Performance-Based-Grants-Indicators.pptx

Project Design and Intervention
Packages for LGUs

Project Development Objective
Increase the simultaneous utilization of a
package of nutrition-specific and nutrition-
sensitive interventions and improve key
behaviors and practices known to reduce
stunting in target LGUs.

LGUS AND COMMUNITIES
Systems Strengthening
Digitization of information systems
Behavior Change & Communications initiatives
Facilitative supervision & support
Monitoring & technical assistance
Leadership & Governance
Enhanced Local Nutrition Action Plans
Efficient & effective Program Implementation
Capacity Building
Incentivizing Performance
Grants: Performance-based & Community Projects
Seed Support for Primary Care Strengthening
Convergence of Interventions
Community Mobilization & engagement
Multi-sectoral coordination & collaboration
Equitable access to services
Enhanced Service Delivery & Utilization
Quality Primary Care Services
Water, Sanitation, and Hygiene Early Childhood Care and Development
Improved Nutrition & Health of Children & Mothers

LGU Service Packages and Grants are Shaped by LGU Demands and Needs
Component 1: DOH
Strengthened Delivery of Nutrition and
Primary Health Services
Component 2: DSWD
Community Based Nutrition Service
Delivery and Multisectoral Nutrition
Convergence
Component 3: DOH and DSWD
Institutional Strengthening, Monitoring
and Evaluation
● Primary Health Care Services
Support including Social and
Behavior Change Communication
● Health and Nutrition Services
Systems Strengthening, including
LGU Mobilization
● Harmonization of Information
Systems for Convergence
● Increased access to and use of
clean water, appropriate
sanitation, and improved hygiene
(WASH) practices.
● Access to Early Childhood Care
and Development (ECCD)
services.
● Increasing access of Pantawid
Pamilyang Pilipino Program (4Ps)
beneficiaries to Nutrition
Programs and Services.
• Institutional Strengthening
• Project Management
• Monitoring and Evaluation
INTERVENTIONS
SBCC GOVERNANCE PRIMARY HEALTH CARE COMMUNITY PROJECTS
INPUT & CONDITIONAL
GRANTS

Annual Milestones
2023
▪ Completion of LGU
engagement
▪ Conduct of Rapid
Assessment leading
to Establishment of
Baseline Data
▪ Completion of
Prerequisites to PBG
Tranche 1 awarding
and other Support
Packages for LGUs
▪ MGA implementation
▪ Provision of input
support and seed
package to LGUs
2024
▪ Implementation of
CapBuild, SBCC, and
PMNP Info System
support packages
▪ Completion activities
for MGA
▪ Release of PBG
Tranche 1 Cash Grant
▪ PBG Tranche 2
compliances
▪ Midline assessment
▪ Technical and
management support
to LGUs’
implementation
2025
o Completion of
CapBuild, SBCC, and
PMNP Info System
support packages
o Release of PBG
Tranche 2 Cash Grant
oPBG Tranche 3
compliances
o Endline assessment
oTechnical and
management support
to LGUs’
implementation
2026
oRelease of
Tranche 3 PBG
Cash Grant
oCompletion
activities and
sustainability
planning

2022 to 2023 Implementation
• Approval of Project
Documents
• Compliances to
release budget
• Preparation of
PMOs
Inception
• Securing LGU
Commitments and
LGU Orientation
• Capacity building
for PMOs
LGU Engagement
and Roll-out
Preparations • HH Mapping
• Facility Mapping
• Stock Inventory
• Info System
Assessment
• CapBuild and SBCC
Assessment
Assessment
• Inclusion of PMNP
targets in the
MNAP
• PBG Tranche 1
Requirements
MNAP Updating
• Srart of delivery of
seed package
• PBG Verification
Roll-out
Implementation of Component 2
Social
Preparation
Project
Development
Sub-Project
Implementation
Community
Monitoring and
Closing
Q4 2022 and Q1 to Q2 2023 June to August 2023 Sept to Nov 2023 December 2023

COMPONENT 1
Strengthened Delivery of Nutrition and Primary
Health Care Services

above the line communication
below the line communication
MEDIA BUY
LOCALLY-PRODUCED
COMMUNICATION MATERIALS
CAPACITY DEVELOPMENT
SOCIAL BEHAVIOR CHANGE AND COMMUNICATION PACKAGE

SBCC Package
The Project will support two sets of SBCC interventions:
● Development of and rollout of multimedia, cross-cutting communications on nutrition and
nutrition-related behaviors.
● Community-based SBCC interventions to enable targeted households and communities to
adopt behaviors crucial to improving nutrition outcomes for women and children.
Health Promotion Grants (HPG)
● The HPG are annual municipal grants to support the Project Municipalities in the creation of
comprehensive local SBCC plans tailored to the specific need of their communities.
● A menu of communication inputs will be provided to project sites which are viable options
for HPG financing.
● The amount of HPG financing that a Project Municipality will receive depends on their
income classification.
SOCIAL BEHAVIOR CHANGE AND COMMUNICATION PACKAGE

Local Chief Executives
Local Nutrition Committees
Leadership & Governance
● Learning Hub for Enhanced and
Revitalized Nutrition (LHEARN)
● Nutrition SHEPHERDING
● NUTRITION GOVERNANCE
PROGRAM: Nutrition and Health
Leadership
Nutrition Program Management
Community Nutrition Sub-project
Management Committee
(CNSPMC)
Community-Driven Development (CDD);
Community Empowerment Activity Cycle
(CEAC)
CAPACITY BUILDING PACKAGE: GOVERNANCE

PRIMARY HEALTH CARE
Frontline Health Workers
Community Volunteer Workers on
Health and Nutrition
● Child Growth Monitoring
● Management of Acute
Malnutrition
● Integrated Management of
Childhood Illnesses
● Nutrition in Emergencies
● BHWs: Barangay Health Services
NC II
● BNS Basic Training Program
● Service Navigation for Families
● Mother and Child Scorecard and
the MCB
● Anthropometry
CAPACITY BUILDING PACKAGE: PRIMARY HEALTH CARE

CAPACITY BUILDING PACKAGE: PRIMARY HEALTH CARE
Package Beneficiaries
1.Training on Integrated Primary Care Services
by Life Stage
Primary Care Worker (PCW) Team composed
of doctors, nurses, midwives and nutritionist-
dietitian
2.Training on Barangay Health Services for
Barangay Workers
BHWs
BNS
ECCD Workers
Other community volunteers
3.SBCC Framework and Approaches Members of regional and provincial HPUs
dedicated HEPOs in each project municipality
4.Orientation on the PBG Mechanism PMOs
PMNP RTWG
PMNP MTWG
MNC members

● Data Quality Check for FHSIS Maternal and
Child Care Reports
● Data Quality Check for OPT+
● Training on the use of PMNP Information
System
● Training on Household Convergence Score
Card for CVWs, CNSPMCs, and MPMOs
● Development of PMNP Information
System
Data Quality
Data Bank and System
Information and Communications
Technology
ICT PACKAGE

Financing
● Small equipment for PHC facilities
● Anthropometry equipment
● Nutrition or PHC commodities
● Project Management Equipment
● Minor civil works for WASH (community
wells, water sources, and/or toilets)
● Minor civil works for ECCD centers
● Updating of learning materials on nutrition
in ECCD centers
● Technical support to nutrition-focused
child development activities
● Essential Maternal and Newborn Care Services
● Micronutrient Supplementation for WRA and
Children <5 YO
● Child Growth Monitoring
● Dietary Supplementation
Input Support Package
C1 Performance Based Grants
C2 Municipal Grant Allocations
FINANCE PACKAGE

Purpose of Input and Performance Based Grants (PBGs) for LGUs
Primary
Care
Strengthening
Household
Convergence
Strengthening
Local Nutrition
Action Plans
Harmonization
of Local
Information
systems
Incentivize
Collaboration
Incentivize
Innovations
Supplement Local
Budget
Empowered National Tax Allocation Utility
for Health and Nutrition
PMNP: COMPONENT 1 GRANTS

PBG INDICATORS
Improved Service Delivery of essential health and nutrition Interventions
PBG 1 Proportion of children age 0-2 years in program areas receiving age-appropriate
feeding.
Modified PBG 1a. • Proportion of infants exclusively breastfed up to 5.9 months
Modified PBG 1b. • Proportion of infants 6 to 8 months old who have initiated and received
complementary feeding and continue breastfeeding
PBG 2 Proportion of pregnant women in project areas receiving prescribed antenatal care
services from the first trimester of pregnancy.
Modified PBG 2. • Proportion of pregnant women with at least 4 ANC visits
PBG No. 3 Proportion of HHs in participating barangays with convergence of priority nutrition-
specific services and nutrition-sensitive interventions
Improved Multisectoral Nutrition Planning and Management at LGU Levels
PBG 4 Percentage of participating LGUs with approved Local Nutrition Action Plan (LNAP)
budgets and expenditures in accordance to plans
Modified PBG No. 4 • The Project Municipality has an approved MNAP and has utilized the budget
provided in the previous year in accordance with the plan.
PBG No. 5 Percentage of barangays with updated nutrition information on the status of HHs
with pregnant and lactating women and children under 5 years old
Modified PBG No. 6 • The RHU has at least 75% of total score in the Quality Checklist

Scaled Performance Assessment
Indicators
Weight by Year
2023 2024 2025 Total
A. Improved Service Delivery of essential health and nutrition Interventions
PBG 1 Proportion of children age 0-2 years in program areas receiving age-appropriate feeding.
Modified PBG 1a. Proportion of infants exclusively breastfed up to 5.9 months 10 20 20 50
Modified PBG 1b. Proportion of infants 6 to 8 months old who have initiated and received complementary
feeding and continue breastfeeding
10 20 20 50
PBG 2 Proportion of pregnant women in project areas receiving prescribed antenatal care services from the first trimester of pregnancy.
Modified PBG 2. Proportion of pregnant women with at least 4 ANC visits 10 50 40 100
PBG No. 3 Proportion of HHs in participating barangays with convergence of priority nutrition-
specific services and nutrition-sensitive interventions
10 40 50 100
A. Improved Multisectoral Nutrition Planning and Management at LGU Levels
PBG 4 Percentage of participating LGUs with approved Local Nutrition Action Plan (LNAP) budgets and expenditures in accordance to
plans
Modified PBG No. 4 The Project Municipality has an approved MNAP and has utilized the budget provided in
the previous year in accordance with the plan. 60 20 20 100
PBG No. 5 Percentage of barangays with updated nutrition information on the status of HHs with
pregnant and lactating women and children under 5 years old 20 30 50 100
Modified PBG No. 6 The RHU has at least 75% of total score in the Quality Checklist N/A 40 60 100
Total Points/Score 120 220 260 600

Definitions and Measures of the PBG Indicators
Modified PBG
Indicator 1a
Proportion of infants exclusively breastfed until 5th month and 29 days
Definition Refers to the number of infants 5 months and 29 days old who have been
exclusively breastfed from birth up to 5th month and 29 days (or 5 month and 1 day
before the child turns 6 months) among the total estimated number of infants with
same age in the population.
Exclusive breastfeeding means no other food (including water) other than breast
milk. Drops of prescribed vitamins and medications with indication given with
breastfeeding are still “exclusively breastfed” during sickness, low birth weight or
anemia.

Modified PBG
Indicator 1a
2023 2024 2025
Annual Weight 10 pts 20 pts 20 pts
Target Baseline
Established
Through Data
Quality Check
At least 10% points increase from
baseline If baseline indicates already
high performance, this can be
adjusted.
baseline
Measuring
Performance N/A

Modified PBG
Indicator 1a
Verification
Measure for
2023
Apply the standard Data Quality Check procedures. For each verification measure with
YES response, assign 2 points. Max total point should be 10.
Yes No
DQC shows definition of exclusive breastfeeding is met.
DQC shows denominator of infants were continuously breastfed since birth up
to 5th month and 1 day before turning 6 months old based on PSA estimates.
DQC applied to monthly, quarterly, and annual FHSIS records and reports for
exclusive breastfeeding in all the barangays for 2022 (for annual) and 2023
(for monthly and quarterly);
DQC applied to FHSIS TCL on Child Care.
Municipality has enrolled all eligible households into the IS Masterlist.
Total

Modified PBG
Indicator 1b
Percentage of infants 6 to 8 months old who have initiated and received
complementary feeding and continued breastfeeding.
Definition Proportion of infants 6 – 8 months old who have initiated and have received
complementary foods and continue breastfeeding among the total estimated
number of infants in the population.
Complementary foods: Based on the IYCF guidelines .
Computation Numerator: No. of infants 6-8 months who initiated and received complementary
feeding and continue breastfeeding
Denominator: Total no. of infants 6-8 months based on PMNP Masterlist.
Multiplier: 100

Modified PBG
Indicator 1b
Percentage of infants 6 to 8 months old who have initiated and received
complementary feeding and continued breastfeeding.
2023 2024 2025
Target Baseline
Established
Through Data
Quality Check
baseline
baseline
Measuring
Performance
N/A

Modified
PBG
Indicator 1b
Percentage of infants 6 to 8 months old who have initiated and received complementary
feeding and continued breastfeeding.
Verification
Measure for
2023
Apply the standard Data Quality Check procedures. For each verification measure with YES
response, assign 2 points. Max total point should be 10.
Yes No
DQC shows definition of initiated and received complementary feeding and continued
breastfeeding at 6 to 8 months met.
DQC shows children 6 to 23.9 months old who have initiated and received complementary
feeding and continued breastfeeding at 6 to 8 months old
DQC applied to monthly, quarterly, and annual FHSIS records and reports for children 6 to
23.9 months old who have initiated and received complementary feeding and continued
breastfeeding at 6 to 8 months old in all the barangays for 2022 (for annual) and 2023 (for
monthly and quarterly);
DQC applied to FHSIS TCL on Child Care
Total

Modified PBG
Indicator 2
Percentage of pregnant women with at least 4 ANC visits.
Definition Refers to the proportion of pregnant women with at least 4 prenatal check-ups
availed as follows among the total estimated number of pregnant women in the
population.
• First Trimester: At least 1 check-up within up to 12 weeks and 6 days age of
gestation (AOG)
• Second Trimester: At least 1 check-up between 13-27 weeks and 6 days AOG
• Third Trimester: At least 2 check-ups during 28 weeks AOG and more
Computation Numerator: No. of eligible pregnant women who have had at least 4 ANC visits to
health facilities
Denominator: Total no. of eligible pregnant women based on PMNP Masterlist.
Multiplier: 100

Modified PBG
Indicator 2
2023 2024 2025
Target Baseline
Established
Through Data
Quality Check
baseline
baseline
Measuring
Performance
N/A

Modified
PBG
Indicator 2
Verification
Measure for
2023
Apply the standard Data Quality Check procedures. For each verification measure with YES
response, assign 2 points. Max total point should be 10.
Yes No
DQC shows 4 ANCs followed 1-1-2 visits for 1st, 2nd, and 3rd trimester
respectively.
DQC shows denominator made use of PSA population estimates rather than
actual counts of population.
DQC applied to monthly, quarterly, and annual FHSIS records and reports for
ANC in all the barangays for 2022 (for annual) and 2023 (for monthly and
quarterly);
DQC applied to FHSIS TCL on Maternal Care
Total

PBG Indicator 3 Percentage of households in participating barangays with convergence of
priority nutrition-specific interventions nutrition-sensitive interventions
Definition Refers to the proportion of Convergence HHs with access to both nutrition
specific and sensitive services among the total no. of Convergence HHs in
Project barangays
Convergence HH: HH with either a pregnant or lactating woman and/or 0-
59 months old children

Nutrition -Specific and Nutrition Sensitive Services are defined as follows:
If HH is with a pregnant
woman, she should have
received at least 4 of the
following nutrition
specific services:
If HH is with 0-59 months old child/children, the
child/children should have received at least 4 of the
following nutrition specific services
Convergence HHs should
have access to at least one
of the following nutrition
sensitive interventions
If child is < 6 months old of
the following services
If child is 6-59 months old,
at least 3 of the following
services
• Received iron folic
supplement
• With at least 4 prenatal
check-ups
• Received MNP
• Delivered in health facility
• Attended at least 4
nutrition sessions e.g.
FDS, PES
• Dietary supplementation
for nutritionally at risk
• At least 3 PP check-ups
• Immunization (BCG, DPT
1,2,3, OPV 1,2,3)
• Exclusive breastfeeding
• Growth monitoring
• Fully immunized
• Complementary feeding with
continuous BF
• Two doses of Vitamin A
• Growth monitoring
• WASH facilities
• ECCD services
• Backyard garden
• Backyard fish pond
• Income generating project
• Social protection services
(enrollment in the 4PS
program, enrollment in
PhilHealth, availment of
funds for crisis/emergency
situations)

PBG Indicator 3 Percentage of households in participating barangays with convergence of priority
nutrition-specific interventions nutrition-sensitive interventions
Computation Numerator: No. of Convergence HHs with access to both nutrition specific services
and nutrition sensitive interventions
Denominator: Total no. of Convergence HHs with a pregnant woman and/or 0-23
months old child in the Project barangays
Multiplier: 100
2023 2024 2025
Annual Weight 10 40 50
Target Beneficiary Masterlist
completed
At least 50% of targeted
HHs
At least 60% of targeted
HHs

PBG Indicator 3 Percentage of households in participating barangays with
convergence of priority nutrition-specific interventions nutrition-
sensitive interventions
Verification Measure
for 2023
Masterlist completed - 10 pts

Modified PBG
Indicator 4
The Project municipality has an approved MNAP with allocated budgets, and utilized
the allocated budget in the previous year in accordance to plan.
2023 2024 2025
Target ● MNAP meeting the 7-point criteria
equivalent to 35 points with 5 points per
criteria.
● Municipal Nutrition Committee (MNC)
Resolution, and/or Municipal Executive
Order (EO), and/or Sangguniang Bayan
(SB) Resolution approving AIP for 2024.
● Municipal Financial Statement/Reports
shows utilization of budget allocated in
the 2023 AIP (in part or in full)
● 2024 AIP
● 2025 AIP
● MNC Resolution, and/or
Municipal EO, and/or SB
Resolution approving AIP
● Municipal Financial
Statement/Report shows
utilization of budget allocated
in the 2024 AIP (in part or in
full)
● 2026 AIP
● MNC Resolution, and/or
Municipal EO, and/or SB
Resolution approving AIP
● Municipal Financial
Statement/Report shows
utilization of budget
allocated in the 2025 AIP
(in part or in full)

Modified PBG
Indicator 5
Percentage of barangays with updated nutrition information on the status of HHs
with pregnant and lactating women and children under 5 years old
Definition Refers to the number of barangays utilizing nutrition information from any of the
following MIS/ sources over the total number of barangays in a given project
municipality:
• PMNP Information System
• FHSIS
• OPT Plus/nutrition surveillance
• ECCD MIS
Kalahi-CIDSS MIS

Modified
PBG
Indicator 5
Percentage of barangays with updated nutrition information on the status of HHs with
pregnant and lactating women and children under 5 years old.
2023 2024 2025
Annual
Weight
20 pts 30 pts 50 pts
Target • BHS-FHSIS 2022
Annual Consolidated
Report (5pts)
• 2023 OPT+ conducted
(5 pts)
• PIMS enhanced to
complete encoding of
Comp 2 SPs. (4pts)
• Updated masterlists of
pregnant women, and 0-
5 years old children
(6pts)
• PMNP IS generates data on PMNP indicators.
• Nutrition information used as basis for intervention.
• List of immunizations for pregnant women and children
under 5YO, with Vit. A Supplementation for 6 to 59-
month-old children.
• List of pregnant women and children monthly tracked for
anthropometrics.
• List of pregnant women tracked for ANC and MMS.
• List of children and women for DSP, and children for
PIMAM.
• List of Convergence HHs and service access activity.
• The BNAP makes use of updated information on the
nutritional status and needs of the households as basis
for the formulation of appropriate interventions.
• PMNP IS generates data on PMNP
indicators.
• Nutrition information used as basis for
intervention.
• List of immunizations for pregnant women
and children under 5YO, with Vit. A
Supplementation for 6 to 59-month-old
children.
• List of pregnant women and children
monthly tracked for anthropometrics.
• List of pregnant women tracked for ANC
and MMS.
• List of children and women for DSP, and
children for PIMAM.
• List of Convergence HHs and service
access activity.
• The BNAP makes use of updated
information on the nutritional status and
needs of the households as basis for the
formulation of appropriate interventions.

Modified PBG
Indicator 5
Percentage of barangays with updated nutrition information on the status of HHs with
pregnant and lactating women and children under 5 years old.
Verification
Measure for
2023
1. Select 5 barangays and check presence of the following:
• 2022 FHSIS Consolidated Report on Child and Maternal Care
• Conducted 2023 OPT+
• 100% encoding accomplished for Component 2 Sub-project for the Kalahi-CIDSS
Geo-tagging Web Application (GTWA) and PIMS
• Masterlisting completed.
2. Based on verification, apply 1 point each per above item, and total number of points.
3. Total the number of points of all 5 barangays, and divide by 5. Use this as the Final
Score for the Municipality.

Modified PBG
Indicator 6
The RHU has at least 75% of total score in the Quality Checklist
Definition PHC Facility: RHU
Quality Assessment Checklist: DOH AO No. 2020 - 0047 Rules and Regulations
Governing the Licensure of Primary Care Facilities in the Philippines, comprising a total
of 51 criteria categorized into 7 domains:
I. Patient’s Rights and Organization Ethics
II. Patient Care
III. Leadership and Management
IV. Human Resource Management
V. Information Management
VI. Safe Practice and Environment
VII. Improving Performance

Modified
PBG
Indicator 6
The RHU has at least 75% of total score in the Quality Checklist
2023 2024 2025
Weight N/A 40 60
Target N/A RHU with at least 50% Quality Score RHU with at least 75% Quality Score
Verificatio
n Measure
N/A Verification for 2024
1. Apply the Quality Assessment Checklist to the
RHU facility using the methodology as
instructed in the Checklist (e.g., KII, observations,
documents review);
2. Assign 1 point for each of the 51 items in the
Quality Assessment Checklist
3. Total the points and convert to percentage.
4. Assign the corresponding weight to the resulting
percentage to get the Final Score.
Verification for 2025
1. Look for the copy of the DOH license
issued to the PHC facility which merits
the full score of 30 points
2. Ask for the file/copy of application for
licensing submitted to DOH which
merits 25 points;
3. Otherwise, apply the Quality
Assessment Checklist, and assign the
commensurate weight.

Performance-Based Grants
PBG Timeline for Tranche 1 Release
Completion of Updated MNAP and corresponding
requirements/attachments
November 30, 2023
Masterlistlisting December 10, 2023
Completion of Internal Verification Report February 28, 2024
Period for External Verification Process February to April 2024
Finalization of PBG Cash Download (Audit Conference between
Internal and External Verifiers)
March to April 2024
Processing of fund download to LGUs April to May 2024
Start of downloading of grants to LGUs June 2024

Menu of Allowable PPAs for PBG Financing
Antenatal Care
Services
● Promotion of exclusive breastfeeding and proper
breastfeeding.
● Reproductive health services (with specific activities to
address early pregnancies and safe motherhood).
● Promotion of exclusive breastfeeding and proper
breastfeeding.
● Iron and folic acid supplementation to pregnant and
women of reproductive age (WRA)
● Dietary supplementation of Nutritionally at Risk (NAR)
pregnant and lactating women.
Intrapartum Service Facility-based deliveries and skilled health providers.
Postnatal Care
Services
Postnatal breastfeeding initiation assistance.

Menu of Allowable PPAs for PBG Financing
Maternal, Child
Health, and
Nutrition
● Complementary feeding promotion and support.
● Dietary supplementation of children 6-23 months old
● Provision of ECCD services
● Facilitation of referrals for children with moderate or severe
acute malnutrition.
● Provision of Ready-to-Use Supplementary and Therapeutic
Foods (RUSF and RUTF) for facility management.
● Integrated Management of Childhood Illnesses (IMCI) for
children below five years old.
● Immunization services
● Community-based feeding mechanisms for pregnant and
lactating women and children 6 to 23 months old.

Allocation Ceilings for Allowable Expenditures
Child Growth
Monitoring
● Operation Timbang
● Family training program to measure the child’s mid-upper arm
circumference (MUAC)
● Provision of measuring equipment including training to use the
various tools.
Nutrition in
Emergencies
● Nutrition and IYCF services (Counseling, Micronutrient
Supplementation, and Dietary Supplementation for mothers and
children in evacuation centers)
● Management of moderate and severe acute malnutrition.
● Breastmilk and food relief.
● Child growth monitoring.

Expenditure
Category
Description
% Allocation
Ceiling
Support to Service
Delivery Enhancement
● Support to sustaining of PMNP Capacity Building Packages
on the development of primary care service delivery for
services listed in the previous slides’ table, through
supplemental capacity building, supportive supervision, and
service quality evaluation activities.
● Support to Dietary Supplementation Programs to sustain
dietary supplementation for pregnant women and the 0 to
23-month-old children and pregnant women as either or both
routine local government intervention or intervention during
disaster/emergency response and relief.
● Procurement of equipment/ instruments in addition to PMNP
Input/Seed Support Package and relevant training on the use
of said equipment, to ensure delivery of quality maternal and
child-care and services.
60

Expenditure Category Description
% Allocation
Ceiling
Support to Service
Delivery Enhancement
● Procurement of primary care medicines, nutrition commodities
meant for intake throughout the first 1,000 days of life,
including but not limited to –
○ Vaccines and supplies for pregnant women and children
under 5 years old.
○ Micronutrient supplements for WRA and pregnant
women.
○ Micronutrient supplements for children under 5 years old.
○ Supplies for the management of acute malnutrition
● Service Inputs for the Preparation, Response, and Recovery
interventions in the Municipal Disaster Risk Reduction and
Management for Health Plan (DRRM-H) to ensure the protection
of the health and nutrition of pregnant and lactating women and
children under 5 years old during disasters and emergencies.
Continued from previous slide

Expenditure
Category
Description
%
Allocation
Ceiling
LGU Operations
for First 1000
Days
Mobilization and Stakeholder Engagement Activities identified by the Municipal
Nutrition Committee (MNC) within the following types of activities:
● Project Management Capacity Building. Conduct of training sessions and
essential and relevant learning activities intended to build the competencies of
Municipal Staff and other relevant focal persons from the Municipality, MHB,
MNC, MNO, MAO, and other members of the MTWG and MPMO, included in the
approved MNAP and approved Municipality’s Work and Financial Plan (WFP)
for PMNP implementation.
● Technical Sessions. Activities that are intended to be the venue for the MPMO
to coach and/or provide technical assistance to the BNCs, and/or community
volunteer workers in the conduct and delivery of their target deliverables,
including development of M/BNAPs, monitoring of community sub-projects
under PMNP, and other similar deliverables, included in the approved MNAP
and the approved Municipality WFP for PMNP.
40

Expenditure
Category
Description
%
Allocation
Ceiling
LGU Operations
for First 1000
Days
○ Stakeholder Engagement Activities. Activities or advocacy events that aim to
raise awareness about the Project and help sustain the engagement and
commitment of barangays in the implementation and long-term goals and
objectives of the Project for the First 1,000 Days, especially in the provision of
services identified in the menu of allowable PPAs, included in the approved
MNAP and the approved Municipality WFP for PMNP.
● Physical Mobilization Support
○ Salaries of Staff. Allocation for salaries/allowances of the Municipal Technical
Manager and the Health Education and Promotion Officer (HEPO), other MHO,
RHU, and/or BHS-based frontline personnel and/or mobilization of Municipal
and/or Barangay Staff and Community Volunteer Workers (BHWs, BNSs,
Parent Leaders, and others identified volunteers contributing to the monitoring
of LGU KPIs), directly implementing PMNP and the First 1,000 Days Strategy;

Expenditure Category Description
% Allocation
Ceiling
LGU Operations for First
1000 Days
○ Local travel, fuel, and/or transportation expenses that
facilitate coordination with the barangays, and providing
technical assistance to barangays to ensure the conduct
and delivery of target MNC activities and other
deliverables.
○ Communication expenses, directly relevant to
coordination with the MTWG for PMNP and MPMO, and
providing technical assistance to barangays.

Process of Preparation, Review, Approval, and Release of PBG Cash Grants

1. Review of PBG Indicators, Targets, Weight Allocation, and Verification
Measures
• MNC members, MPMOs and all other staff involved in PMNP management and
implementation must have the same appreciation and understanding each PBG
indicator.
• A meeting must be organized with the LGU to –
o Re-orient and explain PBG and the deliverables
o Assess the LGU’s current status relative to the 6 PBG indicators.

2. Action Planning per PBG Indicator and Inclusion in the MNAP
E. Checklist of requirements to facilitate PBG Tranche 1 release:
1. Updated MNAP 2023 to 2025
2. MNC Resolution approving the MNAP and certifying the inclusion of PMNP
deliverables in the approved MNAP.
3. SB Reso endorsing the MNAP and its inclusion in the AIP for 2024
4. SB Reso authorizing the LCE to sign the Modified Service Level Agreement with the
CHD
5. LCE-signed Modified Service Level Agreement with the CHD
6. LCE Executive Order designating the MTWG and MPMO members and functions,
including the TM and HEPO Designates
7. Masterlist of target beneficiaries
8. LCE-signed endorsement letter of PBG Tranche 1 compliances

3. Implementation of PBG-MNAP and AIP
• The Project municipalities has a year to implement their approved AIPs containing the
action points to meet the PBG targets.
• Project inputs must be mobilized to support the achievement of the PBGs, including the
support from MNC members and other concerned offices.
• All activities to be funded by the PBG shall follow the usual process guidelines
employed by the Project municipalities for activities funded by the LGUs’ regular
budget.

4. Monitor and Provide Technical Assistance to LGUs
• As the Project municipalities implement their respective MNAPs, the RLGUMob-TAT
shall provide technical assistance to help them achieve the PBG targets.
• The PMNP-MPMOs will track the achievement of the targets set for each PBG indicator,
and update the MNC at least every 2 months and submit report to their higher-level
counterparts on a regular basis.
• The Project Municipalities may consider undertaking a quarterly self-assessment of
their PBG progress and performance using the same verification methodologies

5. Internal Verification and Technical Assistance
• PBG Verification or assessment will employ the same mix of methodologies: review
documents, actual observation, key informant interview. Indicative sample size of
subjects/cases for verification has been established.
• Internal Verifiers (the RLGU Mob-TAT) will identify which of the PBG indicators are most
likely to be met and those that may only be partially achieved or least likely to be achieved.
Result of assessment will be the basis of TA to the LGUs.
• Results of the Internal Verifiers will be submitted to the PMNP RTWG

Sample PBG Verification Report
Results of Internal Verification
Implementation Year: 2024; Awarding: 2025
PBG
Indicator
Target for the Year Max Weight
per Indicator
Score Remarks and Recommendations
PBG 1a At least 10% increase from baseline 20 15 Partially met: 1 case of selected infants in TCL not
classified according to definition of exclusively
breastfed. Clean up FHSIS.
PBG 1b At least 10% increase from baseline 20 15 Partially met: 1 case of selected infants in TCL not
classified according to definition of complementary
feeding and continuous BF. Clean up FHSIS
PBG 2 At least 10% increase from baseline 50 35 Partially met: 2 selected pregnant women in TCL not
classified according to definition. Clean up 2022 FHSIS
PBG 3 % of HHs with access to nutrition
specific-sensitive interventions
40 30 Most likely to be met: HHs with access to both nutrition
specific and sensitive services
PBG 4 2024 AIP approved with MNC Resolution,
and/or Municipal EO, and/or SB
Resolution; with expenses from allocated
LGU budget
20 20 Most likely to be met: Follow up issuance of MNC
Resolution, and/or Municipal EO, and/or SB Resolution
PBG 5 Nutrition Information utilized 30 20 Most likely to be met: Facilitate preparation of the
Annual PMNP Report for 2022.
PBG 6 At least 40% QS 40 30 Least likely to be met due to delayed procurement and
staff training
Total 220
points
165
points

6. External Verification
• External verification of PBG performance will be undertaken to ensure an objective
assessment of the Project municipalities’ performance, and which will free and protect the
DOH from any perceived biases or lapses in the assessment.
• External verification will be conducted by a Third Party hired by the DOH composed of
experienced project and financial evaluators and public health specialists with national and
international work experience.
• The Third Party shall employ the same set of verification measures and methodologies used
in the internal verification.
• Visits to facilities by the external verification teams shall be unannounced or take place at
short notice, whichever is more acceptable. Any gap in the desired points for each PBG indicators
should be addressed by the Project municipalities concerned with the assistance and regular
monitoring of the RLGU MobTAT and the RPMO.

7. External Verification
• Any gap in the desired points for each PBG indicators should be addressed by the
Project municipalities concerned with the assistance and regular monitoring of the
RLGU MobTAT and the RPMO.
• In addition to the verification of results, the External Verification Team will assess the
LGUs’ adherence to the financial management guidelines for the LGUs.
• In cases where LGUs score less than 90% on adherence to financial management
guidelines, the LGU will not be eligible for the PBG.

7. Review and Approval of PBG Performance by the RTWG
• Upon the submission of the Third-Party Verifiers’ report, an Audit Conference shall
be hosted by the RTWG through the CHD RPMO. This session shall serve as the
presentation and discussion of the results of the Internal and External verification
reports.
• Upon completion of the Audit Conference, the RTWG will review the results of the
external verification conducted and decide to approve or defer the release of the
PBG Tranche.

External Verification Results Approval and Tranche Release
91 to 100% of Total Points achieved Approve performance and release 100% of
the tranche amount.
81 to 90 % of Total Points achieved Approve performance and release 90% of the
tranche amount.
71 to 80% of Total Points achieved Approve performance and release of 80% of
the tranche amount.
61 to 70% of Total Points achieved Approve performance and release of 70% of
the tranche amount.
Below 60% of Total Points achieved Defer approval and release of of the tranche
amount.

7. Review and Approval of PBG Performance by the RTWG
• The Project Municipality will be notified officially of the approval/ or other results of the
assessment with the above corresponding actions to be undertaken.
• Any gap in the desired points for each PBG indicators should be addressed by the
Project Municipality concerned with the assistance and regular monitoring by the
RLGUMob-TAT and RPMO Team.

8. PBG Cash Grant Release
• The DOH-CHD RPMOs shall validate with the Project municipalities if they have established
and opened a special account for the PMNP in their local accounts.
• The DOH-CHD Management Support Division (MSD) shall facilitate the release the funds to
the PMNP account designated by the Project Municipalities.
• The Project municipalities shall duly acknowledge the receipt of the PBG.
• The release and receipt of the PBG tranches shall follow all government financing and
accounting standards.

Monitoring PBG Expenditures
• Each DOH-CHD shall review the results of the external verification, and determine the
corresponding percentage/s of the tranche allocated per municipality to be released
according to the levels of their performance. The CHDs shall submit to the DOH-NPMO the
summary of their recommendations.
• In cases that a Municipality will not be able achieve the desired performance, the CHD will
withhold the downloading of remaining grant amount and provide close monitoring and TA
support to the Municipality within the subsequent three-month period. This period is the
grace period of the Municipality to catch-up and complete its implementation. At the end of
this period, the whole process of verification will be conducted again to assess the
Municipality’s performance.

Monitoring PBG Expenditures
• In cases where certain municipalities may not be able to catch up within the 30-month grace
period provided, no more follow-up external verification and further releases occur in the
same year. Instead, the remaining unreleased tranche amount may be included into the new
tranche to be released the following year. The achievement will be established through the
external verification to be done in the following year covering both the targets set for the
current year and the remaining targets to be achieved in the previous year.
o Project municipalities found and proved using the PBGs outside the agreed allowable
expenditures shall immediately reimburse the expenses.

Maraming salamat.
pmnp@doh.gov.ph; http://www.healthypilipinas.ph
www.dswd.gov.ph

Performance-Based-Grants-Indicators.pptx

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