FINAL-Guinayangan AOP 2024

Annual Operational Plan (AOP) 2024
GUINAYANGAN
Annual Operational Plan (AOP)
2024
1
Republic of the Philippines

Province of Quezon
MUNICIPALITY OF GUINAYANGAN
-oOo-
OFFICE OF THE MUNICIPAL HEALTH OFFICER
HON. ANGELINA D.L. TAN, MD

Provincial Governor
Quezon Province
Thru: KRISTIN MAE-JEAN M. VILLASEÑOR, RMT, MD, MPM

Provincial Health Officer II
Dear Governor,
Greetings of Peace!
The Guinayangan Municipal Health Office is respectfully endorsing the Annual

Operational Plan (AOP) 2024 to Provincial Health Office.
Herein attached are the contents of the AOP ccomplished by our Planning Team:
1. Endorsement Letter
2. Introduction
3. Analysis of Situation : Gaps in health System and its implementation
4. Local Priorities/ Major Thrust of the AOP
5. Monitoring and Evaluation
6. Cost Matrices
For your kind perusal and approval, Thank you.
Most respectfully,
ANGEL T. ARDIENTE JR., MD, FPAMS

Municipal Health Officer
Noted by:
HON. MARIA MARIEDEN M. ISAAC

Municipal Mayor
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A. Introduction
The Local Government of Guinayangan a 3rd class Municipality, under the strong-willed and very
sincere leadership of Mayor Maria Marieden M. Isaac, LCE, has seriously considered the
development of Annual Operational Plan 2024 through the Local Health Board (LHB) after the
presentation of the Local Investment Plan 2023-2025 and Annual Investment Plan 2024
formulation workshop held this previous months and giving more priority to the health-related
programs of the municipality. As the municipality’s population increases, the demand for health
services also increases. The LGU’s resources are limited and through the AOP and LIPH, we will
be able to have additional resources for health. The enthusiasm of the LCE, is indeed one of the
driving forces behind the crafting of the AOP for the year 2024.
Certainly the AOP 2024 is crafted suitably to give priority to the health and medical needs of the
underprivileged, sick, elderly, disabled, women and children as mandated by the 1987
constitution, and to answer the health problems of the municipality, with the full support of the
Chief Executive and the local institutions technically and financially. Every program in the AOP
is planned to address the details of health human resource, logistics, and health facility
development to ensure quality health care services are offered to all the constituents of
Guinayangan.
This Annual Operational Plan (AOP) 2024 reflects the political will and commitment of the
Municipal Government of Guinayangan to streamline and transform the identified gaps in the
health system into the current administration’s thrust in promoting a quality, accessible and
equitable health programs.Thus the new era has come in health sector development, with the
implementation of Executive Order No. 138 on full devolution. The EO particularly calls the
Department of Health (DOH) and other national agencies to review their respective mandates and
to develop and implement Devolution Transition Plans (DTPs) for the this year, in pursuit of full
devolution of functions to the LGU.
The municipality is relying mainly on the internal revenue allotment as its major source of funds.
The administration, though giving its best in tax collection, still find the amount collected meager
compared to the needs of the total populace. From the 2022 annual municipal budget of
209,367,817.70, 19.12% or 40,030,291.97 is allotted for health. The bigger portion of this goes to
the capital outlay 64.91 or 25,984,314.99, while 25.63% or 10, 263,476.98 is sub allocated for
personnel services, and 9.44% or 3,782,500.00 for maintenance and operating expenses
(MOOE), to pay for travel expenses, office supplies, medicines and medical supplies.
The priority strategies and interventions are being considered to address the identified gaps and
deficiencies: Health education promotion on different Health programs in coordination with
Barangay Health Workers, Nutrition Scholar, Sanitation Officer and Community Volunteers.
Conduct of Active Case Finding Activities in coordination with PBSP Access TB Project and TB
USAID, Family Planning Session, USAPAN and Teenage Pregnancy symposium in coordination
with POPCOM, Buntis Congress, Implementation of KUNA in coordination with International
Institute on Rural Reconstruction (IIRR), Oral Health, Nutrition and Heart Month. Procurement
of commodities of different health programs based on the Devolution Transition Plan. Additional
plantilla positions for Human Resource for Health: Nurse, and Medical Technologist and capacity
building of health providers in different health programs. Construction, repair and upgrading of
barangay health station and rural health unit under the Health Facility Enhancement Program.
Establishment of health information system and database, upgrading and organizing of available
electronic medical records and maintenance thru IT services. These strategies are detailed into the
specific Program, Projects and Activities (PPAs) in the Annual Operational Plan (AOP).
Although the Municipal Health Office (MHO) with the Barangay Health Stations serving as its
satellites in the different barangays dispense mainly preventive services, the curative aspect of
health delivery could never be taken off from it. People would still go to these facilities for
medical consultations and treatment. Majority of the BHS do not meet the basic standards for a
BHS in terms of floor area, building condition and equipment, thus the poorest of the poor have
no access to quality health care from the BHS.
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Most of the health personnel were trained on the different treatment protocols and the different
health programs. However, newly hired personnel still have to be trained and existing personnel
need to update their knowledge regarding the health care programs. Laboratory services are
available in the MHO, but the laboratory examinations that it could perform are limited due to
availability of reagents and testing kits. And this means patients would still be referred to
laboratories outside of the municipality for additional work-up.
Dental services are also available in the MHO that address the dental needs especially of the
clients with periodontal disease, school children and pregnant women. Moreover, some dental
services like prophylaxis could be availed because of the available portable equipment but the
current dental unit was not functional and we plan to request a new one from DOH thru HFEP.
The referral system adopted by the municipality, is the two-way referral system. Within the
municipality, a system had already been adopted between the referring and the referred level. The
problems that the MHO often encountered regarding referrals are those cases that are being
referred to health facilities outside municipality There are many cases where return slips are not
returned. With the establishment of Quezon Navigation Referral Unit, such problem would surely
be solved.
The costing process was listed in the AOP Forms 1 and 2. The source of funding would be based
on the Devolution Transition Plan, Local Investment Plan for Health and Special Health Fund.
Commodities with economies of scale, internationally procured, population-based services that
need to be consistently implemented and individual-based services but without PhilHealth
Package Interim will be retained with the DOH. While, services or commodities which are readily
available to the local market, with existing PhilHealth benefit packages and population-based
services which the LGU has the capacity to implement will be re-devolved to LGU, financed
through National Tax Allotment (NTA) or Philhealth Insurance Corporation (PHIC). The
financial grants that will be provided by DOH to the P/CWHS, as stated in the Terms of
Partnership, will be transferred through the Special Health Fund. PhilHealth payments will also
accrue to the Special Health Fund, through a separate contractual agreement between PhilHealth
and the P/CWHS.
.
The approved AOP will provide fund support and or technical assistance to LGUs to ensure :
1. Health reform implementation in localities;
2. Strengthen inter-LGU coordination in health operations through improved functionality of
ILHZs;
3. Ensure access and availability of quality health care sensitive and responsive to the health
needs of communities in GIDAs.
4. Maximize Public-Private Partnership (PPP) in health to improve access to quality health
care,
5. Increase effectiveness and efficiency in the delivery of services and
6. Enhance equity in the distribution of available resources.
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Core Local Investment Plan for Health (LIPH) Planning Team

Municipal Health Officer/Chairperson
MEMBERS/SECRETARIAT:
Hon. Glenn D. Butardo Annabel T. Ardiente, MD
SB on Health Chief of Hospital- GMCH
Hon. Juanita O. Porlay Engr. Gloria C. Cleofe
ABC President Municipal Planning & Development Officer
Fatima M. Ocampo, MD Myrna E. Ornedo
Development Management Officer IV Nurse II
John Kim O. Rosales Fe B. Coton
Nurse I BHW President
Rico A. Locaba
International Institute for Rural Reconstruction
Consideration of other Plans
Table 3. Other Health Plans
Health Plans REMARKS

DRRMH-Plan Approved and Insitutionalized
Health Facility Development Plan Included in costing Matrices LIPH Form 2 - Service Delivery - HFEP
Health Human Resource Plan w/ NHWR PCWHS Baseline Assessment
ICT Development Plan Included in costing Matrices LIPH Form 2 - Health Information System
Devolution Transition Plan With DTP submitted to DILG
GAD Plan Coordinated and Submitted with MSWDO
II. The Health Situation in the Guinayangan at the end of 2022.
The various health programs are now being properly implemented though most of the health
indicators are still far from the national target. Municipal Government of Guinayangan together
with the local health board, non-government organizations, civil society organizations and other
related agencies have been effectively and efficiently managing and carrying out health services
while following the minimum standard health protocols set by the IATF.
Review and analysis of the health situation of Guinayangan uses the available health information
from eFHSIS, LGU scorecard, and other local health data and information taking into
consideration the strategic thrusts of the UHC of the Department of Health and the Devolution
Transition Plan.
The available data was reviewed and analyzed starting with the discrepancies in health status and
health services accomplishments. These data were placed side by side with the data collected from
previous Program Implementation Reviews (PIR), meetings and consultative conferences with
other stakeholders.
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Description of the
Identified Priority Health Problems Contributing Factor
Problems/Issues/Concerns/Areas
HEALTH SERVICE DELIVERY
I. National Immunization Program

1 Low Percentage of Fully Immunized 2021 FIC - 27.94% Under recording and reporting
Child Completely Immunized Child 2021 CIC - 10.93%
Failure of the mothers to bring
2022 FIC - 24.53%
babies for immunization due to
2022 CIC - 8.33%
condition and geographical loc
FIC Baseline Target - 62% NOH Misconceptions and misinform
Target - 95% regarding immunization
2 Low coverage of SBI 2022 Grade 1 given MR - 49.66% Poor follow–up of defaulters, n
2022 Grade 7 given MR - 42.05% outreach activities
2022 HPV Given - 44
Out-migration of families
Low coverage of Flu and Pneumo 2021 Flu Accomplishment High Projected Population bas
3 Immunization for Senior Citizens 60 y/o and above - 60 Actual Population
below 60 y/o - 109
2021 PPV23 Accomplishment -239
60 y/o and above -
below 60 y/o -
2022 Flu Accomplishment Insufficient Vaccines
60 y/o and above - 88
below 60 y/o - 107
2022 PPV23 Accomplishment-0
Description of the
4 Low Covid-19 Vaccination Primary Dose - 65.43%

1st Booster- 8.87%
2nd Booster -1.51%
II. Family Health Program
1 Adolescent Health Development 2021 Adolescent Livebirths - 30 Lack of information about sexu
Program 10-14 y/o -0, 15-19 y/o -30 reproductive health and rights
Adolescent Birthrate
- Increasing no. of Teenage 9.28% (15-19) Lack of Trained Peer Educator
Pregnancy 0.00% (10-14)
2022 Adolescent Livebirths - 42 Lack of Trained Health Provide
10-14 y/o -2, 15-19 y/o -40
Adolescent Birthrate
18.25% (15-19)
0.43% (10-14)
Baseline Target -5.7% Lack of established adolescen
NOH Target -3.7% friendly facility
Inadequate access to services

Insufficient commodities on AH
Program
Lack of adolescent teen center

kiosk
No Local policy supporting AS
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activities
Description of the
2 Family Planning Program 2021 MCPR - 16.95% Couples perception and lack o
-Low Contraceptive Prevalence Rate 2022 MCPR - 13.95% knowledge regarding Family P
for Modern Family Planning Methods
MCPR Target - 30% Lack of Male involvement on F

Planning
Poor Mechansim to track Unm
Inadequate Fund for Logistics
Patient-Health Provider Barrier

towards the patient)
Lack of Trained Health Provide

FPCBT1 and FPCBT2-Subder
Implant
Insufficient and delay reporting

eFHSIS by individual BHS.
Lack of Local Policies on Unive

Access to FP
Description of the
3 Nutrition Program 2021 MAM- 239 (8.7% ) Insufficient Micronutrient

-High no. of malnourished children 2022 MAM- 195 (7.67%) supplementation to MAM and S
children
2021 SAM- 78 (2.8%) Low Access to health facilities
2022 SAM- 40 (1.57%) services (for far flung barangay
2021 St and SSt -668 (24.27%) Negative attitude of the caregiv

2022 St and SSt - 168 (6.61%) feeding and care practices in t
Micronutrient powder.
-High Stunting Rate Included in the top 20 Municipalities with No Breastfeeding Support grou
High stunting Rate organize in some areas that w
mothers
Stunting Rate With negative Feedback of the

Baseline Target -33.4% RUSF due to allergic reactions
NOH Target 21.4%
Limited funds for Nutrition Prog
-Low Percentage of (0-6 months) 2021 Exclusively Breastfeed No Breastfeeding support grou
exclusively breastfeed 2022 Exclusively Breastfeed RHU not accredited in mother
friendly facility
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Lack of Local Policies on Nutri

Program
Description of the
4 National Safe Motherhood Program 2021 4ANC - 59.83% Pregnant mothers tend to dela
2022 4ANC - 61.89% consultation
-Low Percentage of Complete
Poor understanding of complic
Prenatal Visits (4ANC)
risk factors in pregnancy
Inadequate knowledge on the
importance of seeking early ch
the first sign of pregnancy.
2021 Maternal Death - 0 Delay in referral of Risk Pregn

-With Reported Maternal Deaths at 2022 Maternal Death - 0 Mothers
Different Hospitals With Reported Maternal Deaths in
Hospitals QMC-1 RAKKK-1 MMDH-1
2023 Maternal Death - 1
(1st Quarter)
Financial Implications
Limited Local Policies on NSM
Description of the
III. Infectious Diseases Control and Prevention Program
1 Low TB Case Notification Rate 2020 CNR - Target - 554 Behavioural factors of patients
Accomplishment - 360 (65%) delay consultation/ social stigm
the community would know ab
TB disease)
2021 CNR - Target - 416

Accomplishment - 338 (81%)
2 Increasing Number of Animal Bite Poor Implementation of Local P

Cases With Reported Rabies Death 2021 Animal Bite Cases-377 Responsible Pet Ownership
2022 Animal Bite Cases-727
Rabies Death - 1
8
70% Vaccination Target for Ca

2023 Animal Bite Cases not properly met.
1st Quarter- 150
2nd Quarter- 215
Inadequate supply of Human A

Vaccine at health facility like E
Description of the
Lack of Awareness of commun

regarding Animal Bite Manage
to False Beliefs, Culture and T
on Animal Bite Treatment
3 Increasing Number of Dengue Cases 2021 Dengue Case Reported -1 Lack of Awareness on Dengue
2022 Dengue Case Reported -89 and Prevention
2023 Mid Year
Dengue Case Reported -82
Clustering of Dengue Cases in some
Brgys
Strengthen coordination with o

concerned agencies
Lack of equipment and insectic
Lack of Trained Misting Opera
Lack of Health Human Resour
Description of the
IV. Non-communicable Diseases Management and Control Program

1 Increasing number of Lifestyle- 8 out of 10 in the Top Mortality Causes is Lack of Local Policies on Prev
related diseases (CVD, DM,) and NCD related Non-communicable Diseases
other diseases brought about by MI, Hypertension, cerebral Infarction,
(Drug abuse, mental health problems Heart Diseases, Malignant Neoplasms,
& Accidents). Stroke, Heart Failure, Asthma
Hypertension Top leading Morbidity Poor Risk Assessment using P
Cause from 2018-2020 Protocol
National Target - 2% reduction on Patients’ Low compliance to th
mortality due to NCDs maintenance meds and incons
irregular monitoring of blood pr
and sugar
Not Functional HPN and DM C
Under recording and reporting

No Smoking Cessation Progra
Insufficient supply of Maintena

Medicine
Insufficient blood chemistry rea
Lack of Trained Health Provide
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Sedentary Lifestyle
Not functional Community Bas

Rehabilitation Program (CBDR
PWUDS due to lack of training
Description of the
V. Environmental Health and Safe Setting Program

1 Low Percentage of HHs using safely 2021 HHs using safely managed drinking Lack of Local Water Quality M
managed drinking water water -16.53% Committee
2022 HHs using safely managed drinking
water -35.24%
Environmental health program
prioritized by some of the local
executives (LCEs)
Perennial problem on reporting

recording, different perception
understanding of indicators
2 Low Percentage of HHS with Sanitary 2021 HHs with Basic Sanitation Facility - Poor implementation of Zero O
Toilet Facilities and Safely managed 85.27% Defecation (ZOD)
Sanitation facilities 2022 HHs with Basic Sanitation Facility -
81.34%
9547 HHS with no Sanitary Toilets Financial constraint of the hou

2021 to 2022 HHS with Safely managed the Construction of Sanitary To
Sanitation Facilities - 0% Facilities
Lack of Sanitary Personnel in t

Barangay
Lack of Local Policies on Wate

Sanitation and Hygiene (WaSH
Description of the
VI. Specialty Care Programs
1 Numerous Tooth Extraction 2021 Dental Extraction Not Functional Dental Chair
2022 Dental Extraction
Increased no. of Children not 2021 Basic Oral Health Services Insufficient Essential Oral Care
provided with essential oral care provided
package
2022 Basic Oral Health Services Lack of Knowledge in Oral Hea
provided
2 Limited access of PWDs and Lack of Medicine for Mental He
2021 No. of Mental Health Clients
MentalHealth patients to Health Program
provided with services
Services
2022 No. of Mental Health Clients
provided with services
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Lack of Awareness on Mental

Programs
Lack of trained Personnel on m
Lack of Local Policies on Ment

Program
Description of the
2 Limited access of PWDs to Health 2021 PWDs Provided with Services Lack of Awareness on Health a
Services 2022 PWDs Provied with Services Wellness Programs for PWDS
Lack of Specialized Health Ca
Physicians
Lack of Screening and Diagno
Devices
Lack of Assistive devices for P
3 High Mortality Rate on Cancer Included in top 10 Mortality Causes from Lack of Awareness on Cancer
2018-2021 Program
Low Screening Rates
Sedentary Lifestyle
Exposure to Carcinogenic sub

Inadequate supplies of blood Lack of Awareness on Blood D
2021 - Blood Bags Collected
Program
2022 -67 Blood Bags Collected
Target: 1% of the Total Population People refusing on donating bl
Distance of Blood Donation Sit

Baranagay
4 Fewer first time blood donors
Description of the
VIII. Health Promotion
1 Low Impact of Health Promotion Health Indicators are below the National Lack of Trained Health Educat
Target Promotion Officer
Lack of Awareness on Health P
IX. Health Facility Development
1 Limited Access of Health Services to 2022 RHU to Population Ratio In Need of 1 RHU and 1 RHP
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Target Population and GIDAs 1:48,583

NOH Target 1: 20,000
2 BHS still attached to Brgy Hall(BHS Lack of DOH Standard Health

GAPAS and BHS Bagong Silang)
7 BHS are Substandard
No DOH Licensed for Primary Care For Upgrade and Repair of Mu
Facility Health Office
No DOH Licensed Laboratory, Pharmacy
and Diagnostics
DOH Licensed and PhilHealth Accredited Some Barangays/Communities
(TB-DOTS, MCP and NCP) hard to reach due to distance,
conditions and transportation d
Identified Priority Health Problems Description of the Contributing Factor

HEALTH WORKFORCE
I. HRH Deployment & LGU Employment

1 Lack of Human Resources for Health Limited Budget due to econom
2022 Health Staff to Population Ratio recession
(1) Physician 1:48,583
(1) Dentist 1:48,583 Lack of Absorptive capacity,
(2) Nurse 1:24 291 Multitasking/Designation of He
(11) Midwives 1:4,858 workers
(1) Sanitation Inspector 1:48,583
(0) Medical Technologist
HRH Standards Based on Manual of Lack of trained staff within the

Standards for Primary Care Facilites department who can implemen
Physician RHU 1:20,000 programs.
Dentist RHU 1:50,000
Nurse RHU 1:10,000 BHS 1:1 PS Limitation
Midwives RHU 1:5,000 BHS 1:1
Sanitation Inspector RHU 1:20,000
Medical Technologist RHU 1:20,000
II. HRH Development

1 Lack of Expertise in Health Programs Lack of time of Health Care W
3 Primary Care Workers Applied for PCW
Certification
Lack of engagement for career
No. of HCW with Master's Degree - 0 development
With DOH Scholarship granted LGU HRH
Description of the
HEALTH INFORMATION SYSTEM
I. Information and Communication Technology (ICT) Program
1 Outdated Reporting and Recording No Staff for ICT Program Lack of Manpower on ICT Prog
System
With Plantilla Position for ICT Personnel
With encoders hired as J.O.
2 Unorganized Files, Records & With Drafted/ Not Formalized Strategic Lack of Strategic and Investme
Network Connections and Investment ICT Plan Plan
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With Drafted Policy/ Not yet formalized Lack of Local Policies on Data
in Data Privacy Act Act
II. EMR
1 EMR Not Fully Functional EMR is implemented but not actively Lack of engagement for techno
used by target facilities development
iClinicSys Not Functional

Engage with Bizbox for Filling of
Philhealth Claims
With Functional eFHSIS, ITIS and
eKonsulta
III. Telemedicine
Lack of Trained Health provide

1 Not Functional Telemedicine With ICT Equipment for Telemedicine Telemedicine
Not yet trained on Telemedicine

Description of the
SUPPLY CHAIN & LOGISTICS MANAGEMENT AND HEALTH
I. Local Health Regulation

Local Sanitation Code Lack of Policies on Mental Hea
Prohibition on Tobacco Products PWDs, Family Planning, HIV/S
Outdated Local Health policies G1K “Guinayangan First 1000 Days Prevention, Substance Abuse,
1
Ordinance”
Poor Implementation of Local Health

2
Policies
Limited Budget on Health Prog
II. Supply Chain Management

Incomplete documentary requi
Delay in the Procurement of Drugs
1
and release of fund
Late submission of attachment
Finance Committee
Late procurement of Drugs and

2 Insufficient Health Commodities Supplies
2 Functional Analogue Temperature Lack of Functional Temperatur

Limited Temperature Monitoring
3 Monitoring Devices Monitoring Devices
Devices
1 Functional Digital Thermo-Hygrometer
With 4 DOH (Dometic& Haier)
Vaccine Refrigerators
Description of the
HEALTH LEADERSHIP AND GOVERNANCE

I. Local Health Systems Integration
II. LIPH/AOP Development, health planning
With Approved and Endorsed LIPH 2023- Lack of coordination with other
Strengthen health Planning
2025 stakeholders
III. GIDA
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Lack of coordination with other

Low priority for GIDA Profiling 2019- 5 DOH Certified GIDA Barangays
care workers
2022- No Certified GIDA Barangay
Criteria on Socioeconomic Fac
IV. Urban Poor, Urban Health Systems Development

Low Percentage of Health Indicators Accomplishments are way below the Under reporting and recording
1
on eFHSIS National Target
Lack of Trained health encode
V. Barangay Health Workers and Development
With 293 Barangay Health Workers Poor Implementation of Local P
Security of Tenure & Incentives for
1 Registered and Accredited - BHW
BHW
Not Accredited -
Lack of engagement on Baran

2 Limited Knowledge of BHWs workers development
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SUMMARY OF GAPS, PROBLEMS, and CONCERNS

1. SERVICE DELIVERY
NATIONAL IMMUNIZATION PROGRAM

1. Low percentage of Fully Immunized Child 2021-27.94%, 2022-24.53% and Completely
Immunized Child 2021-10.93%, 2022-8.33% and it is far below the national target of 95%
2. Low coverage of School Based Immunization 2022 Grade 1 MR-49.66% Grade 7-42.05%
3. Low coverage of Flu and Pneumonia Vaccinations for Senior Citizens Flu-60 PPV23-239
in 2021, Flu-88 PPV23-0 in 2022
4. Low percentage of COVID-19 Vaccination, Primary Dose 65.43%, 1 st Booster 8.87%, 2nd
Booster 1.51%
FAMILY HEALTH PROGRAM

1. Increasing number of teenage pregnancy. Adolescent Livebirths - 30 in 2021, 42 in 2022
2. Low Contraceptive Prevalence Rate for Modern Family Planning Methods. MCPR
16.65% in 2021, 13.95% in 2022
3. High number of malnourished children MAM 8.7% in 2021, 7.67% in 2022
4. High stunting rate St and Sst - 24.27% in 2021, 6.61% in 2022
5. Low percentage of (0-6 mos.) exclusively breastfeed
6. Low percentage of 4ANC 59.83% in 2021, 61.89% in 2022
7. With reported maternal deaths in Hospitals for the year 2022
INFECTIOUS DISEASES CONTROL AND PREVENTION

1. Low TB Case Notification Rate 65% in 2020 and 81% in 2021
2. Increasing number of animal bites 377 in 2021 and 727 in 2022
3. Increasing number of dengue cases 89 in 2022 and 82 in Mid year 2023.
NON-COMMUNICABLE DISEASES MANAGEMENT AND CONTROL PROGRAM1.

1. Increasing number of Lifestyle Related Diseases (CVD, DM) and other diseases brought
by (Drug abuse, mental health problems and accidents)
ENVIRONMENTAL HEALTH AND SAFE SETTING PROGRAM

1. Low percentage of households using safely managed drinking water 16.53% in 2021 and
35.24 % in 2022
2. Low percentage of households with Sanitary toilet facilities 85.27% in 2021, 81.34% in
2022 and Zero percentage on Safely managed sanitation facilities
SPECIALTY CARE PROGRAMS

1. Numerous tooth extraction 374 patients in 2021, 727 patients in 2022
2. Increased number of children not provided with essential oral care package
3. Limited access of PWDs and Mental Health patients to Health services
4. High mortality rate on cancer
5. Inadequate supplies of blood. Blood bags collected 34 in 2021 and 67 in 2022
HEALTH PROMOTION
1. Low impact of Health promotion. Health indicators reported on the eFHSIS are below the
National Target
HEALTH FACILITY DEVELOPMENT

1. Limited Access of Health Services to Target Population in GIDAs
 The gaps are computed based on the UHC Integration Sites Target.
 RHU Guinayangan is need of upgrade of medical equipments under HFEP such as
Hematology and complete Dental Chair Unit
 BHS Bagong Silang and its catchment barangays are far from the RHU and the BHS is
still attached to the Barangay Hall
 BHS Gapas is still attached to the Barangay Hall.
 Most of the Barangay Health Stations and Barangay Health Centers are substandard.
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 The health facility that meets the DOH-Standards are BHS-Manlayo, BHC-Balinarin and
Lubigan. BHC-Magallanes, BHC Dungawan Pantay.
 Additional Service Patient transport vehicle for access to health services
II. HEALTH WORKFORCE
 The gaps are computed based NHWR PCWHS Baseline Assessment Tool
 Lack of Human resources for health
 Lack of expertise in health programs
Health Human Resource and Gaps, CY 2022
Reference table for required number of HRH within P/CWHS

HRH Standards Total
Staffing Staffing Total HRH
(based on Manual of Number
Position Requirements Requirements Requirements Gaps
Standards for Primary Care Of Health
Facilities) for RHU for BHS (HRH Demand)
Staff
Public Health
RHU: 1 PHD per 50k pop 1 n/a 1 1 0
Dentist (PHD)
Public Health RHU: 1 PHM per 5k pop
10 9 19 11 8
Midwife (PHM) BHS: 1 PHM per BHS
RHU: 1 PHN per 10k pop
Public Health 2-Local
5 9 14 6
Nurse (PHN) 6-DOH
BHS: 1 PHN per BHS
Primary Care
RHU: 1 PCP per 20k pop 3 n/a 3 1 2
Physician (PCP)
Based on the table for the required number of HRH within P/CWHS There is a need to
augment health staff in the RHU and Barangay Health Stations. RHU is in need of 2 Physicians, 3
nurses and 8 midwives While the 9 Barangay Health Stations is need of 9 Nurses. The newly
hired Health human resource will need training and seminars for different health programs.
Service Delivery Network-(SDN)

 Functional SDN with poor coordination.
- Limited access to health services due to geographic barriers.
- There is a need to organize and include public and private providers into SDNs.
The LGU will be engaged in organizing management groups and technical units
for the SDN, after which agreements on collaboration will be formalized between
public and private health providers. Transport and communications networks will
also be included in the SDNs/ Primary Health Care Network.
III. HEALTH INFORMATION SYSTEM
ICT PROGRAM
1. Outdated reporting and recording system
 No staff for ICT Program
 WIth plantilla position for ICT personnel
 With encoders hired as J.O
EMR
1. EMR Not fully functional
 Electronic Medical Record (EMR) IclinicSys & “Telemedicine” system is Not functional
 RHU Guinayangan needs to organized the EMR and Network system for eKonsulta and
Telemedicine
 Currently engaged with Bizbox for filling of PhilHealth Claims
 RHU Guinayangan needs IT services for technical problems on EMR and Network
System
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IV. SUPPLY CHAIN & LOGISTICS MANAGEMENT AND HEALTH REGULATION
LOCAL HEALTH REGULATION

1. Outdated Local health policies
2. Poor Implementation of Local Health Policies
SUPPLY CHAIN MANAGEMENT

1. Issues concerning the Procurement and Logistics Management System (Delay in the
Procurement of Drugs and release of fund)
2. Insufficient health commodities
3. Limited Digital Temperature Monitoring Equipment
IV. HEALTH LEADERSHIP AND GOVERNANCE
1. Strengthen health Planning

2. Low priority for GIDA Profiling
3. Low percentage of Health Indicators on LGU Scorecard
4. Security of Tenure & Incentives for BHW
5. Limited knowledge of BHWs
List of Priorities and Interventions
I. SERVICE DELIVERY
1.1NATIONAL IMMUNIZATION PROGRAM
 Review of target client lists (TCL) of the midwives utilizing the REB strategy and the
training of health personnel.
 Can be delivered to health facility through an outreach for those who have difficulty in
accessing to health facilities. Vaccines and some supplies will be provided by the DOH,
while other supplies and mobilization expenses by respective LGUs.
 Tap BHW/BNS in the promotion of immunization and early detection of childhood illnesses.
 Program Implementation Review-Regular assessment of program implementation to
determine effectiveness and impact in reducing childhood illnesses
 Masterlisting of Target School-Aged Children and Senior Citizen For immunization
 Regular inventory of logistics Requisition of supplies when stock is at buffer level
 Construction of Storage Building
1.2 FAMILY HEALTH PROGRAMS

Quality AP Care
 Use Pregnancy Tracking Tool to track first trimester pregnant woman.
 Strengthen IEC advocacy on early ANC on the first trimester:
 Pregnancy testing 45 days after first missed period. Limited OB sonography to
confirm viable pregnancy. Increase local procurement of Ferrous fumarate with folate.
Reinforce IEC on importance of iron supplementation during pregnancy;
characteristics and effects of iron to their body, etc.
Facility Based Delivery handled by Skilled Birth Attendant

 Sustain and strengthen Birth Plan Formulation & tracking of near term mothers
 Sustain and strengthen campaign against home deliveries
 Sustain and strengthen good relationship between TBA and Health staff.
 Sustain and strengthen LCE’s initiative on incentives to Brgy, TBA &/or BHW on
FBD
Quality Post-Partum care

 Ensure availability of Ferrous sulfate tablets
 Tracking of Term pregnancies and immediate PP examination
17
Essential Newborn Care

-Strict implementation of “unang yakap” , Hepa at birth, Early breastfeeding initiation
Newborn Screening and Hearing Screening Test

 Ensure continuous supply of NBS kits
 Coordinate with Newborn Screening Center and
 Coordinate with Regional DOH IV-A on Hearing Test for monthly schedule
Exclusively Breast Feeding

 Sustain intensive IEC on EBF during AP and PP consultations
Modern Contraceptive Prevalence Rate (MCPR)

 Review Household survey Masterlisting of WRA with unmet needs
 Update TCL Strengthen IEC on the different methods of family planning.
 Conduct of USAPAN Session
 Training of Health Providers in Basic FP, FPCBT1, FPCBT2, RPRH, AHDP, PMOC
 Ensure continuous supply of FP Commodities
 Training of health providers on AJA and Orientation on Guidelines (SOPs, job aids,
recording /reporting, etc.)
Adolescent Health Development

 Local policy guidelines on development
 Quarterly monitoring , coaching and mentoring of AY facilities
 Ensure Availability of Sexual and Reproductive Health services among adolescent
 Organize Adolescent-friendly Health Services
 Conduct of symposiums at the community levels and schools
1.3 INFECTIOUS DISEASES PREVENTION AND COTNTROL
National Tuberculosis Program

 Active/Intensive case finding thru mobile X-ray in coordination with NGOs
 Gen Xpert and DSSM examination
 Establish partnership with the Public and private sectors (PBSP and others)
 Treatment defaulter tracing
 Make TB drugs and supplies available for increasing TB cases
 HIV Rapid Diagnostic Test to TB Patient
Filariasis
 IEC on Filariasis
 Treatment Assessment Survey
Malaria Elimination Program

 IEC on Malaria prevention
 Sustain Filariasis-Free status.
 Strengthen Surveillance and Response
Leprosy Control Program

 IEC and conduct of “Kilatis Kutis”
National HIVAIDS Prevention and Control

 Establish the creation of Municipal STI, HIV and AIDS Council.
 IEC on HIV AIDS
 Establishment of the reporting system and Identification of Social Hygiene Clinics.
National Rabies Prevention and Control

 IEC on Rabies
 Early passive/ active immunization
Dengue Control Program
18
 IEC on 5s -Dengue
 Close coordination with the barangay captains Cleanliness campaign drive at the
community;
 Conduct regular monitoring and supervision and referral and management of cases
 Conduct of Residual spraying/Misting
 Rapid Diagnostic Test for suspect
1.3 NON COMMUNICABLE DISEASES

Lifestyle Related Diseases
 Procurement of Blood Chemistry Reagents
 Regular schedule for CVD and Diabetes Clinic
 Master listing of all clients
 Strengthening of Organized Support Groups (CVD & DM Club)
 Risk screening activities and early diagnosis and management
 Regular Monitoring and evaluation on PhilPEN activities at the municipal level.
 Information and advocacy measures in schools and the workplace
 Procurement of Drugs and medicines for non- communicable diseases.
 Procurement of medical and laboratory supplies and materials
 Identify and Designate smoking area
 Capacity building on REDCOP, Mental Health and Substance Abuse
 Establish Community Eye Health Project with funding support from and in coordination
with NGOs
 Organize Community Based Rehabilitation for Drug users/ Dependents Surrenderers
(DuDS)
1.4 ENVIRONMENTAL AND OCCUPATIONAL HEALTH AND SANITATION
 Coordination with KALAHI CIDSS on provision of sanitation facilities

 Establishment of LWQMC
 Procurement of water sampling bottles
 Procurement of Chlorine granules
 Schedule Visit and Examination for Drinking Water sources
 Schedule Inspection of Food Establishment
1.5 DENTAL HEALTH
 Schedule Barangay Visit a month in advance

 Increase Orally fit children (OFC): Carious Free children
 Dental Health Education among school children, mother and other adults.
 Implement Fluoride therapy among Day Care schooler
 Procurement of dental supplies/ Logistics
 Procurement of Dental Chair with complete accessories.
1.6 EPIDEMIOLOGY AND SURVEILLANCE

 Intensification of Epidemiology and Surveillance Units and regular Case investigation will be
undertaken to validate accuracy of report
 Ensure Active participation of Disease Reporting Units in all municipalities and cities.
 Automated data system compliant and harmonized with DOH standards, eFHSIS, EDCS-IS,
TKC and AEFI-IS
1.7 BLOOD DONATION PROGRAM

 Increase the blood donation rate to 1% of the total projected population while maintain the
adherence to the programs mission of blood safety, blood adequacy, rational blood use and
efficiency of blood services.
 Procurement of supplies especially reagents for blood testing
19
II. HEALTH FINANCING
 Enrollment of all indigent Families

 Increase RHU income thru better PHIC reimbursements Realistic Budget Preparation
III. HEALTH REGULATION

 Review existing municipal resolutions/ ordinances and executive order on health.
 Recommend amendments to obsolete resolutions/ ordinances
IV. LEADERSHIP & GOVERNANCE
 Identify Health programs with no Municipal legislation Recommend to the SB on health to

sponsor a SB resolution/ ordinance to support the health program.
 Schedule LHB meeting Follow up invitation to LHB members and Creation of Expanded
LHB
 Attend BHB Meeting as scheduled
 Implement new protocols of Quezon Navigation and Referral System
 Patients/ clients with proper referral form prioritized at referral center/ hospital
 Attend SDN Workshop and facilitate regular SDN meeting.
 Timely development and Submission of AOP and LIPH
 PHO and PDOHO appraisal of AOP and LIPH
V.HEALTH WORKFORCE
 Request DOH-CHD IV-A for retention of Medtech and Nurses

 Request DOH-CHD IV-A for DTTB
 Creation of plantilla position for 5-Nurse I, 1 DSO and 1-Pharmacist
 Inventory of RHU staff Trainings
 Request DOH-CHD IV-A and IPHO for needed Training/ workshop and Send Identified
Staff for:
FAMILY HEALTH
 BEMONC standard course ( 1 MD, 1PHN, 1 RHMs)
 NIP update (1 RN)
 IMCI/ ICATT(11 RHM)
 FP CBT1 ( 1 PHN, 3 RHM)
 FP CBT2 ( 5 RHMs)
 PP Family planning and PP IUD training (5 RHMs)
 Nutrition in Emergencies Training ( 1PHN, 2RHMs)
INFECTIOUS DISEASES
 Emerging and Re-Emerging Infectious Diseases (1 PHN, 3 RHMs)
 National STI-HIV/AIDS Prevention and Control Program (5 RHMs)
 VCT Training (3RHMs)
 National Leprosy Control Program (1PHN)
 Disease Surveillance Training (1PHN, 1 DSO)
NON-COMMUNICABLE DISEASE
 Smoking cessation counseling training(1PHN)
 Mental Health Program ( 1 MD, 1PHNs and 11 RHMs)
 Blindness Prevention Program ( 11RHMs and 2PHNs)
 WHODAS Training (2PHNs, 11RHMs)
 ReDCoP Training (2PHNs, and 11RHMs)
ENVIRONMENTAL AND OCCUPATIONAL HEALTH AND SANITATION

- WaSH in Emergencies(1 RSI, 2 RHMs)
20
VI. HEALTH INFORMATION SYSTEM
 Procurement of Laptops/ Computers

 Request DOH-CHD IV-A to conduct refresher course for Iclinicsys
 Ensure functionality of EMR
 Trainings for other EMR and Health Information System
 Ensure quality and accurate Data, and on time submission
Major Thrust of the AOP 2024
Vision: “Healthy and Productive Citizens of Guinayangan, Quezon”
Mission: The GMHO in partnership with the people shall ensure that health is made accessible,
available, acceptable and affordable at all times within the context of an effective and efficient
devolved health care system that leads towards self- reliance, sustainability and indigenous
efforts.
Overall Goal: To enable the citizens of Guinayangan to achieve a level of health that will allow
them to lead a socially and economically productive life.
Maternal and Reproductive Health

 Increase Percentage of Facility-Based Deliveries (FBDs) from 93.93% in 202 to 95% in
2024
 Increase Percentage of Deliveries Attended by Skilled Health Professionals from 96.24%
in 2022 to to 97% in 2024
 Increase Contraceptive Prevalence Rate (CPR) for Modern FP Methods from 23.94% in
2022 to 40 % in 2024.
 Increase coverage of antenatal care from to 59.83% in 2022 to 65% in 2024.
Neonatal, Infant, Child and Adolescent Health

 Increase coverage of Fully Immunized Children from 27.94% in 2022 to 40% in 2024.
 Decrease the percentage of stunted children from 18.01% in 2022 to 10% in 2024.
 Decrease the percentage of malnourished children from 5.16% in 2022 to 3% in 2024.
 Increase percentage of infants (O-6months old) exclusively breastfed from 30% in 2022
to 40% in 2024.
Environmental Health Program

 Increase Percentage of HHs with Access to Basic safe water supply from 97.15% in 2022
to 98-99% 2024
 Increase Percentage of HHs with Access to safely managed drinking water from 16.15%
in 2022 to 25% 2024
 Increase Percentage of HHs with Sanitary Toilet Facilities from 76.86% in 2022 to 85%
in 2024
Prevention and Control of Communicable Diseases

 Increase TB Notification Rate from 52.11 % in 2022 to 60% in 2024.
 Increase TB Treatment Success Rate from 94.95% in 2022 to 98% in 2024.
 Reduce number of Dengue cases by 2024.
Elimination of Endemic Diseases as Public Health Threats

 Reduction of animal bite cases 727 in 2022 to 300 in 2024.
 Achieve a Rabies Free municipality
 Apply for ABTC accreditation for the year 2024.
 Sustain Filariasis and Malaria Free status.
Prevention and Control of Emerging and re-emerging Infectious Diseases

 To reduce number of COVID -19 cases
21
 To provide adequate equipment, supplies and material

 To purchase/provide adequate COVID-19 vaccine
 To increase vaccination coverage
Prevention and Control of Non-communicable Diseases

 To reduce exposure of population to the common risk factors and occupational hazards
related to NCDs primarily smoking, unhealthy diet and physical inactivity.
 To increase number of target clients screened on UTI, BP, Blood sugar, Cervical and
breast screening etc.
 To increase Percentage of patients with chronic hypertension and Type II Diabetes
Mellitus (DM II) given anti-hypertensive and anti-diabetic
 To increase percentage of Adults 25y.o and above with condition managed for
hypertension and Diabetes Mellitus II (DM II).
 To conduct Capability Building and awareness campaign on Renal Disease Control
Program, Eye Care, Mental Health and Drug Abuse Prevention program
 To establish 1 healthy setting in 2023.
 To sustain established/organized health clubs.
 To establish Community Eye Health Team.
For Essential Public Health Services:

 To improve access of patients to quality services by upgrading RHUs and BHS.
 To organize public and private providers into SDNs and strengthen gatekeeping at the
primary level of SDN.
 To ensure two-way referral mechanisms at all levels of the SDN.
 To increase percentage of accomplishment in blood collection covering the 1% of the
total projected population
 To activate local blood councils
 To conduct donor recruitment activities giving priority to schools and other youth
organizations.
 To provide reagents for blood testing and other supplies necessary.
 To organize a functional and effective blood service network.
Governance
 To conduct regular Health Boards meeting at least monthly or as necessary
 To conduct LIPH/AOP Development
 To ensure availability of drugs, medicines and supplies thru enhanced logistics
management.
 Deliver health services efficiently and effectively
 Enhance logistics management and ensure availability of medicines and medical supplies
 Reduce Performance disparities through Annual Integrated Performance Reviews
(Program Implementation Reviews)
Regulation
 To increase percentage compliance of health facility and muncipality in health-related
laws to 100% in 2023.
 To increase PhilHealth accreditation of public health facilities for EPCB, MCP, TB-
DOTS, CCIBP and 5-in-1 in 2023.
 To increase DOH-LTO of public Health Facilities for Primary Care Facility, Lying-in
clinic, TB-DOTS, Isolation Facility and Ambulance Service Provider
Health Financing
 Increase PHIC coverage based in the Universal Health Care in year 2023-2025
 Ensure 100% PHIC Accreditation of health facilities and health providers.
Epidemiology and Surveillance

 To have a functional and organized Municipal Epidemiology Surveillance Unit in 2023
 To conduct regular monitoring and reporting of notifiable Diseases in 2023
Emergency Preparedness
22
 With Institutionalized DRRM-H system in 2023

 To provide a designated DRMM-H area/ HEM Operations Center in 2023 with
equipments and tools for Emergency Response
 To organize Health Emergency Response Team in the Municipality and Barangay in
2023
 To provide training for Health Providers in MHPSS, WaSH, Nutrition in Emergencies,
Basic Life Support and Standard First Aid
Adjustment in Proposed Interventions and Investments
Most of the program, projects and activities (PPAs) that need adjustments are those from the
Health Facilities Enhancement Program (HFEP), proposed construction by the LGU and other
PPAs.
 Continuous construction and upgrading of rural health units, barangay health stations not
completed in 2023 shall be undertaken under the HFEP.
 Provision of equipment and other supplies.
 Conduct of the following training/refresher course:
o WASH Training
 Organize and make a functional Community-Based Rehabilitation Program for PWUDs
 Organize HIV AIDS Municipal Council
 Expand Membership and Functions of the Local Health Board
 Update Health Workforce Registry
Monitoring and Evaluation
Performance indicators cover the preventive and promotive, curative services and the referral
system. With the inclusion of the LGU Health scorecard system, the establishment of health
information database in RHU and BHS, the monitoring of health services performance will be
regularly updated and improved.
The monitoring and evaluation framework for this three year plan will be based on the Results
and Performance Accountability pillar and to be able to measure the performance of the LIPH
implementation and its yearly interpretation in the AOP, a set of Performance indicators were
identified to be used in the monitoring and evaluation. The strategy emphasizes the use of
indicators already being collected by the routine Health Information System (FHSIS),
complemented by the collection of additional data through surveys, research and evaluations.
Program Implementation Reviews will be conducted annually and together with the Development
Management Officers, Program Managers and other stakeholders assigned in different ILHZ,
each LGU Health Scorecard Indicators will be regularly evaluated on a quarterly basis.
Monitoring and Evaluation
Activities Timelines Responsible Agency

Maternal Death Review Semi-Annual PHO, MHO
Program Implementation Review First week of the 4th, MHO- Program Coordinators
7th, 10th & 13th Month
(2023-2025)
Program Budget Utilization Review First week of the 4th, MHO- Program Coordinators
7th, 10th & 13th MBO- Budget Officer
Month(2023-2025) Finance Committee
AOP Monitoring Progress First week of July and MHO, LHB, MPDC
January (2023-2025)
23
Core Local Investment Plan for Health (LIPH)

Monitoring & Evaluation Team

Municipal Health Officer/Chairperson
MEMBERS/SECRETARIAT:
Hon. Glenn D. Butardo Annabel T. Ardiente, MD

SB on Health Chief of Hospital- GMCH
Hon. Juanita O. Porlay Engr.Gloria C. Cleofe

ABC President Municipal Planning & Development Officer
Claudine Babes SG. De Luna Amie V. Bello

Acting Municipal Accountant Municipal Budget Officer
Darwin Allyson S. Laduan Fatima M. Ocampo, MD

Acting Municipal Treasurer Development Management Officer IV
Myrna E. Ornedo John Kim O. Rosales

Nurse II Nurse I
Fe B. Coton Rico A. Locaba

BHW President International Institute for Rural Reconstruction
- TB-DOTS
- MCP
- NBS Package
- CCIBP
- ABTC
Planning and Costing Matrices
Description
The Annual Operational Plan 2024 of Municipality of Guinayangan will cost a total of Php
56,518,001 in 2024. The bulk of investment estimated cost of 47,690,381.39 which is 84.38%
of the total cost for the year 2024 goes to the preparation for the Health Service Delivery for the
procurement of health commodities. An estimated cost amounting to 8,565,520.00 or 15.61% for
Health Workforce for additional plantilla under the devolution transition plan and training of
newly hired health providers, 185,000 or 0.33% for Health Information System for updating and
maintenance of electronic medical records and information system, 71,100 or 0.13% For
Leadership and Governance for the development of local policies for health, 6,000 or 0.01% for
procurement of commodities for Supply Chain and Logistics.
Costing Table
(Please see attached AOP Forms 1-4)
24
NARRATIVE REPORTS

Province of Quezon
-oOo-
NARRATIVE REPORT
(Meeting, Conference, Consultations, etc.)
Title of Activity: Teenage Pregnancy Symposium for Selected Senior High School and
Secondary Schools of Guinayangan, Quezon
Date : June 7,8,9, 2023
Venue : Guinayangan SHS, Aloneros NHS, Sta. Cruz NHS
A. ATTENDANCE 309 participants
B. AGENDA/TOPICS
a. Overview about Early Pregnancy
b. Early Pregnancy status of Guinayangan in year 2021-2022
c. Teenage pregnancy, causes, pregnancy signs, pre-natal care, health and nutrition,
medical risks and realities
d. HIV/STD Awareness and Prevention
e. Awareness on Child Sexual Abuse Prevention c/o MSWDO
f. Open forum between facilitators, students and teachers
g. Students will be able to share their learning to the group
C. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
a. Each participants presented their leadership experience in the barangay
b. Participants were asked what they expect to learn from the symposium
c. The facilitators discussed the status and percentage of teenagers who experienced
early pregnancies in different barangays in year 2021-2022
d. Presented the causes, risks and consequences of early pregnancy
e. Discussed about pregnancy signs, pre-natal care, health and nutrition of pregnant
women.
f. Discussed about Child Sexual Abuse Prevention c/o MSWDO
g. After the presentation, the facilitators conducted an open forum with the students
and teachers
h. Recommendations were given by the facilitators to control and stop adolescent
pregnancy
i. Selected students presented a summary about what they learned from the
symposium
Prepared by:
John Kim O. Rosales

Nurse I
25
June 15, 2023

Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Healthy Buntis Awareness Campaign 2023

Date : July 25, 2023
Venue : Guinayangan Evacuation Center
D. ATTENDANCE 56 participants
E. AGENDA/TOPICS
a. Message of support from Local Chief Executive
b. Discussed the Importance of Prenatal and Child Care
c. Lecture about diet and nutrition in pregnancy c/o MNAO
d. Importance of Pre-natal Check-up
e. Presentation of Physical activities during pregnancy
f. Importance of well-being during Pregnancy
g. Lecture on indigenous vegetables available in the municipality c/o IIRR
F. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
a. Participants was asked on what they expect to learn from the meeting
b. Short video presentation of nutritious and healthy foods and appropriate exercise
for pregnant women.
c. Invited one midwife lecturer and discussed the benefits and risk during
pregnancy.
d. Conducted eKONSULTA (Screening and Assessment to Pregnant Mothers)
e. Provided IEC Materials on Nutrition
f. Discussed the indigenous vegetables available in the municipality c/o IIRR
g. Facilitators conducted an open forum with the participants
h. Selected participants to present a summary on what they have learned from the
discussion.
Prepared by:
John Kim O. Rosales

Nurse I
July 25, 2023
26
Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Health and Wellness Program for PWDs

Venue : Guinayangan Municipal Health Office
G. ATTENDANCE 86 participants
H. AGENDA/TOPICS
a. Discussed importance of Pinggang Pinoy
b. Discussed importance of Micronutrient Supplementation (Vitamin A &
Deworming)
c. Monitoring of weight and height of 0-71 months old children
d. Regular monthly check-up of 0-59 months old
e. Emphasized importance of Dental Hygiene and benefits of physical activity
I. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
a. Some of the participants asked questions regarding the topic.
b. Participants was asked to answer pre-evaluation form
c. Presented visual aides explaining the importance of Micronutrient
Supplementation and proper oral hygiene
d. Advised Barangay Nutrition Scholar to monitor height and weight of 0-71
months old children quarterly
e. Scheduled Monthly visit to assigned barangay
f. Attendees participated in a 10 minutes Zumba Dance
Prepared by:
John Kim O. Rosales

Nurse I
July 25, 2023
27
Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Multi-Sectoral Meeting regarding ont PhilHealth Benefit Package and
eKONSULTA
Venue : Guinayangan Municipal Health office
J. ATTENDANCE 100 participants
K. AGENDA/TOPICS
a. Lecture about non-communicable diseases
b. Presentation of Masterlist of HPN/DM patients in Brgy. Salacan
c. Importance of Maintenance Medication to patients with essential HPN & DM
d. Provision of available NCD treatment package to attendees
e. Establishing of Hypertensive and Diabetes Club
f. Election of HPN/DM Club officers
L. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
b. Verified their names of the HPN/DM Masterlist
c. All of the participants agreed to have a HPN & DM club
d. The attendess were properly given NCD treatment package
e. They elected the officers for the club
f. The newly elected president scheduled the next meeting after discussing it with
the BHW and nurse
Prepared by:
John Kim O. Rosales

Nurse I
July 25, 2023
28

Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Workshop on Annual Investment Plan 2024 of the Municipality of

Guinayangan
Date : May 2023
Venue : Quezon Premiere Hotel Lucena City
M. ATTENDANCE: 20 participants (Department Heads and Representatives)
N. AGENDA/TOPICS
a. Presentation of Importanec of Annual Investment Planning
b. AIP of Agriculture (William Lopez Acting-MAO)
c. AIP of Engineering (Engr. Ricky)
d. AIP of MLGOO (Carlo Reyes -MLGOO)
e. AIP of MHO (John Kim O. Rosales Nurse I)
f. AIP of MSWDO (Gerry Cleope MSWDO)
g. AIP of Treasurer’s Office (Darwin Laduan - Acting- Municipal Treasurer)
h. AIP of MPDC (Gloria Cleofe- MPDC)
i. AIP of Environment and Sanitation (Arnel Puno - MENRO)
j. AIP of Sangguniang Bayan (Richard Manalo - SB Sec.)
k. Creation of Committee on Devolution
l. Orientation-Workshop for the Preparation of Devolution Transition Plan in
Barangay Level
m. Timelines of Submission of Devolution Transition Plan
O. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
a. Discussed the Importance of AIP and timelines
b. Each of the Head of the Deparment/Representative were asked to present their
Annual Investment Plan
c. The Local Finance Committee and other concerned departments raised their
concern regarding the Annual investment Plan of each office
d. Recommendations were given by the facilitators after each presentation
e. All AIPs for revision were emailed to Municipal Budget Offie
Prepared by:
John Kim O. Rosales

Nurse I
MAY 30, 2023
29

Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Basic Gender Sensitivity Training cum GAD Planning

Date : 2023
Venue : Quezon Premiere Hotel Lucena City
P. ATTENDANCE: 20 participants (Department Heads and Representatives)
1. Briefing on the Mechanics of the Workshop.

2. Orientation on GAD Plan by PGAD Office
3. Presentation of Basic Gender Sensitivity Training
4. Presentation of GAD Planning and Accomplishment of Guinayangan
5. Workshop regarding GAD Plan
6. Presentation of GAD Plan Activity by Group and critiquing
7. Open Forum and Agreements on timelines
Q. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
1. ENGR. Russel - MPDO presented the mechanics of the workshop followed by the
orientation on Devolution and SC Mandanas Ruling.
2. The Municipal Engineer presented the DPWH and DOTr Devolve Functions and
their DTP.
3. MENRO presented the DENR Devolve Functions and their DTP.
4. The Municipal Treasurer presented the Dept of Finance Devolve Functions and
their DTP.
5. Our Public Health Nurse presented the DOH Devolve Functions and their DTP.
6. The MSWDO presented the DSWD Devolve Functions and their DTP.
7. The Tourism Officer presented the Dept of Tourism Devolve Functions and their
DTP.
8. Timelines were explained on the submission of Finalized DTP
9. All DTP were evaluated and recommendations were given by the Municipal
Officer, Budget Officer, DILG officer, MPDO and other Department Heads
10. All presentations were saved by the DILG
John Kim O. Rosales

Nurse I
MAY 30, 2023
30

Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity : Workshop for the formulation of 2024 Annual Operational Plans
Date :
Venue : St. Jude Cooperative and Event Center
R. ATTENDANCE: 103 participants
S. AGENDA/TOPICS
a. Presentation of AO 2018-0014: Development of 2023-2025 LIPH and 2023 AOP
b. Presentation of DM No. 2021-0434: Directions for the Development of 2023-
2025 Local Investment Plans for Health and 2023 Annual Operational
Plans
c. Presentation of AO 2022-0022: Guidelines on LIPH
d. Annex C. 2023 AOP Forms
e. Final Annex B.2 and B.3 LIPH Forms
f. Annex B.4 Appraisal Checklist
g. Draft Building blocks, programs and investment category dependencies with
NPM inputs
h. Timelines of AOP 2023 : Investment Needs Form 3,3.1-3.4
i. Timelines of 2023-2025 LIPH
T. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS
a. Yhe DOH-CHD IV-A Planning Team presented the Directions for the
Development of 2023-2025 LIPH and 2023 AOP.
b. The PDOHO presented the different forms for AOP and LIPH
c. Presentation of Annex C 2023 AOP Forms, Final Annex B.2 & B.3 LIPH Forms
and Annex B.4 Appraisal Checklist
d. Presentation of the Draft Building Blocks for the basis of the formulation of
LIPH.
e. Timelines on AOP 2023 and LIPH 2023-2025 were explained
f. Recommendations were given by the facilitators after each presentation
g. All presentations were emailed to all the facilities who attended
Prepared by:
John Kim O. Rosales

Nurse I
February 10, 2022
31

Province of Quezon
-oOo-
NARRATIVE REPORT
Title of Activity: Meeting with Barangay Nutrition Scholar for Updates on OPT, Feeding
sessions, RUSF/RUTF, Nutribun and Micronutrient Supplementaion
Date : July 7, 2023
Venue : Guinayangan Evacuation Center
U. ATTENDANCE 54 Barangay Nutrition Scholars
V. AGENDA/TOPICS
a. Presentation of Nutritional Status of Guinayangan year 2022 & 1st Quarter 2023
b. Presentation of Data of Underweight, Severely Underweight, Wasted and Stunted
Children 2022 & 1st Quarter 2023
c. Reporting Forms and Barangay Nutrition Action Plan
d. Scheduled Activities for National Nutrition Month Celebration
e. Issues and concern on Nutrition Program such as Feeding Sessions, Nutribuns,
RUSF/RUTF and Micronutrient Supplementation
f. Monitoring and Evaluation of Nutrition Program
g. BNS Convention
W. DISCUSSIONS/AGREEMENTS/RECOMMENDATIONS

b. Presented Nutritional Status of Guinayangan year 2022 & 1st Quarter 2023
c. Presented Data of Underweight, Severely Underweight, Wasted and Stunted
Children 2022 & 1st Quarter 2023
d. Discussed Reporting Forms and Barangay Nutrition Plan
e. Addressed issues and concern on Nutrition Program, such as Feeding Sessions,
Nutribuns, RUSF/RUTF and Micronutrient Supplementation
f. Informed regarding the Monitoring and Evaluation of Nutrition Program per
barangay
g. Informed the schedule of BNS Convention
Prepared by:
John Kim O. Rosales

Nurse I
32
July 15, 2023
33

FINAL-Guinayangan AOP 2024

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Annual Operational Plan (AOP) 2024

Republic of the Philippines

OFFICE OF THE MUNICIPAL HEALTH OFFICER

HON. ANGELINA D.L. TAN, MD

Thru: KRISTIN MAE-JEAN M. VILLASEÑOR, RMT, MD, MPM

The Guinayangan Municipal Health Office is respectfully endorsing the Annual

For your kind perusal and approval, Thank you.

ANGEL T. ARDIENTE JR., MD, FPAMS

HON. MARIA MARIEDEN M. ISAAC

Core Local Investment Plan for Health (LIPH) Planning Team

ANGEL T. ARDIENTE JR., MD, FPAMS

Consideration of other Plans

Table 3. Other Health Plans

Health Plans REMARKS

II. The Health Situation in the Guinayangan at the end of 2022.

HEALTH SERVICE DELIVERY

I. National Immunization Program

2022 HPV Given - 44

4 Low Covid-19 Vaccination Primary Dose - 65.43%

II. Family Health Program

Inadequate access to services

Lack of adolescent teen center

MCPR Target - 30% Lack of Male involvement on F

Poor Mechansim to track Unm

Inadequate Fund for Logistics

Patient-Health Provider Barrier

Lack of Trained Health Provide

Insufficient and delay reporting

Lack of Local Policies on Unive

3 Nutrition Program 2021 MAM- 239 (8.7% ) Insufficient Micronutrient

2021 St and SSt -668 (24.27%) Negative attitude of the caregiv

Stunting Rate With negative Feedback of the

Limited funds for Nutrition Prog

Lack of Local Policies on Nutri

2021 Maternal Death - 0 Delay in referral of Risk Pregn

Limited Local Policies on NSM

III. Infectious Diseases Control and Prevention Program

2021 CNR - Target - 416

2 Increasing Number of Animal Bite Poor Implementation of Local P

70% Vaccination Target for Ca

Inadequate supply of Human A

Lack of Awareness of commun

Strengthen coordination with o

Lack of equipment and insectic

Lack of Trained Misting Opera

Lack of Health Human Resour

IV. Non-communicable Diseases Management and Control Program

Under recording and reporting

Insufficient supply of Maintena

Lack of Trained Health Provide

Not functional Community Bas

V. Environmental Health and Safe Setting Program

Perennial problem on reporting

9547 HHS with no Sanitary Toilets Financial constraint of the hou

Lack of Sanitary Personnel in t

Lack of Local Policies on Wate

VI. Specialty Care Programs

2022 Dental Extraction

Lack of Awareness on Mental