Republic of the Philippines

Department of Health
Center for Health Development
CaLaBaRZon

Data Harmonization
of Non-Communicable Disease Programs
Program Implementation Review
December 5-7, 2023
Canyon Woods, Tagaytay City, Cavite

____________________________
Name of Health Facility

NCD Coordinator:
Email Add:
Contact No.
LIFESTYLE RELATED DISEASE PROGRAM

REPORT ON PhilPEN IMPLEMENTATION

INDICATORS JAN FEB MAR APR MAY JUN JUL AUG SEP TOTAL

No. of screened clients using PhilPEN

protocol

No. of new patients screened and diagnosed with

HYPERTENSION only

No. of new patients screened and diagnosed with

DIABETES only

No. of new patients screened and diagnosed with BOTH

HYPERTENSION
and DIABETES

High Risk Adults (>30% CVD Risk)

Total no. of current tobacco users among M

these 20 years old and above risk assessed
with PhilPEN
protocol
F

M
Total no. of excessive alcohol intake / binge
drinker among these 20 years old and above
risk assessed with PhilPEN protocol
F
 LIFESTYLE RELATED DISEASE PROGRAM

Monthly Utilization Report

NCD Maintenance Medicines JAN FEB MAR APR MAY JUN JUL AUG SEP TOTAL

Amlodipine 5mg (Treatment Pack)

Amlodipine 5mg (100’s Tablet)

Amlodipine 10mg (100’s Tablet)

Losartan 50mg (Treatment Pack)

Losartan 50mg (100’s Tablet)

Metoprolol 50mg (100’s Tablet)

Metformin 500mg (Treatment Pack)

Metformin 500mg (100’s Tablet)

Simvastatin 20 mg (Treatment Pack)

Simvastatin 20 mg (100’s Tablet)

Simvastatin 40 mg (Treatment Pack)

Simvastatin 40 mg (100’s Tablet)

Gliclazide 30 mg (Treatment Pack)

Gliclazide 30 mg (100’s Tablet)

 LIFESTYLE RELATED DISEASE PROGRAM

Monthly Utilization Report

NCD Maintenance Medicines JAN FEB MAR APR MAY JUN JUL AUG SEP TOTAL

Gliclazide 80mg (Treatment Pack)

Gliclazide 80mg (100’s Tablet)

Regular Insulin

Isophane Insulin

Biphasic Insulin

Total Number of Patient (2017 to Present)

2017 2018 2019 2020 2021 2022 TOTAL

Number of Patient with HYPERTENSION Only

Number of Patient with DIABETES Only

Number of Patient with BOTH HYPERTENSION

and DIABETES

TOTAL
LIFESTYLE RELATED DISEASE PROGRAM

List of trained personnel on Diabetic Management Using Insulin

Name Designation Area of Assignment

Total # of HPN/DM Health Club Established

Active
Inactive
CANCER PROGRAM

Cervical Cancer Screening / VIAA

# of women 21 y.o # of women with # of women with suspected # of women with
Year screened via VIA positive VIAA Cervical Cancer positive VIAA
referred

2018

2019

2020

2021

2022

TOTAL
 ENVIRONMENTAL AND OCCUPATIONAL HEALTH
ACCOMPLISHMENT
Level 2 Level 3 Total Remarks
Indicator No. of HH
No. % No. % No. %

1. Proportion of Household with Access

to Basic safe water supply
No. of HH No. % Total

2. Proportion of HH using Safely

Management Drinking Water Services
3. Proportion of HH with Basic
Sanitation Facility
4. Proportion of HH using safely
managed Sanitation Services
5. Proportion of HH with satisfactory
Solid Waste Management
6. Proportion of HH with Complete
Sanitation Facilities
No. of establishment No. of establishment w/ % with Sanitary Permit
Sanitary Permit

7. Proportion of Industrial of Food

Establishment with Sanitary Permit

8. Proportion of Industrial Establishment

with Sanitary Permit

Total No. of No. of Barangay w/ Zero Open % Zero Open Defecation

Barangay Defecation

9. Proportion of Barangay declared Zero

Open Defecation (ZOD) area
BLINDNESS PREVENTION PROGRAM

2017 2018 2019 2020 2021 2022 Total

Functional Provincial/ City/

Municipal Eye Health Team
formed

With Ophthalmologist With Optometrist

1. (name) 1. (name)

2. (name) 2. (name)

3. (name) 3. (name)
 SUBSTANCE ABUSE PREVENTION PROGRAM

Screened and Assessed

2018 2019 2020 2021 2022 2023 Total

# of PWUDS Screened

# of PWUDS Assessed
# of PWUDS referred

# of PWUDS who completed

treatment (CBRP)
Organized Community Based Drug
Rehabilitation
 2018 2019 2020 2021 2022 2023 Total
# of Persons provided with
BTI
# of Persons who quit
smoking after
providing BTI

# of Persons with relapse

 Non-Communicable Diseases
National Mental Health Program
1.

2.
List of trained Personnel on MHGap
3.

4.

1.

List of trained Personnel on MHPSS 2.

3.

4.

List of Personnel Untrained on

MHGap (Doctor / Nurse)

List of Personnel Untrained on MHPSS

(Doctor / Nurse)
 Non-Communicable Diseases
National Mental Health Program
# of Patients with
Mental Health Medication
Mental Disorder
Male Female
 Non-Communicable Diseases
Health and Wellness Program for Senior Citizens
2018 2019 2020 2021 2022 2023 TOTAL
Number of Senior Citizen who
avail
health services at the Health
Facility
Total Number of Senior
Citizens

Health and Wellness Program for Persons with Disabilities (PWDs)

Total No. of PWDs who avail
health services at the Health
Facility
Total No. of PWDs
Violence and Injury Prevention Program
No. of Patient who availed
medical
services at the Health Facility
No. of Organized pre- hospital
care
 Issues and Concern
Human Resource Logistics Others
 Request
Trainings

Logistics

Others
 Accomplishment
Advocacy Activities Conducted
 Lifestyle Related Diseases

Insert picture, video or any documentation

 Cancer

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 Substance Abused Prevention Program

Insert picture, video or any documentation

 Mental Health

Insert picture, video or any documentation

Person With Disabilities Program,
Healthy Aging (Senior Citizen)
 Tobacco Control Program

Insert picture, video or any documentation

 Environmental Health

Insert picture, video or any documentation

 Health in Tourism (HIT)

Insert picture, video or any documentation

 Traditional, Complementary and Alternative
Medicine (TCAM)
Insert picture, video or any documentation