Metadata for Indicators to Monitor the Noncommunicable …ro11.doh.gov.ph/dashboard/docs/NCD...

Metadata for Indicators

to Monitor the Noncommunicable

Diseases Programs

Noncommunicable Diseases Cluster

Last updated on August 05, 2016

Republic of the Philippines

Department of Health

REGIONAL OFFICE XI

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List of Indicators of NCD Programs

Indicator

code

Indicator M&E Level

Tobacco Free Initiative

TFI-001 Proportion of provinces, municipalities and cities with a 100%

smoke free policy

Input and

process

TFI-002 Proportion of LGUs, government hospitals and government

agencies with at least one official or personnel trained on the

MPOWER strategy for tobacco control

Input and

process

TFI-003 Proportion of LGUs, government hospitals and government

offices with trained smoking cessation counselors

Input and

process

Philippine Package of Essential NCD Interventions (PhilPEN)

PEN-001 Proportion of primary health care providers trained on

PhilPEN

Input and

process

PEN-002 Proportion of primary health care facilities with health care

providers trained on PhilPEN

Input and

process

PEN-003 Proportion of hospitals with specialist doctor trained on NCD

management

Input and

process

PEN-004 Proportion of primary health care facilities with essential

medicines for hypertension and diabetes

Input and

process

PEN-005 Proportion of primary health care facilities with functional

equipment and diagnostic supplies for PhilPEN

Input and

process

PEN-006 Proportion of RHUs, CHOs and DHOs with diabetes and

hypertension registries

Input and

process

Cancer Program

CAN-001 Proportion of BHS and RHUs/CHOs/DHOs with VIA-trained

health personnel

Input and

process

CAN-002 Proportion of BHS and RHUs/CHOs/DHOs with vaginal

speculum

Input and

process


TFI-004 Proportion of LGUs that are Red Orchid Awardees Output

TFI-005 Proportion of government hospitals that are Red Orchid

Awardees

Output

TFI-006 Proportion of government agencies in Davao with at least one

office that is a Red Orchid Awardee

Output

TFI-007 Proportion of RHUs, CHOs, DHOs and government hospitals

that are functioning smoking cessation facilities

Output

TFI-008 Proportion of government agencies with at least one

functioning smoking cessation clinic

Output


PEN-007 Proportion of RHUs, CHOs and DHOs with readiness to

provide PhilPEN services

Output

PEN-008 Proportion of RHUs, CHOs and DHOs with readiness to

provide foot care

Output

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Indicator

code

Indicator M&E Level

Cancer Program

CAN-003 Proportion of BHS and RHUs/CHOs/DHOs with readiness to

provide cervical cancer screening using visual inspection with

acetic acid (VIA)

Output

CAN-004 Proportion of BHS and RHUs/CHOs/DHOs performing manual

breast examination

Output


TFI-009 Prevalence of current tobacco use among adolescents aged

13-15 years

Outcome

TFI-010 Prevalence of current tobacco use among adults aged 15

years and above

Outcome

TFI-011 Prevalence of current smoking of cigarettes among

adolescents aged 13-15 years

Outcome

TFI-012 Prevalence of current smoking of cigarettes among adults

aged 15 years and above

Outcome

TFI-013 Number of smokers availing of cessation services Outcome

TFI-014 Quit rate among those who availed of smoking cessation

services

Outcome


Risk Factors

PEN-009 Total alcohol per capita consumption in persons aged 15+

years

Outcome

PEN-010 Prevalence of heavy episodic drinking among adolescents

and adults

Outcome

PEN-011 Prevalence of insufficient physical activity among adolescents

and adults

Outcome

PEN-012 Mean population intake of salt per day in persons aged 18+

years

Outcome

PEN-013 Prevalence of persons (aged 18+ years) consuming less than

five total servings (400 grams) of fruit and vegetables per day

Outcome

PEN-014 Prevalence of hypertension among persons aged 20 years

and above

Outcome

PEN-015 Prevalence of diabetes among persons aged 20 years and

above

Outcome

PEN-016 Prevalence of overweight and obesity among adolescents Outcome

PEN-017 Prevalence of overweight and obesity among persons aged

20 years and above

Outcome

PEN-018 Prevalence of raised total cholesterol among persons aged

20 years and above

Outcome

Service coverage

PEN-019 Proportion of adults 25 years old and above assessed and

screened using the PhilPEN Risk Assessment and Screening

Tool

Outcome

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Indicator

code

Indicator M&E Level

PEN-020 Proportion of persons with hypertension seen in the primary

health care facility

Outcome

PEN-021 Proportion of persons with diabetes seen in the primary


Outcome

PEN-022 Proportion of persons with hypertension listed in the registry

given ComPack medicines for hypertension

Outcome

PEN-023 Proportion of persons with diabetes listed in the registry given

ComPack medicines for diabetes

Outcome

Cancer Program

CAN-005 Cervical cancer screening by VIA among women aged 21 and

above

Outcome

CAN-006 Palliative care coverage among cancer patients Outcome

Morbidity

CAN-007 Cancer incidence Impact

Mortality

NCD-001 Mortality rate from cardiovascular diseases per 100 000

population

Impact

NCD-002 Mortality rate from diabetes mellitus per 100 000 population Impact

NCD-003 Mortality rate from chronic respiratory diseases per 100 000

population

Impact

NCD-004 Mortality rate from all forms of malignant neoplasms per 100

000 population

Impact

NCD-005 Number of deaths between 30 and 70 years of age from

cardiovascular diseases, cancer, diabetes or chronic

respiratory diseases

Impact

NCD-006 Mortality between 30 and 70 years of age from

cardiovascular diseases, cancer, diabetes or chronic

respiratory diseases

Impact

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Proportion of provinces, municipalities and cities with a 100% smoke free policy

Indicator code TFI-001

Indicator name Proportion of provinces, municipalities and cities with a 100%

smoke free policy

Abbreviated name Provinces, municipalities and cities with a 100% smoke free

policy

International name

Topic Tobacco Free Initiative

M&E Framework Input and process

Rationale The tobacco control measure has been protecting people from

the dangers of tobacco smoke by enacting laws that create a

100% smoke-free workplaces and public places. 100% smoke-

free is the only answer. Neither ventilation nor filtration, alone or

in combination, can reduce exposure levels of tobacco smoke

indoors to levels that are considered acceptable, even in terms

of odor, much less health effects.” The World Health

Organization (WHO) signalled the urgent need for countries to

make all indoor public places and workplaces 100% smoke-free.

Definition This refers to the proportion of provinces, municipalities and

cities with a 100% smoke free policy, that is, there is an

approved local ordinance adapted from Republic Act No. 9211.

Data type Percentage

Unit of measurement

Numerator Number of provinces, municipalities and cities with a 100%

smoke free policy

Denominator Total number of provinces, municipalities and cities

Disaggregation By city/municipality

By province

Data source Copy of the local ordinance submitted to the provincial and city

program coordinators

Frequency of collection Annual

Limitations/ Comments

Links and references

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Proportion of LGUs, government hospitals and government agencies with an official

or personnel trained on the MPOWER strategy for tobacco control


Indicator name Proportion of LGUs, government hospitals and government

agencies with at least one official or personnel trained on the

MPOWER strategy for tobacco control

Abbreviated name LGUs, government hospitals and government agencies with at

least one official or personnel trained on the MPOWER strategy

for tobacco control

International name



Rationale MPOWER package is meant to serve as a reference for

stakeholders at country level to help them translate the tobacco

control policies of the package into practice. It is meant to assist

planning, building and evaluating national and international

partnerships, while facilitating access to financial resources for

tobacco control activities.

Definition This refers to the proportion of LGUs, government hospitals and

government agencies with an official or personnel trained on the

MPOWER strategy for tobacco control.


Unit of measurement

Numerator Number of LGUs, government hospitals and government

agencies with an official or personnel trained on the MPOWER

strategy for tobacco control

Denominator Total number of LGUs, government hospitals and government

agencies

Disaggregation By government agency (e.g. DILG, DepEd, CHED)

By city/municipality

By province

Data source Training completion report compiled by the Regional Program

Coordinator

Frequency of collection Semi-annually



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Proportion of LGUs, government hospitals and government offices with trained

smoking cessation counselors


Indicator name Proportion of LGUs, government hospitals and government offices

with trained smoking cessation counselors

Abbreviated name LGUs, government hospitals and government offices with trained

smoking cessation counselors

International name



Rationale Cessation interventions are important to help individual tobacco

users quit in order to protect their health and lives of people

around them.

Definition This indicator refers to the proportion of LGUs, government

hospitals and government offices with trained smoking cessation

counselors.


Unit of measurement

Numerator Number of LGUs, government hospitals and government offices

with trained smoking cessation counselors

Denominator Total number of LGUs, government hospitals and government

agencies



By province

Data source Training completion report compiled by the Regional Program

Coordinator

Frequency of collection Semi-annually



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Proportion of primary health care providers trained on PhilPEN

Indicator code PEN-001

Indicator name Proportion of primary health care providers trained on PhilPEN

Abbreviated name Health care providers trained on PhilPEN

International name

Topic Philippine Package of Essential NCD Interventions


Rationale This determines the coverage of capacity building activities for

primary health care professionals and will be one of the basis for

the planning of trainings.

Definition This refers to the proportion of PhilPEN-trained doctors, nurses,

midwives and nutritionists at the barangay health stations, rural

health units, city health offices, and district health offices.


Unit of measurement

Numerator Number of PhilPEN-trained doctors, nurses, midwives and

nutritionists at the BHS, RHUs, CHOs and DHOs

Denominator Total number of doctors, nurses, midwives and nutritionists at the

BHS, RHUs, CHOs and DHOs

Disaggregation By cadre (doctor, nurse, midwife, nutritionist)


By province

Data source Numerator: PhilPEN Program Coordinator using the PhilPEN

training completion report

Denominator: Regional Health Information System


Limitations/ Comments List of primary health center personnel must be updated every 2

years taking into consideration the turn-over of health personnel.

Retraining will be conducted when PhilPEN guidelines are

updated.


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Proportion of primary health care facilities with health care providers trained on

PhilPEN


Indicator name Proportion of primary health care facilities with health care

providers trained on PhilPEN

Abbreviated name Primary health care facilities with PhilPEN-trained health care

providers

International name



Rationale This determines the readiness of primary health care facilities -

when it comes to human resources - in providing PhilPEN services

and is one of the basis in the planning of trainings.

Definition Proportion of primary health care facilities with health care

providers trained on PhilPEN refers to:

1. BHS with a PhilPEN-trained midwife;

2. RHUs, CHOs and DHOs with a doctor, a nurse, a nutritionist and

all midwives trained on PhilPEN; and

3. Government run infirmary and level 1 hospitals with a doctor, a

nurse and a nutritionist trained on PhilPEN


Unit of measurement

Numerator Number of primary health care facilities with health care providers

trained on PhilPEN

Denominator Total number of primary health care facilities (BHS, RHU, CHO and

LGU infirmary hospital)

Disaggregation By facility type (BHS, RHU, CHO, government infirmaries/level 1

hospitals)


By province

Data source Numerator: PhilPEN Program Coordinator using the PhilPEN

training completion report



Limitations/ Comments List of primary health center personnel must be updated every 2

years taking into consideration the turn-over of health personnel.

Retraining will be conducted when PhilPEN guidelines are updated


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Proportion of hospitals with specialist doctor trained on NCD management


Indicator name Proportion of hospitals with specialist doctor trained on NCD

management

Abbreviated name Hospitals with NCD trained doctors

International name



Rationale This determines the readiness of hospitals - when it comes to

human resources - in providing PhilPEN services and in accepting

referrals from primary care facilities and is one of the basis in the

planning of trainings.

Definition This refers to the proportion of government run infirmary, level 1

and level 2 hospitals with at least 1 full time or visiting physician

trained on Internal Medicine with or without subspecialty.


Unit of measurement

Numerator Number of hospitals with internists

Denominator Total number of government run hospitals

Disaggregation By hospital level

By province

Data source Survey

Frequency of collection Every 3 years



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Proportion of primary health care facilities with essential medicines for hypertension

and diabetes


Indicator name Proportion of primary health care facilities with essential

medicines for hypertension and diabetes

Abbreviated name Primary health care facilities with medicines for hypertension and

diabetes

International name




when it comes to essential medicines - in providing PhilPEN

services and is one of the basis in the planning and distribution of

medicines.

Definition Proportion of health facilities with all the essential medicines for

hypertension and diabetes:

1. BHS - ComPack medicines for hypertension and diabetes;

2. RHU,CHO/DHO,- ComPack medicines plus the rest of the

essential drugs and medicines according to the DOH

Administrative Order No. 2012-0029 which include: a. thiazide

diuretics, b. beta blockers, c. ACE inhibitors, d. calcium channel

blockers - sustained release preparations, e. aspirin, f. metformin,

g. glibenclamide, h. gliclazide, i. simvastatin

3. Government infirmary and level 1 hospitals with the above

mentioned medicines plus insulin


Unit of measurement

Numerator Number of primary health care facilities with essential medicines

for hypertension and diabetes

Denominator Total number of primary health care facilities (BHS, RHU,

CHO/DHO and LGU infirmary/level 1 hospital)

Disaggregation By facility type (BHS, RHU, CHO/DHO and LGU infirmary/level 1

hospital)


By province

Data source Numerator: Survey using PhilPEN facility capability checklist


Frequency of collection Quarterly for ComPack

Bi-annually for the rest of the medicines

Limitations/ Comments Based on a cross-sectional assessment of availability of drugs and

may not capture stock-outs, field monitoring by the PhilPEN

Program is only possible bi-annually or annually.

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Links and references DOH Administrative Order No. 2012-0029: Implementing

Guidelines on the Institutionalization of Philippine Package of

Essential NCD Interventions (Phil PEN) on the Integrated

Management of Hypertension and Diabetes for Primary Health

Care Facilities

(http://home2.doh.gov.ph/ais_public/aopdf/ao2012-0029.pdf)

http://home2.doh.gov.ph/ais_public/aopdf/ao2012-0029.pdf

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Proportion of primary health care facilities with functional equipment and diagnostic

supplies for PhilPEN


Indicator name Proportion of primary health care facilities with functional

equipment and diagnostic supplies for PhilPEN

Abbreviated name Primary health care facilities with functional PhilPEN equipment

and diagnostic supplies

International name




when it comes to functional equipment and diagnostic supplies -

in providing PhilPEN services and is one of the basis in the

planning and provision of equipment and diagnostic supplies and

in advocating for such with the LGUs.

Definition Proportion of health facilities with all the functional (not damaged

or under repair) equipment and diagnostic supplies for

hypertension and diabetes:

1. BHS - stethoscope, blood pressure measurement device-non

mercurial, measuring tape-non extensible, height chart, weighing

scale,

2. RHU,CHO/DHO, LGU infirmary hospitals - the above equipment

for BHS plus diagnostic supplies according to the DOH

Administrative Order No. 2012-0029 which include: a.

glucometer with test strips, b. cholesterol meter with test strips,

c. test tubes or glass containers for urine, and d. urine test strips

for checking ketones and proteins


Unit of measurement

Numerator Number of health facilities with all the functional equipment and

diagnostic supplies for hypertension and diabetes

Denominator Total number of primary health care facilities (BHS, RHU,

CHO/DHO and LGU infirmary/level 1 hospital)

Disaggregation By facility type (BHS, RHU, CHO and LGU infirmary/level 1

hospitals)


By province




Limitations/ Comments Field monitoring by the PhilPEN Program is only possible bi-

annually or annually

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Care Facilities



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Proportion of RHUs, CHOs and DHOs with diabetes and hypertension registries


Indicator name Proportion of RHUs, CHOs and DHOs with diabetes and

hypertension registries

Abbreviated name RHUs, CHOs and DHOs with diabetes and hypertension registries

International name



Rationale The diabetes and hypertension registries when exhaustive can

provide an estimate of diabetes and hypertension prevalence and

incidence. The registries will also be the basis for the planning of

service provision including essential medicines such as the

ComPack. This indicator will show the extent of LGU participation

when it comes to maintaining this registry.

Definition This refers to the proportion of RHUs, CHOs and DHOs with

diabetes and hypertension registries. The diabetes and

hypertension registries in Excel is maintained and updated by the

RHUs, CHOs and DHOs at least once a year and forwarded to the

DOH Regional Office.


Unit of measurement

Numerator Number of RHUs with updated diabetes and hypertension

registries

Denominator Total number of RHUs, CHOs and DHOs

Disaggregation By province

Data source Numerator: PhilPEN Program Coordinator using PhilPEN summary

of established registries


Frequency of collection Bi-annually

Limitations/ Comments Random checks can be done on the registries by crosschecking

with TCLs during field monitoring. This is to ensure that patients

registered went through the prescribed process of screening and

diagnosis. However, the program has not yet validated whether

the registries in place are regularly updated.


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Proportion of BHS and RHUs/CHOs/DHOs with VIA-trained health personnel

Indicator code CAN-001

Indicator name Proportion of BHS and RHUs/CHOs/DHOs with VIA-trained health

personnel

Abbreviated name BHS and RHUs/CHOs/DHOs with VIA-trained health personnel

International name

Topic Cancer Control Program


Rationale This is for the inventory of facilities who have untrained staff and

use data as future basis of training.

Definition This indicator refers to the proportion of BHS and

RHUs/CHOs/DHOs with VIA-trained health personnel.


Unit of measurement

Numerator Number of BHS and RHUs/CHOs/DHOs with VIA-trained health

personnel

Denominator Total number of BHS and RHUs/CHOs/DHOs


By province

Data source Numerator: Program Coordinator using VIA facility assessment

checklist





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Proportion of BHS and RHUs/CHOs with vaginal speculum


Indicator name Proportion of BHS and RHUs/CHOs/DHOs with vaginal speculum

Abbreviated name BHS and RHUs/CHOs/DHOs with vaginal speculum

International name



Rationale This is for the inventory of facilities that are equipped with VIA

instruments and use data as future basis of provision of

instruments for those unequipped.

Definition This indicator refers to the proportion of BHS and

RHUs/CHOs/DHOs with vaginal speculum.


Unit of measurement

Numerator Number of BHS and RHUs/CHOs/DHOs with vaginal speculum



By province


checklist

Denominator: Local Health System Cluster




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Proportion of LGUs that are Red Orchid Awardees


Indicator name Proportion of LGUs that are Red Orchid Awardees

Abbreviated name LGUs that are Red Orchid Awardees

International name


M&E Framework Output

Rationale The DOH Red Orchid Awards is the Search for 100% tobacco-free

provinces, municipalities, cities, government offices, government

hospitals and DOH Regional Offices. It follows the World Health

Organization (WHO) Framework Convention on Tobacco Control

(FCTC) Article 8 that recommends adoption of measures to

provide protection from exposure to smoke in indoor workplaces,

public transport, indoor places and other public places.

Definition Proportion of LGUs that are Red Orchid Awardees refers to LGUs

that meet the award criteria based on the MPOWER strategy.


Unit of measurement

Numerator Number of LGUs that are Red Orchid Awardees

Denominator Total number of LGUs


Data source National validation results (through Tobacco Program)




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Proportion of government hospitals that are Red Orchid awardees


Indicator name Proportion of government hospitals that are Red Orchid awardees

Abbreviated name Government hospitals that are Red Orchid awardees

International name







(FCTC) Article 8 that recommends adoption of measures to provide

protection from exposure to smoke in indoor workplaces, public

transport, indoor places and other public places.

Definition Proportion of government hospitals that are Red Orchid Awardees

refers to government hospitals that meet the award criteria that is

based on the MPOWER strategy.


Unit of measurement

Numerator Number of government hospitals that are Red Orchid Awardees

refers to government hospitals that meet the award criteria that is

based on the MPOWER strategy

Denominator Number of government hospitals






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Proportion of government agencies in Davao with at least one office that is a Red

Orchid awardee


Indicator name Proportion of government agencies in Davao with at least one

office that is a Red Orchid awardee

Abbreviated name Government agencies in Davao with at least one office that is a

Red Orchid awardee

International name







(FCTC) Article 8 that recommends adoption of measures to

provide protection from exposure to smoke in indoor workplaces,

public transport, indoor places and other public places.

Definition This indicator refers to the proportion of government agencies in

Davao with at least one office that meets the Red Orchid Award

criteria based on the MPOWER strategy.


Unit of measurement

Numerator Number of government agencies in Davao with at least one office

that meets the Red Orchid Award criteria based on the MPOWER

strategy

Denominator Total number of government agencies in Davao






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Proportion of RHUs, CHOs, DHOs and government hospitals that are functioning

smoking cessation facilities


Indicator name Proportion of RHUs, CHOs, DHOs and government hospitals that

are functioning smoking cessation facilities

Abbreviated name RHUs, CHOs, DHOs and government hospitals that are functioning

smoking cessation facilities

International name





around them.

Definition This refers to the proportion of RHUs, CHOs, DHOs and

government hospitals that are functioning smoking cessation

facilities. A functioning smoking cessation facility has enrolled

clients and are actively conducting smoking cessation counselling

based on facility self-report and as validated from program

monitoring visits when feasible.


Unit of measurement

Numerator Number of RHUs, CHOs, DHOs and government hospitals that are

functioning smoking cessation facilities

Denominator Number of RHUs, CHOs, DHOs and government hospitals

Disaggregation By facility type


By province

Data source Monitoring tool for tobacco from the provincial and city program

coordinators




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Proportion of government agencies with at least one functioning smoking cessation

clinic


Indicator name Proportion of government agencies with at least one functioning

smoking cessation clinic

Abbreviated name Government agencies with at least one functioning smoking

cessation clinic

International name





around them.

Definition This refers to the proportion of government agencies with at least

one functioning smoking cessation clinic. A functioning smoking

cessation clinic has enrolled clients and are actively conducting

smoking cessation counselling based on clinic self-report and as

validated from program monitoring visits when feasible


Unit of measurement

Numerator Number of government agencies with at least one functioning

smoking cessation clinic

Denominator Total number of government agencies in Davao


Data source Monitoring tool for tobacco from the provincial and city program

coordinators




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Proportion of RHUs, CHOs and DHOs with readiness to provide PhilPEN services


Indicator name Proportion of RHUs, CHOs and DHOs with readiness to provide

PhilPEN services

Abbreviated name RHUs, CHOs and DHOs with readiness to provide PhilPEN

services

International name



Rationale This determines the overall readiness of RHUs, CHOs and DHOs

in providing PhilPEN services considering the availability of

protocols and guidelines, human resources trained, availability of

essential medicines, equipment and diagnostics supplies. This

information is needed in strategizing capacity building activities

and provision of commodities.

Definition Proportion of RHUs, CHOs and DHOs with readiness to provide

PhilPEN services refers to RHUs, CHOs and DHOs that meet the

following requirements:

1. PhilPEN protocols/guidelines, flowcharts and screening forms

2. At least one doctor, one nurse, one nutritionist and all

midwives trained on PhilPEN

3. Essential medicines for hypertension and diabetes which are:

ComPack medicines plus the rest of the essential drugs and

medicines according to the DOH Administrative Order No. 2012-

0029 which include: a. thiazide diuretics, b. beta blockers, c. ACE

inhibitors, d. calcium channel blockers - sustained release

preparations, e. aspirin, f. metformin, g. glibenclamide, h.

gliclazide, and i. simvastatin, and

4. Has functional equipment and diagnostic supplies according to

the DOH Administrative Order No. 2012-0029 which are:

stethoscope, blood pressure measurement device-non mercurial,

measuring tape-non extensible, height chart, weighing scale,

glucometer with test strips, cholesterol meter with test strips, test

tubes or glass containers for urine test strips for checking

ketones and proteins


Unit of measurement

Numerator Number of RHUs, CHOs and DHOs with readiness to provide

PhilPEN services





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Limitations/ Comments Determining the readiness of primary health care facilities in

providing PhilPEN does not automatically mean that services are

provided according to the PhilPEN protocols. It is still important to

conduct field monitoring and assessment to see if PhilPEN is

really implemented and provide mentoring when necessary.





Care Facilities



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Proportion of RHUs, CHOs and DHOs with readiness to provide foot care


Indicator name Proportion of RHUs, CHOs and DHOs with readiness to provide

foot care

Abbreviated name RHUs, CHOs and DHOs with readiness to provide foot care

International name



Rationale This determines the overall readiness of RHU, CHO and DHO in

providing foot care services considering the availability of

protocols and guidelines, human resources trained and the

availability of foot screening tools. Foot care is an integral

component of the CVD Project which has been in the region for

almost 10 years. However, foot care, an essential part of the

PhilPEN protocol is not included in the DOH Administrative Order

No. 2012-0029. Thus this separate indicator is a conscious effort

to integrate this service in the PhilPEN. This information is needed

in strategizing capacity building activities and provision of

commodities.

Definition Proportion of RHUs, CHOs and DHOs with readiness to provide

foot care refers to RHUs, CHOs and DHOs that meet the following

requirements:

1. Foot care protocols and education tools

2. With one doctor, one nurse and all midwives trained on basic

foot care through the PhilPEN Training or the CVD Program

3. With foot care screening tools which include 10-gram

monofilament and the foot risk assessment form


Unit of measurement

Numerator Number of RHUs, CHOs and DHOs with readiness to provide foot

care






Limitations/ Comments Determining the readiness of primary health care facilities in

providing foot care does not automatically mean that services are

provided. It is still important to conduct field monitoring and

assessment to see if foot care is really implemented as part of the

PhilPEN package and provide mentoring when necessary.


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Proportion of BHS and RHUs/CHOs/DHOs with readiness to provide cervical cancer

screening using visual inspection with acetic acid (VIA)


Indicator name Proportion of BHS and RHUs/CHOs/DHOs with readiness to


acetic acid (VIA)

Abbreviated name BHS and RHUs/CHOs/DHOs with readiness to provide cervical

cancer screening using VIA

International name



Rationale This will serve as an inventory for future basis to train or

strengthen capabilities of facilities to deliver VIA services.

Definition Proportion of BHS and RHUs/CHOs/DHOs with readiness to


acetic acid (VIA) refers to BHS and RHUs/CHOs/DHOs that meet

the following requirements:

1. Guidelines: 2015 Training Module on Cervical Cancer

Prevention and Control Reference Manual

2. Training: Training on Cervical Cancer Screening using Visual

Inspection with Acetic Acid provided by the Southern Philippines

Medical Center - Department of Ob-Gyne

3. Equipment: delivery room table, gooseneck lamp and clock

4. Commodities: vaginal speculum, acetic acid and cotton

pledgets


Unit of measurement

Numerator Number of BHS and RHUs/CHOs/DHOs with readiness to provide

cervical cancer screening using VIA



By province


checklist




Links and references DOH Administrative Order No. 2016-0001: Revised Policy on

Philippine Cancer Prevention and Control



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Proportion of BHS and RHUs/CHOs/DHOs performing manual breast examination


Indicator name Proportion of BHS and RHUs/CHOs/DHOs performing manual

breast examination

Abbreviated name BHS and RHUs/CHOs/DHOs performing manual breast

examination

International name



Rationale This will serve as an inventory to assess the implementation of

TSeKaP services.

Definition This refers to the proportion of BHS and RHUs/CHOs/DHOs

performing manual breast examination.


Unit of measurement

Numerator Number of BHS and RHUs/CHOs/DHOs that perform manual

breast examination and have trained personnel



By province

Data source Numerator: Program Coordinator




Links and references DOH Administrative Order No. 2016-0001: Revised Policy on

Philippine Cancer Prevention and Control



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Prevalence of current tobacco use among adolescents aged 13-15 years


Indicator name Prevalence of current tobacco use among adolescents aged 13-15

years

Abbreviated name Current tobacco use among adolescents aged 13-15 years

International name Prevalence of current tobacco use among adolescents aged 13-15

years


M&E Framework Outcome

Rationale The risk of chronic diseases starts early in childhood and such

behavior continues into adulthood. Tobacco is an addictive

substance and smoking often starts in adolescence, before the

development of risk perception. By the time the risk to health is

recognized, addicted individuals find it difficult to stop tobacco

use.

Definition The prevalence of tobacco use (including smoking and the use of

oral tobacco and snuff) among 13–15-year-olds on more than one

occasion in the 30 days preceding the survey.


Unit of measurement

Numerator Number of current users of any tobacco product among

adolescents aged 13-15 years, including use of any smokeless or

smoking tobacco product at least once during the last 30 days

prior to the survey

Denominator Adolescents aged 13-15 years included in the survey

Disaggregation By sex

By place of residence


By province

Data source Global Youth Tobacco Survey for the Philippines


Limitations/ Comments Need to confirm if there are results for Davao Region


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Prevalence of current tobacco use among adults aged 15 years and above


Indicator name Prevalence of current tobacco use among adults aged 15 years

and above

Abbreviated name Current tobacco use among adults aged 15 years and above

International name Prevalence of current tobacco use among adults aged ≥ 15 years



Rationale The prevalence of current tobacco smoking among adults is an

important measure of the health and economic burden of tobacco,

and provides a baseline for evaluating the effectiveness of

tobacco control programs over time.

Definition This refers to the prevalence of current tobacco use among adults

aged 15 years and above.


Unit of measurement

Numerator Number of current users of any tobacco product among adults

aged 15 years and above, including use of any smokeless or

smoking tobacco product at least once during the last 30 days

prior to the survey

Denominator Adults aged 15 years and above included in the survey




By province

Data source Global Adult Tobacco Survey for the Philippines




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Prevalence of current smoking of cigarettes among adolescents aged 13-15 years


Indicator name Prevalence of current smoking of cigarettes among adolescents

aged 13-15 years

Abbreviated name Current smoking of cigarettes among adolescents aged 13-15

years

International name



Rationale Tobacco use is the single most preventable cause of death in the

world today, and the majority of smokers begin using tobacco

products before age 18 years.

Definition This refers to the prevalence of current smoking of cigarettes

among adolescents aged 13-15 years.


Unit of measurement

Numerator Number of current smokers of cigarettes among adolescents aged

13-15 years, including both daily and non-daily or occasional

cigarette smoking

Denominator Adolescents aged 13-15 included in the survey




By province

Data source Global Youth Tobacco Survey for the Philippines




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Prevalence of current smoking of cigarettes among adults aged 15 years and above


Indicator name Prevalence of current smoking of cigarettes among adults aged 15

years and above

Abbreviated name Current smoking of cigarettes among adults aged 15 years and

above

International name



Rationale The prevalence of current tobacco smoking among adults is an

important measure of the health and economic burden of tobacco,

and provides a baseline for evaluating the effectiveness of

tobacco control programs over time.

Definition This refers to the prevalence of current smoking of cigarettes

among adults aged 15 years and above.


Unit of measurement

Numerator Number of current smokers of cigarettes among adults aged 15

years and above, including both daily and non-daily or occasional

cigarette smoking

Denominator Adults aged 15 years and above included in the survey




By province

Data source Global Adult Tobacco Survey for the Philippines




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Number of smokers availing of cessation services


Indicator name Number of smokers availing of cessation services

Abbreviated name Smokers availing of cessation services

International name





around them.

Definition This indicator refers to the number of smokers availing of

cessation services.

Data type Count

Unit of measurement

Numerator Number of smokers who avail the smoking cessation counselling,

that is, smokers enrolled in the smoking cessation program in the

clinic

Denominator N/A




By province

Data source Health facilities with functioning smoking cessation clinics

(through Program Coordinator)




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Quit rate among those who availed of smoking cessation services


Indicator name Quit rate among those who availed of smoking cessation services

Abbreviated name

International name



Rationale In order to protect the lives and health of the smokers who are

victims of this epidemic and disease, they need to quit smoking.

As victims, it is hard for them to quit on their own, hence, they

need all the help they can get from smoking cessation counselor

in the smoking cessation clinic.

Tobacco use is often incorrectly perceived to be solely a personal

choice. This is believed by the fact that when fully aware of the

health impact, most tobacco users want to quit but find it difficult

to stop due to the addictiveness of nicotine.

Definition Quit rate among those who availed of smoking cessation services

refers to smokers who avail the smoking cessation counselling

and have not used any tobacco product for at least six months

from enrolment to the program.


Unit of measurement

Numerator Number of smokers who avail the smoking cessation counselling

and have not used any tobacco product for at least six months

from enrolment to the program

Denominator Total number of smokers who availed the smoking cessation

counselling




By province

Data source Health facilities with functioning smoking cessation clinics

(through Program Coordinator)




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Total alcohol per capita consumption in persons aged 15+ years


Indicator name Total alcohol per capita consumption in persons aged 15+ years

Abbreviated name Alcohol per capita consumption

International name Total (recorded and unrecorded) alcohol per capita (15+ years old)

consumption within a calendar year in liters of pure alcohol



Rationale Level of per capita consumption correlates with the levels of

hazardous and harmful drinking and can be considered as the

only reliable proxy measure for global monitoring of the “harmful

use of alcohol” as defined in the WHO Global Strategy to Reduce

the Harmful Use of Alcohol. The strategy defines the harmful use

of alcohol as drinking that causes detrimental health and social

consequences for the drinker (harmful drinking), the people

around the drinker and society at large, as well as patterns of

drinking that are associated with increased risk of adverse health

outcomes (hazardous drinking). The data determines the

effectiveness of health promotion efforts in preventing lifestyle-

related diseases. Health promotion has 5 action areas according

to DOH Administrative Order No. 2011-0003 or the National Policy

on Chronic Lifestyle-Related Noncommunicable Diseases. These

action areas are the following: 1) Building healthy public policy, 2)

Creating supportive environments, 3) Strengthening community

action, 4) Developing personal skills through information and

education, and 5) Reorienting health care services toward

prevention of illness and promotion of health. Regional prevalence

data will also be the basis in the prioritization of programs.

Definition Total alcohol per capita is the total amount (sum of recorded

alcohol per capita three-year average and unrecorded alcohol per

capita) of alcohol consumed per adult (15+ years) in a calendar

year, in liters of pure alcohol. Recorded alcohol consumption

refers to official statistics (production, import, export, and sales or

taxation data), while unrecorded alcohol consumption refers to

alcohol which is not taxed and is outside the usual system of

government control. In circumstances in which the number of

tourists per year is at least the number of inhabitants, tourist

consumption is also taken into account and is deducted from a

country's recorded alcohol per capita.

Data type Whole number

Unit of measurement

Numerator Sum of recorded and unrecorded alcohol consumed in a

population during a calendar year, in liters.

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Denominator Mid-year resident population aged 15+ for the same calendar

year.

Disaggregation By age and sex

By province

Data source National Nutrition Survey, Regional level survey

Frequency of collection Every 3-5 years

Limitations/ Comments The National Nutrition Survey only provides the national or

regional data. In order to develop strategies that will answer to

specific needs of municipalities and provinces municipal level

data is needed. Thus the DOH-Regional office will be investing on

municipal level surveys to answer such need for data.

Links and references 1. NCD Global Monitoring Framework - World Health Organization,

2012

(http://www.who.int/nmh/global_monitoring_framework/en/)

2. 2015 Global Reference List of 100 Core Health Indicators -

World Health Organization

(http://apps.who.int/iris/bitstream/10665/173589/1/WHO_H

IS_HSI_2015.3_eng.pdf?ua=1)

http://www.who.int/nmh/global_monitoring_framework/en/

http://apps.who.int/iris/bitstream/10665/173589/1/WHO_HIS_HSI_2015.3_eng.pdf?ua=1


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Prevalence of heavy episodic drinking among adolescents and adults


Indicator name Prevalence of heavy episodic drinking among adolescents and

adults

Abbreviated name Heavy episodic drinking prevalence

International name



Rationale Heavy episodic drinking is part of the key indicators which provide

information regarding the patterns of alcohol consumption in a

given country. More specifically, it identifies the proportion of the

population which consumes high levels of alcohol at single

occasions, and consequently highlights the population which

particularly has a higher risk of experiencing alcohol-related acute

harm but also developing chronic health complications. The data

determines the effectiveness of health promotion efforts in

preventing lifestyle-related diseases. Health promotion has 5

action areas according to DOH Administrative Order No. 2011-

0003 or the National Policy on Chronic Lifestyle-Related

Noncommunicable Diseases. These action areas are the following:

1) Building healthy public policy, 2) Creating supportive

environments, 3) Strengthening community action, 4) Developing

personal skills through information and education, and 5)

Reorienting health care services toward prevention of illness and

promotion of health. Regional prevalence data will also be the

basis in the prioritization of programs.

Definition This refers to the regional prevalence of heavy episodic drinking.

Heavy episodic drinking, or HED, is defined as drinking at least 60

grams or more of pure alcohol on at least one occasion in the past

30 days. HED is one of the most important indicators for acute

consequences of alcohol use, such as injuries. Adolescents are

those 11 to 19 years old. Adults are those 20 years old and

above.


Unit of measurement

Numerator Number of adolescent and adult respondents who practice heavy

episodic drinking in the survey.

Denominator Total number of adolescent and adult survey respondents


By province

Data source National Nutrition Survey, Regional Level Survey


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municipal level surveys to answer such need for data. There are

significant methodological challenges in measurement of heavy

episodic drinking, which is based on self-reporting data with

significant bias potential.


2012









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Prevalence of insufficient physical activity among adolescents and adults


Indicator name Prevalence of insufficient physical activity among adolescents and

adults

Abbreviated name Insufficient physical activity prevalence

International name Age-standardized prevalence of insufficient physical activity in

adults aged 18+ years (defined as less than 150 minutes of

moderate-intensity activity per week, or equivalent)



Rationale This determines the effectiveness of health promotion efforts in











Definition This refers to the regional prevalence of insufficient physical

activity among adolescents and adults. Insufficient physical

activity is not meeting any of the following criteria for adults: 1)

150 minutes of moderate-intensity physical activity per week, 2)

75 minutes of vigorous-intensity physical activity per week, 3) an

equivalent combination of moderate- and vigorous-intensity

physical activity accumulating at least 600 MET-minutes* per

week. For adolescents: Less than 60 minutes of moderate to

vigorous intensity physical activity daily. Adolescents are those 11

to 19 years old. Adults are those 20 years old and above.


Unit of measurement

Numerator Number of adolescent and adult respondents with insufficient

physical activity in the survey.

Denominator Total number of adolescent and adult survey respondents.


By province



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2012









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Mean population intake of salt per day in persons aged 18+ years


Indicator name Mean population intake of salt per day in persons aged 18+ years

Abbreviated name Mean population intake of salt

International name Age-standardized mean population intake of salt (sodium chloride)

per day in grams in adults aged 18+ years.



Rationale The amount of dietary salt (sodium chloride) consumed is an

important determinant of blood pressure levels and of

hypertension and overall cardiovascular risk. It determines the

effectiveness of health promotion efforts in preventing lifestyle-

related diseases. Health promotion has 5 action areas according

to DOH Administrative Order No. 2011-0003 or the National Policy

on Chronic Lifestyle-Related Noncommunicable Diseases. These

action areas are the following: 1) Building healthy public policy, 2)

Creating supportive environments, 3) Strengthening community

action, 4) Developing personal skills through information and

education, and 5) Reorienting health care services toward

prevention of illness and promotion of health. Regional data will

also be the basis in the prioritization of programs.

Definition This refers to the regional data on the age-standardized mean

population intake of salt (sodium chloride) per day in grams in

adults aged 18+ years.

Data type Statistic

Unit of measurement

Numerator Sum of sodium excretion in urine samples from all respondents

aged 18+ years

Denominator Number of survey respondents aged 18+ years.


By province








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2012









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Prevalence of persons (aged 18+ years) consuming less than five total servings (400

grams) of fruit and vegetables per day


Indicator name Prevalence of persons (aged 18+ years) consuming less than five

total servings (400 grams) of fruit and vegetables per day

Abbreviated name Low fruit and vegetable consumption prevalence

International name Age-standardized prevalence of adult (aged 18+ years) population

consuming less than five total servings (400 grams) of fruit and

vegetables per day.














Definition This refers to the regional prevalence of low fruit and vegetables

consumption using standard serving size portions of 80 grams per

serving.


Unit of measurement

Numerator Number of 18 years old and above consuming less than 5 total

servings of fruit and vegetables per day in the survey

Denominator Total number of 18 years old and above survey respondents


By province








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2012









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Prevalence of hypertension among persons aged 20 years and above


Indicator name Prevalence of hypertension among persons aged 20 years and

above

Abbreviated name Prevalence of hypertension

International name







Noncommunicable Diseases. These action areas are the

following: 1) Building healthy public policy, 2) Creating supportive






Definition This refers to the regional prevalence of hypertension among

adults. Adults who have hypertension are those with systolic

blood pressure of equal to or greater than 140 mmHg or diastolic

blood pressure of equal to or greater than 90 mmHg. Adults are

those aged 20 years and above.


Unit of measurement

Numerator Number of hypertensive adults in the survey

Denominator Number of adults survey respondents


By province



Limitations/ Comments The National Nutrition Survey only provides the regional

prevalence of hypertension. In order to develop strategies that

will answer to specific needs of municipalities and provinces

municipal level data is needed. Thus the DOH-Regional office will

be investing on municipal level surveys to answer such need for

data.

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Links and references 1. 8th National Nutrition Survey 2013 by the Food and Nutrition

Research Institute, Department of Science and Technology

(http://www.fnri.dost.gov.ph/index.php/nutrition-statistic/19-

nutrition-statistic/118-8th-national-nutrition-survey)

2. NCD Global Monitoring Framework - World Health Organization,

2012


http://www.fnri.dost.gov.ph/index.php/nutrition-statistic/19-nutrition-statistic/118-8th-national-nutrition-survey



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Prevalence of diabetes among persons aged 20 years and above


Indicator name Prevalence of diabetes among persons aged 20 years and above

Abbreviated name Prevalence of diabetes

International name














Definition This refers to the regional prevalence of diabetes among adults.

Adults who have diabetes are those with fasting blood glucose of

equal to or greater than 126 mg/dL. Adults are those aged 20

years and above.


Unit of measurement

Numerator Number of adults in the survey with diabetes

Denominator Number of adults in the survey respondents


Data source National Nutrition Survey



prevalence of diabetes. In order to develop strategies that will

answer to specific needs of municipalities and provinces

municipal level data is needed. The diabetes registry maintained

by each municipality will be able to provide municipal level data.






2012





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Prevalence of overweight and obesity among adolescents


Indicator name Prevalence of overweight and obesity among adolescents

Abbreviated name Overweight and obesity among adolescents

International name














Definition This refers to the regional prevalence of overweight and obesity

among adolescents. Adolescents who are overweight or obese

are those who have body mass index of at least 23 kg/m2.

Adolescents are those aged 121 to 228 months.


Unit of measurement

Numerator Number of adolescents who are overweight or obese in the

survey

Denominator Number of adolescent in the survey respondents


By province




prevalence of overweight and obesity among adolescents. In

order to develop strategies that will answer to specific needs of

municipalities and provinces municipal level data is needed. Thus

the DOH-Regional office will be investing on municipal level

surveys to answer such need for data.

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2012





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Prevalence of overweight and obesity among persons aged 20 years and above


Indicator name Prevalence of overweight and obesity among persons aged 20

years and above

Abbreviated name Overweight and obesity among adults

International name










personal skills through information and education and 5)




Definition The regional prevalence of overweight and obesity among adults.

Adults who are overweight or obese are those who have body

mass index of at least 23 kg/m2. Adults are those aged 20 years

and above.


Unit of measurement

Numerator Number of adults who are overweight or obese in the survey



By province




prevalence of overweight and obesity among adults. In order to

develop strategies that will answer to specific needs of

municipalities and provinces municipal level data is needed. Thus

the DOH-Regional office will be investing on municipal level

surveys to answer such need for data.

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2012





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Prevalence of raised total cholesterol among persons aged 20 years and above


Indicator name Prevalence of raised total cholesterol among persons aged 20

years and above

Abbreviated name Prevalence of raised total cholesterol

International name Age-standardized prevalence of raised total cholesterol among

adults aged 18+ years (defined as total cholesterol ≥5.0 mmol/L

or 190mg/dl).



Rationale Raised cholesterol levels increase the risks of heart disease and

stroke. It determines the effectiveness of health promotion efforts

in preventing lifestyle-related diseases. Health promotion has 5










Definition This refers to the regional prevalence of raised total cholesterol

defined as ≥5.0 mmol/L or 190mg/dl.


Unit of measurement

Numerator Number of adults who have raised total cholesterol in the survey


Disaggregation






data is needed. It is expensive however to gather this kind of data

during surveys because of the cost of the testing.

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2012









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Proportion of adults 25 years old and above assessed and screened using the

PhilPEN Risk Assessment and Screening Tool


Indicator name Proportion of adults 25 years old and above assessed and

screened using the PhilPEN Risk Assessment and Screening Tool

Abbreviated name Adults screened using PhilPEN

International name



Rationale This is the first indicator of the implementation of the Philippine

Package of Essential Noncommunicable Disease Interventions in

RHUs. The number of persons screened is an important factor in

the enrollment of persons with diabetes and hypertension in the

program.

Definition This refers to the proportion of adults who have been assessed

and screened using the PhilPEN Risk Assessment and Screening

Tool. Adults are those aged 25 years and above.


Unit of measurement

Numerator Number of adults who have been assessed and screened using

the PhilPEN Risk Assessment and Screening Tool

Denominator Estimated number of adults aged 25 years and above computed

as follows: estimated total population x 0.48


By province

Data source Regional Health Information System

Frequency of collection Quarterly






Care Facilities



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Proportion of persons with hypertension seen in the primary health care facility


Indicator name Proportion of persons with hypertension seen in the primary


Abbreviated name Persons with hypertension seen

International name



Rationale This is an important indicator of the implementation of the

Philippine Package of Essential Noncommunicable Disease

Interventions in RHUs. This provides information on the extent of

health care services provided by the RHUs.

Definition The proportion of persons with hypertension listed in the

municipal hypertension and diabetes registry who visited the

health center or was provided care at home at least once a month

for three out of 12 months in a year.


Unit of measurement

Numerator Total number of persons with hypertension seen.

Denominator Total number of persons with hypertension listed in the registry


By province

Data source Numerator: Regional Health Information System

Denominator: Hypertension registry


Limitations/ Comments This indicator should be interpreted with caution since figures may

be high especially if the hypertension and diabetes registry is not

an exhaustive list. Mechanisms must be in place to update the

registry on a regular basis. An alternative and better denominator

can be the estimated number of persons with hypertension using

the regional prevalence rate. However prevalence may vary from

one area to the next.


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Proportion of persons with diabetes seen in the primary health care facility


Indicator name Proportion of persons with diabetes seen in the primary health

care facility

Abbreviated name Persons with diabetes seen

International name



Rationale This is an important indicator of the implementation of the

Philippine Package of Essential Noncommunicable Disease

Interventions in RHUs. This provides information on the extent of

health care services provided by the RHUs.

Definition The proportion of persons with diabetes listed in the municipal

hypertension and diabetes registry who visited the health center

or was provided care at home at least once a month for three out

of 12 months in a year.


Unit of measurement

Numerator Total number of persons with diabetes seen.

Denominator Total number of persons with diabetes listed in the registry


By province

Data source Number: Regional Health Information System

Denominator: Diabetes registry


Limitations/ Comments This indicator should be interpreted with caution since figures may

be high especially if the hypertension and diabetes registry is not

an exhaustive list. Mechanisms must be in place to update the

registry on a regular basis. An alternative and better denominator

can be the estimated number of persons with hypertension using

the regional prevalence rate. However prevalence may vary from

one area to the next.


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Proportion of persons with hypertension listed in the registry given ComPack

medicines for hypertension


Indicator name Proportion of persons with hypertension listed in the registry given

ComPack medicines for hypertension

Abbreviated name ComPack treatment coverage for hypertension

International name



Rationale This determines the coverage of ComPack medicines and is

important in prioritization of ComPack allocation.

Definition Proportion of persons with hypertension listed in the municipal

hypertension and diabetes registry who received monthly supply of

Complete Treatment Pack (ComPack) medicines for hypertension

within a quarter. ComPack medicines for hypertension are

amlodipine; losartan and metoprolol good for one month.

Hypertensive persons listed in the registry are those who

underwent screening and diagnostic procedures following the

PhilPEN protocol.


Unit of measurement

Numerator Number of persons with hypertension listed in the registry given

ComPack medicines for hypertension

Denominator Number of persons with hypertension listed in the registry


By province

Data source Number: Pharmaceutical Division using the ComPack report

Denominator: Hypertension registry in the PhilPEN program




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Proportion of persons with diabetes listed in the registry given ComPack medicines

for diabetes


Indicator name Proportion of persons with diabetes listed in the registry given


Abbreviated name ComPack treatment coverage for diabetes

International name



Rationale This determines the coverage of ComPack Medicines and is

important in prioritization of ComPack allocation.

Definition Proportion of persons with diabetes listed in the municipal

hypertension and diabetes registry who received monthly supply of

Complete Treatment Pack (ComPack) medicines for diabetes

within a quarter. ComPack medicine for diabetes is metformin

good for one month. Diabetic persons listed in the registry are

those who underwent screening and diagnostic procedures

following the PhilPEN protocol.


Unit of measurement

Numerator Number of persons with diabetes listed in the registry given


Denominator Number of persons with diabetes listed in the registry


By province

Data source Number: Pharmaceutical Division using the ComPack report

Denominator: Diabetes registry in the PhilPEN program




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Cervical cancer screening by VIA among women aged 21 and above


Indicator name Cervical cancer screening by VIA among women aged 21 and

above

Abbreviated name Cervical cancer screening by VIA

International name



Rationale Prevention of cervical cancer through screening of at risk women.

Definition This refers to cervical cancer screening by VIA among women aged

21 and above.


Unit of measurement

Numerator Number of women aged 21 and above screened for cervical

cancer by visual inspection with acetic acid (VIA)

Denominator Total number of women aged 21 and above

Disaggregation By age group (21-29; 30-49; 50 and above)



By province

Data source Numerator: Facility-based specifically the RHUs, CHOs and DHOs.

Data from BHS are captured by the RHUs.

Denominator: Philippine Statistics Authority


Limitations/ Comments Will not be able to capture data from private clinics


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Palliative care coverage among cancer patients


Indicator name Palliative care coverage among cancer patients

Abbreviated name Cancer palliative care coverage

International name



Rationale This is to learn the type of cases referred to the program and the

outcome of services availed by the clients.

Definition Proportion of cancer patients who availed of palliative care


Unit of measurement

Numerator Number of cancer patients who availed of palliative care

Denominator Total number of cancer patients

Disaggregation By age

By sex



By province

Data source Numerator: Facility-based specifically the hospitals

Denominator: Cancer registry




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Cancer incidence


Indicator name Cancer incidence

Abbreviated name

International name


M&E Framework Impact

Rationale This determines the number of new cancer cases and make

analysis based on profiles. This will also serve as basis for future

strategies and interventions.

Definition Number of new cancers of a specific site/type occurring per

100,000 population

Data type Ratio

Unit of measurement Cases per 100,000 population

Numerator Number of new cancer cases (by type) diagnosed in a specific

year. This may include multiple primary cancers occurring in one

patient. The primary site reported is the site of origin and not the

metastatic site. In general, the incidence rate would not include

recurrences.

Denominator The at-risk population for the given category of cancer. The

population used depends on the rate to be calculated. For cancer

sites that occur only in one sex, the sex-specific population (e.g.

females for cervical cancer) is used.

Disaggregation By cancer type

By age

By sex



By province

Data source Numerator: Regional Health Information Systems (with data by

type of cancer); Cancer registry (total cancer cases)



Limitations/ Comments Currently, cancer incidence is collected through RHIS which only

captures data from RHUs and therefore underreports the cancer

incident cases. Data from the cancer registry is yet to be

systematically collected and to be disaggregated by type.


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Mortality rate from cardiovascular diseases per 100 000 population

Indicator code NCD-001

Indicator name Mortality rate from cardiovascular diseases per 100 000

population

Abbreviated name

International name

Topic Mortality


Rationale This indicator is part of set of core indicators included in the

framework for NCD surveillance to assess the progress in scaling

up capacity to address NCDs.

Definition Mortality rate from cardiovascular diseases per 100,000

population. Cardiovascular diseases include diseases of the heart

(ICD codes I00-I09, I11, I13, I20-I51); hypertensive diseases (I10-

I15); diseases of the arteries, arterioles and capillaries (I70-I79);

and cerebrovascular diseases (I60-I69).

Data type Ratio


Numerator Number of deaths due to cardiovascular diseases

Denominator Total population


By sex



By province




Limitations/ Comments Data in RHIS captures data from the local civil registrar (LCR),

however, there are deaths that are not registered to the LCR.


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Mortality rate from diabetes mellitus per 100 000 population


Indicator name Mortality rate from diabetes mellitus per 100 000 population

Abbreviated name

International name

Topic Mortality





Definition Mortality rate from diabetes mellitus (ICD codes E10-E14) per

100,000 population.

Data type Ratio


Numerator Number of deaths due to diabetes mellitus



By sex



By province







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Mortality rate from chronic respiratory diseases per 100 000 population


Indicator name Mortality rate from chronic respiratory diseases per 100 000

population

Abbreviated name

International name

Topic Mortality





Definition Mortality rate from chronic respiratory diseases (chronic lower

respiratory diseases with ICD codes J40-J47) per 100,000

population.

Data type Ratio


Numerator Number of deaths due to chronic obstructive respiratory diseases



By sex



By province







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Mortality rate from all forms of malignant neoplasms per 100 000 population


Indicator name Mortality rate from all forms of malignant neoplasms per 100 000

population

Abbreviated name

International name

Topic Mortality





Definition Mortality rate from all forms of malignant neoplasms (ICD codes

C00-C97) per 100,000 population

Data type Ratio


Numerator Number of deaths due to all forms of malignant neoplasms



By sex



By province







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Number of deaths between 30 and 70 years of age from cardiovascular diseases,

cancer, diabetes or chronic respiratory diseases


Indicator name Number of deaths between 30 and 70 years of age from

cardiovascular diseases, cancer, diabetes or chronic respiratory

diseases

Abbreviated name

International name

Topic Mortality


Rationale Disease burden from non-communicable diseases (NCDs) among

adults - the most economically productive age span - is rapidly

increasing in different countries due to ageing and health

transitions. Measuring the rate of dying from target NCDs is

important to assess the extent of burden from mortality due NCDs

in a population.

Definition This refers to the number of deaths among those 30 and 70 years

from cardiovascular diseases, cancer, diabetes or chronic

respiratory diseases.

1. Cardiovascular diseases include diseases of the heart (ICD

codes I00-I09, I11, I13, I20-I51); hypertensive diseases (I10-I15);

diseases of the arteries, arterioles and capillaries (I70-I79); and

cerebrovascular diseases (I60-I69).

2. Diabetes mellitus (ICD codes E10-E14)

3. Chronic respiratory diseases (chronic lower respiratory diseases

with ICD codes J40-J47)

4. All forms of malignant neoplasms (ICD codes C00-C97)

Data type Count

Unit of measurement

Numerator Number of deaths between ages 30 and 70 years due to


diseases

Denominator N/A

Disaggregation By disease type

By age

By sex



By province

Data source Numerator: Regional Health Information System (with data by type

of disease)


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Mortality between 30 and 70 years of age from cardiovascular diseases, cancer,

diabetes or chronic respiratory diseases


Indicator name Mortality between 30 and 70 years of age from cardiovascular

diseases, cancer, diabetes or chronic respiratory diseases

Abbreviated name

International name

Topic Mortality


Rationale Disease burden from non-communicable diseases (NCDs) among

adults - the most economically productive age span - is rapidly

increasing in different countries due to ageing and health

transitions. Measuring the rate of dying from target NCDs is

important to assess the extent of burden from mortality due NCDs

in a population.

Definition This refers to the proportion of deaths among those 30 and 70

years from cardiovascular diseases, cancer, diabetes or chronic

respiratory diseases.

1. Cardiovascular diseases include diseases of the heart (ICD

codes I00-I09, I11, I13, I20-I51); hypertensive diseases (I10-I15);

diseases of the arteries, arterioles and capillaries (I70-I79); and

cerebrovascular diseases (I60-I69).

2. Diabetes mellitus (ICD codes E10-E14)

3. Chronic respiratory diseases (chronic lower respiratory diseases

with ICD codes J40-J47)

4. All forms of malignant neoplasms (ICD codes C00-C97)

Data type Ratio

Unit of measurement

Numerator Number of deaths between ages 30 and 70 years due to


diseases

Denominator Population age 30-70

Disaggregation By disease type

By age

By sex



By province

Data source Numerator: Regional Health Information System (with data by type

of disease)



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Metadata for Indicators to Monitor the Noncommunicable …ro11.doh.gov.ph/dashboard/docs/NCD...

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