DOH Devolution

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Transcript of DOH Devolution

THE DEVOLUTION OF THE DOH

VISION-MISSION OF DOH Vision To be the leader of health for all in the Philippines Mission - Guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health.

HISTORY OF THE DOH In 1947, under Executive Order No. 94, series of 1947, the Bureau of Public Welfare to the Office of the President and the Department was renamed Department of Health (DOH)

HISTORY OF THE DOH In 1987, the re-organization under Executive Order No. 119, which placed under the Secretary of Health five offices headed by an undersecretary and an assistant secretary

These offices are: Chief of Staff, Public Health Services, Hospital and Facilities Services, Standard and Regulations, and Management Service

HISTORY OF THE DOH In 1992, the full implementation of Republic Act No. 7160 or Local Government Code. The DOH changed its role from one of implementation to one of governance. In 1999, the functions and operations of the DOH was directed to become consistent with the provisions of Administrative Code 1987 and RA 7160 through Executive Order 102

LOCAL GOVERNMENT CODE OF 1991 (LGC) DEVOLUTION refers to the act by which the national government confers power and authority upon the various LGUs to perform specific functions and responsibilities.

LOCAL GOVERNMENT CODE OF 1991 (LGC) The main feature of the LGC is the relinquishing of responsibilities of the national government in favor of local government units in the provision of public goods and social services. To efficiently deliver the devolved tasks, the LGUs were given increased powers to mobilize their own resources.

LOCAL GOVERNMENT CODE OF 1991 (LGC) AIM: To improve the health status of the Filipino people through greater and more effective coverage of national and local public health programs, increase access to health services especially for the poor, and reduce financial burden on individual families.

OFFICES IN THE DOH The DOH is composed of: about 17 central offices 16 Centers for Health Development located in various regions 70 hospitals and 4 attached agencies.

The central office is composed of the Office of the Secretary and five major function clusters Office of the Secretary Health Emergency Management Staff; Internal Audit Staff, the Media Relations Group and the Public Assistance Group including 3 major Zonal Offices of the DOH located in Luzon, Visayas and Mindanao. These offices are mandated to coordinate and monitor the implementation the Health Sector Reform Agenda, the National Health Objectives and the Local Government Code with the various Centers for Health Development

Sectoral Management Support Cluster composed of Health Human Resource Development Bureau and the Health Policy Development and Planning Bureau

Internal Management Support Cluster composed of the Administrative Service, Information Management Service, Finance Service and the Procurement and Logistics Service

Health Regulation Cluster composed of the Bureau of Health Facilities and Services, Bureau of Food and Drugs and Bureau of Health Devices and Technology

External Affairs Cluster composed of the Bureau of Quarantine and International Health Surveillance, Bureau of International Health Cooperation and Bureau of Local Development

Health Program Development Cluster composed of the National Center for Disease Prevention and Control, National Epidemiology Center, National Center for Health Promotion and National Center for Health Facilities Development

THE CENTER FOR HEALTH DEVELOPMENT Responsible for field operations of the Department in its administrative region Providing catchment area with efficient and effective medical services It is tasked to implement laws, regulation, policies and programs. It is also tasked to coordinate with regional offices of the other Departments, offices and agencies as well as with the local governments.

DOH HOSPITALS Provides hospital-based care Provides specialized or general services Some conduct research on clinical priorities and training hospitals for medical specialization.

ATTACHED AGENCIES The Philippine Health Insurance Corporation is implementing the national health insurance law administers the medicare program for both public and private sectors.

ATTACHED AGENCIES The Dangerous Drugs Board coordinates and manages the dangerous drugs control program

ATTACHED AGENCIES Philippine Institute of Traditional and Alternative Health Care

The Philippine National AIDS Council

DISTRIBUTION OF TASKS BETWEEN LGUs

DOH Structure (Pre-devolution)Office of the Secretary of HealthExecutive Committee for National Field Operations 15 Regional Field Offices Provincial Health Offices

Regional Hosp. Medical Centers Sanitaria Provincial Hospitals

District Health OfficesCity Health Offices District Medicare & Municipal Hospitals Municipal Health Offices BHSs

Health Structure (1993, Post-devolution)Office of the Secretary of Health Executive Committee for National Field Operations 15 Regional Field Offices Provincial Health Offices

Regional Hosp. Medical Centers Sanitaria Provincial Hospitals

ACity Health Offices

District Health Offices Municipal Health OfficesBHSs

B

District Medicare & Municipal Hospitals

C

A Devolved to Provl Govt B Devolved to City Govt C Devolved to Municipal Govt

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102) ROLES: lead agency in articulating national objectives for health to guide the development of local health systems, programs and services direct service provider for specific programs that affect larger segments of the population lead agency in health emergency response services, including referral and networking systems for trauma, injuries and catastrophic events

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102) technical authority in disease control and prevention lead agency in ensuring equity, access and quality of health care services through policy formulation, standards development and regulations

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102) technical oversight agency in charge of monitoring and evaluating the implementation of health programs, projects, research, training and services administrator of selected health facilities at sub national levels that act as referral centers for local health systems

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102) innovator of new strategies for responding to emerging health needs advocate for health promotion and healthy life styles for the general population

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102)- capacity-builder of local government units, the private sector, non-government organizations, people's organizations, national government agencies, in implementing health programs and services through technical collaborations, logistical support, provision of grant and allocations and other partnership mechanisms

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102)- lead agency in health and medical research - facilitator of the development of health industrial complex in partnership with the private sector to ensure selfsufficiency in the production of biologicals, vaccines and drugs and medicines - lead agency in health emergency preparedness and response

ROLES AND FUNCTION and POWERS OF DOH (E.O. #102) protector of standards of excellence in the training and education of health care providers at all levels of the health care system implementor of the National Health Insurance Law; providing administrative and technical leadership in health care financing

POWERS AND FUNCTIONS OF DOH Formulate national policies and standards for health Prevent and control leading causes of health and disability Develop disease surveillance and health information systems Maintain national health facilities and hospitals with modern and advanced capabilities to support local services

POWERS AND FUNCTIONS OF DOH Promote health and well-being through public information To provide the public with timely and relevant information on health risks and hazards The resource allocation shift, specifying the effects of the streamlined set-up on the agency budgetary allocation and indicating where possible savings have been generated

POWERS AND FUNCTIONS OF DOH Develop and implement strategies to achieve appropriate expenditure patterns in health as recommended by international agencies Development of sub-national centers and facilities for health promotion, disease control and prevention, standards regulations and technical assistance Promote and maintain international linkages for technical collaboration

POWERS AND FUNCTIONS OF DOH Create the environment for development of a health industrial complex Assume leadership in health in times of emergencies, calamities and disasters; system fails Ensure quality of training and health human resource development at all levels or the health care system

POWERS AND FUNCTIONS OF DOH Oversee financing or the health sector and ensure equity and accessibility to health services Articulate the national health research agenda and ensure the provision of sufficient resources and logistics to attain excellence in evidenced-based interventions for health

Impacts of Devolution

Introduction 7100 islands Political local government units local chief executive 18 administrative regions Approximate population: 78 million 52% urbanized

High functional literacy rates Life expectancy at birth 68 years Poverty 37.5%

Introduction Health profile generally typical of a middle developing country Persistent high fertility rates Declining mortality rates CVD & cancer TB