F1 Component No.

2: HEALTH REGULATION 

Health regulation is a line function of the DOH. The DOH regulates health goods,
services and facilities through issuance of license to operate (LTO).

EXPLAINATAION OF HEALTH REGULATORY STRAT

 TEXT IN THE PPT) EXPLAINATIN: One-stop-shop licensing system for hospitals.

And Enhancement of mandates and enforcement mechanisms. Th e DOH will continue
the amendment of its regulatory mandates in Congress. However, among such mandates,
regulation of health facilities is most urgent. In particular, the DOH will be pushing for a
health facilities regulatory mandate that includes the regional operation and
enforcements.

• (2. TEXT SA PPT) EX: Regulationspecific capacity building and training will be
regularly provided to staff of regulatory offices. The DOH will develop training modules
to address these gaps. Academic institutions will be tapped to support DOH in building
the capacities of its personnel on regulation. The availability of low-priced, quality
essential medicines shall be assured

INEQUITY

insufficient regulatory mandates

The hospital licensing system and standards are influenced by the Hospital Licensure Act
of 1965 or RA No. 4226. The current applicable regulation does not allow flexibilities in
granting LTOs to health facilities. For example, a health facility with capability to handle
complicated or specialized pediatric or maternal conditions, could not be granted an LTO beyond
that of an infirmary. Current standards require hospitals to provide surgical and ancillary services
to qualify as at least a Level 1 facility. Without these services in place, the facility will not be
given LTO as hospital because the definition of hospital as stipulated in Sec 8 of RA 4226 on
Minimum Standards and Construction of a Hospital states that “In order that a permit to
construct a hospital be issued, the hospital plan should provide sufficient space for hospital bed
capacity, laboratory room, operating room including work room/space for sterilization,
anesthesia preparation, x-ray room, pharmacy, dispensary or outpatient department, delivery
room, among others.” This will also affect the status of accreditation of the facility.

F1 Component No. 3: HEALTH SERVICE DELIVERY 

Service delivery encompasses access to quality essential health products and services, quality
health facilities, capable human resources for health (HRH) and functional inter-local health
zone, which link all these elements to expand access to comprehensive care.
EXPLAINATION IN HEALTH SERVICE DELIVERY STRATEGIES
Access to quality essential health products and services increased
So this Health service and products) including preventive, curative, palliative and
rehabilitative services as well as health promotion activities will be provided in areas where they
are most needed in order to expand access to quality healthcare. Service delivery will cover both
the sick and the healthy, and cater to all income groups and all social groups, with preference for
the poor and those in underserved areas such as geographically isolated and disadvantaged areas.
Inter-local health zone will be organized to provide an individual with continuity of care across
networks of services, health conditions, levels of care, and over life-stages.
Access to quality basic and specialized health facilities. The DOH will enhance access to
quality basic and specialized health facilities by supporting the conduct of comprehensive needs
assessment of critical health facilities engaged or will be involved in inter-local health zone
(ILHZ)

INEQUITY

Limitations in health service packages and facilities standards

There is also a need to train health personnel in RHUs (rural health units) and health
centers (HCs) on health promotion and NCD (non-communicable disease) prevention and
management protocol. Given the country’s vulnerability to disaster risks, it is also important to
ensure quality care even in emergency situations.. There is also a need for greater local
awareness on the importance of enforcing standards on health-related services during
emergencies, such as on patient/victim transfer, environmental hygiene, nutrition management,
resource mobilization and communications management.

Inequities in the access to health goods and services

Access to health services had also been limited by geographic barriers, leading to
widespread disparities in the coverage rates of various public health programs. Child
immunization coverage, for instance, fell below the national average in most LGUs. This is
typical in difficult-to reach island provinces, mountainous areas and areas of armed conflict.
ARMM, for instance, has been registering the lowest coverage rates for the past years because of
its hard-to-reach island provinces and conflict affected areas. Low coverage rates were also
found in the poorest quintiles of the population, among rural areas and among families with
uneducated mothers. These groups often lack understanding of their health risks and struggle
with navigating the complex health system.

EXPLAINATION IN HEALTH SERVICE DELIVERY STRATEGIES

Access to quality essential health products and services increased

 Health service packages (service and products) including preventive, curative, palliative
and rehabilitative services as well as health promotion activities will be provided in areas where
they are most needed in order to expand access to quality healthcare. Service delivery will cover
both the sick and the healthy, and cater to all income groups and all social groups, with
preference for the poor and those in underserved areas such as geographically isolated and
disadvantaged areas. Inter-local health zone will be organized to provide an individual with
continuity of care across networks of services, health conditions, levels of care, and over life-
stages.
Access to quality basic and specialized health facilities. The DOH will enhance access to
quality basic and specialized health facilities by supporting the conduct of comprehensive needs
assessment of critical health facilities engaged or will be involved in inter-local health zone
(ILHZ)

F1 Component No.4: GOOD GOVERNANCE IN HEALTH 

health service delivery integration within a province-wide health system from the Inter-Local
Health Zone (ILHZ), which has a ‘defined geographical area and comprises a central (or “core”) referral
hospital (usually district or provincial hospital) and a number of primary level facilities such as RHUs and
BHS’ (DOH 2002). LGU contributions mainly funded the ILHZs.

INEQUITY

 Sector leadership and management

o A compromise in management plans and governance, a failure it is in the serve

delivery system cause the flow of the serve delivery depends on the funds and
planned activities, arranged by the governance.

 Inadequate staff and limited technical expertise in procurement and supply chain
management

o inadequacy of competent staff, the skills and efforts in implementing the

procurement and logistics management systems are scattered and uncoordinated
due to limited synergy and cooperation, and harmonization of various processes,
from planning and forecasting to distribution of commodities.

 Uncoordinated human resource interventions

o The succession planning being prepared by DOH would apply only on its organization.
While its framework is yet to be completed, the career maps for the diff erent positions
are already completed. Job and competency standards are not always the basis for
recruitment and selection despite the competency-based framework adopted by the
DOH. Th e learning development plans are not related to performance management and
career management, and learning development interventions are not specifi c to job
functions.