LGU Scorecard for Health

2010

What is the LGU Scorecard for Health ?

Why is there a Need for the LGU report card?

Internal Benchmark

Compare performanceto previous year

LGU REPORT CARD

Improving

Not Improving

Equal to Last Year

No Data

Action Points

=

External Benchmark•Compare performance to

2010 target •Compare performance to

2006 National Average

ExcellentEqual To or

Higher Than 2010 Target

GoodEqual To or

Higher Than 2006 Nat’l. Ave.

FairLower Than 2006

Nat’l. Ave.

Action Points

Maintain Current Level

Maintain Current Progress

Prioritize

LGU REPORT CARD

Performance Indicators

Set I Performance Indicators is composed of 29 indicators representing priority Programs, Projects and Activities of F1. They are mostly intermediate outcomes and assessed every year. Performance distribution or equity measures can be gauged.

Set II Performance Indicators is composed of 19 indicators representing major thrusts and key interventions for each F1 pillar. They are mostly system reform outputs and are assessed every 3-5 years. The equity dimension of these indicators shall not be measured.

LGU Scorecard Set I Performance

IndicatorsFILARIASIS (1)

SCHISTOSOMIASIS (1)

MALARIA (1) TUBERCULOSIS (2)

IMMUNIZATION (1) BREASTFEEDING (1)

UNDERWEIGHT CHILDREN (1)

FACILITY BASED DELIVERIES (1)/CPR

(1)

SAFE WATER AND SANITARY

TOILETS (2)HOSPITAL (3)

A. SERVICE DELIVERY = 15 INDICATORS

RHU ACCREDITATIONOut Patient Benefit

Maternity Care PackageTB DOTS (3)

Botika ng Barangay(1)

B. REGULATION = 4 INDICATORS

PHILHEALTH ENROLLMENT (2)

PROVINCIAL BUDGET FOR HEALTH (1)

MUNICIPAL BUDGET FOR HEALTH (1) MOOE FOR HEALTH (1)

C. FINANCING = 5 INDICATORS

DOCTORS MIDWIVES

(2)

PROCUREMENT Annual Financing

Utilized (2)AUDIT (1)

D. GOVERNANCE = 5 INDICATORS

DATA SOURCES

DATA SOURCENUMBER OF LGU

SCORECARD INDICATORS

FHSIS 11 LGU RECORDS (BUDGET DOCUMENTS & HOSPITAL) 12

NATIONAL NUTRITION COUNCIL

1

PHIC RECORDS 5 T O T A L 29

PERFORMANCE GAUGES

Performance Level is measured by the PWHS Average Performance of component municipalities are

averaged out to represent performance of the PWHS

Performance Distribution is measured by the distribution of performance in municipalities Performance of Highest and Lowest

Municipality

Basis for Financial Allocation

LGU Scorecard Performance Results shall be

the basis for Variable Tranche Allocation to PWHS

Internal Benchmark - 40% of the AOP SLA Variable Tranche

External Benchmark - 60 % of the AOP SLA Variable Tranche

Data ProcessI. Municipal Level

II. Provincial & Regional Levels

III. Provincial Level DILG Encoders

IV. National Level-BLGS-DILG

V. National Level-BLHD-DOH

LGU Scorecard Data Capture Forms

Official Automated Forms used for LGU Scorecard:

DatPagea Capture Form for Provinces & Certificate

Data Capture Form for Municipalities & Certificate Page

Data Capture Form for HUCs and ICCs & Certificate Page

Roles and Responsibilities of Major Stakeholders

A.Municipal Health Offices (MHOs) The Municipal Health Officer or the Public

Health Nurse (OIC) shall review, & validate the consolidated barangay data to ensure quality of information.

Facilitate meetings on LGU Scorecard for barangays under their jurisdiction.

Submit data to province thru the provincial health officer

Roles and Responsibilities of Major Stakeholders

B.Provincial Health Offices (PHOs) The Provincial Health Officer shall review, &

validate the consolidated PWHS data to ensure quality of information.

Facilitate meetings/conferences on LGU Scorecard for municipalities and component cities under their jurisdiction.

Sign the conforme form to ensure that both parties (PHO and CHD authorized representative) have agreed with the data reports.

Roles and Responsibilities

C. Centers for Health Development (CHDs) The designated CHD representative shall review,

& validate the consolidated PWHS data to ensure quality of information.

Facilitate meetings/conferences on LGU Scorecard for PWHS.

Sign the conforme form to ensure that both parties (PHO and CHD authorized representative) have agreed with the data reports.

D. BLGS-DILG C.1 Provincial Level (LGPMS-DILG)

Data encoding C.2 National Level (BLGS)

Processing and analysis of data Printing of LGU Report Cards

E. BLHD-DOH Analysis of data results Provide copies of national, regional and PWHS results to

health managers, LCEs, donors, other health stakeholders Provide venue for National ME3 Conference Disseminate information thru press releases of results on a

yearly basis in widely circulated newsprints. F. ME3 Steering Committee

Provide oversight functions in the implementation of the LGU Scorecard

Roles and Responsibilites

The 2010 LGU Report The 2010 LGU Report Card Card

National ResultsLGU Scorecard 2010

National Averages

Green Targets Peak

Performance

Indicator2006 200

7 2008 2009 2010

2010 Targe

tFilariasis

MDA 6868 6868 7676 6969 63.1363.13 8585Schistoso

miasis 16 16 2020 35 35 4343 55.2755.27 85 85 Malaria API (per 1000

population)1.421.42 1.551.55 1.021.02 1.671.67 1.061.06 <0.1<0.1

TB CDR 7272 7272 7070 6969 70.7570.75 7070TB CR 8181 8181 7878 7979 81.0481.04 8585 FIC 8484 8484 8686 8585 81.3381.33 9595

Initial Breast feed 6868 7272 7373 6868 65.6165.61 8585PEM 1212 1010 1212 1010 7.947.94 2424FBD 3333 3838 3838 4747 57.6257.62 7070CPR 3939 3939 3838 3838 37.0637.06 8585

20102010National National AverageAverage

SERVICE SERVICE DELIVERYDELIVERY

Indicator 2006 2007 2008 200

9 20102010 Targe

tSafe Water 8585 8686 8787 8282 84.984.9

44 9494Sanitary Toilet 7878 7979 7878 7878 80.0180.01 9191ALOS 33 33 33 33 3.543.54 55BOR 7171 7979 7878 7272 89.189.1

99 8585GDR 0.680.68 1.661.66 1.941.94 0.920.92 2.552.55 0.990.99

20102010National National AverageAverage

SERVICE SERVICE DELIVERYDELIVERY

4/15 GREENs

0 GREENs

Indicator 2006

2007

2008

2009 2010

2010

Target

OPB ACCREDITATION 4949 5757 5656 6565 65.665.6

99 8080

MCP ACCREDITATION 1313 1414 1717 1414 23.5723.57 9090

TB ACCREDITATION 2323 2929 3434 3636 43.343.3

22 5050

BOTICA NG BGY 1:41:499 1:131:13 1:71:7 1:71:7 1:81:8 1:21:2

20102010National National AverageAverage

REGULAREGULATIONTION

20102010National National AverageAverage

FINANCFINANCINGING

1/5

Indicator 2006

2007

2008

2009 2010

2010

Target

Total Enrolled (NHIP) 4646 4747 5858 9090 NO NO

DATADATA 8585Sponsored Enrolled (NHIP)

106106 6565 8585 8585 92.8192.81 100100

Prov. Health Budget (%) 2020 1616 1717 2222 22.822.8

66 2222Municipal Health Budget (%)

88 88 99 1111 11.511.577 1515

MOOE for Health (%) 2020 2222 2323 2323 25.725.7 4545GREEN

0 GREEN

Indicator 2006 2007 2008 2009 2010

2010 Targ

etDoctor to Pop. Ratio (1: )

32,6332,6333

31,8931,8977

31,0431,0499

30,9830,9822

35,0935,0900

20,0020,0000

Midwife to Pop. Ratio (1: )

5,1345,134 5,1095,109 5,7665,766 6,6056,605 6,3976,397 5,0005,000

Public Bidding 8282 9292 8989 8686 86.086.0

99 100100

Financing Utilized 7979 8787 8181 8484 87.487.4

99 100100Audit Objections Cleared

5252 5454 9191 9393 28.328.399 100100

20102010National National AverageAverage

GOVERNGOVERNANCEANCE

2010 ResultsContinuing ImprovementsContinuing Improvements

SERVICE DELIVERY

2010 ResultsContinuing ImprovementsContinuing Improvements

REGULATION

2010 ResultsContinuing ImprovementsContinuing Improvements

FINANCING

Service Delivery

National (97

LGUs)

F16

F15 F44 ARM

M NCR

Filariasis MDA 11 11 00 00 00

Schistosomiasis 66 33 22 00 11

Malaria API 2121 55 66 1010 00TB CDR 4646 1010 1111 1616 00 99TB CR 4141 88 99 1717 11 66 FIC 1515 44 00 77 00 44

Initial Breast feed 55 11 00 22 00 22PEM 8989 1616 1515 4141 33 1717FBD 2626 33 22 99 00 1212CPR 11 00 00 00 00 11

2010 Results – Cities & PW

HS

Who Reached 2010 Targets

2010 Results – Cities & PW

HS

Who Reached 2010 Targets

Service Delivery

National (97 LGUs)

F16

F15

F44

ARMM

NCR

Safe Water 2525 55 00 77 00 1313Sanitary Toilet 1919 00 00 55 00 1414ALOS 7575 1414 1414 3939 22 88BOR 4545 1111 55 2121 00 88GDR 2020 44 44 77 00 55

2010 Results – Cities & PW

HS

Who Reached 2010 Targets

RegulationNational (97 LGUs)

F16

F15 F44 ARM

M NCR

OPB ACCREDITATION

4545 1212 66 2121 22 66MCP ACCREDITATION

77 22 00 00 00 55TB ACCREDITATION

4141 99 1111 1717 00 44

BOTICA NG BRGY 8282 1414 1414 4040 44 1010

2010 Results – Cities & PW

HS

Who Reached 2010 Targets

FinancingNational (97 LGUs)

F16

F15 F44 ARM

M NCR

Total Enrolled 00 00 00 00 00 00Sponsored Enrolled 3131 66 22 1919 00 44Prov. Health Budget (%) 3232 99 77 1616 00 00Municipal Health Budget (%)

1414 11 11 44 11 77

MOOE for Health (%) 33 00 11 00 00 22

2010 Results – Cities & PW

HS

Who Reached 2010 Targets

GOVERNANGOVERNANCECE

National(97

LGUs)

F16

F15 F44

ARMM NCR

Doctor to Population Ratio

2121 44 00 99 11 88Midwife to Population Ratio

3636 1010 1111 2222 11 22Public Bidding 1212 11 11 44 00 66Financing Utilized 1414 33 11 88 00 22Audit Objections Cleared

1212 22 22 55 11 22

PPA Performance Targets Reached by > 50% of Provinces

TB CDR

TB CR

PEM

ALOS

BOR

OPB

TB DOTS

BnB

Peak Performance 2010

TB CDR

Top Performers

FIC

Top Performers

FBD

Top Performers

Access to Safe Water

Top Performers

OPB

Top Performers

BnB

Top Performers

Consistent Top Performers(in 3 to 6 indicators)

Performance 2010

TB CDR

Low Performers

FIC

Low Performers

FBD

Low Performers

Access to Safe Water

Low Performers

OPB

Low Performers

BnB

Low Performers