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Annex F. LIPH Form 2.

COST ASSUMPTIONS BY PILLAR, PPAS, RESOURCES, REQUIRMENTS AND FUND SOURCE (LIPH MOTHER PLAN)
REGION: CHD XII
PROVINCE/HUC/ICC: South Cotabato
LIPH CY: 2020 to 2022

Strategic Pillar Resource Requirments (PhP)


SERVICE DELIVERY Municipality/C Name of Target (7)
PPA Performance omponent Health (6)
District
Program/Project/ Indicator City/Barangay Facility
(3) Items Expense
Activities (PPA) (2) Unit Cost Quantity
(4) (5) 2020 2021 2022 Description Category
(1)
Date:

Fund Sources (PhP) (8)

Total Cost DOH LGU


(Unit
Others
Cost x CO CHD PLGU C/MLGU BLGU
Quantity)

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