Guidelines on Contracting

Province-wide and City-wide Health Systems

(AO 2020-0018)

Bureau of Local Health Systems Development

Department of Health, Philippines

Background
 Section 22 of the UHC Act: National government,
through the DOH, shall provide financial and non-
financial matching grants … in accordance with the
approved province-wide and city-wide health
investment plans

 Section 17.2 of the UHC Act (IRR): DOH contract with

province-wide and city-wide health systems…,
through a legal instrument to ensure shared
responsibilities and accountabilities among members
of the health system

Department of Health, Philippines

General Guidelines
P/CWHS to be
LIPH as basis for provision of
contracted by DOH thru
financial & non financial grants
the P/CHB, as steward
2020-2022 from the National Government
of integrated LHS

TOP as the legal instrument for Transfer/use of funds or

contracting P/CWHS commodities to adhere to
government rules &
regulations

Creation of Special Health Fund for LGUs

that have committed to integration

Department of Health, Philippines

Local Investment Plan for Health

medium-term strategic and investment plan

2020-2022
basis for provision of financial and non-
financial grants from the national
government and SHF allocation

translated into Annual Operational Plan (AOP)

2020

Department of Health, Philippines

Local Investment Plan for Health

Population-based Health Services Individual-based health services

Health system operating

Other health
costs, including hospital
investments
investments and operating
costs

Department of Health, Philippines

LIPH Implementation
Contractual Arrangement

C1. TRANSLATION OF LIPH

into AOP

C2. EXECUTION OF
TERMS OF
PARTNERSHIP between
CHD & P/CWHS

APPRAISAL

Passed?
Province-Wide Health Systems City-Wide Health Systems

Provincial Health Office

City Health Office

(HUC/ ICC)
City Health Provincial Municipal
Offices (CCs) Hospital Health Offices

Other City-
Health District/ Health Health Centers Managed
City Hospital
Centers & City/ Centers & & BHS Health Facilities
BHS Municipal BHS and Services
Hospitals

Other Other
Other City-
Provincial- Municipal-
Managed
Managed Managed
Health Facilities
Health Facilities Health Facilities
and Services
and Services and Services

Department of Health, Philippines

How about LGUs without commitment to integration?

LGUs that have not committed to the integration of the

local health systems shall follow the existing mechanisms
for contracting with, and transfer of funds from, the DOH

Department of Health, Philippines

 Existing TOP with LGUs Contracting P/CWHS

Provincial/ City
Government DOH P/CWHS DOH

Local Chief Center for Health Provincial/City Center for Health

Executive Development Health Board Development

Department of Health, Philippines

Contracting P/CWHS
Provincial/City Center for Health
Health Board Development

Annual Operational TOP template

2020 Plan (AOP)

Inclusion of AOP (LGU

Counterpart) in the Annual
Investment Program

Department of Health, Philippines

Contracting P/CWHS

P/CHB resolution

Approved fund allocations for the AOP

(LGU or SHF)

Other pre-requisites such as Sanggunian

Resolution

Department of Health, Philippines

Terms of Partnership

2020 Contracting and TOP as legal

execution of the instrument for
TOP on an annual contracting P/CWHS
basis

Department of Health, Philippines

Terms of Partnership

outputs and roles and

performance responsibilities of
milestones to contracting
be attained parties

amount of resources, conditions and

whether financial or requirements on the
non-financial, that release of funds
contracting parties and
others shall provide

Department of Health, Philippines

Roles and Responsibilities

BLHSD FICT CHD

• Ensure development, review, and
• Formulate • Oversee the approval LIPH and AOPs
policies and contracting • inclusion of priority health services in
standards process the AOP
between • Provide TA and resources
P/CWHS and • Director to represent DOH
the CHD • Facilitate the preparation and signing
• Submit notarized copy of TOP
• Execute TOP and monitor

Department of Health, Philippines

Roles and Responsibilities: LGU

Local Government Unit Province/HUC/ICC Health Board

• Provide the needed resources and • Ensure development and approval of
support mechanisms LIPH and AOP
• Issue resolution on the approval of: AOP,
authorized signatory/ies for contracting,
TOP
• Create SHF Account
• Execute TOP

Department of Health, Philippines

 THANK YOU!
For comments and queries, please email
blhsd.liph@gmail.com