5. ROADMAP TOWARDS A DENGUE-
FREE BARANGAY
Provincial DOH Office, North Samar
6. Dengue Fever (DF)
● An acute febrile viral disease.
● One of the most important emerging public health
problem.
● Clinical Type: Dengue with warning signs Dengue w/o
warning signs and Dengue with severe warning signs
● The most common vector-borne arboviral infections in
the tropics and subtropics.
Department of Health – Eastern Visayas Center for Health Development
7. Model of antibody-dependent enhancement (ADE)
of dengue infection
Department of Health – Eastern Visayas Center for Health Development
8. Paano nakukuha ang Dengue?
Department of Health – Eastern Visayas Center for Health Development
9. Evidence of school transmission:
Philippine Science High School 2019
Student
No.
Grade Level Duration of
illness
Remarks
1 Grade 12 Aug. 6-12, 2019 Hospitalized
2 Grade 11 August 5-8,
2019
Hospitalized
3 Grade 10 Aug. 15-19,
2019
Hospitalized
4 Grade 7 (12
yo.)
Sept. 11, 2019 Hospitalized
10. Evidence of School Transmission:
Alang-Alang National High School
Duration No. of Cases Age Range
June 5 – June
20, 2019
(15 days)
5 13 y.o – 16 y.o
July 15-July
30, 2019
(15 days)
10 15 y.o. – 16
y.o.
Department of Health – Eastern Visayas Center for Health Development
12. GOVERNANCE REGULATION SERVICE DELIVERY FINANCING
PERFORMANCE
ACCOUNTABILITY
Functional Barangay
Dengue Brigade and
Search and Destroy
TEAM
Barangay
Ordinance on
Dengue
Prevention &
Control
Mapping of
permanent and
semi
permanent
breeding sites
Larval survey Budget for
dengue
Prevention and
control activities
Effective Search
and Destroy
Advocacy and
consultative
meetings
Search & Destroy
activities
Dengue cases
Dengue Prevention
and Control Action
Plan
Household,
schools, offices,
and
establishments
compliant to
search and
destroy strategy
IEC materials
Screening and
monitoring of
suspected dengue
cases
Dengue
preparedness
and Response
Fund Utilization
Dengue deaths
Disease
Surveillance
Misting and
fogging operations
during clustering/
outbreak
Rewards and
Recognition
Provincial DOH Office, North Samar
13. GOVERNANCE
Functional Brgy.
Dengue Brigade
and Search &
Destroy Team
Dengue
Prevention and
Control Action
Plan
1. Brgy. Resolution creating Brgy.
Dengue Brigade & Search & Destroy
team
2. Composition
3. Clear roles and functions
4. List of activities conducted
5. Regular meeting quarterly/monthly
1. Approved and Funded
action plan
Performance Indicators Standard of
Performance
Red: 0-4/5
Green: 5/5
Red: 0/1
Green: 1/1
1. Copy of the Brgy. Resolution
2. copy of the policy approving the
composition of the brgy. Dengue
brigade with roles and functions
3. documentation of activities
Means of Verification
1. Copy of the approved and funded
Action Plan
2. Resolution approving the action plan
14. GOVERNANCE
Dengue
Prevention and
Control Action
Plan
GOVERNANCE REGULATION SERVICE DELIVERY FINANCING
PERFORMANCE
ACCOUNTABILITY
Functional Barangay
Dengue Brigade and
Search and Destroy
TEAM
Barangay
Ordinance on
Dengue
Prevention &
Control
Mapping of
permanent and
semi
permanent
breeding sites
Larval survey Budget for
dengue
Prevention and
control activities
Effective Search
and Destroy
Advocacy and
consultative
meetings
Search & Destroy
activities
Dengue cases
(Morbidity)
Dengue Prevention
and Control Action
Plan
Household,
schools, offices,
and
establishments
compliant to
search and
destroy strategy
IEC materials
Screening and
monitoring of
suspected dengue
cases
Dengue
preparedness
and Response
Fund Utilization
Dengue deaths
(Mortality)
Disease
Surveillance
Misting and
fogging operations
during clustering/
outbreak
Rewards and
Recognition
Baseline Roadmap Data (Color codes), San
Joaquin, Palo. Leyte March 17, 2022
15.
16. REGULATION
Barangay
Ordinance on
Dengue Prevention
and Control
Households, offices,
schools,
establishments
compliant to search
and destroy strategy
1. Presence of Barangay
Ordinance related to
Dengue Prevention and
Control
1. Percentage of
households, schools,
offices and
establishments with zero
larvae or “kiti-kiti”
Performance Indicators Standard of
Performance
Red: 0/1
Green: 1/1
Red: less
than 50%
Yellow: 50-
90%
Green:
above 90%
Means of Verification
1. Copy of Brgy. Ordinance
1. copy of analysis and interpretation of
larval survey
2. List of houses, schools, offices and
establishment compliant to
search and destroy strategy
17. BARANGAYS
Total No. of
Houses
Surveyed
No. of
Houses (+)
for Aedes
Larvae
Total No. of
Containers
Inspected
No. of
Containers
(+) for Aedes
Larvae
House
Index %
HI = (B/A
x 100)
Container
Index
CI =(D/C x
100)
Breteau Index % BI
=(D/A x 100) Analysis / Interpretation
Dengue Sensitive are
HI more than 5% or
BI more than 20%
A B C D E F G Interpretation
Zone 1 41 3 736 4 7 0.54 10 DENGUE sensitive
Zone 2 30 4 409 7 13 1.71 23 DENGUE sensitive
Zone 3
47 6 911 26 13 2.85 55
DENGUE sensitive
HI
Zone 4
40 2 421 3 5 0.71 8
NOT DENGUE
sensitive
Zone 5 39 4 814 6 10 0.74 15 DENGUE sensitive
Zone 6 55 20 288 29 36 10.07 53 DENGUE sensitive
Zone 7 145 8 471 12 6 2.55 8 DENGUE sensitive
18. Larval Survey in Ormoc City
Barangay Date
Conduc
ted
Total
Houses
HI CI BI PPI Key Containers
Identified
Actions Taken
Margen
(NHA)
Jan 4,
2022
100 8% 4% 9 3% 3 pail, 2 pot, 1
Styrofoam, 1
drain, 1 flower
pot, 1 tire
Conducted
baseline
survey and
search and
destroy
campaign
Jan. 10,
2022
100 1% 0% 1 0% 1 bottle Conducted
follow-up
survey
19. Larval Survey in Ormoc City
Barangay Date
Conduc
ted
Total
Houses
HI CI BI PPI Key Containers
Identified
Actions Taken
Macabug Jan 17,
2022
100 16% 9% 26 5% 10 tire, 2 drums, 1
tin can, 1 cooler, 1
bamboo stand, 1
drain, 1 pail, 1
flower vase, 1 pail
cover, 4 bottles, 3
stagnant water
Conducted
baseline survey
and search and
destroy
campaign
Jan. 24,
2022
100 6% 3% 8 0% 2 tire, 2 bromeliad,
1 drum, 2 bottles
& stagnant water
Conducted
follow-up
survey and
search and
destroy
activities
20. Larval Survey in Ormoc City
Barangay Date
Conduc
ted
Total
Houses
HI CI BI PPI Key Containers
Identified
Actions Taken
Juaton Feb. 15,
2022
100 16% 6% 19 3% 5 tire, 7 drums, 4
pail, 1 pasong, 1
dish drain and 1
basin
Conducted
baseline survey
and search and
destroy
campaign
Feb 22,
2022
100 8% 3% 8 0% 4 tire, 2 pail, 1
drum, 1 styro foam
Conducted
follow-up
survey and
search and
destroy
campaign
21. Procedures to Determine Premise Index
1. Determine the total number of premises (rooms) in the area
(commercial building, classroom, etc.) One room is equivalent to 1
premise. No sampling is done for Premise Index. Meaning,
enumerate all.
2. Inspect water-holding containers and look for Aedes larvae/pupae
in each premise and record the result in the form below.
22. Name of Room
No. of Containers Total No. of
Containers (+)
for Larva/Pupa
Remarks
With Cover Without
Cover
1.
2.
3.
4
5
6
7
8
9
10
TOTAL
Municipality/City: ___________________ Date of Survey
Name of School/Premise: ______________________
Total Number of Classrooms: __________
23. Procedures to Determine Premise Index
3. Compute the Premise Index using the following formula
Premise Index: No. of premises (+) for Aedes larvae/pupae
No. of premises inspected
Dengue sensitive: >5% Premise Index
4. Correlate Premise Index result with number of dengue cases
24. SERVICE DELIVERY
Mapping of permanent
and semi-permanent
mosquito breeding sites
Advocacy and
Consultative meetings
1. Annual updating of spotmap with
identified permanent & semi-
permanent mosquito breeding sites
e.g. vacant lots with dump tires,
vulcanizing shops, cemeteries, etc.
Information,
Education &
Communication
materials
1. Consultative meetings to health
workers
2. Advocacy meetings to other
stakeholders e.g. community
members, brgy. officials
1. Available flyers, posters, tarpaulins
on Dengue Prev & Control
2. Displayed in strategic places/
distributed to target audience
Performance Indicators Standard of
Performance
Red: 0-/1
Green: 1/1
Red: 0/2
Yellow: 1/2
Green: 2/2
Red: 0-1/2
Green: 2/2
Means of Verification
1. copy of the spot map that reflects
identified permanent and semi
permanent breeding sites
1. Copy of the minutes of meeting
2. Feedback report to brgy. officials
1. Documentation of the distribution
and posting of IEC materials
28. SERVICE DELIVERY
Larval Survey
Search and
Destroy
1. Larval survey report is analyzed with
interpretation
2. Feedback report to Brgy. Dengue Brigade
3. Intensified search & destroy
Disease
Surveillance
Monthly search & destroy with zero case and weekly
with 1 or more cases of dengue
1. All houses
2. All permanent and semi-permanent mosquito
breeding sites
3. All schools, offices, establishment etc.
4. Color code of household, office, establishment
1. Identified trained Brgy. Health Worker in
charge on disease surveillance
2. Weekly reporting of cases to BHS/RHU
Performance Indicators
Standard of
Performance
Red: 1/3
Yellow: 2/3
Green: 3/3
Red: 1/4
Yellow: 2-3/4
Green: 4/4
Red: 0/2
Yellow: 1/2
Green: 2/2
Means of Verification
1. Copy of the analyzed/ interpreted weekly
or monthly larval survey report
2. Feedback report
3. Documentation of search and destroy act
1. documentation on search and destroy activities
a.) house to house
b.) permanent and semi permanent breeding
sites
c.) schools, offices, establishments, abandoned
buildings, etc.
2. Record of color coded households, schools,
1. Copy of the resolution designating the BHW
as brgy disease surveillance worker
2. Copy of the training certificate
3. Copy of the dengue surveillance weekly rprt
29.
30. Provincial DOH Office, North Samar
Egg or
“bunay”
Larvae or
“kiti-kiti
Pupa
Adult or
“lamok”
10-12 days
Life Cycle
X
31. SERVICE DELIVERY
Screening and
Monitoring of
suspected Dengue
cases
1. all patients seen by health worker with 1-
2 days fever screened for dengue
2. all patients screened with other signs and
symptoms of dengue referred for RDT
3. All patients positive for dengue but not
admitted in the hospital, monitored at
home
Misting & Fogging
during clustering &
outbreak
1. misting/fogging operations appropriately
done about 3-4 rounds with 1 week
interval
Performance Indicators Standard of
Performance
Red: 0/3
Yellow: 1-2/3
Green: 3/3
Red: 1 round only
Yellow: 1-2 rounds
with 1 week
interval
Green: 3-4 rounds
with 1 week
interval
Means of Verification
1. Health worker Record book
2. Copy of the result of DRT
1. Schedule of the actual misting/ fogg
2. Documentation on misting/ fogging
operations
32. FINANCING
Budget for Dengue
Prevention and
Control activities
1. Annual allocation of
budget for Dengue
Prevention & Control
program
Dengue preparedness
and Response Fund
Utilization
1. Utilization of funds
Performance Indicators Standard of
Performance
Red: 0/1
Green: 1/1
Red: 0/1
Green: 1/1
Means of Verification
1. Copy of Approved Annual
Investment Plan
1. Approved Fund Utilization Report
33. PERFORMANCE
ACCOUNTABILITY
Effective Search &
Destroy activities
Dengue cases
1. Absence of mosquito larvae or
“kiti-kiti”
Dengue deaths
1. No. of dengue cases
1. No. of puroks (households,
schools, offices &
establishment) with maintained
zero larvae or "kiti-kiti" for a
period of 6 months awarded
Performance Indicators
Reward &
Recognition
1. No. of dengue deaths
Standard of
Performance
Red: dengue
sensitive
Green: NOT
dengue sensitive
Red: outbreak
Yellow:
clustering Green:
zero
Red: 1 or more
Green: zero
Red: 0/1
Green: 1/1
Means of Verification
1. result of larval survey
1. Municipal/ Provincial Disease surveillance
report
1. Municipal/ Provincial Disease surveillance report
2. Mortality Report
1. Documentation during recognition
rites
2. Copy of the recipient list of awardees
