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FAQs - Local Health Systems Management Tools

The document provides guidance on developing realistic Local Investment Plans for Health (LIPH). It emphasizes engaging stakeholders in situational analysis and prioritizing evidence-based interventions. Technical assistance from the Department of Health and other partners can help local governments craft effective health plans and meet targets. Data validation processes ensure LIPH data integrity. While plans are locally owned, the Department can note non-cooperation to inform future funding. Terms of Partnership agreements also guide collaboration through changes in local leadership.
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0% found this document useful (0 votes)
135 views

FAQs - Local Health Systems Management Tools

The document provides guidance on developing realistic Local Investment Plans for Health (LIPH). It emphasizes engaging stakeholders in situational analysis and prioritizing evidence-based interventions. Technical assistance from the Department of Health and other partners can help local governments craft effective health plans and meet targets. Data validation processes ensure LIPH data integrity. While plans are locally owned, the Department can note non-cooperation to inform future funding. Terms of Partnership agreements also guide collaboration through changes in local leadership.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Q: How do we plan the Local Investment Plan for health and make it as realistic as possible?

The DOH menu of assistance may serve as a guide of the Local Government Units(LGU) in planning workshops to
determine what will be provided by the Central Office and the Centers for Health Development. Keep in mind as well
the available resources, solid commitments from stakeholders and work around historical data. The usual planning
mark-up of 10-20% as per the Health Policy Development and Planning Bureau shall be considered as well as the LGU
absorptive capacity and LGU budget utilization.

Engage stakeholders in plan development, ensure good situational analysis, employ bot to top planning, engage non-
government and people’s organization, and use of systems thinking will make the plan realistic together with the
prioritization of problems, issues, and interventions and selection of systems interventions over programmatic
interventions. The participation of Development Management Officers and CHD Program Managers should assist
the LGUs in planning – projects, activities, and programs not funded by the DOH and LGU shall be supported by the
LGU Budget or supports from other stakeholders.

Finally, it is important to include representatives of legislators in the planning workshops and consultation workshops
to keep engage them in the identification of health priorities and keep them informed of health protocols and
standards where they can align their initiatives.

Q: What will happen to the development of LIPH in relation to Executive Order 238?
The LIPH and AOP are LGU’s plan thus, there will be no significant change on the crafting of these. With the devolution,
it is expected that the counterpart funding/ shares of the Local Government Units in the projects, programs and
activities in their LIPH will increase due to the increase of their share in the National Tax Allocation.

The Department will also be releasing the updated LIPH handbook which may be used by the LGUs in crafting their
2023-2025 LIPH. The BLHSD will also be launching the LIPH information system as a platform for encoding and
consolidating AOPs

Q: How can we ensure that these tools will be given importance in the Local Government Units?
The inclusion of Health Compliance and Responsiveness in the Seal of Good Local Governance assessment areas
will serve as additional push for LGUs to prioritize health programs specially those health targets lagging behind. The
Bureau of Local Health Systems Development, along with other technical working group members, ensures the
alignment of the SGLG health indicators and the LGU scorecard to better communicate priorities based on the
medium-term investment plan that is the LIPH.

Submitted to the Department of Interior and Local Government are seven indicators including: (1)Complete LIPH,
(2)Institutionalized Disaster Risk Reduction and Management for Health, (3)Functional epidemiology and
surveillance unit, (4)Prevalence of stunting of children under 5, (5)Percentage of household using safely managed
drinking water services, (6)Tuberculosis case notification rate, (7)Tuberculosis case notification rate.

In the event that the LGUs will not be able to meet the criteria, the Department of Health shall provide technical
assistance or/ and capacity building for them to perform.

Q: What will happen should the newly elected official does not honor the contractual agreement between
the Department of Health and the Local Government Unit?
The Terms of Partnership (TOP) is legal and binding that is signed annually thus will still be applicable should there
be a newly elected Local Chief Executive. Amendments can be done as long as justified and subject to the existing
guidelines. Consequently, the newly elected official can put his/her priorities and thrust on the TOP that will be signed
the next fiscal year for sense of ownership on the developed plan. Also changes on the template of TOP prescribed
by the Department may be altered as long as the substance remains and cleared by the CHD legal units – the amounts
on the TOP, it is recommended to put “indicative amount” due to numerous factors that may arise upon its approval.
Breach of contract shall be handled by the CHD legal office accordingly.

Q: What will be the sanctions for Local Government Units who will not be cooperative in the crafting of
Local Investment Plan for Health?
Since the LIPH and AOP are the LGUs plans, the LGUs shall be responsible for its health outcomes and health
systems. The Department does not provide sanctions for non-cooperation, however, it shall be noted that the LIPH
and AOP will serve as the basis of the Department in funding selected programs of LGUs – should they not cooperate,
the LGU shall be responsible in funding all health programs to be implemented by them.

Q: How can we ensure the integrity and reliability of data?


The data validation process for the Health Scorecard includes several layers as stated in its Manual of Procedures.
It includes data validation from the health facility, the provincial office, regional office, and the DOH Central Office.
The Department also encourages interregional validation as well.

The Local Health Systems Maturity Level is a self-assessment tool however, to ensure the reliabiliy of the results, two
levels of validation is being implemented. At the CHD level, CHD core groups on integration which is composed of
counterparts from the DOH Central Office- shall validate the assessment. The Bureau of Local Health Systems
Development Bureau shall endorse the assessment results to the lead bureaus for review and vetting. Once vetted,
it shall then be returned to the Bureau of Local Health Systems Development for the generation of national report.

For the LIPH, the LGU’s investment needs shall be submitted to the province level for review and validation. At the
CHD level, confirmation of investment needs and assessment of funds sufficiency will be done. Afterwhich, the
national program amangers shall then make the data provided to them as reference in the preparation of budget
proposals.

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