FOURmula One Plus

(F1 Plus) for Health

Health Sector Scorecard

F1 Plus for Health Strategy Map
Filipinos are among the healthiest people in Southeast Asia
Vision by 2022, and in Asia by 2040

To lead the country in the development of a Productive, Resilient,

Mission Equitable, and People-centered health system towards UHC

Better Health Outcomes, More Responsive Health System,

Goals More Equitable Healthcare Financing

Professionalism, Responsiveness, Integrity, Compassion and

Values Excellence
The Strategic Pillars

sustainable FINANCING , coordinated SERVICE DELIVERY,

efficient REGULATORY mechanisms, transparent GOVERNANCE,
and accountable ACTIONS
towards Universal Health Care
will improve the health of all Filipinos.
WHO ARE THE F1PLUS FOR HEALTH CHAMPIONS?
Who are the
What’s the goal? CHAMPIONS?
Sustainable investments to improve DOH, PhilHealth, DOF, DBM, PCSO,
Financing health, and the efficient and equitable PAGCOR, DSWD Medical Assistance,
use of resources LGUs
LGUs, DOH, PRC, CHED, hospitals,
Service clinics, health stations, pharmacies,
Accessible essential health services for
all healthcare professionals and
Delivery all at the right place and time  community health workers, civil
society

Regulatio High quality and affordable health

products, devices, facilities and services DOH Regulatory Agencies
n Stronger leadership and management DOH, LGUs, private sector, civil
Governan to ensure functional, people-centered society
ce and participatory health systems
Accountability Framework
LONG TERM

AMBISYON NATIN 2040

Sustainable Development Goals (SDG) 2030
MEDIUM TERM

Philippine Development Plan (PDP) 2017-2022

National Objectives for Health (NOH) 2017-2022
QUARTERLY ANNUAL

PGS/DOH SCORECARD
ATTACHED
LGU HOSPITAL INTERNATIONAL
OPCR AGENCY PARTNER
SCORECARD SCORECARD SCORECARD
Central Regional DOH SCORECARD
TRCs
Office Office Hospitals
3 Health
5 15
Specific
Pillars
Goals Objectives

55
Health Sector Indicators
10 Impact
Indicators 45 Outcome/Output
Indicators
10 Impact Indicators
G1. Better Health Outcomes
Indicator 1: Average life expectancy
Indicator 2: Maternal Mortality Ratio per 100,000 live births
Indicator 3: Infant Mortality rate per 1,000 live births
Indicator 4: Mortality from cardiovascular disease, cancer, diabetes or chronic respiratory disease
Indicator 5: Tuberculosis incidence per 100,000 population
Indicator 6: Prevalence of stunting among under-five children

G2. Responsive Health System

Indicator 7: Client satisfaction rate
Indicator 8: Provider Responsiveness Score (disaggregated by type of facility and services)
G3. Equitable Health Financing
Indicator 9: Out of Pocket health spending as % of total health expenditure (disaggregated by quintile)
Indicator 10: % of the population who have spent less than 10% of their HH income on health
FINANCING PILLAR
Secure sustainable investments to improve health outcomes and ensure efficient and equitable use of resources.

SO1. Efficiently mobilize and equitably distribute more resources for health
Indicator 11: Domestic general government health expenditure as % of GDP
Indicator 12: Domestic general government health expenditure per capita (disaggregated by wealth quintile)
Indicator 13: Social Health Insurance as % of THE (disaggregated by wealth quintile)
Indicator 14: Government financing as % of THE (disaggregated by national/local, by wealth quintile)

SO2. Rationalize health spending

Indicator 15: % of NBB-eligible patients with zero co-payment

SO3. Focus financial resources towards high impact interventions

HEALTH SECTOR INDICATORS PROPOSED DOH SCORECARD INDICATORS
Expenditure for public health packages as % of national
government financing
Expenditure for human resource for health as % of national % of budget utilization rate by obligation and
government financing disbursement rate (including absolute value)
Expenditure for health infrastructure as % of national government
financing
 SERVICE DELIVERY
PILLAR
Ensure accessibility of essential quality health products and services at appropriate levels of care.

SO4. Increase access to quality essential health PROPOSED DOH SCORECARD INDICATORS
products and services Central Office CHDs
Family Health Commodity Provision* Commodity Provision*
% CHDs where all of the target % of target provinces/HUCs/ICCs
population are provided with where all of the target population
Indicator 19: Modern Contraceptive Prevalence Rate public health commodities are provided with public health
Indicator 20: Adolescent birth rate commodities, (disaggregated by
commodity type)
Indicator 21: % of Fully Immunized Child
Indicator 22: Incidence of low birth weight infants

*(FP commodities, Basic EPI, TB commodities, ART for detected

Non-Communicable Diseases cases, Malaria and Filaria drugs for endemic provinces)
Indicator 23: Road traffic deaths per 100,000 population
Indicator 24: Prevalence of raised blood pressure
Indicator 25: Prevalence of current tobacco use
Indicator 26: Treatment program completion rate for people
who abuse drugs
 SERVICE DELIVERY
PILLAR
Ensure accessibility of essential quality health products and services at appropriate levels of care.

SO4. Increase access to quality essential health PROPOSED DOH SCORECARD INDICATORS
products and services (cont.) Central Office CHDs
Communicable and Diseases for Elimination TA Provision** TA Provision**
No. of public health programs and % of target provinces/HUCs/ICCs/
local health systems with developed municipalities provided with
Indicator 27: Tuberculosis treatment coverage capacity building packages and have capacity building package on public
been cascaded to CHDs health programs and local health
Indicator 28: % of ART coverage systems including SDN based on LIPH
Indicator 29: % of provinces that are Malaria free
Policies
Indicator 30: % of provinces that are Filariasis free Policies % of policies cascaded to all
% of medium-term policy agenda provinces/HUCs/ICCs/ Municipalities
Environmental Health items with issued policies

Indicator 31: Proportion of households using safely

managed drinking water services
Indicator 32: Proportion of households using safely
managed sanitation services **(Public Health programs and Local health systems packages: Family
Health Emergencies Health, Non-Communicable, Communicable, Environmental,
Emergencies including Epidemiology and Surveillance, Local Health
Indicator 33: % of disaster affected area with reported outbreaksSystem Development including SDN, HRH, and Health Facilities,
(disaggregated by locus (e.g. evacuation centers)Information System, Regulatory)
 SERVICE DELIVERY
PILLAR
Ensure accessibility of essential quality health products and services at appropriate levels of care.

PROPOSED DOH SCORECARD INDICATORS

SO5: Ensure equitable access to quality health facilities
Central Office CHDs
Health Infrastructure
Indicator 34: % of provinces with adequate Hospital bed to population % of HFEP funded facilities
ratio (disaggregated by levels, public and private) completed within the
prescribed timeline
Indicator 35: % of provinces with adequate RHU/Health Center to (disaggregated by procuring
population ratio entity)
Indicator 36: % of provinces with adequate BHS to population ratio
HRH HRH
SO6: Ensure equitable distribution of Human Resources • % of filled positions • % of filled positions
(disaggregated by type of (disaggregated by type of
for Health (HRH) position and DOH Unit: CO, position)
CHD, DOH Hospitals)
Indicator 37: % of provinces with adequate Physician to population • % of low income
municipalities that met
ratio (disaggregated by locality/area) recommended HRH to
population ratio through
Indicator 38: % of provinces with adequate nurse to population ratio deployment (disaggregated
(disaggregated by locality/area) by MD, RN, RM)
Indicator 39: % of provinces with adequate midwife to population
ratio (disaggregated by locality/area)
 SERVICE DELIVERY
PILLAR
Ensure accessibility of essential quality health products and services at appropriate levels of care.

SO7: Engage Service Delivery Networks (SDN)

Indicator 40: % of provinces with functional province-wide service delivery network

Indicator 41: % of households with a primary care provider (within an SDN) (disaggregated by
region, province, cities and GIDA/non-GIDA)

*Corresponding DOH scorecard indicator is already included in the TA provision

REGULATION PILLAR
Ensure high quality and affordable health products, devices, facilities and services.

SO8: Harmonize and streamline regulatory PROPOSED DOH SCORECARD INDICATORS

systems and processes
Central Office CHDs

Indicator 42: % of applications for permits, licenses or • % of applications for permits/clearances, licenses or
accreditation processed within the accreditation processed within the citizen charter timeline
citizen charter timeline (disaggregated (disaggregated by CHD, FDA, HFSRB, BOQ)
by LTO for facilities and CPR for
products) • % of backlog applications for permits/clearances, licenses or
accreditation processed within prescribed timeline
Indicator 43: % of newly registered pharmaceutical
(disaggregated by CHD, FDA, HFSRB, BOQ)
products with post marketing
• % of newly registered pharmaceutical products
surveillance with post-marketing surveillance
Indicator 44: % of provinces and points of entry/exit
with Epidemiology and Surveillance • % of international ports and airports with
functional Epidemiology and Surveillance Unit
Unit that can detect and respond to
Public Health Emergencies of
International and National Concern
REGULATION PILLAR
Ensure high quality and affordable health products, devices, facilities and services.

PROPOSED DOH SCORECARD INDICATORS

SO9: Develop innovative regulatory mechanisms for
equitable distribution of quality and Central Office CHDs
affordable health goods and services
• % of hospitals provided with TA for hospital
infection control
Indicator 45: Hospital Acquired Infection Rate • Median consumer price ratio of selected
Indicator 46: Median consumer price ratio of selected essential medicine
essential medicine
• % of targeted health facilities,
Indicator 47: % of registered health facilities, establishment, services and products
establishments, services and products monitored for compliance (disaggregation
continuously compliant to licensing by type of facility and index products)
standards
 GOVERNANCE
functional, people-centered andPILLAR
Strengthen leadership and management capacities, coordination and support mechanisms necessary to ensure
participatory health systems.

SO10: Strengthen sectoral leadership and PROPOSED DOH SCORECARD INDICATORS

management Central Office CHDs

*Corresponding DOH scorecard indicator is

Indicator 48: % of Provinces/HUCs/ICCs with already included in the TA provision
approved Local Investment Plan for Health (LIPH)

SO11: Improve organizational development and

performance
• % of DOH units that are PGS certified
(disaggregated by PGS stage)
Indicator 49: % of DOH units that are PGS certified
(disaggregated by PGS stage)
 GOVERNANCE
functional, people-centered andPILLAR
Strengthen leadership and management capacities, coordination and support mechanisms necessary to ensure
participatory health systems.

PROPOSED DOH SCORECARD INDICATORS

SO12: Improve processes for procurement and
supply chain management Central Office CHDs

Indicator 50: % of health facilities with no stock out of • % of public health facilities with no stock-outs of
essential drugs and vaccines (disaggregated by centrally procured commodities (FP commodities,
type of facilities to classify essential drugs per Basic EPI, TB commodities, ART for detected cases,
level) Malaria and Filaria drugs for endemic provinces),
(disaggregated by type of facility and index products)
SO13: Ensure generation of evidence in health
policy development • % of new drugs funded by DOH that have
undergone HTA review

• % of health facilities with interoperable

Indicator 51: % of new products/devices funded by DOH EMR systems that are functional and
that have undergone HTA review regularly submit data
Indicator 52: % of health facilities with functional
Electronic Medical Records (EMR) systems
that regularly submit data
PERFORMANCE ACCOUNTABILITY
PILLAR
Use management systems to drive better execution of policies and programs in the DOH while
ensuring responsibility to all stakeholders.

PROPOSED DOH SCORECARD INDICATORS

SO14: Institute transparency and accountability
measures Central Office CHDs

Indicator 53: Proportion of health facilities publicly • % of CHDs+ DOH-ARMM regularly

submitting complete FHSIS report on time
reporting performance data

SO15: Shift to outcome-based management

approach

Indicator 54: % of health organizations with overall

• % of external clients who rate the technical
excellent rating in their health
assistance provided as satisfactory or better
performance scorecard
Indicator 55: Average budget utilization rate of
government health facilities
(disaggregated by obligation and
disbursement rate)
Performance Governance System (PGS)
 A governance framework
focuses on the attainment of long term vision and translates this to
actionable strategies and commitments leading to breakthrough results

 A management tool
• Translate several plans into a singular vision through a Strategy Map
• Agency scorecard assesses the translation of the organizational strategy
into concrete and quantifiable outcomes

 A participatory process
• Strategic partnership between the organization and the sectors it
closely interacts with, as well as transparent executive leadership
PGS PRINCIPLES
Development of the scorecards are guided by the following principles:

FOCUSED & 2 NOT BUSINESS AS USUAL

1 STRATEGIC

3 ACTIONS LEAD TO RESULTS

Health Scorecards
Agency scorecard-level indicators corresponds to the agency mandates/nature of work:

Key Stakeholders Roles & Responsibilities

Policy/standards setting, enabler and capacity builder, administrator of
DOH specific health services

Hospitals & Service delivery/coverage indicators, compliance to regulatory standards

TRCs
Attached Multi-sectoral coordination (planning, M&E), enabler and
capacity builder; implementer of specific program
Agency
LGU Service delivery (mainly service coverage indicators)

International
Health Technical assistance provision
Health Scorecards
Key Stakeholders Responsible Units
• DOH as an institution; based on mandate and corporate plan.
DOH SPMS as the cascading framework.
• Lead office in DOH: HPDPB

Hospitals • To start with DOH-retained and DOH-DATRCs

• Lead office in DOH: HFDB with DDAPTP
&TRCs NNC
•
Attached • POPCOM
• PhilHealth
Agency • PITAHC

• LGUs
LGU • Lead office in DOH: BLHSD

International
• International Partners in the health sector
Health • Lead office in DOH: BIHC
Health Scorecards

19
Indicators

37 24
55
Indicators Indicators

Indicators

19
Indicators
6
Indicators
NOW WE’RE ALL SET