Annex H

AOP Form 3.3. LGU INVESTMENT NEEDS FOR COMMODITIES

Region: National Capital Region_____________

Province/HUC/ICC: _________________
AOP Year: _2020________________

Target
Name of Population Items / Estimated
Commodities District Municipality Health (5) Description Quantity Unit Cost Total (PhP)
(1) (2) (3) Facility (# of infants, SC,
(6) (7) (PhP) (9)
adolescents, (Dosage, Units,
(4) Form)
(8)
pregnant, WRA
etc)
A. Field Health Services Information
System(FHSIS)
1. Target Client List(TCL) District 1 Malabon 21 pcs 139 165 22,935
District 1 Navotas 11 pcs 73 165 12,045
District 1 Valenzuela 45 pcs 297 165 49,005
District 1 Caloocan City 44 pcs 581 165 95,865
District 2 Marikina 17 pcs 113 165 18,645
District 2 Pasig 41 pcs 271 165 44,715
District 2 Pateros 5 pcs 33 165 5,445
District 2 Taguig 31 pcs 205 165 33,825
District 2 Quezon City 65 pcs 1287 165 212,355
District 3 Makat 26 pcs 172 165 28,380
District 3 Mandaluyong 27 pcs 179 165 29,535
District 3 San Juan 10 pcs 66 165 10,890
District 3 Manila 59 pcs 779 165 128,535
District 4 Las Piñas 30 pcs 198 165 32,670
District 4 Muntnlupa 14 pcs 93 165 15,345
District 4 Parañaque 16 pcs 106 165 17,490
District 4 Pasay City 14 pcs 93 165 15,345

Subtotal TCL 476 pcs 4,685 773,025

2. FHSIS Monthly Report Forms District 1 Malabon 21 pcs 11,088 3 33,264

District 1 Navotas 11 pcs 5,808 3 17,424
 Target
Name of Population Items / Estimated
Commodities District Municipality Health (5) Description Quantity Unit Cost Total (PhP)
(1) (2) (3) Facility (# of infants, SC,
(6) (7) (PhP) (9)
adolescents, (Dosage, Units,
(4) Form)
(8)
pregnant, WRA
etc)
District 1 Valenzuela 45 pcs 23,760 3 71,280
District 1 Caloocan City 44 pcs 23,232 3 69,696
District 2 Marikina 17 pcs 8,976 3 26,928
District 2 Pasig 41 pcs 21,648 3 64,944
District 2 Pateros 5 pcs 2,640 3 7,920
District 2 Taguig 31 pcs 16,368 3 49,104
District 2 Quezon City 65 pcs 34,320 3 102,960
District 3 Makat 26 pcs 13,728 3 41,184
District 3 Mandaluyong 27 pcs 14,256 3 42,768
District 3 San Juan 10 pcs 5,280 3 15,840
District 3 Manila 59 pcs 31,152 3 93,456
District 4 Las Piñas 30 pcs 15,840 3 47,520
District 4 Muntnlupa 14 pcs 7,392 3 22,176
District 4 Parañaque 16 pcs 8,448 3 25,344
District 4 Pasay City 14 pcs 7,392 3 22,176

Subtotal Monthly Report Forms 476 pcs 251,328 753,984

3. FHSIS Quarterly Report Forms District 1 Malabon 21 pcs 5,360 3 16,080

District 1 Navotas 11 pcs 2,808 3 8,424
District 1 Valenzuela 45 pcs 11,484 3 34,452
District 1 Caloocan City 44 pcs 11,229 3 33,687
District 2 Marikina 17 pcs 4,339 3 13,017
District 2 Pasig 41 pcs 10,464 3 31,392
District 2 Pateros 5 pcs 1,276 3 3,828
District 2 Taguig 31 pcs 7,912 3 23,736
District 2 Quezon City 65 pcs 16,588 3 49,764
District 3 Makat 26 pcs 6,636 3 19,908
District 3 Mandaluyong 27 pcs 6,891 3 20,673
District 3 San Juan 10 pcs 2,552 3 7,656
 Target
Name of Population Items / Estimated
Commodities District Municipality Health (5) Description Quantity Unit Cost Total (PhP)
(1) (2) (3) Facility (# of infants, SC,
(6) (7) (PhP) (9)
adolescents, (Dosage, Units,
(4) Form)
(8)
pregnant, WRA
etc)
District 3 Manila 59 pcs 15,057 3 45,171
District 4 Las Piñas 30 pcs 7,656 3 22,968
District 4 Muntnlupa 14 pcs 3,573 3 10,719
District 4 Parañaque 16 pcs 4,084 3 12,252
District 4 Pasay City 14 pcs 3,573 3 10,719

Subtotal Quarterly Report Forms 476 pcs 121,482 364,446

4. FHSIS Annual Report Forms District 1 Malabon 21 pcs 462 3 1,386

District 1 Navotas 11 pcs 242 3 726
District 1 Valenzuela 45 pcs 990 3 2,970
District 1 Caloocan City 44 pcs 968 3 2,904
District 2 Marikina 17 pcs 374 3 1,122
District 2 Pasig 41 pcs 902 3 2,706
District 2 Pateros 5 pcs 110 3 330
District 2 Taguig 31 pcs 682 3 2,046
District 2 Quezon City 65 pcs 1,430 3 4,290
District 3 Makat 26 pcs 572 3 1,716
District 3 Mandaluyong 27 pcs 594 3 1,782
District 3 San Juan 10 pcs 220 3 660
District 3 Manila 59 pcs 1,298 3 3,894
District 4 Las Piñas 30 pcs 660 3 1,980
District 4 Muntnlupa 14 pcs 308 3 924
District 4 Parañaque 16 pcs 352 3 1,056
District 4 Pasay City 14 pcs 308 3 924

Sub-total Annual Report Forms 476 pcs 10,472 31,416

TOTAL 387,967 1,922,871

(1) Commodities – various commodities such as drugs, vaccines and their corresponding medical supplies generally categorized into:
a. National Tuberculosis Program
 Target
Name of Population Items / Estimated
Commodities District Municipality Health (5) Description Quantity Unit Cost Total (PhP)
(1) (2) (3) Facility (# of infants, SC,
(6) (7) (PhP) (9)
adolescents, (Dosage, Units,
(4) Form)
(8)
pregnant, WRA
etc)
b. Family Planning and RPRH
c. Vaccines/EPI
d. Other Major Commodities
(2) District – the legislative district where the health facility is located. In a province, this excludes the legislative districts covered by the HUC/ICC where they will also be reflected in the latter’s respective plans.
(3) Municipality/ Component City/Barangay - specific area where the health facility is located; indicate if area covers GIDA/IP/Urban poor and other vulnerable population
(4) Name of Health facility – the exact name of the health facility where the commodities will be delivered
(5) Target Population – refer to number of infants/ Senior Citizens / adolescents / pregnant / WRA etc who will benefit from the identified commodity
(6) Items / Description – refer to Dosage / Unit / Form of the commodity
(7) Quantity – quantity of the commodity requested
(8) Estimated Unit Cost – standard cost based on latest estimate from DOH program managers
(9) Total – total amount needed for the commodity after considering the estimated unit cost and the quantity
(10) Fund Source – which/what office will be able to fund the investment
§ DOH - from DOH Central Office, Centers for Health Development
§ LGU - Government funds from the Local Government Units: Consolidated from PLGU (province), CLGU (city), MLGU (municipality); BLGU (Barangays)
§ Others - Other Fund Sources: from Official Development Assistance (eg. UN Agencies, development partners); other national agencies; NGOs/CSOs whether local or national; private and o
 Cost per Fund Source (PhP)
(10)

DOH
Central LGU Others
CHD
Office

22,935
12,045
49,005
95,865
18,645
44,715
5,445
33,825
212,355
28,380
29,535
10,890
128,535
32,670
15,345
17,490
15,345

773,025

22,176
11,616
 Cost per Fund Source (PhP)
(10)

DOH
Central LGU Others
CHD
Office
47,520
46,464
17,952
43,296
5,280
32,736
68,640
27,456
28,512
10,560
62,304
31,680
14,784
16,896
14,784

502,656

10,720
5,616
22,968
22,458
8,678
20,928
2,552
15,824
33,176
13,272
13,782
5,104
 Cost per Fund Source (PhP)
(10)

DOH
Central LGU Others
CHD
Office
30,114
15,312
7,146
8,168
7,146

242,964

924
484
1,980
1,936
748
1,804
220
1,364
2,860
1,144
1,188
440
2,596
1,320
616
704
616

20,944
1,539,589
 Cost per Fund Source (PhP)
(10)

DOH
Central LGU Others
CHD
Office

e latter’s respective plans.

cal or national; private and other sectors; and unfunded PPAs

 City/ Percentage to Comparison to
2020 Remarks
Municipality Population Regional average

NCR 13,911,986

Malabon City 375,214 2.7% 3.2%

Navotas City 248,375 1.8% 4.1%
Valenzuela City 661,845 4.8% 1.1%
-6.1% 2x higher than other
Caloocan City 1,668,853 12.0% LGUs on the average
Marikina City 473,913 3.4% 2.5%
Pasig City 840,891 6.0% -0.2%
Pateros 63,244 0.5% 5.4%
Taguig City 987,442 7.1% -1.2%
-16.4% 3x higher than other
Quezon City 3,098,943 22.3% LGUs on the average
Makat City 635,661 4.6% 1.3%
Mandaluyong City 453,079 3.3% 2.6%
San Juan City 122,562 0.9% 5.0%
-7.8% 2x higher than other
City of Manila 1,906,158 13.7% LGUs on the average
Las Piñas City 621,547 4.5% 1.4%
Muntnlupa City 570,933 4.1% 1.8%
Parañaque City 744,872 5.4% 0.5%
Pasay City 438,452 3.2% 2.7%
5.9%
Number of Number of TCL
Health Buffer Calculated
TCL Multiplier
Centers
21 6 1 1.1 138.6 139
11 6 1 1.1 72.6 73
45 6 1 1.1 297 297
44 6 2 1.1 580.8 581
17 6 1 1.1 112.2 113
41 6 1 1.1 270.6 271
5 6 1 1.1 33 33
31 6 1 1.1 204.6 205
65 6 3 1.1 1287 1287
26 6 1 1.1 171.6 172
27 6 1 1.1 178.2 179
10 6 1 1.1 66 66
59 6 2 1.1 778.8 779

30 6 1 1.1 198 198

14 6 1 1.1 92.4 93
16 6 1 1.1 105.6 106
14 6 1 1.1 92.4 93
4685