DAY 1 | SESSION 5 [ROUND TABLE]
Philippines:Governance solutions and
investments for monitoring
and accountability
Ms. Frances MamarilChief, Health PlanningDepartment of HealthApril 26, 2016
Background/Problem
The Philippine Health
System• Philippines: Devolved health
system
• DOH as policy maker and
regulatory body
• Local government units for
DOH Central Office
• Local government units for
implementation
Provincial Government
District Hospitals
City Government
City hospitalsCity Health
Office
Barangay Health Stations
Municipal government
Rural Health Units
Barangay Health Stations
Municipal Hospitals
Regional Offices
Background/Problem
Bureaucratic•Different offices within DOH:
central and regional offices
•Programs managed by different
offices
Background/Problem
Data systems: multiple and not harmonized
• Field Health Services Information System
• Hospital Operations and Management Information System (HOMIS)- Government Hospital clinical data
Health Data
Hospital clinical data
• Integrated Clinic Information Systems (iClinicSys)
• PhilHealth data
• Civil registry
• National surveys
• Program health information systems
Background/Problem
Some monitoring and evaluation plans not integrated in program plans. Results:
• Data to monitor program performance not available
• Indicators not sensitive to program performance
Monitoring and Accountability
Indicators not sensitive to program performance
• Responsiveness is low at central level
• Data incomplete and not timely
• Too much data difficult to monitor
• No regular monitoring and comprehensive evaluations
KP Dashboard
Description of the Policy or System
Philippine Statistical
Development Program
•Plan for statistical programs and activities of the government with chapter on health and nutrition
•Link with the Philippine Development Plan
•Its progress is periodically monitored by the Philippine Statistical Authority in coordination with the Inter-agency committees
Innovations Performance Delivery Unit
A dedicated unit for monitoring performance of the health sector
•Collect data at health sector level: harmonize data
•Identify units lagging behind
•Advise DOH executives
Innovations Performance Delivery Unit
•Rationalize collection of health data
•Appropriate sources: Administrative data, surveys, field sources
•Schedules of data collection
•Not overlapping•Not overlapping
•Trim down indicators
•Utilized
•Duplication avoided
•Meaningful
Sample indicator list
Indicator Source Reporting Frequency
Latest available
Recommendation
Indicator 1.PhilHealth coverage of all Filipinos
PhilHealth Quarterly Q42015 Retain
Indicator 2.% of Poor Families Covered by PhilHealth
PhilHealth Quarterly Q42015 Retain
Covered by PhilHealth
Indicator 13.Proportion of Infants given 3 doses of PENTA Vaccine
NNS
FHSIS
Every 5 years
Annual
2015
2013
Pentavalent vaccine may have different antigen composition.Report per antigen
Percent of adults (20 years old and above) with hypertension
Program Data
NNS
Annual
Every 5 years
-
2015
No program data reported. Use NNS.
National PDU• Collects data from
Central Office and
Regions
Regional PDU• Public Health • Public Health
Associates in LGUs
Barriers to Implementation
Performance Delivery Unit
Availability of data- Dependent on:
• Existing data sources
• Reporting from local health units
Sustainability of PDUSustainability of PDU
• Lack of funding
• Availability of staff
• Support from administration- May 2016 elections
• Feasibility of institutionalization
Investment in Health Data Systems
Philippine Health Information
Exchange
A secure vehicle for transmission and sharing of health info between health facilities and gov't agencies
•Unifies different sources of electronic medical datamedical data
•Ensures data privacy
•Collects data from DOH health information systems, PhilHealth, private electronic medical record systems
•Ongoing development
Barriers to Implementation
Philippine Health Information
Exchange
•No internet connection in many areas (i.e. rural areas)
•No equipment (computers)
•Lack of human resource/skills (to operate computers)
THANK YOU!
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