Department of the Interior and Local Government

SGLG Technical Notes CY 2023

For National Orientation Only

HEALTH COMPLIANCE and RESPONSIVENESS

Set-up, implement, and sustain health policies and programs that would strengthen and promote the well-being, healthy lifestyle, and safety of the
public, while ensuring that all individuals, especially the vulnerable, have fair opportunities for better health without causing financial hardship through
the organization of an integrated healthcare delivery system

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

Overall Area Processing

Provinces, HUCs, and ICCs: Indicator No. 1 + any 2 from Indicators No. 2 to No. 8
Component Cities and Municipalities: Indicator No. 1 + any 1 from Indicators No. 2 to No. 8

1. MANDATORY The LIPH integrates health plans at all Local Government Unit Health For 2023 SGLG, Province/ HUC/ ICC,
REQUIREMENT: levels, covering both strategic and Scorecard (LGU HSC) CY 2021 Mun/CC with Concurred 2022 AOP
operational (annual) planning that
With complete promotes inter-LGU cooperation and Note: In case of inconsistency Province/ HUC/ ICC
Local Investment collaboration. LIPH refers to a medium- between LGU and DOH data, LGU ● 2022 AOP concurred by the CHD
Plan for Health term public investment plan for health must fill-out the Data Change Request Director/ MOH BARMM Minister or
(LIPH) that specifies the strategic direction for (DCR) Form for further verification. designated representative not later
the next three years in terms of improving Data Change Request shall only be than December 15, 2021
health service delivery, strengthening the accepted in case of clerical and
health systems operations and encoding errors. It shall follow the Municipality/ Component City
addressing social determinants of health. process provided under DOH ● AOP endorsed by the Mun/ CC
It also specifies the actions and Department Memorandum No. 2023- Health Office and/or Mayor to the
commitments of the different local 0044. Below are the acceptable MOVs PHO not later than December 31,
stakeholders to realize these. The AOP that will be presented and submitted 2021
translates the details of LIPH on a yearly with the DCR:
basis.
MEANS OF VERIFICATION:
The LIPH serves as one of the primary Data Capture Form signed by the
bases of the national government, Local Health Officer and LCE or
particularly the DOH, in the provision of
technical assistance to the LGUs. The Province/HUC/ICC:
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

crafting of this plan is in line with RA 1. Complete final version of the

11223, National Objectives for Health Province/HUC/ ICC 2022 AOP
(2017-2022), and DOH Administrative AND
Order 2020-0022 (Guidelines on the 2. Accomplished appraisal
Development of Local Investment Plans checklist for the 2022 AOP
for Health) concurred (signed) by CHD
Director/ MOH BARMM
Minister or designated
representative not later than
December 15, 2021

Municipalities/ Component Cities

1. Mun/ CC 2022 AOP AND
2. Endorsement of the
municipal/CC 2022 AOP by
LCE/ Health Officer to the PHO
not later than December 31,
2021

2. Proportion of Provision of water and sanitation services Provinces/HUCs/ICCs: Provinces, HUCs, ICCs, component cities,
households using are basic services important to every Copy of the Official 2021 DOH FHSIS and municipalities: more than or equal to
safely managed human life. It is a basic human right. The Annual Report the set national target of 55%
drinking-water LGU is primarily in-charge to deliver
services basic services. The provision of water Municipalities/CCs:
and sanitation services is essential in the Copy of the Official 2021 FHSIS report
prevention of incidence of outbreaks of submitted to the PHO
water-borne diseases.

This indicator refers to the proportion of Note: In case of inconsistency

households using safely managed between LGU and DOH data, LGU
drinking water services among the total must fill-out the Data Change Request
number of households in the LGU Form for further verification. Data
presented in percentage. Change Request shall only be
accepted in case of clerical and
The drinking-water services should be (a) encoding errors. It shall follow the
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

located inside the household or within its process provided under DOH
premises either as point source or Department Memorandum No. 2023-
waterworks system; (b) available at least 0044. Below are the acceptable MOVs
12 hours per day; and (c) the water that will be presented and submitted
supplied should be free of fecal with the DCR:
contamination (optional: priority
chemical). MEANS OF VERIFICATION:
Provinces/HUCs/ICCs
This indicator is in line with the roles of ● Official 2021 DOH Field
the LGUs as provided in the Local Health Service Information
Government Code of 1991 and PD 856- System (FHSIS) Annual
Code of Sanitation of the Philippines, Report will be utilized
1975.
Municipalities/CC
FORMULA: ● Certification from the province
confirming receipt of the
Numerator: FHSIS report within the
Total no. of households using safely- prescribed reporting timeline
managed drinking water services (Wednesday of the 2nd week
of January of the succeeding
Denominator:
year), and
Projected No. of Households for the given
year ● Copy of the submitted FHSIS
report (using the Updated
Multiplier:100 Master List of Households on
Environmental Health and
Note: Sanitation, Part 1. Access to
To be reported cumulatively from month 1 to Basic Safe Water Supply and
month 12. Use of Safely Managed
Drinking-Water Services or
Summary Table for
Environmental Health and
Sanitation Services)

3. Proportion of Sanitation services are among the basic Provinces/HUCs/ICCs: Provinces, HUCs, ICCs, component cities,
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

Households using services critical to every human life. The Copy of the Official 2021 DOH FHSIS and municipalities: more than or equal to
safely managed Local Government Code of 1991 and PD Annual Report the set national target of 43.60%
sanitation services 856 (Code of Sanitation of the
Philippines) both highlight the roles of Municipalities/CCs:
LGUs in delivering sanitation services Copy of the Official 2021 FHSIS report
which are essential in the prevention of submitted to the PHO
incidence of outbreaks of water-borne
diseases. Note: In case of inconsistency
between LGU and DOH data, LGU
Safely managed Sanitation Services must fill-out the Data Change Request
should have: Form for further verification. Data
1. sanitation facility that is not Change Request shall only be
shared with other HHs and accepted in case of clerical and
2. sewage/excreta that should either encoding errors. The process shall
be: follow the process provided under
● stored in a containment tank DOH Department Memorandum No.
and treated (in situ) and 2023-0044. Below are the acceptable
application of sanitation by MOVs that will be presented and
products for reuse/disposal submitted with the DCR:
OR
● stored in a containment tank MEANS OF VERIFICATION:
desludged, transported, Provinces/HUCs/ICCs
treated and disposed off-site ● Official 2021 DOH Field
and application of sanitation Health Service Information
by-products for System (FHSIS) Annual
reuse/disposal OR Report will be utilized
● stored in a containment tank
or conveyed through a
sewer/sewerage system and Municipalities/CC
treated off-site and ● Certification from the province
application of sanitation by- confirming receipt of the
products for reuse/disposal FHSIS report within the
prescribed reporting timeline
FORMULA: (Wednesday of the 2nd week
of January of the succeeding
Numerator: year), and
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

Total no. of households using safely- ● Copy of the submitted FHSIS

managed sanitation services report (using the Updated
Master List of Households on
Denominator: Environmental Health and
Projected No. of Households for the Sanitation, Part 2. Status of
given year Sanitation Facility and Use of
Safely Managed Sanitation
Multiplier:100 Services or Summary Table
for Environmental Health and
Note: Sanitation Services)
To be reported cumulatively from month
1 to month 12.

4. Tuberculosis (TB) TB Case Notification Rate refers to the 2020 and 2021 Official Annual TB Program TARGET: Provinces, HUCs, ICCs,
Case Notification number of notified TB, new and relapse, Data from the Integrated TB Information component cities, and municipalities: CY
Rate for every 100,000 population. This System (IT IS) released at the national 2021 performance result is equal or above
indicator highlights local government program level the CY 2020 performance result
efforts to improve Tuberculosis (TB)
surveillance to provide early treatment to
those who need it and prevent Note: In case of inconsistency
complications--a primary step towards between LGU and DOH data, LGU
achieving disease elimination. must fill-out the Data Change Request
Form for further verification. Data
TB ranked fifth among the top ten leading Change Request shall only be
causes of mortality based on the 2017 accepted in case of clerical and
Philippine Health Statistics. The 2016 encoding errors identified and
National TB Prevalence Survey revealed certified by the CHD/ MOH BARMM
that around one million Filipinos have TB TB Program Coordinator. The
and the burden remains unabated in the process shall follow the process
last ten years. The World Health provided under DOH Department
Organization had estimated that around Memorandum No. 2023-0044. Below is
599,000 new TB cases develop every the acceptable MOV that will be
year. Yet only 68% were notified to DOH, presented and submitted with the
thus, around 189,000 are still “missing”. DCR:
For the past two decades, the National
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

TB Control Program (NTP) had engaged MEANS OF VERIFICATION:

them through the public-private mix Copy of the Annual TB Program Data
Directly Observed Treatment, Short- from the ITIS validated at national
course (DOTS) initiative but many are program level
still unengaged, hence, many cases
remained unreported. To resolve this, TB
should be considered a notifiable disease
that requires mandatory reporting.

Mandatory reporting refers to the

obligatory reporting of a condition to local
or state authorities as required for
notifiable diseases as stipulated in
Republic Act 11332 or the Mandatory
Reporting of Notifiable Diseases and
Health Events of Public Health Concern
Act.” It is also in compliance with Section
8 of RA 10767 (Comprehensive TB
Elimination Plan Act) which requires all
public and private health care providers
to report all detected TB cases in
accordance with the guidelines issued by
NTP.

FORMULA:
Total number of notified TB cases, all
forms (New and Relapse) / Total
Population of the LGU* 100,000

5. TB Treatment TB Treatment Success Rate refers to the 2021 Official Annual TB Program Data TARGET:
Success Rate number of New and Relapse TB cases from the Integrated TB Information System Provinces, HUCs, ICCs, component cities,
that were cured or completed treatment (IT IS) released at the national program and municipalities: more than or equal to
out of all those that were notified. level 90% TB Treatment Success Rate
Note: In case of inconsistency
The ultimate goal in TB treatment is to
between LGU and DOH data, LGU
reduce TB prevalence and mortality
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

rates. The National TB Control Program must fill-out the Data Change Request
(NTP) targets are 90% Case Detection Form for further verification. Data
Rate and at least 90% Treatment Change Request shall only be
Success Rate. Improvement in LGU’s TB accepted in case of clerical and
surveillance is critical in achieving these encoding errors identified and
targets as it ensures the provision of certified by the CHD/ MOH BARMM
early treatment to those who need it to TB Program Coordinator. The
stop the transmission of the disease and process shall follow the process
eventually attain disease elimination. provided under DOH Department
Memorandum Order No. 2023-0044.
Below is the acceptable MOVs that will
FORMULA: be presented and submitted with the
DCR:
Numerator: Number of New and Relapse
TB cases that were cured plus completed MEANS OF VERIFICATION:
treatment Copy of the Annual TB Program Data
from the ITIS validated at national
Denominator: All notified TB cases program level

Multiplier: 100

The indicator is in line with Section 8 of

the Implementing Rules and Regulations
issued by the DOH on May 5, 2017 for
Republic Act No. 10767 entitled
Comprehensive Tuberculosis (TB)
Elimination Plan Act and RA 11332 or the
Mandatory Reporting of Notifiable
Diseases and Health Events of Public
Health Concern Act.”

6. Prevalence of Prevalence of stunting refers to the Official 2022 Operation Timbang TARGET:
stunting among proportion of children under-five in an (OPT) Plus Result from the NNC Provinces, HUCs, ICCs, municipalities and
children under 5 LGU that have height-for-age of 2 Central Office component cities: at least 60-110% OPT
years old (0-59 standard deviations (moderate and Plus coverage AND stunting prevalence
months) severe stunting) to less than 3 standard Note: In case of inconsistency within the medium level of public health
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

deviations (severe stunting) from the between LGU and DOH data, LGU significance (10 to < 20%) or better.
median of the WHO Child Growth must fill-out the Data Change Request
Standards. Form for further verification. Data
Change Request shall only be
Child growth is the most widely used accepted in case of clerical and
indicator of nutritional status in a encoding errors. The process shall
community. It is internationally follow the process provided under
recognized as an important public-health DOH Department Memorandum No.
indicator for monitoring health in 2023-0044. Below are the acceptable
populations. MOVs that will be presented and
submitted with the DCR:
Stunted children fail to reach their
physical and cognitive potential. Children MEANS OF VERIFICATION:
who suffer from growth retardation as a Provinces/ HUCs/ ICCs
result of poor diets and/or recurrent Copy of the Consolidated Barangay
infections also tend to have a greater risk OPT Plus Results signed and with
of suffering illness and death. (WHO received stamp from NNC RO data
Indicator Metadata Registry) submission (all types)

The indicator will aid the LGU in the Municipalities/CCs

formulation of their PPAs in the local Copy of the Consolidated Barangay
nutrition action plans and in determining OPT Plus Results signed and with
their targets to contribute to the national received stamp from province for
targets. It will also be useful to the LGU municipalities and component cities
partners in prioritizing the barangays or data submission (all types)
municipalities in terms of severity of
malnutrition for their programs/ projects.

The Monitoring and Evaluation of Local

Level Plan Implementation (MELLPI) Pro
uses the WHO cut-off points for public
health significance to indicate the
severity of malnutrition.
1. Very low: <2.5%
2. Low: 2.5 to <10%
3. Medium: 10% to <20%
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

4. High: 20 to <30%
5. Very high: > 30%

FORMULA:
To compute for the coverage:

Total number of children under 5 years

old measured / Estimated population of
under 5 years old x 100

(Source: DOH Projected Population for

children aged 0-59 months in LGU)
(Population Projections by Regions,
Province, City, Municipalities, Barangay
from 2020-2025)

To compute for stunting rate:

Number of children under 5 years old

identified as stunted and severely stunted
/ Total number of children under 5 years
old measured x 100

This indicator is aligned with the

following:
● DOH-AO 2010-0015: Revised
Policy on Child Growth Standard
● NNC Governing Board Resolution
No . 4 S2012, Adopting the
“Under-Five Age Group” to
Describe Child Undernutrition in
the Philippines
● NNC Governing Board Resolution
No. 2 S2012, Approving the
Revised Implementing Guidelines
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

on Operation Timbang Plus (OPT

Plus)
● NNC Governing Board Resolution
No. 3 S. 2019 Adopting the Use
of the Monitoring and Evaluation
of Local Level Plan
Implementation (MELLPI Pro)
● RA 11148. Kalusugan at
Nutrisyon ng Mag- Nanay Act of
2019

7. Institutionalized For years, strengthening local LGU HSC CY 2021 TARGET: Provinces, HUCs, ICCs,
DRRM-H System institutional capacity for DRR is among component cities, and municipalities:
the highest priorities. However, this is yet Presence of ALL 4 DRRM-H components:
to be fully realized in the health sector Note: In case of inconsistency between 1. Approved, updated, disseminated and
based on feedbacks from program LGU and DOH data, LGU must fill-out the tested Disaster Risk Reduction and
implementation reviews and investments Data Change Request Form for further
Management in Health (DRRM-H) Plan
proposals from the Regional verification. Data Change Request shall
only be accepted in case of clerical and 2. Organized and trained Health
Development Councils. With the increase Emergency Response Team on
encoding errors. The process shall follow
in the national tax allotment, LGUs are the process provided under Department minimum required trainings: Basic Life
then strongly enjoined to also include Memorandum No. 2023-0044. Below are
Disaster Risk Reduction and Support and Standard First Aid
the acceptable MOVs that will be
Management in Health (DRRM-H) in their presented and submitted with the DCR:
3. Available and accessible within 24
development agenda. hours essential health emergency
MEANS OF VERIFICATION: commodities e.g. medicines such as
Gauging from the country’s COVID-19 Data Capture Form signed by the Local those that are anti-infectives,
experience, the DRRM-H System proves Health Officer and LCE, or analgesics, antipyretics,
to be a crucial element in creating fluids/electrolytes, respiratory drugs,
Component 1: Approved, updated,
resilient and sustainable communities. dietary/nutritional products
disseminated and tested DRRM-H Plan
4. Health Operations Center or
The institutionalization of the DRRM-H Acceptable MOVs: Emergency Operations Center,
System was supported by Republic Act
functional with (1) Command and
11223 and its Implementing Rules and Approved:
Control, (2) Coordination, and (3)
Regulation which call for strengthening - signed DRRM-H plan
the local health system’s capacities not - endorsement memo/letter to local Communication
just in responding to emergencies/ government council of (DRRM/ DRRM-H
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

disasters but in the whole spectrum of Budget Review)

DRRM. The DOH Department
Memorandum No. 2019-0282 also Updated:
provides for the contents of the kits for - content is up to date with latest
information on DRRM-H (ensured with vital
Barangay Health Station Emergency
parts)
Response, First Aid for Responders, - reviewed annually as evidently inputted
Family First Aid and CAMPOLAS Plus. through a “revision log”

In support to this, DOH also issued Disseminated:

Administrative Order No. 2019-0046 on - documentation of activities that the plan
the National Policy on Disaster Risk is communicated and circulated within the
Reduction and Management in Health level of organization
and AO No. 2020-0036 on the Guidelines
on the Institutionalization of DRRM-H in Tested:
- documentation of annual testing through
Province-wide or City-wide Health
exercises (drills/ tabletop/ simulation
Systems were also issued. activities on response among others),
program implementation reviews, post
In the CY 2021 LGU HSC, an incident evaluation, etc.
institutionalized DRMM-H System is
composed of four components: Component 2: Organized and trained
1. Approved, updated, disseminated Health Emergency Response Team on
and tested Disaster Risk Reduction minimum required trainings
Acceptable MOVs:
and Management in Health (DRRM-
H) Plan Organized:
2. Organized and trained Health - local ordinance/executive order
Emergency Response Team on establishing HERT or designating
minimum required trainings: Basic members of the HERTs
Life Support and Standard First Aid
Training in minimum required training
3. Available and accessible within 24 BLS/ SFA:
hours essential health emergency - training database of HERT on acquired
commodities e.g. medicines such as training on BLS and SFA
those that are anti-infectives, - training certificates of BLS and SFA or
analgesics, antipyretics, official ID on BLS regardless of validity
fluids/electrolytes, respiratory drugs,
Component 3: Available and accessible
dietary/nutritional products
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

4. Health Operations Center or health emergency commodities within

Emergency Operations Center, 24 hours post impact of emergency/
disaster
functional with (1) Command and
Acceptable MOVs:
Control, (2) Coordination, and (3) - logistics inventory or actual presence of
Communication commodities
- presence of existing agreements/
protocol/ work instructions on mobilization
of commodities for quick access in
emergencies and disasters

Component 4: Health/ Emergency

Operations Center with functional
system
Acceptable MOVs:
- The LGU has space (may be shared with
DRRM) staff, stuff and the system to
perform the functions of an HOC/ EOC
- There is an Incident Command System
Structure that can be readily referred to, in
times of major events or incidents
- There are evidences of coordination/
collaboration with multi-agency
stakeholders/ partners
- There is available communication
devices or equipment for operations and
report generation

8. Functional Pursuant to Rule VI, sections 1, 4 and 5 LGU HSC CY 2021 Provinces, HUCs, ICCs, component cities,
Epidemiology and of the revised IRR of RA 11332 and municipalities: Must have ALL 5 ESU
Surveillance Unit (Mandatory Reporting of Notifiable Note: In case of inconsistency between components:
(ESU) Diseases and Health Events of Public LGU and DOH data, LGU must fill-out the 1. Ordinance or Executive Order
Health Concern Act), and Chapter IV Data Change Request Form for further creating the ESU
Sec. 17.3.b of RA 11223 (The Universal verification. Data Change Request shall 1. ESU Staff Complement: at least one
only be accepted in case of clerical and
Health Care Act of 2019), LGUs are (1) disease surveillance officer duly
encoding errors. The process shall follow
encouraged to strengthen capacities for the process provided under Department trained on applied/field
disease surveillance and response to Memorandum Order No. 2023-0044. epidemiology, surveillance, and
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Indicator Relevance/ Description Data Source SGLG Minimum Requirement

avert the occurrence and spread of Below are the acceptable MOVs that will response, and one (1) epidemiology
diseases and other public health threats. be presented and submitted with the DCR: assistant of allied health profession
This is to ensure the early 2. Distinct organogram/organizational
detection/confirmation of disease MEANS OF VERIFICATION:
Data Capture Form signed by the Local chart
outbreaks and the immediate 3. Budget/work and financial plan
Health Officer and LCE or
implementation of outbreak control dedicated to the ESU or Approve
measures such as rapid containment Component 1: Ordinance or Executive planning documents with budgetary
strategies. Order creating the ESU allotment from the local budget
- acceptable MOVs: copy of the
Disease surveillance refers to the ordinance/EO 4. Processes and generates
ongoing systematic collection, analysis, epidemiologic reports (Disease and
interpretation, and dissemination of Component 2: ESU Staff Complement: Event surveillance report)
outcome-specific data for use in the - acceptable MOVs: local
planning, implementation, and evaluation ordinance/EO designating
of public health practice. members of the ESU and
disease surveillance officer’s
certificate of training on
A disease surveillance system includes applied/field epidemiology,
the functional capacity for data analysis surveillance, and response
as well as the timely dissemination of
these data to persons who can undertake Component 3: With distinct organogram
effective prevention and control activities - acceptable MOVs: copy of the
organogram

Component 4: With budget/work and

financial plan dedicated to the ESU
- acceptable MOVs: Signed
AIP/AOP/WFP

Component 5: Processes and generates

epidemiologic reports
- acceptable MOVs: copy of
Disease and Event Surveillance
Report
 Department of the Interior and Local Government
SGLG Technical Notes CY 2023
For National Orientation Only

Overall Guidance on Data Change Request

● In case of inconsistency between LGU and DOH data, LGU must fill-out the Data Change Request Form for further verification. Data Change Request
shall only be accepted in case of clerical and encoding errors. The process shall follow the process provided under DOH Department
Memorandum No. 2023-0044. LGUs are also reminded to submit their change requests ahead. They should get the result of their requests before the
end of the regional assessment period. Deadline of submission of Data Change Request Form is on May 26, 2023.

Other Indicator For Profiling (Details to be provided in the LGPMS-LGU Profile)

● Efforts on anti-smoking pursuant to Republic Act No. 9211 and Executive Order No. 26 s.2017