Law Summary
Objectives
- General Objective: Enhance procedural efficiency in developing, approving, and implementing F1 PIPH and AOP.
- Specific Objectives:
- Reduce procedural duration.
- Eliminate duplication of functions and procedures.
- Clearly delineate roles and functions of all stakeholders.
Key Principles and Strategies
- Simplify and shorten submission and approval processes to expedite fund release.
- Empower Centers for Health Development (CHDs) to actively appraise PIPH and AOP.
- Enhance Joint Appraisal Committee (JAC) reviews with focused, substantive evaluations.
Scope and Coverage
- Applies to all DOH bureaus, centers, services, and CHDs.
- Serves as guideline for LGUs and ARMM regarding Memoranda of Agreement (MOAs) related to PIPH/AOP.
- Binding on JAC members under the SDAH implementation.
- Covers all transactions related to PIPH/AOP development and implementation.
Definition of Key Terms
- FOURmula One (F1): DOH's strategic framework with four pillars – Service Delivery, Financing, Governance, Regulation – targeting national health objectives and MDGs.
- F1 Sites: Provinces or cities implementing F1.
- MDG: UN Millennium Development Goals targeting poverty alleviation, health improvement, education, equality, sustainability.
- PIPH: Five-year medium-term investment plan for decentralized health reform.
- AOP: Annual plans specifying program activities aligned with PIPH and multi-source funds.
- JAC: Committee led by DOH and PhilHealth heads that appraises plans and recommends actions.
- SDAH: Framework organizing planning and support for health reforms under F1.
- SLA: Agreement defining outputs, milestones, and funding between DOH and F1 sites.
- MOA: Agreement formalizing DOH and F1 sites collaboration including financing roles.
- CHD: Regional DOH office headed by Regional Director.
- PWHS: Devolved health system led by Provincial Governor.
- Primary TA Provider: Technical assistance team aiding CHDs in planning and appraisal.
- MNCHN: Strategy addressing maternal, neonatal, child health, and nutrition risks.
General Guidelines
- PIPH and AOP development/appraisal follow existing guidelines with revisions from this Order.
- SLA and AOP for 2009 integrated into one document; CHDs approve agreements on AOPs.
- Secretary of Health approves MOAs for all PIPHs.
- Detailed appraisal delegated to CHDs.
- JAC reviews focus on health outcomes, impact on poor, and fund availability.
- Local officials present PIPH; CHD officials present AOPs to JAC; Primary TA providers assist.
- JAC recommendations enhance plans but do not delay implementation, especially LGU-funded initiatives.
Specific Guidelines
Development and Appraisal of PIPH
- Enhance participation from municipalities, NGOs, private providers, and stakeholders.
- Set goals using MDG and LGU Scorecard parameters.
- Focus reforms in service delivery, regulation, financing, governance.
- AOP development timelines set for thematic focus areas (public-private partnerships, MNCHN, hospitals, drugs, HR, financial guidelines).
- Use LGU Scorecard indicators for situational assessment and planning.
- CHDs issue technical clearances based on DOH standards.
- Infrastructure upgrades aligned with Rationalization Plans or focus on key facilities.
- Match funding requirements with available sources.
- CHDs accountable for detailed appraisal and ensuring plan readiness for JAC review.
- CHD Director ensures SLA and AOP consistency with PIPH and MOA.
- Primary TA providers assist CHDs and LGUs.
- PIPH and AOP appraisals governed by respective Department Memorandum guidelines.
Integration of SLA and AOP
- CHDs coordinate with LGUs for simultaneous drafting of SLA and AOP.
- CHDs assist provinces based on AOP development status to finalize SLA and AOP.
- SLA signing parties: CHD Directors (DOH) and Provincial Governors (LGUs) with designated signatories and witnesses.
- Fund ceilings set by DOH Central Office and Foreign Assistance Providers guide SLA; AOP based on PIPH.
Streamlined JAC Review
- JAC reviews enabled by secure web portal access to all PIPHs and AOPs.
- JAC meetings conducted at CHD premises after detailed appraisal.
- JAC focuses on results orientation, impact on poor, and appropriate funding.
- Structure includes review of trends, CHD and LGU presentations, and open discussions.
- Recommendations aim to improve plans without delaying fund release or plan implementation.
- JAC guides funding sources based on availability and plan requirements.
Separability Clause
- Invalid or unauthorized provisions do not affect remaining provisions, which remain effective.
Repealing Clause
- Previous inconsistent issuances are rescinded and modified accordingly.
Effectivity
- The Order takes effect immediately upon issuance.