midwife training needs to
MHO
(5) Ang mga sharing sessions ng mga BHWs ukol sa DOH DM No. 2009-
Copy of activity 0302
health education at preventive medicine ay
naisasagawa sa kanilang mga nakatakdang kabahayan o √ report/ attendance
sheet
households
Pangangalap, (1) May naipasang polisiya ukol sa BHW registration RED - 0-1/ DILG MC 2010-147
Pagrerehistro and accreditation √ YELLOW - 2-4/5
Copy of the policy

at (2) Paggaya at pagsunod sa sistema at pamamaraan ng GREEN - 5/5 DILG MC 2010-147


Pagpapanatili munisipyo sa pangangalap at pagpapanatili ng BHWs sa
ng mga pamamagitan ng pagpasa ng barangay administrative √ Copy of the policy
Barangay issuance ukol dito
Health (3) Ang sistema at pamamaraan sa pangangalap at Key informant DILG MC 2010-147
Workers pagpapanatili ng BHWs ay naipapatupad √ interview
(4) Lahat ng accredited BHWs ay aktibo Copy of DILG MC 2010-147
√ accreditation and
activity reports/

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 6 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
data reports per
BHW
Copy of DILG MC 2010-147
proceedings/
(5) Lahat ng BHW na napaalis o natanggal sa serbisyo ay
dumaan sa patas at angkop na proseso o due process x document of the
dismissal case / Key
informant interview
Mga polisiya sa R.A. 7883
(1) Pagkakaroon ng Barangay Resolution sa pagapruba
angkop at
tamang oras
ng pamamaraan at iskedyul ng pagbibigay ng BHW and √ Copy of the policy
BNS honorarium RED - 0/2
na pagbibigay
YELLOW - 1/2 R.A. 7883
ng mga (2) Ang buong honoraria ng mga BHW and BNS ay GREEN - 2/2 Key informant
honorarium ng
mga BHWs and
naibibigay sa tamang oras na naaayon sa naipasang √ interview
resolusyon ng LHB o Brgy. Council
BNS
(1) Ang pagkuha/pagbili ng supplies at essential medicines ay DOH-NCPAM's
base sa morbidity at mortality data ng barangay Training Manual on
Copy of mortality Pharmaceutical
Madaling
makuha na
x and morbidity Supply Chain
reports Management for
Gamot at RED - 0-1/3 Local Government
Access to
Supplies sa YELLOW - 2/3 Facilities
Medicine
Barangay (2) Ang mga natukoy na essential medicines ay maaring GREEN - 3/3 DOH-NCPAM's
Health makuha sa barangay health facility tuwing operating hours Training Manual on
nito. Copy of inventory Pharmaceutical
Facility* x records Supply Chain
Management for
Local Government

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 7 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
Facilities
(3) Mayroong buwanang physical count ng essential medicine DOH-NCPAM's
at supplies Training Manual on
Pharmaceutical
Copy of inventory
x records
Supply Chain
Management for
Local Government
Facilities
Health Copy of patient - Recommendations
Information
(1) Pagkakaroon ng patient health records sa mga BHS √ health records from consultations
System - Based from the
Best Practice among
(2) Ang mga performance ng Barangay base sa Health the ZFF Cohort
Gumagana na Copy of
data at mga problemang kakabit nito ay naiiulat kada Municipalities
Health buwan sa barangay health governance body o √ RED - 0-1/3
YELLOW - 2/3
minutes/proceeding
- Adopted and
s of the meeting
Information barangay health board para matugunan modified based
GREEN - 3/3
System from R.A. 7160 Title
V
- Based from the
(3) Pagkakaroon ng buwanang updated barangay health Best Practice among
data board x Site visit
the ZFF Cohort
Municipalities
Sistema sa Ang barangay ay may sistema para sa pagtatala ng mga RED - 0-5/11 Registry System
pagrerehistro pasyente/kliyente ng mga sumusunod na serbisyo: YELLOW - 6-
ng pasyente (1) Maternal Health Services √ 10/11
GREEN - 11/11
(2) EPI √
(3) Under-five Nutrition √
ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 8 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(4) TB Control √
- Recommendations
(5) Notifiable/Communicable/Emerging Diseases (e.g. from consultations
Leprosy, etc. except HIV due to confidentiality)

(6) Non-Com Diseases √
(7) Drugs and Substance Abuse √
(8) Mental Health √
(9) Persons with Disabilities √
(10) Injuries √
(11) Program for Senior Citizen √
Copy of health data DOH FHSIS Manual
(1) Nasa oras na pagsumite ng buwanang health data forms submitted of Operations
(e.g. M1) ng barangay sa RHU/PHN/MHO
√ with stamp on
receiving copy
Paguulat at RED - 0-1/4 Copy of health data DOH FHSIS Manual
paggamit ng (2) Nasa oras na pagsumite ng barangay quarterly YELLOW - 2-3/4 forms submitted of Operations
health data (e.g. Q1) sa RHU/PHN/MHO
√ with stamp on
mga Data GREEN - 4/4
receiving copy
(3) May bagong listahan ng mga pangunahing sanhi ng DOH FHSIS Manual
morbidity at mortality at konsultasyon sa barangay √ Copy of list of Operations
kada taon

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 9 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(4) Mayroon sistema sa pagsubaybay sa mga buntis at Check for a - Based from the
pregancy tracking Best Practice among
kayang matukoy kung sino-sino ang:
system / List of the ZFF Cohort
- nasa early risk detection, action and referral √ pregnant women
- kabilang sa teenage pregnancies disaggregaed by
- mayroong Philhealth membership each category
RED: walang R.A. 10354
Buwanang pag-uulat ng maternal, under-5, infant and
Mortality buwanang ulat Copy of death
Report
neonatal sa pamamagitan nang ginagamit na Death √ GREEN: may reports
Report system c/o Midwife buwanang ulat
Ang mga sumusunod na data ng Social Determinants of health na
galing sa munisipyo ay na-validate ng barangay kada taon:
(1) Male and female age groups √
(2) Population and residential density of barangay √ - DILG-BLGD RPS
(3) Current labor force and employment including 2008 p.72
Data sa Social income class
√ RED - 0-3/7 IRR R.A. 7160 Article
Copy of data forms
Determinants YELLOW - 4-5/7 122a3-xi
(4) Population, religious affiliation and indigenous submitted
of Health
people
√ GREEN - 6-7/7
(5) Elementary and secondary school participation and
completion rates

(6) Housing facilities and utilities situation √
(7) Hazard mapping √
Profiling ng Ang mga updated profiles o listahan ng sumusunod na vulnerable RED - 0-3 Copy of list/profiles - IRR R.A. 7160
mga populations ay nasusumite sa munisipyo sa tamang oras: YELLOW - 4-5 Article 122a3-xi
Vulnerable GREEN - 6-8 - ZFF Learnings from
(1) Pregnant and lactating women (quarterly) √ Resilient Health

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 10 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(2) Under-five children (annual) √ Systems Program

(3) PWDs (annual) √


(4) Elderly (annual) √
(5) Out of school youth (annual) √
Population (6) Households in disaster-prone area (annual) √
(7) Households with IPs*, if applicable (annual) √
(8) Households in remote areas or GIDA*, if applicable
(annual)
Site visit / Copy of R.A. 10121
Early Warning (1) May naitatag na early warning system sa barangay √ RED - 0/2
Manual of
System para sa Operations
(2) Ang barangay ay may mekanismo para maikalat ang YELLOW - 1/2 R.A. 10121
Emergencies o Site visit / Copy of
GREEN - 2/2
Sakuna mga impormasyon na nanggagaling sa early warning √ Manual of
system Operations
- Republic Act 7883
Section 6
(1) Lahat (100%) ng mga BHWs ay nagsasagawa ng Copy of activity - DOH Guidelines on
home vistits at, kung kailangan, i-refer ang mga reports / establishing Service
pasyenteng nangangailangan ng mas mataas na antas
√ attendance sheets / Delivery Networks
Barangay RED - 0-1/3
Health Service ng pangangalaga feedback forms - Field Health
health service YELLOW - 2/3
Delivery Service Information
delivery GREEN - 3/3 System Manual
(2) Ang Barangay nutrition scholar (BNS) ay Presidential Decree
No. 1569
nagsasagawa ng buwanang operation timbang at √ Copy of OTP records
pagsubaybay sa mga batang may edad na 0-24 months

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 11 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
at mga batang malnourished na may edad 0-59 months
old
- Manual of
Operation on
(3) Hindi bababa sa isang beses isang linggo na Copy of
Maternal, Newborn,
pagbisita ng nurse or RHM para magbigay ng health √ communication
and Child Health
services sa barangay na may koordinasyon sa BHB document/ records
and Nutrition
Program
Site visit/ Presence Recommendations
(1) May nakapaskil na BHS citizen's charter na nasa
lokal na dayalekto
√ of a Citizen's from consultations
Charter
(2) Pagsasagawa ng konsultasyon sa komunidad sa Recommendations
Copy of activity from consultations
paggawa ng patnubay o protocols sa pagbibigay ng √ reports
health services sa barangay
(3) Pagkakaroon ng patnubay sa BHS sa pag obserba ng Copy of protocols/ Patient’s bill of
mga karapatan ng pasyente
√ guidelines rights
RED - 0-3/7
Patient- (4) Pagsasagawa ng gender-sensitivity assessment para Copy of Best practice from a
YELLOW - 4-6/7
centered care sa BHS (gamitin ang USAID tool para ma-assess ang x GREEN - 7/7 accomplished USAID health
project
gender sensitivity ng isang health facility) assessment tool
Best practice from a
(5) Pagsasagawa ng mga pamamaraan para malutas ang Copy of strategies/
mga kakulangan sa pagiging gender-sensitivity ng BHS x activity reports
USAID health
project
(6) Pagsasagawa ng mga pamamaraan para mapataas ZFF Learnings from
ang pag-access sa mga serbisyong pangkalusugan ng Copy of strategies/ Resilient Health
mga mamamayan sa GIDA, IP communites, at iba pang
√ activity reports Systems Program
sektor ng lipunan

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 12 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(7) Kung Doktor ang nasa BHS, pinagbibigy alam sa mga Patient’s bill of
pasyente ng BHS ang lahat tungkol sa kanilang rights
kondisyong medical na may kasamang diagnosis/ Key informant
interview/ Focus
prognosis, mga treatment options, peligro at
Group discussion /
komplikasyon na maaaring mangyari. Sila ay binibigyan √ Patient records
rin ng karapatang tumanggap o tumanggi sa ano mang indicating the
procedure/medication, investigation o treatment at consultations done
bibigyan ring kaalaman kung ano ang mga maaaring
maging resulta ng pawing desisyon.
(1) Ang BHS ay may satisfaction/feedback mechanism Recommendations
Feedback x Copy of feedbacks from consultations
mechanism ng para sa mga pasyente at kliyente RED - 0/2
mga pasyente YELLOW - 1/2 Copy of BHB Recommendations
(2) Ang mga feedbacks na nakuha sa mga pasyente ay minutes indicating from consultations
at kliyente ng
kasama sa BHB agenda x GREEN - 2/2
the agenda
BHS discussed
Assessed need
(1) Ang barangay ay mayroong isang health based on ZFF Cohort
station/center o kaya naman ay sila ay kasama sa isang √ Site visit and MLGP
catchment area Municipalities field
experience
Gumaganang (2) Ang barangay health station/center ay bukas para sa RED - 0-1/3 - IRR R.A. 7160
Health mga out-patient services (8 hours, 5 times a week) at YELLOW - 2/3 Article 25, 101-a4
Facilities GREEN - 3/3 - DOH Sentrong
tuwing may emergency, disaster, at birthing services*
Sigla Level 1 Quality
(24 hours, 7 times a week) √ Site visit
Standard List
 Ito ay may fully functional health equipment at supplies
(thermometer, BP Apparatus, weighing scale) *emergency and
 May Midwife na naka assign sa health facility (na may birthing services

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 13 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
hindi bababa sa isang beses sa isang linggo na applicable only to
pagbibigay ng serbisyo at on call kapag may mga GIDA barangays
sakuna)
 May BHW/BNS/RHMPP/NDP na naka-duty tuwing oras
ng serbisyo at on call kapag may sakuna
 May kuryente
 May supply ng tubig
*emergency and birthing services applicable only to GIDA
barangays
(3) Ang Barangay Health Station/ Center ay nagbibigay Assessed need
ng mga sumusunod sa serbisyo: based on ZFF Cohort
1. Pre-Natal and MLGP
Site visit / Key
2. Postnatal Municipalities field
informant Interview
experience
3. Family Planning √ / Focus Group
4. EPI Discussion/ Patients
5. IMCI Records
6. IYCF
7. General Consultation (as needed)
(1) May sasakyan na nakatalaga bilang Emergency DOH Guidelines on
Naitatag ang Site visit / Key establishing Service
transport vehicle* sa barangay na available 24/7 RED - 0-3/7
Gatekeeping at informant Interview Delivery Networks
Referral x YELLOW - 4-5/7
/ Focus Group
*Transportation expenses e.g. fuel, driver, etc. should not be GREEN - 6-7/7 Discussion
System shouldered by the indigent patients

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 14 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
(2) Mayroong madaling mapupuntahan na waiting Assessed need
home/ halfway house para sa mga nasasakupan ng based on ZFF Cohort
Site visit / Key
Municipalities field
barangay (if applicable especially if GIDA barangay). informant Interview
√ / Focus Group
experience

**Ang halfway house ay pwedeng wala sa sariling Discussion


barangay
(3) Ang mga kabahayan ay napagbigyang alam kung Key informant Recommendations
from DOH
nasaan ang mga referral facilities at blood facilities na √ Interview / Focus
pwedeng gamitin ng mga nasasakupan ng barangay Group Discussion
DOH Guidelines on
(4) Mayroong two-way referral system sa pagitan ng establishing Service
Copy of agreement/
barangay at RHU para masigurado ang tamang √ referral protocol
Delivery Networks
koordinasyon sa pagdala sa mga pasyente

(5) Palawakin ang gatekeeping at referral mechanism sa Recommendations


List of first contacts
pamamagitan ng pagaalam kung sino ang first contact x per family
from DOH
of care sa bawat pamilya
(6) Bigyang kaalaman ang mga first contacts tungkol sa Copy of the Recommendations
from DOH
service delivery path at siguraduhing sila ay x orientation activity
makakasama sa gatekeeping report
(7) Pagkakaroon o pagpapaskil ng facility map at service Recommendations
delivery map sa Barangay Hall x Site visit from DOH
- WHO List of
Health Ang mga sumusunod na serbisyo sa bawat programa ay dapat RED - 0-5/10 Copy of patients
Essential Package of
Promotion naibibigay: YELLOW - 6- records and

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 15 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
1)Maternal and Newborn Health (3) Health Services
- Philippine Health
a) Birth preparedness plan and referral Agenda Targets
b) Nutrition promotion and assessment
√ - WHO report on
c) Mothers class/Family development session Philippine Health
Service Delivery
2) Child health (2) Profile
a) Growth monitoring √ - IRR R.A.7160
b) Promotion of infant and young child feeding Article 101-a19-20

3) Family Planning (3) - WHO List of


Essential Package of
a) Health education on family planning √ Health Services
b) FP counselling - Philippine Health
c) Provision of FP commodities 9/10 promotional and IEC Agenda Targets
Services
4) ASRH (2) GREEN - 10/10 materials - WHO report on
Philippine Health
a) IEC on ASRH, HIV, STI, Gender-based Violence (GBV) √ Service Delivery
b) Counselling on prevention of teenage pregnancy Profile
5) Oral Health (2) - IRR R.A.7160
a) IEC on oral health √ Article 101-a19-20
b) Tooth brushing drill
6) Communicable Disease (3)

a) IEC on Cough Manners


b) IEC on Hand Hygiene/ Proper Hand Washing

c) IEC on Local Wound Care for Animal Bite Victims

7) Lifestyle-related or Non-Communicable Disease (2)

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 16 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
a) Presence of healthy lifestyle programs
b) IEC of the healthy lifestyle programs

8) Environmental Health and Sanitation (4)
a) Promotion of water and air quality and food safety
b) Promotion of vector control and waste
management

c) Presence of road signage
d) Presence of road safety policies
9) Mental Health (1)
a) Promotion of awareness on mental health

10) Blood Donation (1)
a) Promotion of bloodletting activities x
Disease Ang mga sumusunod na serbisyo sa bawat programa ay dapat RED - 0-4/9 Copy of patients'
Prevention and naibibigay: YELLOW - 5-7/9 records
Control 1) Maternal and Newborn Health (3-4) GREEN - 8-9/9 - WHO List of
Services a) Pregnancy Tracking Essential Package of
Health Services
b) Antenatal/Prenatal care √ - Philippine Health
c) Post-partum Care Agenda Targets
d) Safe labor and delivery (if birthing facility) - WHO report on
2) Child health (2) √ Philippine Health
a) EPI Service Delivery
b) Injury prevention Profile

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 17 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
3) Family Planning(1) - IRR R.A.7160
a) For permanent methods, refer to RHU
√ Article 101-a19-20
4) Communicable Disease (3)
a) Active case finding and reporting for TB
b) Active case finding and reporting of other notifiable √
diseases
c) Skin Disease Screening
5) Lifestyle-related or Non-Communicable Disease (1)
a) Routine screening for risk factor identification

6) Environmental Health and Sanitation (3)
a) Presence of vector control and waste management
b) Coordination with the MHO/RHU on the testing of
water source (safe water)

c) Coordination with the MHO/CHO/PHO on the zero
open defecation program/ provision of toilets
7) Mental Health (1)
a) Referral of identified cases to RHU

8) Drug and Substance Abuse (2)
a) IEC on Drug Substance Abuse
b) Profiling of identified patients (if applicable) and

Referral of identified cases to RHU
9) Senior Citizens (1)
a) Immunization

Curative Ang mga sumusunod na serbisyo sa bawat programa ay dapat RED - 0-3/8 Copy of patients' - WHO List of

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 18 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
naibibigay: Essential Package of
Health Services
1) Maternal and Newborn Health (2-3)
- Philippine Health
a) Referral to RHU
Agenda Targets
b) BEmONC services, if applicable - WHO report on
c) Administration of lifesaving drugs for Midwives (AO Philippine Health
2010-0014) Service Delivery
2) Child health (3) Profile
a) CIMCI and IMCI - IRR R.A.7160
b) Provision of micronutrient supplements
√ Article 101-a19-20
c) Referral to RHU
3) ASRH (1)
a) Referral to RHU
√ YELLOW - 4-6/8
records /
Service accomplished
4) Oral Health (1) GREEN - 7-8/8 referral forms
a) Referral to RHU

5) Communicable Disease (2)
a) Coordinate with TB-DOTS facility √
b) Referral to RHU/ appropriate health facility
6) Lifestyle-related or Non-Communicable Disease (3)
a) Treatment for Hypertension
b) Treatment for Diabetes √
c) Referral to RHU/ appropriate health facility
7) Mental Health (1)
a) Referral to RHU/ appropriate health facility √
8) Drug and Substance Abuse (1)
a) Referral to RHU/ appropriate health facility √
Rehabilitative Ang mga sumusunod na serbisyo sa bawat programa ay dapat RED - 0-1/4 Copy of patients' - WHO List of
naibibigay: records / Essential Package of

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 19 of 20
Name of Barangay: BOLISONG Name of Barangay Captain: ROLAND PABELLAN
Municipality / City: MISAMIS ORIENTAL Name of Assigned Midwife: MARY RUTH A. MILLADO
Province & Region: X Name of HRH/ RHMPP: MECHELLE P. RIO
Date Accomplished: NOVEMBER 07, 2023
BHLMP FORM 1B: BARANGAY HEALTH SYSTEM DEVELOPMENT SIX BUILDING BLOCK INDICATORS
Standard of Means of Basis for the
Major Block Sub-Blocks Indicators √ OR X
Performance Verification Parameters
1)Lifestyle-related or Non-Communicable Disease (4) Health Services
a) Monitor post stroke rehabilitation - Philippine Health
b) Home visits for blood pressure monitoring, √ Agenda Targets
c) Home visits for blood sugar monitoring - WHO report on
d) Home visits for monitoring of maintenance drugs intake Philippine Health
2) Health for persons with physical disability (1) Service Delivery
√ YELLOW - 2-3/4 accomplished Profile
Services a) Community based rehab or referral to RHU
GREEN - 4/4 referral forms - IRR R.A.7160
3) Mental Health (1) Article 101-a19-20
a) Monitoring of treatment process of mental health √
patients
4)Drug and Substance Abuse (1)
a) Referral to RHU √

ZFF BHLMP Form 1.b. Barangay Health System Development Six Building Block Indicators |Page 20 of 20

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