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Metropolitan Arrangements - Philippine Institute for Development ...

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308 ManagingUrbanizationUndera DecentralizedGovernanceFramework<br />

Olongapo City to monitor and evaluate perfbrmance in the harangays.<br />

Health workers in each of Lapu-lapu's eight districts and nutrition<br />

workers in each of Butuan's 10 barangay clusters hold monthly<br />

meetings <strong>for</strong> the same purpose.<br />

Community data board<br />

Surigao City's community data board posts the health status of<br />

households. Each household is represented in the board by a small<br />

hut. The hut shows the house number, the name of the family head,<br />

the health concerns, and the period covered (first to fourth quarter).<br />

For comparison purposes,<br />

is included as baseline.<br />

the previous year's quarterly per<strong>for</strong>mance<br />

The community data board is updated every quarter through a<br />

survey of all households. The survey inquires on health concerns such<br />

as pregnancies, immunization and nutrition status of children,<br />

garbage disposal, water source, occurrence of diseases, PHC health<br />

insurance membership, and availability of toilet. For each health<br />

concern, the health worker assigns a colored circle to indicate health<br />

status (below is an example).<br />

Color Meaning Example<br />

Blue Not applicable Nobody is pregnant in the household_<br />

Yellow Improving Degree of malnutrition changed from<br />

severe t.o mild.<br />

Green Safe Children are fully immunized.<br />

Red Danger No PHC health insurance.<br />

By looking at the red circles, the health personnel is alerted on<br />

the most pressing health need of the households. The concerns of<br />

the ]mrok can also be prioridzed according to the number of red circles.<br />

It follows that the health concern with the most number of red circles<br />

is the most pressing health need of a purok. Comparison with the<br />

previous quarter shows where per<strong>for</strong>mance has improved or<br />

deteriorated.<br />

The Best and the Worst: Appealing to the Filipino Ego<br />

In Surigao City, the PHC recognizes outstanding per<strong>for</strong>mance<br />

based on'a set of criteria such as the number of babies immunized<br />

and the number of sanitary toilets constructed. Awards are given to<br />

10 outstanding PHC chapters, five outstanding workers, and<br />

outstanding couple during the PHC annual convention.

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