Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
July 19, 2022

DEPARTMENT CIRCULAR
NO. 2022- 0382

FOR: ALL _UNDERSECRETARIES, _ASSISTANT _SECRETARIES,

DIRECTORS OF BUREAUS AND CENTERS FOR HEALTH
DEVELOPMENT, THE MINISTER OF HEALTH IN THE
BANGSAMORO _AUTONOMOUS _REGION IN MUSLIM
MINDANAO, AND ALL OTHERS CONCERNED

SUBJECT: FY 2022 2" Quarter Local Health Systems Maturity Levels (LHS
ML) Progress Report

Department Memorandum No. 2022-0118 on Refreshed DOH Organizational Strategy

Map, Scorecard, and Objective Roadmaps for CY 2022-2024, and Guidelines for Setting
Strategic Commitments dated March 22, 2022 identified “100% of the UHC IS Achieved at
least 70% of Level 1 Key Result Areas (KRAs) by June 2022” as one of the Core Objectives
Commitment under the Secretary’s Scorecard. Considering the results of the FY 2022 1*
Quarter LHS ML Progress Report issued through Department Circular No. 2022-0226 wherein
only 29 or 52% of the 56 UHC IS included in the said report were able to achieve at least 70%
of the Preparatory Level (Level 1) LHS ML KRAs
was issued regarding the conduct of the
as
of March 31, 2022, DM No. 2022-0251
2" quarter progress monitoring to track the progress
of the UHC IS.

This report has been completed and finalized by the BLHSD with the assistance from
the Centers for Health Development and Ministry of Health-Bangsamoro Autonomous Region
in Muslim Mindanao. The results shall be used as reference of the UHC Integration Sites, DOH,
local and international health partners, and other stakeholders in prioritizing resources and
efforts for the attainment of local health systems integration.

Attached to this Department Circular is a copy of the report narrative. Dissemination of

this Report to all concerned is hereby requested.

By Authority of the Secretary of Health:

KENNETH G. RONQUILLO, MD, MPHM,

Assistant Secretaryof Health
CESO
III
Health Policy and Infrastructure Development Team

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: ftduque@doh.gov.ph
Local Health Systems Maturity Levels
 ACKNOWLEDGEMENT

The Bureau of Local

Health Systems Development would like to extend its
gratitude for the constant
support and guidance of Undersecretary Mario C. Villaverde and Assistant Secretary Kenneth G. Ronquillo
of the Health Policy and Systems Development Team; and Undersecretary Myrna C. Cabotaje,
Undersecretary Elmer G. Punzalan and Undersecretary Abdullah B. Dumama, Jr. of the Field
Implementation and Coordination Team on the implementation of the integration of local health systems
into Province-Wide and City-Wide Health Systems. The significant progress in the implementation of the
integration reform espoused in
the Universal Health Care (UHC) Act could not have been achieved without
the commitment and perseverance of the UHC Integration Sites (UHC IS), DOH-Centers for Health
Development through their Core Groups on Integration, Ministry of Health-Bangsamoro Autonomous
Region in Muslim Mindanao, DOH-Central Office Lead Bureaus and Services on Integration, and local and
international health partners.

DISCLAIMER AND REPORT LIMITATIONS

As provided in Administrative Order No. 2020-0037, the Local Health Systems Maturity Levels (LHS
ML) is the general framework that shall be used to monitor the progress of local health systems
integration. Given that organization of these integrated local health systems is just one of the major
reformsin the UHC Act, results reflected in this report should not be directly equated to the status of the
implementation of the Republic Act No. 11223.
Moreover, the LHS ML monitoring process consists of two (2) levels of data review and validation.
The
first level is conducted by the CHD/ MOH-BARMM Core Groups on Integration, together with the
Provincial/ City DOH Officers while the second level is performed by the Central Office Lead Bureaus/
Services on Integration. For purposes of this progress monitoring, information in this report only
underwent first level data review and validation, and are subject to change following the conduct of the
second level data validation by 4" quarter of FY 2022.

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TABLE OF CONTENTS

ACKNOWLEDGEMENT. ...........:ssccssscsssccssccncscessccnscenscesssussscnseeessenseeeceaneseneseeeeneecanesenaeeeeesaeessesaueeseaeseanesanesaneaaneeanes 1

DISCLAIMER AND REPORT LIMITATIONS ...........:cssscescccccesssseeccceesuseeesesaesueneesesssueuueeeseseeueueenscessseeuesaneseessesaneeseeeesenens 1

TABLE OF CONTENTS ........ccsccscceseceseceseeesesneesseeeseecsueesseesusensscenecessecsssesssessssseecsssesscssesseeseeeaesessensecsseseaeenseeeneeses 2

LIST OF TABLES sccssissieccsrsscoussssvscssorcoseoesssssescenensesessoctvensasconccesseseccssssaestecceceouaesessterescseressvenensencesvessstscueveecteeysenes 3

LIST-OF FIGURES :<, coxsacssssvansesseaxnevescevascesssacesusoansveuseiatnvssennnsvesvavnenanenenannasonennasiveastonnesuseneesnenseusenseseesreneacennarveneses 3

I. OVERVIEW sssssccsccsssvessssaveccaavesscancoessvesvsscscaesssssnenvetsevecsusasopissscevsecasanacensseenaesesesenenovauseaesssoneseaaeseveanecieseeneeans 4

Il. RESULTS OF THE PROGRESS MONITORING ............::sssssecceceeeseeeeecesensuueeeeeseeuuueeeseesseseuneesessseeesauueeseeseaeensesseneaee 4

A. Status of Achieving Preparatory Level (Level 1) KRAS ...........ccsccsccsessessesseensensessesseesesssenseeaseneenaeeaee 4
B. Status per Integration CHAracteristic ............cccceesecesccesseeneeesesenseeseeesseseseeueceseeeseeesaeneeeesessaeeeaeenseeeaeees 6

1) Unified Governance of
the Local Health Systems (LG 1)..........ccccecccseeseeseeeeeeeeeesseeseesesneseeeseeeseeeeasenseeeeaeeees 6

2) Strategic and Investment Planning (LG 2) ...........ceccceceeeseeseeseeeceeeeaeeaeeseesecseceeeeaesaeesessecsesaecaaseaeeeeeaeenecaeenas 6

3) Financial Management (Fin

1)... ec ccceeseeeeeeeeeeeeeseeeneeeeeeeeeseaeceaeeeaeenseeeaesesaseaeensaeeaeeaeesaeeeaeeeaaeeeeeseeseas 7

4) Human Resources for Health Management and Development (HW 1) ............c:ccccseseeeeeteeteetteteeeeeeeerees 8

5) Information Management System (IMfO 1).......... ccc ecececceseesesseeeeteceseceeesceeeeseeeeseaeesecaesesaeeaecneseeenaeeaeseesanenas 8

6) Epidemiology and Surveillance System (IMFO 2) ...........ccecccccseceseeceeeeeeceeteeeneessseessesnseseaecaesesessseeeseeesseesesenes 9

7) Procurement and Supply Chain Management System (MPVT 1) ...........ccccesceseecseesseetsetseseeeeeseseteeereeeaees 10

8): Reférral/ Syste (SD 1) sesesiescescesaseccionzeccsasascessi cvesanceececessectsasvereauedsecsanecousceusustoevecssusehentansescserd cavseavensennoesisiorss 10

9) Disaster Risk Reduction Management in Health System (SD 2) 0.0.0... ecceeseeseeeeeeseeseesseecsseeseesecaeeneeeneeaes 11

10)Health Promotion Programs and Campaigns (SD 3) ............:cccccccccesecssecsseceeceteeessecsseseecssceeesnaeensessueenseenseees 12

C. Overall Integration Status .........cccccccscccccssccesscessseccseeceseecsuecesueeessueceeseeceseeeesaeeeeaeceaeeccsaeesenseeeeseeenee 12

ANNEX
A. STATUS PER UHC IS IN ACHIEVING PREPARATORY LEVEL KRAS ...............ccssscccceccecesessesseeeeeecessesessseeeeeeees 14

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LIST OF TABLES

Table 1. Overall Status in Achieving Preparatory Level KRAs (FY 2022 1% and 2°¢ Quarters) ........:.ssss0 4
Table 2. 2nd Quarter Status Breakdown in
Achieving Preparatory Level KRAS ...........sssssssssssssssssesesreeeees 4

LIST OF FIGURES

Figure 1. Status of Achieving Each Preparatory Level KRA..............sssssssscssssssessssssssseseessssssssnseeeseeessssenees 5

Figure 2. Status of the UHC IS ON LG 1 KRAS ........ssscccssssesscesssscesscceessssscesescnseeessssceesesessceesessseusessssseeeasenees 6
Figure 3. Status of the UHC IS On LG 2 KRAS ........cssscsssssssccsesssecesseeesssseeeesensseessssceeesessssssesscseesesssseeessaes 7
Figure 4. Status of the UHC IS OM Fin 1 KRAS..........sccsccccccscsssssssrsecssscsssserssecesssesssesesssceesesscsssesseeeeseseesenses 7
Figure 5. Status of the UHC IS ON HW 1 KRAS .........scccsssssscssessscessssecscssssecesssssecsessseessssscasessseeesscessnessessees 8
Figure 6. Status of the UHC IS On Info 1 KRAS..........scccsscsccsssssscsssseesescessecssssssesssssesaesesssesesssssseesessesseesesees 9
Figure 7. Status of the UHC IS 01 Info 2 KRAS .......s:cscccsssssssssssscsessssscsssssccssssssscescescessessessessesesscssessssesoeees 9
Figure 8. Status of the UHC IS OM MPVT 1 KRAS...........ccssssssssssscccsscsscsescccescssssseccnsseeeesssersesscesesessssssesees 10
Figure 9. Status of the UHC IS ON SD 1 KRAS ........cssssccscccssssssssseccesssssssssecceeeessessscesnseeeessesssssesesceseeseeseneees 11
Figure 10. Status of the UHC IS On SD 2 KRAS .........csccccsssssssssssccssssesssssscnecesssssssessesecesssenscsscesseceseesesesens 11
Figure 11. Status of the UHC IS On SD 3 KRAS .........ssccccsssesscesssscsesssscesesccsseeessnseescnscseaseessnsesesssesseeescsseeees 12
Figure 12. Summary of Maturity Level Category per Characteristic............csssccscsssssesescsseessssssseesesseneees 13

Page | 3
I. OVERVIEW

The implementation of the integration reform was identified as one of the Core Objectives
Commitment of the Secretary of Health for FY 2022 (Department Memorandum No. 2022-0118).
Specifically, 100% of the were targeted to achieve at least 70% of the 16 preparatory level (Level
UHC IS
1) key result areas (KRAs) of the Local Health Systems Maturity Levels (LHS ML) by June 2022. Based on
the results of the FY 2022 15* Quarter LHS ML Progress Report (Department Circular No. 2022-0226), 29
(52%) out of the 56 UHC ISwith submitted reports were able to achieve at least 70% of the preparatory
level KRAs. Twenty (36%) UHC IS have achieved 50% to 69% of the preparatory level KRAs while there were
still seven (12%) UHC IS that only achieved less than 50% of the targeted KRAs.
To facilitate the collection of the 2"? quarter progress report, DM No. 2022-0251 was issued on
June 13, 2022 providing the UHC IS, DOH-CHDs and MOH-BARMM with the general guide on the conduct
of the progress monitoring.
This report reflects the overall maturity level status of the 58 UHC IS. LHS ML progress reports
submitted by these sites underwent first level data validation by the CHD and MOH-BARMM Core
Group
on Integration.

Il. RESULTS OF THE PROGRESS MONITORING

This part of the report discusses the analysis of the progress monitoring results and is divided
into twelve (12) sections. Section A includes the status in achieving the preparatory level KRAs of the LHS
ML between 1° and 2°% quarters of 2022. Section B, which has 10 sub-sections, reflects the summary of
result by KRA per integration characteristic. The results under these sections are presented in stacked
columns comparing the status of the KRAs between the 1% and 2"?
quarters. The green bars reflect the
number of UHC IS that have achieved a specific KRA, yellow bars refer to those that are yet to achieve the
KRA
but already have ongoing initiatives, while red bars refer to those that have not yet started any action.
The gray bars reflect the number of UHC IS wherein the specific KRA is not applicable, particularly for HUCs
and ICCs without component LGUs, and UHC IS without LGU-owned and managed hospitals. Section C
presents the overall integration status of the 58 UHCIS.

A. Status of Achieving Preparatory Level (Level 1) KRAs

relation to the 2022 Core Objectives Commitment of the Secretary of Health, Table 1 reflects
In
the status of the 58 UHC IS in achieving the 16 preparatory level LHS ML KRAs between 1* and 2"¢ quarters.

Table 1. Overall Status in Achieving Preparatory Level KRAs (FY 2022 and 2"? Quarters)
15‘

20221Q 2022 2Q
Able to Achieve at least 70% of the Level 1 KRAs 30 (52%) 58 (100%)
Able to Achieve 50% to 69% of the Level 1 KRAs 21 (36%) 0
Able to Achieve less than 50% of the Level 1 KRAs 7 (12%) 0
TOTAL 58 (100%) 58 (100%)

Table 2. 2nd Quarter Status Breakdown in

Achieving Preparatory Level KRAs
Number and Percentage of Achieved
No. of UHC IS Percentage
Preparatory LeveliKRAs
16 KRAs (100%) 22 38%

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=
Number and Percentage of Achieved
No. of UHC IS Percentage
Preparatory Level KRAs
15 KRAs (94%) 19 33%
14 KRAs (88%) 10 17%
13 KRAs (81%) 4 7%
12 KRAs (75%) 3 5%
TOTAL 58 100%

of the 58 UHC IS were able to meet the 2022 Core Objectives Commitment based on the 1°
All
level data review and validation conducted by the CHDs and MOH-BARMM. Despite this significant
improvement compared to
the 1° quarter progress monitoring results, some UHC IS still need assistance
in achieving select preparatory level KRAs. Figure 1 reflects the number of UHC IS that achieved the

preparatory level KRA/s per characteristic.

60
58
(100%)
rl
58
(100%)
No. of
“
‘nad
IS that
58
(100%)
are
nan
pears
49
seal
Level KRAs
58
(100%)
ne)em
58
(100%)
sd ‘ox
wee (84%)
5o oan
IS teem)
>o
UHC

of 3 o

Number

2o

0
KRA1.1 KRA1.2 KRA1.1 KRA1.1 KRA1.1 KRA1.1 KRA1.1 KRA1.2 KRA1.1 KRA1.2 KRA1.3 KRA1.1 KRA1.1 KRA1.2 KRA1.3 KRA1.4

LG1 LG2 HW1 Infol Info2 MPVT 1 sD1 sD2 SD3

LHS ML
Preparatory Level Key Result Areas

Figure 1. Status of Achieving Each Preparatory Level KRA

were already able to achieve KRA 1.1 of LG 1 (Unified Governance

All UHC IS the LHS), KRA 1.1 of
of LG 2 (Strategic and Investment Planning), KRA 1.1 of Info 2 (Epidemiology and Surveillance System), and
KRA 1.2 and 1.3 of SD 1 (Referral System). On the other hand, 57 (98%) UHC already achieved KRA 1.1 IS
of Info 1 (Information Management System), KRA 1.1 of MPVT 1 (Procurement and Supply Chain
Management System), KRA 1.1 of SD 1, and KRA 1.1 of SD 2 (Disaster Risk Reduction Management in Health
System). Fifty-six (97%) UHC IS achieved KRA 1.1 of SD 3 (Health Promotion Programs and Campaigns), and
55 (95%) UHC IS already achieved LG 1 KRA 1.2 and SD 3 KRA 1.2. Only 49 (84%) UHC IS achieved KRA 1.1
of HW 1 (HRH Management and Development System), and MPVT 1 KRA 1.2. Particular attention should
be given to SD 3 KRA 1.3 and 1.4 since only 45 (78%) and 38 (66%) were able to achieve the KRAs,
respectively.
The status of each UHCIS
is included in Annex
of this report. 54 of the 58 UHC IS (93%) showed
A

improvement status in
between the 1% and 2"? quarters, while 3 UHC IS (5%) had similar status. On the
other hand, due to the recommendations made by select Central Office Bureaus after the 1° quarter
progress monitoring to ensure that the minimum requirements for the preparatory level MOVs were met,
1 UHC IS (2%) had a lower number of
achieved preparatory level KRAs during the 2"? quarter progress
monitoring.

Page | 5
3
B. Status per Integration Characteristic

1) Unified Governance of the Local Health Systems (LG 1)

The Unified Governance of the Local Health Systems has a total of nine (9) KRAs. Figure 2

illustrates the status of the KRAs under this characteristic.

Status of Unified Governance of the LHS (LG 1) Key Result Areas

1(2%) 3 (5%) 1 (2%)
(2%;
4 (7%) 2 (3%) 3 (5%)
(5%,

100%

80%

60%

40%

2
g

0%
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q

KRA11 KRA 1.2 KRA2.1 KRA2.2 KRA 2.3 KRA 2.4 KRA3.1 KRA 3.2 KRA3.3

BAchieved DOngoing WNot Yet Started Not Applicable

Figure 2. Status of the VHC IS on LG 1 KRAs

Only minimal changes can be observed for the status of the

characteristic from 1* KRAs under this
quarter to 2"? quarter. Although the focus for this year is the attainment of the preparatory level KRAs, the
Bureau of Local Health System Development (BLHSD), CHDs and MOH-BARMM should already look into
possible causes of delay in attaining the organizational level KRAs, particularly KRA 2.1 and 2.3, since a
large number of
sites were still on “Ongoing” status. Support needed the functional level KRAs should for
also be assessed.

2) Strategic and Investment Planning (LG 2)

of the
The Strategic and Investment
KRAs under this characteristic.
Planning has a total of four (4) KRAs. Figure illustrates the status

Page | 6
4
Status of Strategic and Investment Planning (LG 2) Key Result Areas
1 (2%, 1 (2%
100%

80%

60%

40%

20%

0%
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA1.1 KRA 2.1 KRA 2.2 KRA 3.1

Achieved OOngoing NotYet Started

Figure 3. Status of the UHC IS on LG 2 KRAs

There was notable increase in the number of UHC IS that achieved KRA 1.1, KRA 2.1 and KRA 2.2.
BLHSD and its regional counterparts should ensure that the UHC IS with “Ongoing” status for the

organizational level KRAs are given the support to attain the said KRAs the soonest time possible. There is
also the need to look into the hindering factors in attaining KRA 3.1.

3) Financial Management (Fin 1)

The Financial Management characteristic has five (5) KRAs. Figure illustrates the status of the
KRAs under this characteristic.

Status of Financial Management (Fin 1) Key Results Areas

100%
10
(17%)

80%

60%

40%

20%

O%
1 (2%)
1Q 20 10 20 1Q 2a 1Q 2Q 1Q 2a
KRA2.1 KRA 2.2 KRA 2.3 KRA 2.4 KRA 3.1

BAchieved OOngoing WNot Yet Started ONot Applicable

Figure 4. Status of the UHC IS on Fin 1 KRAs

Page | 7
5
Preparatory Level KRAs of Fin 1 are under LG 1, particularly LG 1 KRA 1.1 and LG 1 2.2. Based KRA

on Figure 2 on Status of the UHC IS on LG 1 KRAs, majority of the UHC IS have already achieved LG 1 KRA
1.1 since 1% quarter while only a few additional UHC IS achieved KRA 2.2 between the 1* and 2"? quarters.
Only slight changes can be observed per KRA and
initiatives for this characteristic. PhilHealth and DOH should fast track the
it
can be noted that a lot of UHC IS were
issuance of Special Health
start
Fund-
yet to

related policies and facilitate coordination with other National Government Agencies that were yet to issue
needed operational guidelines to guide the UHC
IS.

4) Human Resources for Health Management and Development (HW 1)

KRAs.
The Human Resources
Figure illustrates
for Health
the status of the
(HRH)
KRAs under
Management and Development
this characteristic.
has a total of seven (7)

Status of HRH Management and Development (HW 1) Key Result Areas

100% ann

80%

60%

40%

20%

0% 1 (2%)
1 (2%)
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA 1.1 KRA 2.1 KRA 2.2 KRA 2.3 KRA 2.4 KRA 3.1 KRA 3.2

BAchieved DOngoing MNot Yet Started

Figure 5. Status of the UHC IS on HW 1 KRAs

A significant increase in the number of UHC IS that achieved KRA 1.1 can be observed for the 2"4
quarter. Visible progress can also be seen for KRA 2.4. Despite these improvements, Health Human
Resources Development Bureau (HHRDB) and their regional counterparts have to closely provide
assistance to the UHC IS since only a few sites were able to attain the other KRAs and
of LGUs were yet to
start efforts related to HRH management and development.
significant number a
5) Information Management System (Info 1)

of the
The Information Management System
KRAs under this characteristic.
has
a total of seven (7) KRAs. Figure 6 illustrates the status

Page | 8
 Status of Information Management (Info 1) Key Result Areas
1 (2%) 1
x
(2%,
100'

80%

60%

40%

20%

0% 2

1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA 1.1 KRA 2.1 KRA 2.2 KRA 2.3 KRA 2.4 KRA 3.1 KRA 3.2

DAchieved OOngoing Not Yet Started

Figure 6. Status of the UHC IS on Info 1 KRAs

With the exception of KRA 1.1 which showed noteworthy increase in the number sites that of
achieved the indicator, all of the remaining KRAs under this characteristic only showed slight change in
status. Given the results, Knowledge Management and Information Technology Service (KMITS) and its
regional counterparts should collaborate with the UHC IS to assess the bottlenecks in the overall
implementation of Information Management at
the local level. Moreover, speeding up of the roll-out of
operational guides, trainings, if any, and information system is needed.

6) Epidemiology and Surveillance System (Info 2)

The Epidemiology and Surveillance System (Info 2) has a total of five (5) KRAs. Figure 7
illustrates the status of the KRAs under this characteristic.
Status of Epidemiology and Surveillance System (Info 2) Key Result
Areas
1(2%) 1(2%) 2 (4%)
(4%,

100%

80%

60%

40%

20%

0%
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA 1.1 KRA2.1 KRA 2.2 KRA 3.1 KRA 3.2

@Achieved OOngoing BNot Yet Started

Figure 7. Status of the UHC IS on Info 2 KRAs

Page | 9
 There was an evident
increase in the number of LGUs that achieved KRA 1.1 and 2.1. is also KRA
It
worth mentioning that only a few sites have “Not Yet Started” status under this characteristic. Despite
these, Epidemiology Bureau (EB) and the RESUs have to perform consistent follow-ups and assist the UHC
IS in sustaining their efforts to achieve the KRAs. There also a need to check the reason is
the decrease for
in the number of LGUs with “Achieved” status and increase the number
in of LGUs with “Not Yet Started”

status under KRA 3.2.

7) Procurement and Supply Chain Management System (MPVT 1)

The Procurement and Supply Chain Management has a total of eight (8) KRAs. Figure 8
illustrates the status of the KRAs under this characteristic.

Status of Procurement and Supply Chain Management System (MPVT 1) Key

Result Areas
2(3%) 1 (2%) 2(3% 4(7%) 2 (3%)
100 x
1(2%) 1(2%)

80%

60%

40%

20%

0% 2(3: )
3(5%) (7%)
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA1.1 KRA 1.2 KRA2.1 KRA 2.2 KRA 2.3 KRA 2.4 KRA 3.1 KRA 3.2

DAchieved OOngoing Not Yet Started

Figure 8. Status of the UHC IS on MPVT 1 KRAs

comparison to the 1* quarter progress monitoring data, more UHC IS were able to achieve the
In

KRAs under MPVT 1. Particular focus should be given by the Supply Chain Management Service (SCMS),

Pharmaceutical Division (PD) and their regional counterparts on KRA 2.2, KRA 3.1 and KRA 3.2. Efforts
should also be sustained for the rest of the indicators.

8) Referral System (SD 1)

under this
The Referral System
characteristic.
has
a total of twelve (12) KRAs. Figure 9 illustrates the status of the KRAs

Page | 10
 Status of Referral System (SD 1) Key Result Areas
100' x

80%

60%

40%

20%

0%
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 10 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2a. ia 2Q
1 (2%)
fa
KRA1.1 KRA 1.2 KRA 1.3 KRA 2.1 KRA 2.2 KRA 2.3 KRA 2.4 KRA2.5 KRA 2.6 KRA 2.7 KRA3.1 KRA 3.2

DAchieved OOngoing Not Yet Started (ONot Applicable

Figure 9. Status of the UHC IS on SD 1 KRAs

Only minor changes can be observed on the status of KRAs under this characteristic. Since the
preparatory level were already achieved by almost all of the UHC IS, the Health Facility Development
KRAs

Bureau (HFDB), Disease Prevention and Control Bureau (DPCB) and their regional counterparts should
already start its efforts to support the LGUs in attaining the organizational and functional level KRAs.
Reasons on the decrease in the number of LGUs with “Achieved” status for KRA 2.5, KRA 2.6, KRA 2.7 and
KRA 3.2 should also be assessed so that necessary interventions can be implemented.

9) Disaster Risk Reduction Management in Health System (SD 2)

The Disaster Risk Reduction Management in Health System (DRRM-H System)
five (5) KRAs. Figure 10
illustrates the status of the KRAs under this characteristic.
has
a total of

Status of DRRM-H System (SD 2) Key Result Areas

<i
(2%)
1(2%,
2(3%) 1(2%)

80%

60%

40%

20%

0%
1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q 1Q 2Q
KRA 1.1 KRA2.1 KRA 2.2 KRA3.1 KRA 3.2

BDAchieved OOngoing WNot Yet Started

Figure 10. Status of the UHC IS on SD 2 KRAs

Page | 11
 Slight changes can be observed between 1° quarter and 2" quarter data for all the KRAs under
this characteristic. Based on the data, the Health Emergency Management Bureau (HEMB) and its regional
counterparts should ensure that those with existing initiatives will be able to sustain their actions in order
to achieve the KRAs while the LGUs with initiatives yet will already start activities to attain the target.
no

10) Health Promotion Programs and Campaigns (SD 3)

The Health Promotion Programs and Campaigns has a total of ten (10) KRAs. Figure 11

illustrates the status of the KRAs under this characteristic.

Status of Health Promotion Programs and Campaigns (SD 3) Key Result Areas
1596) 2(3%) 3(5%, 1(2%)
100%

80%

60%

4 3
2
g
0% Y 1(2%)
—1(2%) 1(2%)
1Q@. 2Q)«61Q)«62Q:) «61Q:)
62Q)«61Q) 62Q: 1Q_ 2Q: 1Q: 2Q: 1QqQ: 2Q. 1q 2Q: 1Q: 2Q1Q 2Q

KRA1.1 KRA 1.2 KRA 1.3 KRA 1.4 KRA 2.1 KRA 2.2 KRA 2.3 KRA 3.1 KRA 3.2 KRA 3.3

DAchieved OOngoing WNot Yet Started

Figure 11. Status of the UHC IS on SD 3 KRAs

There was a marked increase in the number of UHC IS that achieved the preparatory level KRAs
while only slight improvements can be seen for the organizational and functional levels. The Health
Promotion Bureau (HPB) and its regional counterparts have to closely support the UHC IS in achieving the
KRAs under this characteristic, especially for the functional level KRAs since more than half of the UHC IS

were still to start initiatives to attain the targets. Decrease in the number sites that have “Ongoing” of
status for KRA 3.2 should also be looked into.

C. Overall Integration Status

are classified based on the attainment of the KRAs of all the characteristics in all the
All UHC IS

building blocks as stated in AO No. 2020-0037. Since all KRAs under each level directly or indirectly
contribute to the attainment of the KRAs in the succeeding level/s, all KRAs at the lower level/s shall be
achieved first. For purposes of this progress monitoring, particular attention was given on the status the of
UHC
in
IS in achieving the KRAs each of the characteristic. A UHC IS is said to be “Prepared” for a particular
characteristic if it was able to achieve all
the preparatory level KRAs that characteristic. On the other for
hand,
it
is considered as “Organized” if
it was able to achieve all the preparatory and organizational level
KRAs
for that particular characteristic. A UHC IS is tagged as “Functional” it was able to achieve and if
maintain all the KRAs of the concerned characteristic. Figure 12 shows the overall maturity level category
per characteristic as of FY 2022 2" quarter.

Page | 12
 Maturity Level Category per Characteristic
3(5%) 3(5%) 1(2%) 1(2%)
1(2%)
100%

80%

g
Percentage

g
20%

0%
G1 1G2 Fin 1 HW1 Info Info 2 MPVT 1 sD1 sD2 sD3
LHS ML Characteristics

OPrepared Organized Functional Still to Achieve Preparatory KRAs

Figure 12. Summary of Maturity Level Category per Characteristic

Based on the level data validation performed by the CHDs and MOH-BARMM, majority of the
1*

UHC IS are deemed ready to proceed to higher levels of the maturity levels since they were already able
to attain the preparatory level KRAs which were important inputs to the organizational and functional
KRAs. Despite attaining the target for FY 2022, the Central Office Lead Bureaus/Services on Integration,
CHDs, MOH-BARM\MM, local and international health partners have to further probe on the challenges
encountered by those UHC IS
that were not yet able to achieve all preparatory level so that assistance
specific to the needs of the sites can be provided.
In conclusion, the concerted efforts among key players of the implementation of the integration
reform provided in the UHC Act resulted to the remarkable improvement the status of the UHC in in IS
operationalizing the integration characteristics between the 1* and 2"? quarters of FY 2022.

Page | 13
ANNEX A. STATUS PER UHC IS IN ACHIEVING PREPARATORY LEVEL KRAS

The Table below reflects the status of each UHC

IS in terms
of achieving the preparatory level
KRAs between 1° and 2™ quarters of 2022. All UHC IS were able to achieve the 70% target for the 2"

quarter. Those UHC ISwith status improvement between the 1* and 24 quarters included an arrow
pointing upward while an equal sign signified no change in the status of the UHC IS between the reporting
periods.

1* Quarter Regional 2"4Quarter Regional

Region Province/ HUC/ ICC (Total No. of Average (Total No. of Average
KRAs = 16) KRAs = 16)
94%
Marikina City 81% tT
94%

|
NCR Paranaque City 63% 69% tT 94%

Valenzuela City 63% deal

Baguio City 88% 100%

94%
Benguet 75% tT
CAR Kalinga

Mountain Province
38%

50%
59% 94%

88%
t
tT
94%

Ifugao 44% 94%

ft
Region 1 Dagupan City 81% 81% 100% 100%

Batanes 88% 100%

88%
Isabela 75% tT
Region 2 78% 96%
5
Nueva Vizcaya 75% 100%
94%
Quirino 75% tT
Bataan 81% 100%
Bulacan 88% 100%
Region 3 83% 99%
94%
5
Pampanga 69% tT
Tarlac 94%
Te
Batangas 56% 100%
88%
CaLaBaRZon Laguna 75% 54% tT 90%

81%
Quezon 31% tT

Page | 14
 1* Quarter Regional 2"4 Quarter Regional
Region Province/ HUC/ ICC (Total No. of Average (Total No. of Average
KRAs = 16) KRAs = 16)
94%
Oriental Mindoro 69% tT
75%
Palawan 38% tT
MiMaRoPa 50% 88%
:
88%
Puerto Princesa City 63% tT
94%
Romblon 31% tT
81%
Catanduanes 75% tT
Region 5 Masbate

Sorsogon
69%

81%
75% 88%

100%
t 90%

|
94%
Aklan 75% tT
Antique 88% ail
88%
Capiz 81% tT
Region 6 85% 97%
Guimaras 88% ——
lloilo 88% 100%
Negros Occidental 88%
ce
Bohol 94%
97%
94%
a 91%:

J
Region 7
88%
Cebu 100%

Biliran 69% 100%

88%
Eastern Samar 75% Tt
75%
Leyte 69% tT
Region 8 74% 92%
Northern Samar 81% 100%
88%
Samar (Western) 56% tT
Southern Leyte 94% 100%

“ein 9
Region
Zamboanga
Norte
del

del Sur
63%

—_9
94%

94%
t 94%°
Zamboanga 56% tT
94%
Zamboanga Sibugay 38% tT
Region 10 Cagayan de Oro
City 75% 81% 75% 86%

Page | 15
 1* Quarter Regional 2"™4
Quarter Regional
Region Province/ HUC/ ICC (Total No. of Average (Total No. of Average
KRAs = 16) KRAs = 16)
94%
Misamis Oriental 81% tT

|
Lanao del Norte 88% 88%
Davao de Oro 56% aid

Region 11
Davao City

Davao del Norte

50%

19%
45% ae 7
100%
100%

Davao Oriental 56% 10076

Sarangani 63%
63%
94%
ft 94%
Region 12
:
94%
South Cotabato 63% tT
Butuan City 88%
lor 94%
Region 13 Agusan del Sur 63% 73% 100%
81%
Surigao del Norte 69% tT

BARMM
Basilan

Maguindanao
69%

81%
75%
81%

94%
tft 88%

Page | 16
“7 SALUBRITAS