Policy Context Situation Analysis - WHO · FHSIS--does not include the hospitals and private sector...

COUNTRY ACCOUNTABILITY FRAMEWORK: Assessment* Philippines

Policy Context

National Health Sector Plan and

M&E Plan

Situation Analysis

National Health Policy Strategy and Plan: 2011 - 2016. Review and evaluation was done before the creation of the plan.

This final version has been reviewed and validated through a broad consultation with the major stakeholders in-country. Page 1/21

Context Possible actions

Assessment & Plan 3 Dissemination of results

Full CRVS assessment finalized and development of improvement plan

Coordinating Mechanism3

strengthen processes for interagency coordinating committee involving all

key stakeholders

Hospital reporting2

Improve hospital reporting, use electronic reporting system

Training of doctors in ICD 10; regular quality control of certification;

improve coding practices

Private data should be captured

Leverage electronica data from private facilities using PHIC, Professional

Societies, etc

Community reporting

1.5

Strengthen community reporting of births and deaths, implement

innovative approaches:

- Barangay Civil Registration System

- Provincial Maternal Death Review Committees

Strengthen community reporting through use of VA by community

workers

Include NCIP and OMA in Inter Agency Committees

Vital statistics 2

Strengthen the analytical capacity of vital statistics office, including data

quality assessment

Reduce time lag in publication to 1 year

Electronic system of reporting in the Municipal level

Local studies for mortality0

Develop a surveillance system --- e.g maternal and neonatal death

reporting system.

Sentinel sites for surveillance for ARMM, Urban Slums

Validate 2007 birth and death registration from the CRS using 2007 census

COUNTRY ACCOUNTABILITY FRAMEWORK: Scorecard* Philippines

Civil registration & vital

statistics systems

- Rapid assessment done using WHO VRA and Health

Metrics Tool with recommendartions provided

- Rapid assessment results integrated into the PHIN

strategic plan

- Full assessment ongoing

- Revision of birth and death registration forms and

manual.

- Philippine Health Information Network

- Inter Agency Committee led by NSO and DOH

- Inter Agency Committee on Health and Statistics reporting

to NSCB Executive Board.

a. - Hospital reporting of deaths incomplete and inaccurate

- minimal private sectror data

- reports are done manually

b. use of ICD-10 in hospital reporting

- validation for quality data needed. a - Community

reporting of births and deaths are done manually

- NSO currently updating Barangay Civil Registration System

(electronic)

- weak system for registration of IP's, Muslims

b. minimal verbal autopsies currently done, no uniform

standards set. - Vital statistics published every year for

national and sub national, with 2 years time lag

- Minimal data quality assessment

- No current surveillance sites




M&E Plan 3.5 Strengthen the M&E component of the NHS

Review the RMNCH M&E plan(s) and align with the M&E of the NHS

Harmonization of sources of data and methods (a lot fo different

systems/mechanisms)

M&E Coordination2

Establish M&E coordinating body with representation from all sectors

Plan for coordinating committee for MNCHN-->should be integrated into

National M/E Committee

Philippine Health Information Network

Health Surveys 3.5 Develop 10 year health survey plan

Plan for a national coverage survey 2012-13, that includes RMNCH

interventions

Facility data (HMIS)2

Strengthen analytical capacity, annual compilation of statistics from

facilities with data quality assessment

Conduct annual facility survey for data verification and service readiness

Electronic data to ease up processes

Analytical capacity2

Strengthen analytical capacity, involve key institutions; review contents,

analyses and presentation

Develop an analytical framework

Equity 2 Strengthen equity analyses for reviews

Data sharing2

Develop/strengthen national data repository with all relevant data and

reports

a. National Objectives for Health (2011-2016), Monitoring

and Evaluation for Equity and Effectiveness (ME3)

b. All 11 RMNCH core indicators are included into the

mechanisms for M/E in the health sector, M/E plan is

aligned with NOH. No institutionalized functional

committee for M&E. FHS: 2011;

NDHS: 2013

-Plan for National Health Survey exists:

--NDHS every 5 years

-Philippine Statistical Program (2011-2017):

--NDHS, FHS, MICS

FHSIS--does not include the hospitals and private sector

---poor data quality: no validation, timeliness

---numerous data sources, different results. Annual DOH

reports available but they need to be improved. LGU

Scorecard diaggregated for equity considerations (income

quintile)

FHSIS disaggregated according to age and sex. Philippine

Health Statistics published yearly-->timeliness Philippine

National Health Accounts-->latest 2007 data

Repository exists: DOH website, NSCB website, but data not

always updated.

Monitoring of results




Notification

1

Advocate/ develop national policy on maternal death notification: -Policy

Issuance from the DOH (fastest way-->within 6 months), coverage/scope

includes all facilities--National, LGU, and private sector

Joint Circular between DOH and DILG to cover for LGU Managed facllities

Capacity to review and act

2Strengthen national capacity through training in MDSR-

- greater leadership role for NCDPC-DOH

- legal framework for protection of families and providers- Strengthen district capacity through training in MDSR

- strenghten MDSR in CHD's (oversight role) and specific population levels

- Financing for Provincial MDSR Committees

Hospitals / facilities

1Improve reporting by hospitals; Training in ICD certification and coding

(links with CRVS)

- within 24 hours reporting mechanism for maternal deathsStrengthen hospital capacity and practices, including private sector:

monthly maternal death review meetings

Quality of care 3

Support a regular system of QoC assessments, with good dissemination of

results for policy and planning

Community reporting & feedback2

Develop / strengthen a community system of maternal death reporting

and response, using ICT

Develop / strengthen a system of maternal death reporting and response

initiation by electronic devices

Develop / strengthen VA for maternal deaths in communities

Develop system of involving communities in review and response

need to harmonize and systematize all mechanisms on reporting for

maternal deaths in communities

Review of the system0

Support and strengthen review system including dissemination and use of

the report

Strengths: all deaths are registered (civil registry)

Weakness/Gaps: - definition of notifiable deaths, maternal

deaths not included

- facilities do not report deaths on time (more than 24

hours)

Strengths: National: mechanisms to review maternal

deaths; guidelines for MNCHN disseminated (guidelines and

training done)

Weakness/Gaps: -Indigenous People (IP's) in the country

don’t have registration for maternal deaths

- other sectors of the population not monitored for

maternal deaths

- degree of maturity across levels: Foreign Assisted Projects

in selected LGU's

A. Strengths: - use of ICD-10 in hospitals

- Coverage: >90% of deaths reported thru standardized

forms (46% FBD's)

Weakness: - not within 24 hours

- poor quality of reporting of causes of deaths

B. Weakness/Gaps: Not all maternal deaths are reviewed in

Hospitals, only special cases are reviewed

Strength: POGS (medical society) have database of maternal

deaths from their accredited hospitals . Strenghts:

Assessment standards for birthing facilities linked w PHIC ,

survey on functionality of BeMONcs and CeMOncs.

a. No reporting of maternal deaths from communities

b. Plans on: Use of Mobile Phones, TeleHEALTH, WOMB

project, SPEED project, Community Health Teams, etc

c. Plans for Verbal Autopsies, trainings done--Provincial

Maternal Death Communities

d. Plans for feedback to communities on review of maternal

deaths. No review of maternal death surveillance and

response system.

Maternal death

surveillance & response




Policy 2 Revisit and consult national eHealth strategy

Infrastructure

2Determine desired outcomes and priorities for infrastructure deployment

to support health services delivery and information flows.

Establish infrastructure in GIDA areas

Services

0Determine the eHealth services required to support the country’s priority

programs and goals, particularly with respect to information flows.

Implement DOH ICT for Health Committee recommendations

Standards

3

eHealth standards and interoperability components required to support

eHealth services, applications and infrastructure, as well as to support

broader changes to health information flows.

Implement

Governance 3 Strengthen coordination mechanism

CSO inclusion in governance mechanisms' (eg PHIN)

inclusion of hospital information

Protection

3Assure health sector, ministerial and government leadership and support.

Ensure that the required program development skills and expertise are

available.Review and update Health Information Security policies

Facilitate access to information, support to FOI

Adopt an information security plan

- eHealth strategic framework, not specific for MNCHN

- WOMB, SHINE, TeleHealth for MNCHN under pilot

implementation .

- Connectivity: available in most areas, limited for GIDA

areas

--Internet

--Mobile

--Infrastructure

- DOH IMS distributing computers for LGU's.

a. - pilot basis

b. minimal data sharing (eg. 1. UMIS)

eg. 2. LGU Scorecard integrated into DILG system (LGPMS)

- National Data Dicitionary

- PHIC Data Dictionary SPEED Project: health facility coding -

PHIS (Philippine Health Information Strategy)

- ICT for Health recommendations for standards

development. - Philippine Health Information Network : ICT

for Health included (hospitals not included)

- Inter Agency Committee led by NSCB.

a. - Confidentiality provisions for statistical data (Existing

law

b. - full enforcement of confidentiality provisions for

statistical data (institutional) and medical records/maternal

deaths (individual)

- PHIN Standards and Policy Sub Committee

- Data protection part of PHIC accreditation standards

- Freedom of information Act (pending)

Innovation and eHealth




National health accounts 3 Update NHA based on new SHA

DOH to fund personnel to augment staff for PNHA

Contract Agent (UNFPA) to do RMNCH Sub Accounts: short term (DOH to

lead in coordination w NSCB)

Continue development of LHA

Compact 3

MOA among National Agencies (DBM, DOH, PCSO, PHIC, NSCB, NEDA)

Update ratios, shares from private data sources

Coordination 3Ensure inclusion of all key stakeholders in resource tracking /NHA:

Increased CSO participation in RMNCH Sub Accounts

Production 2 Regional Validation Team for LHA-->hire accountants

Bilateral meetikng with COA to resolve ccoding changes

Update central database and methods for production of PNHA

develop IT tools for mapping and conversion of health expenditure data

to health accounts to reporting formats

Analysis3

Strengthen analytical capacity in government and other institutions

Disseminate report and analyses on public website

Beneficiary Analysis: Reproductive and Child Health

Data Use

2

Advocate for /promote use of NHA data in policy making process for

CSO's, Legislators, and other partners

a. - Approved NHA framework based on international

guidelines

- PNHA 2008-2010 due to be released this year (2012)

- PNHA disaggregation as to age, sex and region

- LHA for provinces

b. National Statistical and Coordination Board -- highest

policy making body for statistical data

- IAC endorses to the NSC Board

- lack of human resources for timely comilation of NHA

- there is no formal agreement but there is mechanism thru

the IAC

- sources of data for PNHA: COA, DBM, PCSO-->no formal

agreement among agencies

- Development Partners: SDAH

a. Policy

b. PMO

c. DP Scorecard.

a. - Inter Agency Committee for Nutrition and Health which

is under NSCB

b. stakeholder involvement thru membership in IAC and the

Board

- production is mandated to NSCB and stakeholders are

involved in the processes.

- Inadequate human resources for PNHA

- provincial planning and health personnel for LHA

- PNHA and LHA has excel tool, but needs to manually

extract data for encoding (COA codes in forms changes all

the time, changes in activities)

a. - PNHA with time series and policy analysis

- LHA with policy analysis

- FIES for equity analysis

b. Accessible.

- PNHA used in planning, performance reviews and decision

making but not for RMNCH.

Monitoring of resources




Reviews

3Advocate for annual reviews that are based on the goals, targets of the

NHS: structure meetings to reflect expenditures and performance

Define at country level a calendar events to ensure better quality of the

annual review process

Ensure that the RMNCH appraisals are held and that findings feed into the

health sector reviews: joint appraisal of mother and child programs for

the health sector Strengthen linkage with CSO's, legislators and other partners

2Strengthen the capacity to prepare analytical reports prior to the reviews

Develop/strengthen mechanism to compile all policy / qualitative

information to inform annual reviews

Provincial review mechanisms for provincial performance and provincial

performance distribution

develop system for sub national/cluster reviews

From review to planning 2 Strengthen the use of review results for planning purposes

Ensure greater involvement of all stakeholders

3Ensure the existence of a single M&E framework that fits into the single

national health plan: Harmonize all existing M & E mechanisms

Synthesis of information & policy

context

Compacts or equivalent

mechanisms

a. - National Health Sector Meeting, Health Partners

Meeting, JAPI (Joint Assessment and Planning Initiative),

Joint Appraisal Committee (JAC) : National and Regional

Level

b. - Limited participation of CSO's and other partners

c. - Program Implementation Reviews and MDG reviews for

the health sector.

a. - Lack of enough evidence from the sub national level

(provincial level)

- Health sector reviews done by DP's .

a. - the current thrusts of the KP is based on recent health

sector reviews (e.g MDG breakthrough areas; focus on the

poor; 609 municipalities/cities)

b. PIPH/AOP's used for LGU investment planning

c. CSO participation for BUB (Bottom UP Budgeting)

a. - SDAH: JAPI, JAC, Health Partners Meeting

b. -PDP, NOH, PIP, HSEF

c. UNDAF aligned to PDP.

Accountability processes




Parliament active on RMNCH issues

3Various committees are mobilized to engage in RMNCH accountability

Facilitate the organization of public hearings/forums for sharing of

information on RMNCH

Institutionalized mechanisms for consultations , for obtaining public input

Sub committees on MDG's for Senate

Civil Society Coalition 3 Support /strengthen coalition

Support capacity of civil society to synthesize evidence and disseminate

messages, and to strengthen sense and operationalization of

accountability Institutionalize mechanism for expanded CSO participation specially

Women, Youth, RH CSO's

Media role2

Work with the media to strengthen their capacity to report on RMNCH

related issues

Work with the media to strengthen their capacity to report on the

monitoring the implementation of the Global Strategy

Improve information flows to media

Partner with Philippine Information Agency, Journalist Orgs for stonger

regional media networks and forums

Countdown event for RMNCH

3

Countdown Coordinating Committee, UN agencies (H5), and other

partners encourage/support national stakeholders to plan national

Countdown integrated with other RMNCH events

Regularly update Countdown report / profile using all evidence

a. - Committee on Health w sub committee for MDG's

(Lower House)

Committee on Health and Demographics actively push for

RMNCH (Senate)

- Committee on Women, Childrens Welfare, Population,

Youth

b. - Senate resolution on maternal mortality

- Public hearings on health--

- No institutionalized mechanisms for consultation on

specificc health issues

a. - Coalitions exist, funded, regular meetings with other

stakeholders

- Bottom Up Budgeting w substantial roles of CSO's at

national and local levels

b. - Evidence-based advocacy messages produced by CSO's.

a. - Sporadic media reporting

b. - Media reporting upon stimulation of performance

reports, and some champions

- PCIJ focused on MDG 2 and 5

- ANC channel sponsored Adolescent

- Regional Media Groups (PNGOC)

c. DOH provides weekly Press Conferences with Official

Spokesperson .

a. - Streamline: Asia Pacific Conference for RH (2014),

Women Delivers (2013), 162 to 52 Summit (2012)

b. - Countdown Report/Profile for 2010

- Progress report on MDG's every 3 years (2010 latest).

Advocacy & outreach


Actions (replaced as required) Priority

(1=v high,

2=high,

3=medium

4=low)

Suggested approach/methods

(replace as required)

Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance

Dissemination of results 3 disseminate rapid assessment

results

NSO DOH, DILG XXXXX Done

Full CRVS assessment finalized and

development of improvement plan

3 Apply full assessment tool and

develop improvement plan

NSO DOH, DILG XXXXX Done

strengthen processes for

interagency coordinating committee

involving all key stakeholders

Being undertaken (PHIN)

Improve hospital reporting, use

electronic reporting system

1 Invest in strengthening HMIS DOH PhilHealth, Nso XXXXX XXXXX $400,000 $10,000 $390,000 DOH

Training of doctors in ICD 10; regular

quality control of certification;

improve coding practices

1 Train national facilitators, apply

electronic tools

DOH NSO XXXXX XXXXX $180,000 $15,000 $165,000 DOH and

AusAid

Private data should be captured

Leverage electronica data from

private facilities using PHIC,

Professional Societies, etc

Strengthen community reporting of

births and deaths, implement

innovative approaches:

- Barangay Civil Registration System

- Provincial Maternal Death Review

Committees

2 lobbying for increased budget on

civil registration from LGU's

-

NSO DOH, DILG XXXXX XXXXX

Xxxxxx

x

$100,000 $20,000 $80,000 DOH and NSO

Strengthen community reporting

through use of VA by community

workers

Develop maternal and neonatal

death reporting system using sms

DOH NSO, LGUs xxxxxx

xxxxxx

XXXXX

Xxxxxx

x

$150,000 $40,000 $110,000 DOH

CIVIL REGISTRATION AND VITAL STATISTICS SYSTEMS (CRVS)

COUNTRY ACCOUNTABILITY FRAMEWORK: Roadmap* Philippines



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Include NCIP and OMA in Inter

Agency Committees

Strengthen the analytical capacity of

vital statistics office, including data

quality assessment

3 Training in analyses of relevant staff NSO DOH, Academe XXXXX XXXXX

Xxxxxx

x

xxxxxx xxxxxx $50,000 10000 $40,000 DOH

Reduce time lag in publication to 1

year

Electronic system of reporting in the

Municipal level

Develop a surveillance system ---

e.g maternal and neonatal death

reporting system.

Assess and invest in HDSS DOH Being

done

$50,000 $50,000 DOH

Sentinel sites for surveillance for

ARMM, Urban Slums

Validate 2007 birth and death

registration from the CRS using 2007

census



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Strengthen the M&E component of

the NHS

Review M&E component, revise

according to WHO/IHP+ guidance

Harmonization of sources of data

and methods (a lot fo different

systems/mechanisms)

Establish M&E coordinating body

with representation from all sectors

Link with National Statistical Plan,

mapping all health surveys

Plan for coordinating committee for

MNCHN-->should be integrated into

National M/E Committee

Philippine Health Information

Network

Strengthen analytical capacity,

annual compilation of statistics from

facilities with data quality

assessment

1 TA and training on analyses and

development of annual stastical

report

DOH NSO, academe XXXXX XXXXX

Xxxxxx

x

xxxxxx xxxxxx $45,000 $20,000 $25,000 DOH

Conduct annual facility survey for

data verification and service

readiness

Plan sample survey of facility (about

100) prior to review using WHO

standard instrument

DOH xxxxx XXXXX

Xxxxxx

x

xxxxxx

x

xxxxxx $40,000 $10,000 $30,000 DOH

Electronic data to ease up processes xxxxxx

x

xxxx $30,000 $30,000 DOH

Strengthen analytical capacity,

involve key institutions; review

contents, analyses and presentation

Build upon current national and

regional observatory approaches,

WHO analysis and data quality tools

xxxxxx

x

xxxxxx xxxxxx $50,000 $50,000 DOH

Develop an analytical framework

Strengthen equity analyses for

reviews

Technical assistance and training

onequity analyses

xxxxxx

x

$20,000 $10,000 $10,000 DOH

Develop/strengthen national data

repository with all relevant data and

reports

Technical assistance for national

observatory/portal

xxxxxx

x

xxxxxx $30,000 $30,000 DOH

MONITORING OF RESULTS



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Advocate/ develop national policy

on maternal death notification: -

Policy Issuance from the DOH

(fastest way-->within 6 months),

coverage/scope includes all facilities-

-National, LGU, and private sector

1 Policy development: series of

consultative meetings, national

workship with key stakeholders:

NCDPC, NEC, BLHD, HPDPB, selected

CHD's with high MMRs, DILG, DOH-

ARMM, CSO's, Govt leagues: ULAP,

LPP, LCP, LMP; AMHOP, POGS,

Midwives Associations; PHIC, PHA

DOH-NCDPC UN agencies, x $7,534 $7,534 GOP

Joint Circular between DOH and

DILG to cover for LGU Managed

facllities

Dissemination of policy and

mechanismsn (publication)

DOH-NCDPC x $13,953 $13,953 GOP/DOH

Online course on ICD-10 DOH NEC $26,000 $16,000 $10,000 DOH

Strengthen national capacity

through training in MDSR-

-greater leadership role for NCDPC-

DOH

- legal framework for protection of

families and providers

Training on ICD 10 to include private

MD's

DOH NEC X x x x $44,000 $14,000 $30,000 DOH

- Strengthen district capacity

through training in MDSR

- strenghten MDSR in CHD's

(oversight role) and specific

population levels

- Financing for Provincial MDSR

Committees

Regular review and audits PMDR x x x x $10,000 $10,000 LGU's

Improve reporting by hospitals;

Training in ICD certification and

coding (links with CRVS)

- within 24 hours reporting

mechanism for maternal deaths

1 Training and coaching DOH PhilHealth xxxxxx xxxxxx xxxxxx xxxxxx $50,000 $10,000 $40,000 DOH

MATERNAL DEATH SURVEILLANCE AND RESPONSE



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Strengthen hospital capacity and

practices, including private sector:

monthly maternal death review

meetings

Re-training and coaching DOH LGUs xxxxxx

xxxxxx

xxxxxx $35,000 $10,000 $25,000 DOH and

AusAid

Support a regular system of QoC

assessments, with good

dissemination of results for policy

and planning

Technical assistance and training for

facility assessment

$0

Develop / strengthen a community

system of maternal death reporting

and response, using ICT

1 Develop plan for strengthening

MDSR in community

DOH NSO, DILG xxxxxx XXXXX

Xxxxxx

x

xxxxxx xxxxxx $50,000 $20,000 $30,000 DOH

Develop / strengthen a system of

maternal death reporting and

response initiation by electronic

devices

Introduce/train on community

reporting using ICT

Develop / strengthen VA for


Training on VA at community level DOH NSO xxxxxx

x

$25,000 $25,000 GOP

Develop system of involving

communities in review and response

Develop system for review process

and feedback/interpretation of data

$30,000 $30,000 AusAid

(JPMNH)

need to harmonize and systematize

all mechanisms on reporting for


Support and strengthen review

system including dissemination and

use of the report

periodic review and coaching DOH LGUs, hospitals $60,000 $60,000 DOH



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Revisit and consult national eHealth

strategy

2 Ensure leadership commitment and

manage the process leading to

development of a national eHealth

strategy.

DOH P, NSO, DILG,

Academe, Private

professional

associations

xxxxxx

x

$15,000 $5,000 $10,000 DOH

Determine desired outcomes and

priorities for infrastructure

deployment to support health

services delivery and information

flows.

Assess infrastructure status for

priority information systems

coverage, status, and functioning;

develop action plan in line with

overall national goals. This should be

done with health and ICT sector

participation and in the context of a

national planning exercise.

DOH LGUs $10,000 $10,000 DOH

Establish infrastructure in GIDA

areas

DOH LGUs $30,000 $30,000 DOH

Determine the eHealth services

required to support the country’s

priority programs and goals,

particularly with respect to

information flows.

Assess the services and applications

being implemented across the

sector, and any opportunities this

provides. This should be done with

health and ICT sector participation

and in the context of a national

planning exercise.

Implement DOH ICT for Health

Committee recommendations

DOH Philippine Health

Information

Network

xxxxxx

x

xxxxxx

x

xxxxxx

x

xxxxxx

x

$100,000 $15,000 $85,000 DOH

INNOVATION AND E-HEALTH



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



eHealth standards and

interoperability components

required to support eHealth

services, applications and

infrastructure, as well as to support

broader changes to health

information flows.

The selection, agreement and

adoption of standards should be

linked to the improvement of

priority services and systems. This

foundational step should be done in

the context of national eHealth

planning.

Implement

Strengthen coordination mechanism Establish a national steering group

for eHealth, supported by a project

team with planning skills and

knowledge of eHealth. Assess which

organizations or groups are active in

eHealth, and their potential role in

the development of a national

eHealth program.

CSO inclusion in governance

mechanisms' (eg PHIN)

inclusion of hospital information

Assure health sector, ministerial and

government leadership and support.

Ensure that the required program

development skills and expertise are

available.

Assess current legislation, regulation

and policies for their

appropriateness and potential

revision towards supporting

improved eHealth environment. This

should take place in the context of a

national eHealth planning process.

Review and update Health

Information Security policies

Facilitate access to information,

support to FOI

Adopt an information security plan



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Update NHA based on new SHA Apply/validate one national health

accounts framework

DOH to fund personnel to augment

staff for PNHA

Stakeholder workshop to establish

governance and TOR

Contract Agent (UNFPA) to do

RMNCH Sub Accounts: short term

(DOH to lead in coordination w

NSCB)Continue development of LHA

TA (via IHP+) for the development of

a "compact"

MOA among National Agencies

(DBM, DOH, PCSO, PHIC, NSCB,

NEDA)Update ratios, shares from private

data sources

Regular meetings of technical

steeering committee

Ensure inclusion of all key

stakeholders in resource tracking

/NHA:

Increased CSO participation in

RMNCH Sub AccountsRegional Validation Team for LHA--

>hire accountants

Technical support and training in

NHA at national and district level

xxxxxx

x

$15,000 $5,000 $10,000 DOH

Bilateral meetikng with COA to

resolve ccoding changes

Development of IT tool for mapping

and conversion of data to NHA

DOH IMS xxxxxx

x

$20,000 $10,000 $10,000 DOH

Update central database and

methods for production of PNHA

Consultant for development of

database

xxxxxx

x

xxxxxx

x

$45,000 $10,000 $35,000 DOH

develop IT tools for mapping and

conversion of health expenditure

data to health accounts to reporting

formats

MONITORING OF RESOURCES



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Strengthen analytical capacity in

government and other institutions

Training workshops for production of

reports

Disseminate report and analyses on

public website

Establish central website for

dissemination of results (links with

national observatory)

Beneficiary Analysis: Reproductive

and Child Health

Advocate for /promote use of NHA

data in policy making process for

CSO's, Legislators, and other

partners

Meetings with policy makers to

identify needs and integrationof

NHA data in policy process

xxxxxx

x

xxxxxx

x

xxxxxx

x

xxxxxx

x

$15,000 $15,000 DOH



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Advocate for annual reviews that

are based on the goals, targets of

the NHS: structure meetings to

reflect expenditures and

performance

Workshops to prepare for reviews

including field visits

Define at country level a calendar

events to ensure better quality of

the annual review process

Use /apply process for assessing

national planning process, such as

IHP+ JANS

Ensure that the RMNCH appraisals

are held and that findings feed into

the health sector reviews: joint

appraisal of mother and child

programs for the health sector

Prepare report of RMNCH review to

inform health sector review

Strengthen linkage with CSO's,

legislators and other partners

Strengthen the capacity to prepare

analytical reports prior to the

reviews

Prepare and discuss good synthesis

of results and information based on

analytical report

ACCOUNTABILITY PROCESSES



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Develop/strengthen mechanism to

compile all policy / qualitative

information to inform annual

reviews

Conduct workshop with all key

stakeholders to analyse/discuss the

results and other contextual

information

Provincial review mechanisms for

provincial performance and

provincial performance distribution

develop system for sub

national/cluster reviews

Strengthen the use of review results

for planning purposes

Ensure greater involvement of all

stakeholders

Ensure the existence of a single M&E

framework that fits into the single

national health plan: Harmonize all

existing M & E mechanisms

IHP+ approach to develop compact

Joint field visits as part of

preparation of reviews



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Various committees are mobilized to

engage in RMNCH accountability

Facilitate the organization of public

hearings/forums for sharing of

information on RMNCH

Institutionalized mechanisms for

consultations , for obtaining public

inputSub committees on MDG's for

Senate

Support /strengthen coalition

Support capacity of civil society to

synthesize evidence and disseminate

messages, and to strengthen sense

and operationalization of

accountability

Institutionalize mechanism for

expanded CSO participation specially

Women, Youth, RH CSO's

Work with the media to strengthen

their capacity to report on RMNCH

related issues

xxxxxx

x

Work with the media to strengthen

their capacity to report on the

monitoring the implementation of

the Global Strategy

xxxxxx

x

$10,000 $10,000 DOH

Improve information flows to media xxxxxx

x

xxxxxx

x

$10,000 $10,000

ADVOCACY & ACCOUNTABILITY



(1=v high,

2=high,

3=medium

4=low)



Lead govt/

national

institute

Partners 2012 2013 2014 2015 Total

Estimated

Cost per

action

2012/13 Catalytic

funding (total

max. amount

$250k)

Unfunded

balance

Potential

sources for

funding

unmet

balance



Partner with Philippine Information

Agency, Journalist Orgs for stonger

regional media networks and forums

xxxxxx

x

DOH

Countdown Coordinating

Committee, UN agencies (H5), and

other partners encourage/support

national stakeholders to plan

national Countdown integrated with

other RMNCH events

Regularly update Countdown report

/ profile using all evidence

TOTALS - 1,766,487 250,000 $1,516,487 -

Needs Catalytic request Others sources

CRVS $0 $350,000 $95,000

Monitoring of results $0 $215,000 $40,000

MDSR $0 $351,487 $70,000

eHealth & Innovation $0 $155,000 $20,000

Monitoring of resources $0 $95,000 $25,000

Reviews $0 $0 $0

Advocacy $0 $20,000 $0

TOTAL $0 $1,186,487 $250,000

$0

$0

$0

Gap

$0

$0

$0

$0

$0


Policy Context Situation Analysis - WHO · FHSIS--does not include the hospitals and private sector...

Documents

Transcript of Policy Context Situation Analysis - WHO · FHSIS--does not include the hospitals and private sector...