DAY 1 | SESSION 5 [ROUND TABLE] Philippines · FHSIS Every 5 years Annual 2015 2013 Pentavalent vaccine may have different antigen composition. Report per antigen Percent of adults

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!