F

Health Facilities
Enhancement Program:
Expenditure Performance
The Health Facilities Enhancement Program (HFEP)
acts
started in 2007 to bridge the gaps in health care delivery in
igures
and to increase access to health care facilities and
services. The Program envisions the revitalization of
primary health care facilities and the rationalization of
the various levels of hospitals to decongested-referral
hospital. Table 1 shows the total HFEP budget which
declined from P15.9 billion in 2019 to as low as P7.8 billion Congressional Policy and Budget Research Department
in 2021, before it rose in the next two consecutive years. House of Representatives
November 2023 (No. 52)
Total HFEP budget in 2023 amounts to P26.8 billion of
which 99.7% is for capital outlay.
Table 1
Total Appropriations for HFEP, 2019 - 2023 (PHFDP) for 2022-2040 in support of the implementation
(Amounts In Billion Pesos) of Universal Health Care.
Year MOOE Capital Outlay TOTAL Table 2
Regional Breakdown of HFEP CO Budget,
2019 0.05 15.87 15.92 2021-2023
(Amounts in Million Pesos)
2020 0.03 8.35 8.38
2021 0.08 7.76 7.84 Regions 2021 2022 2023
2022 0.07 22.99 23.01 NCR 1,461 4,329 5,243
2023 0.07 26.74 26.81 I 910 1,554 2,160
Source: GAA 2019 – 2023 CAR 203 1,312 917
II 211 871 1,309
Figure 1 presents the appropriations for HREP under III 501 2,209 1,771
Capital Outlay (CO) which amounts to P26.7 billion in IVA 467 1,518 1,555
2023 which is 16.3% higher than last year’s level of IVB 72 1,227 835
P23.0 billion. The infrastructure budget which amounts V 270 888 997
to P17.9 billion accounts for 66.8% of the total HFEP Luzon (net of NCR) 2,634 9,579 9,543
CO in 2023. Meanwhile, medical equipment and motor VI 404 1,672 2,071
vehicle which have lower allocations in 2023 account for VII 388 1,613 2,078
29.9% (P8 billion) and 3.4% (P0.9 billion), respectively. VIII 143 832 1,459
Visayas 936 4,117 5,608
Figure 1 IX 349 704 1,096
Appropriations for HFEP under Capital Outlay X 880 1,209 985
(Amounts in Billion Pesos)
XI 598 946 1,152
XII 382 643 1,258
XIII 154 1,177 1,246
BARMM 363 291 607
Mindanao 2,726 4,970 6,345
TOTAL 7,757 22,995 26,738
Source: GAA 2021 - 2023

Table 2 shows the regional breakdown of HFEP CO

Source: GAA 2019-2023
2019 – 2023
Funding for HFEP in 2023 was intended to fill in the
gaps in the health facility requirements identified in the
updated Philippine Health Facility Development Plan
budget for 2021-2023. In 2023, HFEP had a total CO
budget of P26.7 billion with Luzon (net of NCR) having
the biggest budget share at P9.5 billion or 35.7%.
Meanwhile, allocation for Mindanao and Visayas
amounts to P6.3 billion or 23.7% and P5.6 billion or
21%, respectively. Between the period 2021-2023,
HFEPs total budget grew by 245% from P7.8 billion to
P26.7 billion. On a regional level, NCR constantly gets Table 4
Regional Breakdown of HFEP Budget
highest HFEP budget, which grew by 258.8% from for Doh Hospitals, 2023
P1.5 billion in 2021 to P5.2 billion in 2023. (Amounts in Million Pesos)
M EDICAL
REGIONS INFRA TOTAL
The BARMM allocation, albeit the lowest in 2023, EQUIPMENT
NCR 1,574 1,552 3,126
increased by 109% to P607 billion from only P291
I 559 352 911
million in 2022. Compared to 2022 level, CAR and
CAR 501 176 677
Regions III, IVB, and X post relatively huge declines in
II 507 183 690
their respective HFEP funding in 2023.
III 219 481 700
IVA 442 232 674
Table 3 shows the breakdown of HFEP budget
IVB 153 29 182
by facility with DOH hospitals having the biggest
V 518 20 538
allocation amounting to P12.9 billion or 48.2% of total
LUZON (NET OF NCR) 2,898 1,473 4,371
HFEP for 2023. In 2021, DOH and LGU hospitals 235 200 435
VI
combined accounted for 89% of the total P7.8 billion 951 511 1,462
VII
HFEP budget. While both steadily grew since 2021, VIII 550 150 700
HFEP funding for DOH hospitals significantly rose VISAYAS 1,736 861 2,597
from P3.9 billion in 2021 to P12.9 billion in 2023. IX 532 254 786
X 375 248 623
Table 3
XI 300 245 545
HFEP Budget, by Facility, 2021-2023
(Amounts in Billion Pesos) XII 350 75 425
XIII 270 146 416
Particulars 2021 2022 2023
MINDANAO 1,827 968 2,795
Barangay Health Station (BHS) 0.28 0.59 1.16
TOTAL 8,035 4,853 12,888
Rural Health Units (RHU) 0.29 1.92 5.22
Source of basic data: GAA 2023
Polyclinics 0.01 0.06 0.09
Local Government Unit Hospitals 3.00 5.28 5.57 Meanwhile, Region IVB has the lowest appropriations
DOH Hospitals 3.88 10.13 12.89 amounting to P182 million or 1.4% of the total HFEP
Other Health Care Facilities 0.02 1.09 1.81 budget for DOH hospitals. Its infrastructure budget is
Mega Health Centers - 3.59 - also the smallest at P153 million or 1.9% of the total
Temporary Treatment and infrastructure budget (DOH Hospitals). In terms of
0.01 0.07 -
Monitoring Facilities (TTMF)
Provision for Motor Vehicles 0.26 0.27 - medical equipment, Regions IVB and V posted the
Military Hospitals 0.01 - - lowest at P29 and P20 billion, respectively.
TOTAL 7.76 22.99 26.74 Table 5
Source of basic GAA 2021-2023 Hfep Budget Utilization, 2020-2022
*2023 includes Provision for Motor Vehicles (P897M) (Amounts in Million Pesos)
Particulars 2020 2021 2022
All other facilities have higher budgets in 2023, Appropriations 12,722.2 9,368.7 24,077.5
except for Mega Health Centers, TTMF, Provision for Obligations 10,696.6 8,314.2 20,508.2
Motor Vehicles, and Military Hospitals which did not Disbursements 4,283.0 3,297.3 7,140.6
receive any funding this year. While DOH hospitals
In Percent (%)
received the highest allocation of total HFEP in 2023, Obligation Rate 84.1 88.7 85.2
Rural Health Units (RHUs) posted the biggest budget Disbursement Rate 33.7 35.2 29.7
growth of 173% which has an allocation of P5.2 billion * Utilization Rates are computed using Appropriations as divisor.
Source of basic FAR 1 (SAAODB), DOH Transparency Seal, 2020-2022
in 2023 or an additional P3.3 billion.
Table 5 shows that HFEP appropriations grew
Table 4 shows that out of the P12.9 billion HFEP fund significantly from P9.4 billion in 2021 to P24.1 billion
that goes to DOH hospitals in 2023, about 33.9% in 2022. Meanwhile, obligation rate was relatively high
or P4.4 billion were allotted to Luzon (net of NCR). (but with room for improvement) at 88.7% in 2021, even
NCR alone gets P3.1 billion which is higher than that slightly lower at 85.2% in 2022 after appropriations
of Mindanao (P2.8 billion), and the Visayas (P2.6 went up in the same year. However, while obligation
billion). Aside from NCR, Region VII has relatively rate is between 84%-89%, disbursements were low
higher appropriations at P1.5 billion or 11.3% of the in 2022 at less than one-third of the appropriations at
total HFEP budget for DOH hospitals. 29.7%.