Diana-Fourmula One for Health
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Transcript of Diana-Fourmula One for Health
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The Fourmula One for Health:
The Road Map for Health Sector Reforms in the
Philippines 2005 2010
What isFOU RmulaONE for Health?:
Defining the Road Map for Reforms FOURmula ONE for Health is the implementation framework for health
sector reforms in the Philippines for the medium term covering 2005-2010. It is designed to implement critical
health interventions as a single package, backed by effective management infrastructure and financingarrangements.
This document provides the road map towards achieving the strategic health sector reform goals and objectives
ofFOURmulaONE for Health from the national down to the local levels.
FOURmula ONE for Health engages the entire health sector, including the public and private sectors, nationalagencies and local government units, external development agencies, and civil society to get involved in the
implementation of health reforms. It is an invitation to join the collective race against fragmentation of the
health system of the country, against the inequity of healthcare and the impoverishing effects of ill-health. With
a robust and united health sector, we can win the race towards better health and a brighter future for generations
to come.
Starting the Race with the End in Mind:
Fourmula One for Health Goals and Objectives
Over-all Goals
The implementation ofFOURmulaONE for Health is directed towards achieving the following end
goals, in consonance with the health system goals identified by the World Health Organization, the Millennium
Development Goals, and the Medium Term Philippine Development Plan:
better health outcomes;
* More responsive health system; and
* More equitable healthcare financing.
General Objective
FOURmula ONE for Health is aimed at achieving critical reforms withspeed, precision and effective
coordination directed at improving the quality, efficiency, effectiveness and equity of the Philippine healthsystem in a manner that is felt and appreciated by Filipinos, especially the poor.
Specific Objectives:
Fourmula One for Health will strive, within the medium term, to:
* Secure more, better and sustained financing for health;
* Assure the quality and affordability of health goods and services;
* Ensure access to and availability of essential and basic health packages; and
* Improve performance of the health system
Carrying out the Game Plan:
Winning Strategies to AttainFOU RmulaONE for Health Component-
Specific Objectives
F1 Component No. 1: HEALTH FINANCING
Mobilizing resources from extra budgetary sources
Coordinating local and national health spending
Focusing direct subsidies to priority programs
Adopting a performance based financing system
Expanding the national health insurance program
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Objective: The objective of financing reforms underFOURmulaONE for Health is to secure more, better and
sustained investments in health to provide equity and improve health outcomes, especially for the poor.
F1 Component No.2: HEALTH REGULATION
Harmonizing licensing, accreditation and certification
Issuance of quality seals
Assuring the availability of low-priced quality essential medicines commonly used by the poor
Objective: The main objective of health regulation underFOURmulaONE for Health is assuring access to
quality and affordable health products, devices, facilities and services, especially those commonly used by the
poor.
F1 Component No. 3: HEALTH SERVICE DELIVERY
ensuring the availability of providers of basic and essential health services in localities
designating providers of specific and specialized services in localities intensifying public health programs in targeted localities
Objective:FOURmula ONE for Health interventions in service delivery are aimed at improving the accessibilityand availability of basic and essential health care for all, particularly the poor. This shall cover all public and
private facilities and services
F1 Component No.4: GOOD GOVERNANCE IN HEALTH
establishing FOUR-IN-ONE advanced implementation sites
developing on LGU FOURmula ONE for Health Scorecard
institutionalizing a FOURmula ONE for Health Expanded Professional Career Track
Objective: The objective of good governance in health is to improve health systems performance at the national
and local levels.FOURmulaONE for Health will introduce interventions to improve governance in local health
systems, improve coordination across local health systems, enhance effective private-public partnership, andimprove national capacities to manage the health sector.
Defining the Rules of Engagement:
Seven (7) General Guidelines for Health Reform Implementation
F1 Rule No.1:FOURmula ONE for Health will organize the critical reform initiatives into four implementation
components, namely, Financing, Regulation, Service Delivery and Governance.
F1 Rule No. 2:
The implementation ofFOURmulaONE for Health will focus on a few manageable and critical
interventions. Such interventions will be identified using the a criteria
F1 Rule No. 3:
The reforms will be implemented under a sector-wide approach, which encompasses a management
perspective that covers the entire health sector and an investment portfolio that encompasses all sources.
F1 Rule No. 4:
The National Health Insurance Program (NHIP) will serve as the main lever to effect desired changes
and outcomes in each of the four implementation components, where the main functions of the NHIP including
enrollment, accreditation, benefit delivery, provider payment and investment are employed to leverage the
attainment of the targets for each of the reform components.
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F1 Rule No. 5:
The functional and financial management arrangements will be defined in terms of specific offices
having clear mandates, performance targets and support systems, within well-defined time frames in the
implementation of reforms within each component.
F1 Rule No. 6:
The functional clustering of teams and assignment of specific Team Leaders shall facilitate
implementation, monitoring and supervision in a coordinative manner and shall not, in any way, prejudice the
corporate nature of the DOH-attached agencies nor the autonomy of Local Government Units.
F1 Rule No. 7:The selection ofFOUR-in- ONE Convergence Sites will be governed by the following criteria:
Willingness of the LGU to participate in theFOURmulaONE for Health implementation, in terms of
willingness to provide the requisite counterpart resources, and willingness to enter into formal
national government to local government, inter-local government and government to private sector
networking, partnership and resource sharing arrangements;
Presence of local initiatives or start-up activities relevant toFOURmulaONE strategies, to include, but
not limited to: development of inter-local health zones, enrollment of indigents into the social health
insurance system, improvement in drug management systems, among others;
Relatively high feasibility of success and sustainability, to include factors such as capacity to enter
into loans, capacity to absorb investments and sustain the reform process, etc.; and Availability of
funds from GOP and external sources for capital investment requirements
Working Like Clockwork:
Setting F1 Targets and Timetable of Implementation
Two (2) Major Phases of F1 Reforms:TheFOURmulaONE for Health timetable shall be divided into two major phases:1. The Immediate term - covers the period between to December 2005 corresponding to the project
preparation phase of the HSRA projects funded by various funding agencies in support of reforms in the
DOH, PhilHealth and the existing 16 convergence sites; and
2. The Medium term - covering the years 2006-2010, this corresponds to the five- year horizon of actual
implementation of F1 reforms at the national and local levels.
Reaching the Finish Line:
Setting new F1 Targets and Objectives
As previously emphasized, working on reforms for the health sector will never be done in a singlemedium term. It is a long-term, dynamic and iterative process such that reaching theFOURmulaONE finish line
means starting on a new track all over again.
Components and strategies may be added, refocused or redirected as we go along but the basic reform areas willremain.
It is the intention of theFOURmulaONE for Health to put the building blocks in place now and trigger more
reforms in the future