Provincial Investment Plan for ? ‚ certification; PhilHealth-accreditation for Maternity...

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Transcript of Provincial Investment Plan for ? ‚ certification; PhilHealth-accreditation for Maternity...

  • Provincial Investment Plan for Health

    FOURMula One for Health

    Province of South Cotabato

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    Table of Contents Page Number List of Tables 3 List of Figures 3 Acronyms 4-5 Executive Summary 6-9

    I. Introduction 10 II. Demographic and Socio-Economic Profile 11 III. Health Situation, Problems and Gaps 14

    A. General Health Status B. Service Delivery

    C. Governance D. Financing E. Regulation

    IV. Vision, Mission, Goals, and Objectives 40 IPHO Health Vision and Mission Overall Goal Objectives 2006 - 2010

    V. Strategies and Interventions 43 VI. Logical Framework for Monitoring and Evaluation 53 VII. PIPH Costs 61 VIII. Program Management 68

    Annexes: 1 - Government and Private Hospitals in the Province

    2 - Leading Causes of Discharges in Government hospitals, 2004 3 - Leading Causes of Deaths in government hospitals, 2004

    4 - Functions of the Members of the Expanded Provincial Health Board 5 - Table of Cost Assumptions

    6 - Detailed List and Costing of Civil Works 7 - Detailed List and Costing of Equipment 8 - Detailed List and Costing of Training

    9 - Detailed List and Costing of Technical Assistance Activities 10 - Projected PhilHealth Enrollment and Premium Contributions, 2006-2010

    Deleted: ,

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    List of Tables

    Table 1. Income Classification South Cotabato Province and Municipalities, as of May 2005 Table 2. Projected Provincial and Municipal Population Based on 2000 NSO Data, South Cotabato Table 3. Certification and Accreditation Status of RHUs, as of April 2005 Table 4. Ratio of Provincial GovernmentOperated Hospitals to Population Table 5. Number of RHUs, BHS, and Public Health Personnel in South Cotabato Municipalities, 2005 Table 6. Location of Deliveries, South Cotabato, 2004 and 2005. Table 7. Hospital Deliveries, 2004 Table 8. Delivery Attendants, South Cotabato, 2004 and 2005. Table 9: Annual Executive Budget by Sector, Province of South Cotabato Table 10: Percentage of the Hospital Budget out of the total Provincial Budget to Social Services Table 11: Hospital and Technical Services Budget vs. Expenditures, 2001-2004 Table 12: Health Budget vs. Total Budget of the Municipalities in South Cotabato Table 13: Statement of Income/Receipts in General Fund in the Different Hospitals of South Cotabato Table 14. Number of Indigents enrolled under the Sponsored Program of PhilHealth Table 15. Logical Framework for Monitoring and Evaluation the PIPH Table 16. Costs by Component per Year Table 17. Costs by Component by Source of Financing Table 18. Costs by Type of Expenditure by Year Table 19. Costs by Type of Expenditure by Source of Financing

    List of Figures

    Figure 1. South Cotabato LAHDZ Figure 2. Management Structure of LAHDZ Board Figure 3. Management Structure of Expanded Provincial Health Board Figure 4. Proposed Framework for the Provincial Health Resource Development Information Center Figure 5. Proposed organization of the Program Management Support Unit

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    BHS Barangay Health Station BHW Barangay Health Worker BFAD Bureau of Food and Drugs CARI Control of Acute Respiratory Infection CBMIS Community-Based Monitoring and Information System CDD Control of Diarrheal Diseases CHD Community Health Development CPR Certificate of Product Registration DOH Department of Health DUR Drug Use Review EC European Commission EPI Expanded Program on Immunization FHSIS Field Health Services and Information System HDMSU Health Development and Management Services Unit HHRDU Health Human Resource Development Unit HMIS Health Management Information System HOMIS Hospital Operations Management Information System HSRA Health Sector Reform Agenda ICHSP Integrated Community Health Services Project ICHSP- AA Integrated Community Health Services Project- Australian Aid IEC Information, Education Campaign IHPS Integrated Health Planning System ILHS Inter Local Health System IMR Infant Mortality Rate IMS Integrated Management System IMS-DOH Integrated Management System of the Department of Health IPHO Integrated Provincial Health Office IRA Internal Revenue Allotment LAHDZ Local Area Health Development Zone GU Local Government Unit LHA Local Health Account LMAMFES Lay Missionary Association of Mother Francisca del Espiritu

    Santo LPHCC Lamian Primary Health Care Center LSMH Lake Sebu Municipal Hospital MCH Maternal Child Health MCP Maternity Care Package MHO Municipal Health Officer MMR Maternal Mortality Date MOA Memorandum of Agreement MOOE Maintenance and other Operating Expenses NDH Norala District Hospital NGO Non-Government Organization

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    NTP-DOTS National Tuberculosis Program- Directly Observe Treatment Short Course

    OPT Operation Timbang PAS Performance Appraisal System PCCHC Provincial Coordinating Council for Health Concerns PDF Provincial Drug Formula PFM Public Finance Mission PHN Public Health Nurse PIR Program Implementation Review PMH Polomolok Municipal Hospital RHSIS Regional Health Services Information System RHU Rural Health Unit RISMH Roel I. Senador Memorial Hospital SCPH South Cotabato Provincial Hospital SOCOTECO I South Cotabato Electric Cooperative I SRHUS Simplified Rural Health Unit Information System STD Sexually Transmitted Disease SWOT Strength, Weaknesses, Opportunities & Threat UBM Unit Based Management

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    With the implementation of the Local Government Code in 1991 that devolved health services from the national government to the local government units, support for health from the national government mostly came in the form of technical support while funding depended on the LGUs. With this, South Cotabatos Integrated Provincial Health Office (IPHO) has been initiating innovations and interventions to be able to fulfill its mandate of giving quality health service to its clientele, and these have brought positive results to the health systems in the entire province through the years. Many of these were also in partnership with the community and also through technical and funding support from donor agencies including the AusAID, USAID, JICA, EU, World Bank, and others. This South Cotabato Province-wide Investment Plan for Health (PIPH) 2006-2010 updates the provinces health plan in the context of FOURmula ONE for Health, the DOHs framework for implementing health reforms that is implemented under a sector-wide approach. South Cotabato is one of the first 16 FOURmula One for Health convergence sites that is being assisted by the DOH. The plan reiterates the provinces goal of contributing to the improvement of health status by ensuring access to basic health services that is efficiently and effectively delivered to its populations, especially the mothers and children, the socio-economically marginalized, and other vulnerable groups. It also states specific goals that are anchored on the Millennium Development Goals and the National Objectives for Health. An examination of the provinces health situation shows low levels but increasing levels of maternal mortality and infant mortality. Incidence of TB, dengue, and malaria are likewise increasing; and lifestyle-related diseases remain as the leading causes of death. The plan analyzes the problems gaps in terms of service delivery, governance, financing, and regulation that contribute to these poor health outcomes. In view of these problems and gaps, the systematic implementation of the four reform packages of FOURmula ONE for Health will be the main strategy in health investments for 2006-2010. In general, the thrust is empowering the people of South Cotabato for health and well-being. It therefore highlights strengthening the primary health care network and health information systems. These are complemented with interventions to strengthen governance, regulations, and equitable financing systems. To summarize, the following are the interventions lined up for each component: Component 1. SERVICE DELIVERY Subcomponents : 1.1 Capacity Building for priority programs :

    Disease-free initiatives on leprosy and filariasis Reduction and control of malaria, dengue, schistosomiasis, rabies Intensification of TB control Healthy lifestyle initiatives

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    Reproductive Health/Womens Health/Safe Motherhood M/Family Planning

    Management of Common Childhood Illnesses Addressing emerging health concerns: HIV/AIDS, Birds flu, SARS,

    Meningococcemia, man-made calamities and terrorist activities

    1.1.1 Needs Assessment for Service Delivery 1.1.2 Upgrading of facilities to meet health service delivery requirements, including standards for Sentrong Sigla certification; PhilHealth-accreditation for Maternity Care, TB- DOTS, NSV, Out-Patient Benefits Packages (OPB); and Designation for CEmOCs and BEmOCs 1.1.3 Improvement of primary health care service network 1.1.4 Strengthening the Capability of the SCPH as a Core Referral Hospital and Establishment of a Medical Rehabilitation Unit 1.1.5 Establishment of and Capacity-Building for a Provincial Medical Alert Unit 1.1.6 Definition of Core Competencies, Training Needs A