01 FHSIS Clarificatory F1 Plus Presentation

F1Plus for
Health Sector
Scorecard
OFFICE OF STRATEGY MANAGEMENT

FOURMULA 1 PLUS FOR HEALTH
► Aims to attain the goals outlined in the

1) PDP 2017-2022,
2) SDG 2030
3) AmBisyon Natin 2040
► Builds on the concept of FOURmula

One for Health 2005-2010
► A MEDIUM TERM STRATEGIC

FRAMEWORK 2017-2022 which
expands the four pillars and emphasizes
performance accountability towards the
Filipino People
OFFICE OF STRATEGY MANAGEMENT 2
FOURMULA 1 PLUS FOR HEALTH SECTOR SCORECARD
Schedule of Submission
Quarterly Every 4th week of the first month of the succeeding quarter
Example:
Reporting Period: Q1 (Jan – Mar)
Submission: 4th week of April
Semestral Every 4th week of the first month of the succeeding semester
Example:
Reporting Period: 1st Semester (Jan – June)
Submission: 4th week of July
Annually 4th week of January of the succeeding year

Impact Indicators
Indicator 1: Source: Philippine Statistics Authority

Average Life Population Division of the United Nations
Department of Economic and Social Affairs
Expectancy (UN DESA)
Annual
Definition:
Average number of years that a

newborn could expect to live, if he or
she were to pass through life exposed
to the sex- and age-specific death Regional Not applicable
rates prevailing at the time of his or OSM
her birth, for a specific year, in a
given country, territory, or geographic
area

Impact Indicators
Indicator 2:
Official Philippine Statistics Authority
Maternal Mortality Source Annual
Ratio
Definition:
Other Maternal Mortality Ratio
Maternal deaths: The annual number of female Source Epidemiology Bureau
deaths from any cause related to or aggravated
by pregnancy or its management (excluding Quarterly
accidental or incidental causes) during
pregnancy and childbirth or within 42 days of Regional 1Number of maternal deaths
termination of pregnancy, irrespective of the OSM Quarterly
duration and site of the pregnancy, expressed
per 100,000 live births, for a specified time
period.

Impact Indicators

Indicator 3: Source Annual
Infant Mortality Rate
Other Infant Mortality Rate
Definition: Source Epidemiology Bureau
Quarterly
Probability (expressed as a rate per 1,000 live
births) of a child born in a specified year dying Regional 2Number of infant deaths
before reaching the age of one year old if subject
to current age-specific mortality rate OSM Quarterly

Impact Indicators
Indicator 4:
Premature mortality attributed
Source Annual
to cardiovascular diseases,
cancer, diabetes, and chronic
respiratory diseases per Other Number of deaths due to CVD, cancer, DM II,
100,000 population Source and CRD
Definition: Disease Prevention & Control Bureau
The number of deaths among 30 to 70 years old
Quarterly
Filipinos attributed to cardiovascular diseases, Regional 3Number of deaths due to CVD, cancer, DM
cancer, diabetes mellitus, and chronic respiratory
diseases expressed as rate [per 100,000 total OSM II, and CRD
population. This shall cover deaths with ICD Quarterly
codes of I00-I99l C00-C97; E10-E14; and J30-
J98.

Impact Indicators
Indicator 5:
Source Disease Prevention and Control Bureau –
Tuberculosis National Tuberculosis Program
Incidence Annual
PER 100,000 POPULATION
Definition:
Estimated number of new and relapse TB cases Regional 4Number of new and relapse TB cases
(all forms of TB, including cases in people living OSM Quarterly
with HIV) arising in a given year.

Impact Indicators
Indicator 6: Official National Nutrition Survey

Prevalence of stunting Source Food and Nutrition Research Institute
among under-five Every 3 years
children Other Number of identified stunted children

Definition: Source Disease Prevention and Control Bureau
Prevalence of stunting (height-for-age <-2 Annual
standard deviation from the median of the WHO
Child Growth Standards) among children under
5 years of age. Regional 5Number of identified stunted children on the
OSM first round of OPT
July of current year

Impact Indicators
Indicator 7: Definition:
Client satisfaction Priority for inclusion in the research agenda; may encompass RATER
dimensions (Reliability, Assurance, Tangibles, Empathy, Responsiveness); can
rating be a regular exit survey that covers perspectives of client, providers and
managers by comparing their expectations and actual experience with the
health system
*Currently undergoing desk review
Indicator 8: Definition:
Provider responsiveness Priority for inclusion in the research agenda; can be measured through a periodic
score survey using specific sampling scheme and actual and objective measures, i.e.,
patient waiting time, fulfilment of promised return/processing date, seamlessness
(disaggregated by type of facility of procedures, etc., across health facilities and service points; may consider
and services) adopting WHO's Health Systems Responsiveness Analytical Guidelines for
Surveys in the Multi-Country Survey Study (2005) which cover the following
domains: Dignity, Autonomy, Privacy and Confidentiality, Prompt Attention,
Quality of Basic Amenities, Access to Social Support Networks, Choice of Health
Care Providers, and Communications
*Currently undergoing desk review
Impact Indicators
Indicator 9: Source Philippine National Health Accounts

Out-of-pocket health Philippine Statistics Authority
spending as percentage Annual
of total health
expenditure
(disaggregated by quintile)
Definition: Regional Not applicable
Share of total current expenditure on health paid OSM
by households out-of-pocket, expressed as a
percentage of total current expenditure on health
(this is the households’ out-of-pocket
expenditure)

Impact Indicators
Indicator 10: Source Philippine National Health Accounts

Percent of the population Philippine Statistics Authority
who have spent more Annual
than 10% of their HH
income on health
Definition:
May be defined as proportion of population who
Regional Not applicable
have not spent 10% or more of their total OSM
household expenditure or income paying for
health services
*Attempts to identify financial hardship that
individuals face when using their income,
savings or taking loans to pay for health care

Impact Indicators
Indicator 11 & 12: Source Philippine National Health Accounts

Domestic general Philippine Statistics Authority
government health Annual
expenditure as:
11. % of GDP
12. per capita
Definition:
OSM
Share of current Domestic General Government
resources used to fund health expenditures as a
share of the economy as measured by GDP

Impact Indicators
Indicator 13:
Source National Health Expenditure Survey
Social health insurance Annual
as % of Total Health
Expenditure

OSM

Impact Indicators
Indicator 14: Source National Health Expenditure Survey

Government financing Annual
(national & local) as % of
Total Health Expenditure
Definition:
Share of total current expenditure on health paid
by national and local government (paid as
OSM
budget through GAA)

Impact Indicators
Indicator 15: Source Philippine Health Insurance Corporation

Percent of NBB-eligible Annual
patients with zero co-
payment

Proportion of patients who are eligible for NBB OSM
and who had zero co-payment during admission.

Impact Indicators
Indicator 16:
Expenditure for public health packages as % of national *Desk review currently
government financing being conducted
Indicator 17:
Expenditure for human resource for health as % of national
government financing
Indicator 18:
Expenditure for health infrastructure as % of national
government financing

Service Delivery Indicators
Indicator 19: Source National Demographic and Health Survey

Modern contraceptive Philippine Statistics Authority
prevalence rate Every 5 years
Definition:
Refers to the proportion of women of Other Modern Contraceptive Prevalence Rate
reproductive age (15-49 years old) who are Source Epidemiology Bureau
using or whose partner is using any modern FP
method at a given point in time.
Quarterly
Modern FP methods include the following:
1. Bilateral Tubal Ligation (BTL) or Female Regional 6Number of women aged 15-49 (or whose
Sterilization/ BTL OSM partners are) using modern contraceptives
2. Male Sterilization/ Vasectomy Quarterly
3. Intrauterine devices (IUD)
4. Oral pills
5. Injectables
6. Implants
7. NFP Methods OFFICE OF STRATEGY MANAGEMENT 19
Indicator 20: Source National Demographic And Health Survey

Adolescent birth rate Philippine Statistics Authority
Every 5 years
Definition:
Births among adolescents Other Adolescent birth rate
Source Disease Prevention & Control Bureau
Annual number of births to females aged 15–19 Quarterly
years per 1000 females in that age group
Regional 7Number of females aged 15-19 years that

OSM gave birth
Quarterly

Indicator 21:
Source National Demographic and Health Survey
% of Fully Immunized Philippine Statistics Authority
Children Every 5 years
Definition:
Refers to the number of infants and children who Other Percent of Fully Immunized Children
are fully immunized among the total estimated Source Epidemiology Bureau
infants and children in the population. Quarterly
FIC is an infant who received: Regional 9Number of fully immunized child
1 dose of BCG, 3 doses of DPT-HiB-HepB
vaccines, 3 doses of OPV,. and 2 doses of MMR
OSM Quarterly
by 12 months (MMR1 at 9 months, MMR2 at 12
months)
Effective 2019: 2 doses of MCV will be included
in the criteria
Indicator 22: Source National Demographic And Health Survey

Incidence of low birth Philippine Statistics Authority
weight among newborns Every 5 years
Definition:
Other Incidence of low birth weight among
Percentage of live births that weigh less than
2500 grams
Source newborns
Epidemiology Bureau
Quarterly
Regional 10Number of live births whose weight is less
OSM than 2,500 grams
Quarterly

Indicator 23: Source Philippine Statistics Authority

Road traffic deaths per Annual
100,000 population
Definition: Other Number of deaths due to road traffic
Death rate due to road traffic injuries defined as Source Disease Prevention & Control Bureau
the number of road traffic fatal injury deaths per Quarterly
100,000 population
Regional 11Number of deaths due to road traffic
OSM Quarterly

Indicator 24: Source National Nutrition Survey

Prevalence of raised Food and Nutrition Research Institute
blood pressure Every 3 years
Other Proportion of newly-identified hypertensive

Source 20 years old and above adults
Definition:
(Proxy) (among adults risk-assessed using PhilPEN protocol)
Age-standardized prevalence of raised blood Epidemiology Bureau
pressure among persons aged 20+ years
(defined as systolic blood pressure ≥ 140 mmHg Quarterly
and/or diastolic blood pressure ≥ 90 mmHg), and Regional 12Number of newly-identified hypertensive
mean systolic blood pressure
OSM 20 years old and above adults
(among adults risk-assessed using PhilPEN protocol)
Quarterly

Indicator 25: Source National Nutrition Survey

Prevalence of current Food and Nutrition Research Institute
tobacco use Every 3 years
Other Proportion of adults 20-years-old and above

Source who are current smokers
Definition: (Proxy) (among adults risk-assessed using PhilPEN protocol)
Prevalence of current tobacco users (both Epidemiology Bureau
smoking and smokeless) where "current use”
means use at the time of the survey, whether Quarterly
daily use or occasional use. Regional 13Number of adults 20 years old and above
OSM who are current smokers
(among adults risk-assessed using PhilPEN protocol)
Quarterly

Indicator 26:
Source Dangerous Drugs Abuse Prevention and
Treatment program Treatment Program
completion rate for Quarterly
people who abuse drugs
Other Not applicable
Source
Definition:
(Proxy)
Refers to the percentage of in-patient drug
dependents who are able to complete the
Residential Rehabilitation program within the
specified treatment timeframe in a given period OSM

Indicator 27: Source National Tuberculosis Control Program

Tuberculosis treatment Disease Prevention and Control Bureau
coverage rate
Definition: Other Not applicable

Number of new and relapse cases that were Source
notified and treated in a given year, divided by (Proxy)
the estimated number of incident TB cases in the
same year, expressed as a percentage Regional Not applicable
OSM

Indicator 28: Source Applied Epidemiology Health Management

% of Antiretroviral therapy Division
(ART) coverage Epidemiology Bureau
Quarterly
Definition:
Percentage of people living with HIV currently
receiving ART among the estimated number of
adults and children living with HIV
OSM

Indicator 29: Source Disease Prevention and Control Bureau

% of provinces that are Annual
Malaria free
Definition:
% of provinces with no indigenous malaria case
for the past 5 years even in the presence of a Regional 14Number of Malaria cases
malaria vector.
OSM Quarterly

Indicator 30: Source Disease Prevention and Control Bureau

% of provinces that are Annual
Filariasis-free
Definition:
Provinces that reached elimination level as a
public health problem (<1% Microfilaria Rate Regional 15Number of Filariasis cases
(MFR) out of 46 endemic areas) OSM Quarterly


Proportion of households Philippine Statistics Authority
using safely managed Every 5 years
drinking-water service Other Proportion of households using safely
Definition: Source managed drinking-water service
Refers to the proportion of households using an (Proxy) Epidemiology Bureau
safely-managed basic drinking-water services Annual
meeting the following the three criteria:
Regional 16Number of household using safely
1. Located inside the household or within its OSM managed drinking-water service
premises, Quarterly
2. Available at least 12 hours a day, and
3. Free of faecal contamination (option: priority
chemical)


Proportion of households Philippine Statistics Authority
using safely managed Every 5 years
sanitation services
Other Proportion of households using safely
Definition: Source managed sanitation services
Refers to the proportion of households using (Proxy) Epidemiology Bureau
safely-managed sanitation services that meet Annual
the ffng criteria:
1. Sanitation facility is not shared with other Regional 17Number of households using safely
households AND OSM managed sanitation services
2. Excreta is safely-disposed in situ OR
Quarterly
3. Excreta is contained, transported and treated
off-site

Indicator 33: Source Health Emergency Management Bureau

% of disaster affected Quarterly
area with no reported
outbreaks
(disaggregated by locus, e.g.
within/outside evacuation centers)

OSM

Indicator 34:
Source Health Facility Development Bureau
% of provinces with Annual
adequate Hospital bed to
population ratio
(disaggregated by levels, public and
private)
Definition: Regional 18Total number of hospital bed implemented

Adequate Hospital bed to Population Ratio in OSM July of current year
Provinces
Adequate: 1:1,000

Indicator 35: Source Health Facility Development Bureau

% of provinces with Annual
adequate RHU/Health
Center to population ratio
Definition:
Adequate Rural Health Unit/ Urban Health Regional 19Total number of RHU with less or equal to
Center (RHU/UHC) to Population Ratio in
Provinces OSM 20,000 population
Annual
Adequate: 1:20,000

Indicator 36:
% of provinces with Source Health Facility Development Bureau
adequate Barangay Annual
Health Station to
population ratio
Definition: Regional 20Total number of BHS with less or equal to

Adequate Barangay Health Station (BHS) to OSM 5,000 population
Population Ratio in Provinces Annual
Adequate: 1:5,000

Indicator 37: Source Health Human Resources Development

% of provinces with Bureau
adequate physician to Annual
population ratio
Definition:
Physicians refer to general practitioners and Regional 21Total number of physician
specialists, working in either primary health care, OSM (RHU, DOH augment, government hospital)
public health administration or in direct clinical Semestral
service delivery, both in government and private
sectors, within provinces.
*1:20,000


adequate nurse to Annual
population ratio
Definition: 22Total
Nurses refer to licensed nurses, working either in
Regional number of nurses
primary health care, public health administration OSM (RHU, DOH augment)
or in direct clinical service delivery, both in Semestral
government and private sectors, within
provinces. These do not include volunteers.
*1:10,000


adequate midwife to Annual
population ratio
Definition:
Midwives refer to licensed midwives, working Regional 23Total number of midwives
either in primary health care, public health OSM (RHU, DOH augment)
administration or in direct clinical service
delivery, both in government and private sectors, Semestral
within provinces. These do not include midwives
working as nursing assistants or aides in
hospitals.
*1:5,000
Indicator 40:
Source Field Implementation and Coordination
% of provinces/ HUCs/ ICCs
Team
with Service Delivery Networks
Annual
(SDN) established
Definition:
Percentage of provinces/HUCs/ICCs with
established/organized service delivery networks.

*SDN includes both province-wide and city-wide SDN
A service delivery network is a network of organizations OSM

that provides or makes arrangements to provide
equitable, comprehensive, integrated, and continuous
good quality health services to a defined population, with
minimum duplication and inefficiencies.
*Organized SDN key features as defined in the LGU

Scorecard

Indicator 41:
Source Field Implementation and Coordination
% of households with primary
Team
care provider (within an SDN)
(disaggregated by region, province, Annual
cities and GIDA/non-GIDA)

OSM

Regulation Indicators
Indicator 42:
% of applications for permits, Source Health Facilities Services & Regulatory Bureau
licenses or accreditation Food and Drug Administration
processed within the citizen Quarterly
charter timeline
(disaggregated by LTO for facilities and
CPR for products)
Regional 24Level 1 and Level 2

Definition: OSM Quarterly
Percentage of applications for authorization
processed (whether approved or disapproved)
within the citizen charter timeline out of all
applications received

Indicator 43: Source Health Facilities Services & Regulatory Bureau

% of newly registered Food and Drug Administration
pharmaceutical products with Quarterly
post-marketing surveillance
Definition:
Percentage of applications for authorization
processed (whether approved or disapproved) Regional 25Level 1 and Level 2
within the citizen charter timeline out of all OSM Quarterly
applications received

Indicator 44: Source Bureau of Quarantine

% of provinces and points of Annual
entry/exit with Epidemiologic
Surveillance Unit that can detect
and respond to Public Health
Emergencies of International and
National Concern
OSM

Indicator 45: Source Health Facility Development Bureau

Hospital Acquired Infection Rate Annual
Definition:
Percentage of infections that patients acquire
after 48 hours upon admission as a result of Regional To be derived from OPCR of hospitals by
healthcare interventions during a specified year. OSM OSM-CO

Indicator 46: Source Pharmaceutical Division

Median consumer price Annual
ratio of selected essential
medicines

OSM

Indicator 47:
Source Health Facilities Services & Regulatory Board
% of targeted health Food and Drug Administration
facilities, establishment, Quarterly
services and products
continuously compliant to
licensing standards
Regional 26Level 1 and Level 2
Definition: OSM Quarterly
Percentage of health facilities, establishments,
services and products compliant to regulatory
requirements and standards within the year

Governance Indicators
Indicator 48: Source Bureau of Local Health Systems &

% of provinces/HUCs/ICCs Development
with approved Local Annual
Investment Plans for Health
(LIPH)
Definition:
Regional 27Provinces with approved LIPH
Approved LIPHs passed through DOH-CHD
appraisal process and concurred by the
OSM
CHD/DOH-BARMM

Indicator 49: Source Office of Strategy Management

% of DOH units that are Annual
PGS certified
(disaggregated by PGS stage)
Definition:
Percentage of DOH units (Central Office and Regional Not applicable
Regional Offices; DOH Hospitals ; and DOH OSM
attached agencies) certified as Performance
Governance System (PGS) compliant either in
following stages: (1) initiation; (2) compliance;
(3) proficiency; and (4) institutionalization


% of health facilities with Annual
no stock out of essential
drugs and vaccines
(disaggregated by type of facilities
to classify essential drugs per level)
Regional To be derived from PD data by OSM-CO
OSM


% of new products/devices Annual
funded by DOH that have
undergone HTA review
Definition:
Proportion of new products/devices/serviced Regional Not applicable
funded by DOH and PHIC that were assessed OSM
by the HTA committee

Indicator 52: Source Knowledge Management and Information

% of health facilities with Technology Service
functional Electronic Annual
Medical Records (EMR)
systems that regularly
submit data
Regional Number of health facilities with functional
Definition: OSM EMR
Proportion of public health facilities with
functional EMR systems during a given period.

Performance Accountability
Indicators
Indicator 53: Source Health Policy Development and Planning

Proportion of health Bureau
facilities publicly reporting Annual
performance data
Definition:
Proportion of public and private health facilities Regional Not applicable
which publicly report performance data. OSM

Indicators
Indicator 54: Source Office of Strategy Management

% of health organizations Annual
with overall excellent
rating in their health
performance scorecards
Percentage of health organizations (DOH OSM
Central offices, DOH Regional offices, LGUs ,
DOH attached agencies and DOH hospitals) that
have comparatively excellent performance that
merits sustenance, or incentives for its admirable
contribution for the health system or be a model
site for other organizations.

Indicators
Indicator 55: Source Health Policy Development and Planning

Average budget utilization Bureau
rate of government health Annual
facilities
(disaggregated by obligation and
disbursement rate)

OSM

Data Collection Form

Maternal Mortality
https://docs.google.com/spreadsheets/d/1PHUybTrrjtHPVp0Yz_vYFenwZ-CIEs6hmEtMjww1BN8/edit?usp=sharing

Data Collection Form

Fully Immunized Children

EMAIL SUBJECT FORMAT
All submissions must have a signed copy

submitted to OSM-CO. It can either be a hard
copy or a scanned copy.
When emailing a scanned copy of the signed document please follow this format:
[Name of Reporting Office/Unit]_Report & year_[Quarter No]
CHD18_F1 2019_Q1
CHD18_OPCR 2019_Q1
CHD18_BAR1 2019_Q1
Email: [email protected]

OFFICE OF STRATEGY MANAGEMENT

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F1Plus for

OFFICE OF STRATEGY MANAGEMENT

► Aims to attain the goals outlined in the

► Builds on the concept of FOURmula

► A MEDIUM TERM STRATEGIC

Annually 4th week of January of the succeeding year

OFFICE OF STRATEGY MANAGEMENT 4

Indicator 1: Source: Philippine Statistics Authority

Average number of years that a

OFFICE OF STRATEGY MANAGEMENT 5

OFFICE OF STRATEGY MANAGEMENT 6

Official Philippine Statistics Authority

OFFICE OF STRATEGY MANAGEMENT 7

OFFICE OF STRATEGY MANAGEMENT 8

OFFICE OF STRATEGY MANAGEMENT 9

Indicator 6: Official National Nutrition Survey

children Other Number of identified stunted children

OFFICE OF STRATEGY MANAGEMENT 10

Indicator 9: Source Philippine National Health Accounts

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Indicator 10: Source Philippine National Health Accounts

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Indicator 11 & 12: Source Philippine National Health Accounts

OFFICE OF STRATEGY MANAGEMENT 14

Regional Not applicable

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Indicator 14: Source National Health Expenditure Survey

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Indicator 15: Source Philippine Health Insurance Corporation

Definition: Regional Not applicable

OFFICE OF STRATEGY MANAGEMENT 17

OFFICE OF STRATEGY MANAGEMENT 18

Service Delivery Indicators

Indicator 19: Source National Demographic and Health Survey

Service Delivery Indicators

Indicator 20: Source National Demographic And Health Survey

Regional 7Number of females aged 15-19 years that

OFFICE OF STRATEGY MANAGEMENT 20

Service Delivery Indicators

Service Delivery Indicators

Indicator 22: Source National Demographic And Health Survey

OFFICE OF STRATEGY MANAGEMENT 22

Service Delivery Indicators

Indicator 23: Source Philippine Statistics Authority

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Service Delivery Indicators

Indicator 24: Source National Nutrition Survey

Other Proportion of newly-identified hypertensive

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Service Delivery Indicators

Indicator 25: Source National Nutrition Survey

Other Proportion of adults 20-years-old and above

OFFICE OF STRATEGY MANAGEMENT 25

Service Delivery Indicators

OFFICE OF STRATEGY MANAGEMENT 26

Service Delivery Indicators

Indicator 27: Source National Tuberculosis Control Program

Definition: Other Not applicable

OFFICE OF STRATEGY MANAGEMENT 27