DEPARTMENT OF HEALTH 2021

Published by the Health Policy Development and Planning Bureau – Department of

Health, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila 1003, Philippines

The mention of specific companies or of certain products does not imply preferential
endorsement or recommendation by the Department. This report may be reproduced
in full or in part for non-profit purposes without prior permission, provided proper
attribution to the Department is made. Furnishing the Department a copy of the
reprinted or adapted version will be appreciated.

EDITORIAL TEAM
Undersecretary Mario C. Villaverde, MD, MPH, MPM, CESO I
OIC-Director IV Frances Rose Elgo-Mamaril, MPH
Maria Socorro Santos, MD, MDE
Napoleon S. Espiritu II, MPP

TECHNICAL WRITERS
Eileen Diane S. Cheng-Fernandez, RN, MPH
May Ann L. Liwanag
Lilia Rose A. Say-awen

◼1◼
Contents

List of Acronyms 4

Background and Objectives 6

Considerations in the CY 2022 DOH NEP Budget 7

Budget Priorities Framework 7

DOH Devolution Transition Plan CY 2022-2024 8

DOH Performance and Targets 17

Physical Performance and Targets 18

Financial Performance 19

CY 2022 NEP Budget Discussion 19

Estimated Fiscal Space and CY 2022 Sources of Funds for Health 21

Overview of the CY 2022 DOH-OSEC NEP Budget 22

Highlights of the CY 2022 NEP Budget 26

Priority No. 1: UHC Act Implementation, COVID-19 Initiatives, and Health

System Resilience 26

Indicative Allocation for UHC Integration Sites in the 2022 NEP 30

Priority No. 2: Implementation of Other Health-related Laws 31

Priority No. 3: Urgent and Compelling Need 32

◼2◼
List of Tables
Table 1. DOH Budget Priorities Framework
Table 2. LGU Expenditure Assignment on Health
Table 3. Summary of CY 2022-2024 DOH Devolution Transition Plan
Table 4. Phasing of HFEP Gradual and Partial Devolution by Categories of the
National Allocation Framework
Table 5. Unbundling of HFEP Functions
Table 6. Basis for Retention and Re-devolution of the HRH Deployment Program
Table 7. Basis for Retention and Re-devolution of Public Health Commodities
Table 8. Summary of the Retained and Re-devolved Functions
Table 9. DOH Physical Performance CY 2019-2021 and Targets for CY 2022
Table 10. DOH-OSEC Financial Performance in CY 2020, Amount in Billion PhP
Table 11. List of Renamed Hospitals Based on Newly Enacted Laws
Table 12. CY 2022 Sources of Funds for Health
Table 13. DOH-wide Budget GAA 2020-2022 NEP
Table 14. DOH-OSEC Budget by Expense Class, CY 2022 NEP vs. 2021 GAA
Table 15. DOH-OSEC Budget per Organizational Outcome, CY 2022 NEP vs. 2021
GAA, Among in Billion PhP
Table 16. Summary of Major Activities under Priority 1, Amount in Billion PhP
Table 17. Summary of PAPs with Specific Allocation for UHC Integration Sites
(MOOE & CO), in the 2022 NEP, Amount in Billion PhP
Table 18. Summary of Major Activities under Priority 2, Amount in Billion PhP
Table 19. Summary of Major Activities under Priority 3, Amount in Billion PhP

List of Figures
Figure 1. Timeline in the Development of the DOH Devolution Transition Plan
Figure 2. National Allocation Framework
Figure 3. DOH-wide Budget Trend from GAA 2010-2021 to NEP 2022

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List of Acronyms
BHS Barangay Health Station

BOQ Bureau of Quarantine

CHD Centers for Health Development

CO Capital Outlay

DATRC Drug Abuse Treatment and Rehabilitation Centers

DBM Department of Budget and Management

DOH Department of Health

DSO Disease Surveillance Officer

EO Executive Order

ESU Epidemiology and Surveillance Unit

FDA Food and Drug Administration

GAA General Appropriations Act

GIDA Geographically Isolated and Disadvantaged Area

HFEP Health Facilities Enhancement Program

HRH Human Resources for Health

IRA Internal Revenue Allotment

IRR Implementing Rules and Regulations

LCP Lung Center of the Philippines

LGC Local Government Code

LGU Local Government Unit

LHSDA Local Health Systems Development and Assistance

MFO Major Final Outputs

MOOE Maintenance and Other Operating Expenses

NAF National Allocation Framework

NEP National Expenditure Plan

NGA National Government Agency

NHWSS National Health Workforce Support System

NKTI National Kidney and Transplant Institute

◼4◼
NNC National Nutrition Council

NRL National Reference Laboratory

NTA National Tax Allotment

OSEC Office of the Secretary

PAGCOR Philippine Amusement and Gaming Corporation

P/A/Ps Programs / Activities / Projects

PCSO Philippine Charity Sweepstakes Office

PCMC Philippine Children’s Medical Center

P/CWHS Province- and City- Wide Health Systems

PFM Public Financial Management

PHC Philippine Heart Center

PHFDP Philippine Health Facility Development Plan

PITAHC Philippine Institute for Traditional and Alternative Health Care

PNAC Philippine National AIDS Council

PREXC Program Expenditure Classification

PS Personnel Services

PSA Philippine Statistics Authority

RA Republic Act
RESU Regional Epidemiology and Surveillance Unit

RLIP Retirement and Life Insurance Premiums

RHU Rural Health Unit

SAGF Special Account in General Fund

UHC Universal Health Care

◼5◼
Background and Objectives

The CY 2022 is a significant year for the Department of Health (DOH) given the
numerous changes and challenges that are happening in the health sector. Through
the CY 2022 DOH National Expenditure Plan (NEP) Budget, the Department aims to
attain the following key objectives:

1. To continue the full implementation of the Universal Health Care (UHC) Act
which mandates to strengthen local health systems, integrate them into
province- and city-wide health systems (P/CWHS) and improve the delivery of
population-based health service components such as epidemiology and
surveillance, health promotion, and health emergency preparedness and
response;
2. To build a resilient health system that is responsive to the pandemic and other
public health crisis, especially to emerging and re-emerging infectious
diseases; and,
3. To support the roll-out of the Supreme Court Ruling on the Mandanas-Garcia
case beginning CY 2022 and gradually re-devolve health functions and services
of applicable programs/activities/projects (P/A/Ps) from the DOH to the Local
Government Units (LGUs) pursuant to Executive Order (EO) no. 138 and its
Implementing Rules and Regulations (IRR).

The DOH ceaselessly works in the service of our people to ramp up the
implementation of COVID-19 response and other strategies to attain UHC. The key
investments in the 2022 NEP will enable us to make enduring changes to our health
system to make it responsive to the needs of each Filipino particularly the vulnerable
and disenfranchised by focusing on these efforts for the next year:
● Strengthening LGU capacity to deliver primary care services by harnessing
their increased share in the National Tax Allotment (NTA) next year;
● Reinforcing minimum public health standards through updated, responsive
policies matched with streamlined, institutionalized digital processes and
mechanisms to complement our continuous and heightened vaccination efforts
as we strive for herd immunity;
● Enhancing the country’s health system networks to swiftly and adequately
respond to and recover from health emergencies, particularly for emerging and
re-emerging infectious diseases;
● Promoting multi-sectoral and local engagements, such as private, civil
societies, other local and international partners, to manage multi-dimensional
risks arising from public health emergencies, as well as promoting better health
system standards, capabilities, and innovations; and,
● Mobilizing communities and individuals to promote health and foster more
responsible community behavior through enhanced, people-centered health
promotion and health literacy campaigns.

◼6◼
Considerations in the CY 2022 DOH NEP Budget
In support of the three key objectives above, the Department has taken into
consideration the following in the CY 2022 DOH NEP Budget:

1. The DOH Budget Priorities Framework

2. DOH Devolution Transition Plan CY 2022-2024
3. CY 2020-2021 Financial and Physical Performance

Budget Priorities Framework

For CY 2022, the Department identified the following budget priorities namely:

Table 1. DOH Budget Priorities Framework

Budget Priority Description

Priority 1 UHC Act Implementation - related / COVID-19 Initiatives /

Health System Resilience / Assistance to LGUs for the
Full Devolution

Priority 2 Implementation of Other Health-Related Laws

Priority 3 Urgent and Compelling Need1 or the implementation of

programs, activities, and projects (P/A/Ps) with urgent and
compelling need to ensure trajectory towards the attainment
of strategic goals indicated in the National Objectives for
Health (NOH) 2017-2022.

Relative to Priority 2, this priority include, but is not limited to, the implementation of
DOH mandates based on enacted health and health-related laws and their IRR,
especially the following with underfunding:

● Republic Act (RA) no. 11463 or the Establishment of Malasakit Centers;

● RA no. 11215 or the National Integrated Cancer Control Program;
● RA no. 11166 or the Comprehensive Policy on HIV-AIDS Prevention;
● RA no. 11148 or the Integrated strategy for Maternal, Neonatal, Child Health
and Nutrition for the first 1,000 days of life;
● RA no. 11037 or the National Feeding Program for Undernourished Children;
● RA no. 11036 or the National Mental Health Policy;
● RA no. 10932 or the Anti-hospital Deposit Law;
● RA no. 11332 or the Mandatory Reporting of Notifiable Diseases and Health
Events of Public Health Concern; and,
● Other health facility specific laws

1Defined as a situation w here non-implementation of the program or project w ould pose a risk to public safety
and/or result to serious public inconvenience (DBM NBC 2008-02)

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DOH Devolution Transition Plan CY 2022-2024

The implementation of the Supreme Court Ruling on the Mandanas-Garcia case and
the EO no. 138 s. 2021, the “Full Devolution of Certain Functions of The Executive
Branch to Local Governments, Creation of a Committee on Devolution, and for Other
Purposes,” will begin in CY 2022. This will increase the National Tax Allocation (NTA),
formerly known as the Internal Revenue Allotment (IRA), of LGUs and re-devolve
several functions of National Government Agencies (NGAs). The Department of
Budget and Management (DBM) sees that the expected increase in the NTA of LGUs
in 2022 basically puts them in a more critical role in helping the country achieve the
development and growth targets. In line with this, the DOH has developed and
submitted to DBM its Devolution Transition Plan for CY 2022-2024 on September 30,
2021 as required by EO no. 138. Figure 1 shows the timeline in the development of
the DOH Devolution Transition Plan.

This document is still subject to evaluation and approval of the DBM within one
hundred twenty (120) days upon receipt of the completed Devolution Transition Plans.
The concerned NGAs shall update their respective Devolution Transition Plans upon
approval of the 2022 General Appropriations Act (GAA), as may be necessary (Section
8 of DBM-DILG Joint Memorandum Circular no. 2021-2).

Figure 1. Timeline in the Development of the DOH Devolution Transition Plan

The health system of the Philippines has been in a devolved setup since 1991. This is
pursuant to Section 17 of the Local Government Code (LGC) where several functions
in the delivery of basic services and goods, including primary health services, were
devolved to the LGUs. Re-devolution does not mean downloading of funds from an
NGA to LGUs. It means re-devolution of functions performed by NGAs to LGUs based
on the LGC.

◼8◼
In general, the basis for the re-devolution of functions of selected DOH P/A/Ps
considers the LGU income classification, poverty incidence, capacity of LGUs,
availability of services or commodities in the local market, and implementation of the
UHC Act and other pertinent laws. Lastly, DOH hospitals and other national health
facilities, attached agencies and corporations of the DOH (such as the National
Nutrition Council, Philippine National AIDS Council, PhilHealth, National Kidney and
Transplant Institute, Lung Center of the Philippines, Philippine Children's Medical
Center, Philippine Heart Center, and the Philippine Institute for Traditional and
Alternative Health Care) will not be affected by the re-devolution of functions from
NGAs to LGUs.
The general principles in the retention of some functions with DOH, including its
Regional Offices or Centers for Health Development (CHDs), are based on EO no.
102 series 1999 and the RA no. 11223 or the UHC Act. These DOH policies
specifically reiterates the following principles:

● The DOH is the leader in health. The DOH formulates national policies, plans,
technical standards and guidelines on health and regulates health services and
products.

● The DOH as an enabler and capacity builder. DOH provides capacity

building through training, human resources development, systems
development, and technical assistance.

● The DOH as an oversight mother agency. The DOH is also the oversight to
the corporate hospitals and attached agencies and corporations and
administrator of national and regional hospitals and medical centers and other
health facilities such as the Drug Abuse Treatment and Rehabilitation Centers
(DATRCs) and blood centers.

● The DOH to finance population-based health services. The UHC Act also
mandates DOH to finance population-based health services in
complementation with the LGUs.

◼9◼
Table 2 shows the expenditure assignment of health functions per level of government
based on Section 17 of the LGC.

Table 2. LGU Expenditure Assignment on Health

Province Health services which include hospitals and other tertiary health
services

Municipality  Health services which include the implementation of

programs and projects on:
o Primary Health Care,
o Maternal and Child Care, and
o Communicable and Non-communicable Disease Control
Services
 Access to secondary and tertiary health services;
 Purchase of medicines, medical supplies, and equipment
 Rehabilitation programs for victims of drug abuse;
 Nutrition services and family planning services
 Clinics, health centers, and other health facilities necessary
to carry out health services

City All the services and facilities of the municipality and province,
and in addition thereto, adequate communication and
transportation facilities

Barangay Health services which include the maintenance of barangay

health facilities

Operational Definition

As a guide, the following terms have been operationally defined in the Devolution
Transition Plan of the DOH:

● Retained with DOH refers to maintaining the inherent DOH-retained functions;

● Partially Devolved refers to functions that will still be shared between the
national and local government units. For instance, a commodity may be re-
devolved to LGUs but buffer stocks for augmentation to Geographically Isolated
and Disadvantaged Areas (GIDA) will be retained at the national level;
● Gradually Devolved refers to the scheme wherein the re-devolution of
functions will be done in phases from CY 2022 to 2024; and,
● Fully Devolved refers to re-devolution of the entire function or responsibility to
the LGUs.

Table 3 provides a summary of the concerned DOH P/A/Ps for re-devolution, the
expected LGU roles, and basis for re-devolution.

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 Table 3. Summary of CY 2022-2024 DOH Devolution Transition Plan

DOH Budget Line DOH LGU Role Basis for Re-

Item (P/A/Ps) Recommendation Devolution

Health Facilities Gradually and Procurement National

Enhancement Partially Devolved of Capital Allocation
Program (HFEP) Outlay Framework in the
Philippine Health
Facility
Development Plan
(PHFDP) 2020-
2040

Epidemiology and Fully Devolved by Hiring of RA no. 11332: At

Surveillance CY 20222 Disease least 1 trained
Surveillance DSO per
Officers Epidemiology and
(DSOs) Surveillance Unit
(ESU)

Human Resources Gradually and Hiring of Low possibility of

for Health (HRH) Partially Devolved nurses and market failure
Deployment by CY 2023 midwives

Public Health Commodities

Family Health, Gradually and Procurement, With PhilHealth

Immunization, Partially Devolved warehousing, package, individual-
Nutrition, and storage, and based health
Responsible distribution of services (best
Parenting commodities
optimized by public
to target
Prevention and Gradually and recipients and private service
Control of Partially Devolved delivery) for
Communicable PhilHealth benefit
Diseases development and
financing, available
Prevention and Gradually and in the local market,
Control of Non- Partially Devolved
low cost,
Communicable
Diseases population- based
services which
LGUs have the
capacity to
implement

2Note: DSOs are fully devolved to LGUs by CY 2022 but DSOs in DOH Central Office, RESUs, and
PDOHOs are retained.

◼ 11 ◼
Health Facilities Enhancement Program (HFEP). This program is mandated to
support UHC Act implementation through the allocation of capital outlay and
procurement of health infrastructure, equipment, and medical transport. The main
basis for the re-devolution of functions is the National Allocation Framework (Figure 2)
in the Philippine Health Facility Development Plan 2020-2040. The parameters in the
developed allocation framework include poverty incidence, resources of local
government, presence of GIDA, and the current gap in health facilities to establish
their Health Care Provider Networks.

This framework intends to provide financial support that is equitable, considering both
capacity and gaps of the individual provinces, HUCs, and ICCs towards
implementation of province/city wide health systems.

Figure 2. National Allocation Framework

Table 4. Phasing of HFEP Gradual and Partial Devolution by Categories of the

National Allocation Framework
National Allocation Framework Phasing of
Gradual & Partial Devolution

Category 4 (High Capacity, Low Gap) Devolved beginning 2022

Category 3 (High Capacity, High Gap) Devolved beginning 2024

Category 2 (Low Capacity, Low Gap) Devolved beginning 2023

Category 1 (Low Capacity, High Gap) Retained with DOH

◼ 12 ◼
Beginning CY 2022, HFEP will re-devolve the functions to Category 4 (high capacity,
low gap) provinces and cities. In 2023, functions will be re-devolved to Category 2 (low
capacity, low gap) provinces and cities. Beginning CY 2024, HFEP will devolve the
funding support and procurement of health infrastructure, equipment and medical
transport to those provinces and cities belonging to Category 3 (high capacity, high
gap). To view the complete list of provinces, cities, and municipalities and the
corresponding year of devolution, visit https://tinyurl.com/LGUcategoriesNAF.

HFEP will continue to fund projects for provinces, cities, and municipalities under
Category 1 as well as for DOH hospitals and other health facilities like Drug Abuse
Treatment and Rehabilitation Centers (DATRCs), National Reference Laboratories
(NRLs), and Blood Centers. The national policy and health facility standard
development as well as the provision of technical assistance will be retained with DOH.
Likewise, the monitoring and evaluation of projects will still be retained by DOH but
provinces, cities, and municipalities also need to perform these functions for their
respective devolved projects.

Relative to the funding support and procurement of infrastructure, medical equipment,

and motor vehicles for certain facility types, Table 5 summarizes the unbundling of
HFEP functions per level of government. The Barangay Health Stations (BHS), Rural
Health Units (RHU)3 , existing polyclinics, and LGU Hospitals 4 under the Category 1
LGUs will be assisted by the DOH. On the other hand, the infrastructure, medical
equipment. and motor vehicles for the health facilities in the rest of the LGUs will be
funded by their respective provinces, cities or municipalities in accordance with the
LGU expenditure assignment under the LGC. However, the DOH Hospitals and other
DOH health care facilities will still be retained under DOH. Polyclinics are not officially
defined in the National Health Facility Registry, and provide services similar to health
centers and rural health units. Thus, there will be no funding support for the
construction of new polyclinics.

3 RHUs may pertain to City Health Office, Municipal Health Office, Rural Health Unit, Health Center, District
Health Center, Satellite Center
4 Municipal/District/Prov incial Hospitals are classified as LGU Hospitals

◼ 13 ◼
 Table 5. Unbundling of HFEP Functions
Functions DOH Provinc City Municipality
e

National policy and health facility ✔

standards, Technical assistance

Monitoring & Evaluation of projects ✔ ✔ ✔ ✔

Funding support and Procurement

of Infrastructure, equipment, and
motor vehicle for:

a) Brgy. Health Stations ✔* ✔

(BHS)

b) Rural Health Units (RHUs) ✔* ✔ ✔

c) Polyclinics ✔ ** ✔

d) LGU Hospitals ✔* ✔ ✔ ✔

e) DOH Hospitals & Other ✔*

Health Facilities
*Beginning CY 2024, DOH w ill only provide funding support and procurement of infrastructure, equipment and
motor vehicle to provinces, cities, municipalities belonging to Category 1
**Funding of polyclinics is limited to completion of already existing projects.

Human Resources for Health (HRH) Deployment. The hiring of HRH is the
responsibility of LGUs under a devolved setup. LGUs should implement the standard
staffing pattern based on the functions and recommended ratio of HRH to its
population. However, in the UHC Act there is a provision for DOH to provide assistance
to low income and GIDAs by deploying and augmenting the health workforce needs
of local public health systems and to secure positions for hiring of health professionals
and health workforce under the National Health Workforce Support System (NHWSS).
In this case, certain aspects of the HRH Deployment program, including the budget
allocation for retained cadres will be maintained by the DOH. Moreover, the pre-
service scholarship for priority cadre of health professionals and in-service scholarship
programs, policy development, technical assistance, capacity building of deployed
HRH, and advocacy will still be retained with the DOH (Refer to Table 6).

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 Table 6. Basis for Retention and Re-devolution of the HRH Deployment
Retained with DOH Devolved to LGUs by CY 2023

● Cadres: Doctors, Nurses, Midwives, ● Cadres: Nurses and

Dentists, Medical Techs, Pharmacist, Midwives in 1st to 4th income
Nutritionist Dietitian, Physical Therapist in class municipalities
GIDAs, target areas for peace-building
efforts, areas for poverty reduction, and ● Rationale: Low possibility of
with critical HRH gap market failure
● Pre-service Scholarship for Doctors &
Midwives
● Policy Development, Technical
Assistance, Training, Advocacy

Beginning 2023, the hiring of nurses and midwives in the 1st to 4th income class
municipalities will be devolved to LGUs except in GIDAs, target areas for peace-
building efforts, priority areas for poverty reduction, and those with critical health
workers gap. These cadres will be subject for re-devolution given the low possibility of
market failure.

Epidemiology and Surveillance. For the Hiring of Disease Surveillance Officers

(DSOs), formerly known as the Public Health Associates, under the Epidemiology and
Surveillance line item, the basis for re-devolution is Rule VII Section 2 of the 2020 IRR
of RA no. 11332 or the “Mandatory Reporting of Notifiable Diseases and Health Events
of Public Health Concern Act,” which provides:
● As a minimum requirement, each Epidemiology and Surveillance Unit (ESU)
shall have at least one (1) DSO duly trained on applied/field epidemiology,
surveillance and response; and one (1) epidemiology assistant of an allied
health profession;
● Moreover, the human resource complement will support the implementation of
the population-based health services under Section 17 of the UHC Act to
ensure an accurate, sensitive and timely epidemiologic, surveillance systems;
and,
● The budget requirements for the operations of ESUs shall be drawn from the
annual budget of their respective mother offices.

Since the budget to cover all DSOs nationwide was not approved in the 2022 NEP,
the devolution of DSOs to all LGUs will begin in 2022 but DOH will consistently retain
funding of DSOs under the DOH Central Office, CHDs, and Provincial DOH Offices
(PDOHOs). DSOs deployed in the regions are to be funded by CHD-Regional
Epidemiology and Surveillance Units (RESUs).

◼ 15 ◼
Public Health Commodities. The main basis for retention and re-devolution of public
health commodities are summarized in Table 7. Retained with DOH means provision
of funding support either as financial grants or non-financial assistance. For in-kind
commodities procured at the DOH Central Office, the Department is responsible for
its logistics and supply chain management; while the implementation and distribution
to its target population are still with the LGUs. Meanwhile, the re-devolved functions
of LGUs must also include not only the procurement but also the warehousing,
storage, and distribution of commodities to component LGUs and its target population.
A price negotiation mechanism shall be established to facilitate more efficient
procurement of select DOH retained commodities, particularly those that are high cost
and/or are single source. Financing for re-devolved functions, services, and facilities
shall either be financed through the NTA or PhilHealth (i.e. for those with benefit
packages).

Table 7. Basis for Retention and Re-devolution of Public Health Commodities

Retained with DOH Devolved to LGUs
(Fund Source: NTA or PHIC)

● Internationally procured or with ● Services or commodities that are

limited local market
● Commodities with economies of
scale
● Population-based services that need
to be consistently implemented (e.g.
Vector Control measures)
● Individual -based services but
without PhilHealth package in the
interim
readily available in the local market
● Services with existing PhilHealth
benefit packages
● Population-based services which
LGUs have the capacity to
implement

Table 8 shows a summary of the P/A/Ps which will be retained under DOH, and those
that will be partially re-devolved or fully re-devolved to the LGUs in the DOH Devolution
Transition Plan. These are only some examples of the key programs and activities of
the Department and not an exhaustive list. Furthermore, retention does not mean
provision of the entire service; instead, it means provision of financial grants and non-
financial assistance in support of program implementation, which still rests with the
LGUs. Meanwhile, in addition to what the LGUs are already funding, they will also
finance those fully devolved and partially devolved PAPs, if applicable.

◼ 16 ◼
 Table 8. Summary of the Retained and Re-devolved Functions
Retained with DOH5 Partially Devolved Fully Devolved to
LGUs

● Environmental & ● HRH Deployment ● Hypertension

Occupational Health ● Health Facilities ● Hypercholesterolemia
● National Immunization Enhancement ● Diabetes (beginning
● Tuberculosis Control Program CY 2023)
● Mental Health ● Family Health, ● Leprosy6
● Cancer Nutrition & ● Integrated
● HIV Responsible Parenting Management of
● Schistosomiasis ● Oral Health Childhood Illness
● Vector Control ● Food & Water-borne ● Soil-Transmitted
● Medical Assistance for Diseases Helminthiasis
Indigent Patients ● Filariasis ● Rabies Control
● Dengue ● Disease Surveillance
● Emergency & Re- Officers 7
emerging Infectious
Diseases
● Sexually Transmitted
Infections
Note: These are some examples of key programs and not an exhaustive list.

5 All commodities listed here shall remain with the DOH until such time that they are included in the
expanded PhilHealth benefit package and are locally & readily available
6 WHO-donated multidrug therapy and clofazimine for Leprosy will still be provided.
7 Note: DSOs are fully devolved to LGUs by CY 2022 but DSOs in DOH Central Office, RESUs, and

PDOHOs are retained.

◼ 17 ◼
 DOH Performance and Targets

Physical Performance and Targets

The DOH was able to deliver improvements in outputs and outcomes for select
performance indicators as shown in Table 9.

Table 9. DOH Physical Performance CY 2019-2021 and Targets for CY 2022

Accomplishment CY 2022
Program Performance Indicator CY 2019 CY 2020 CY 2021 Targets based
(Preliminary) on NEP
National Health Percent of the 100% 100% 100% 100%
Insurance population covered8 by
Program PhilHealth
Philhealth Registration/ 90% 87% 87% 92.5%
Enrolment Rate
Social Health Number of patients 1.54 M 1.35 M 0.677 M10 1.5 M
Protection provided with medical
Program expense assistance thru
MAIP9
Number of Current 7.6 M 8.1 M Annually 8.6 M
Public Health Users of Modern FP Reported
Program methods among
Women of Reproductive
Age (15-49 years old)
Facility-based Deliveries 91% 92%11 Annually 95%12
Reported
Treatment Success 90% 86% Annually 90%
Rate for All Forms of TB Reported
Number of Malaria-free 60 60 Annually 75
provinces Reported
(Out of 81 provinces)
Number of Filariasis- 43 4313 Annually 45
free provinces Reported
(Out of 46 endemic
provinces)
Health Systems Number of doctors 511 690 73414 963
Strengthening deployed

8 Per Section 5 of the UHC Act provides that all Filipinos w ill now be included under the National Health Insurance
Program, thereby achieving universal population coverage in principle.
9 In the 2022 NEP , the new MAIP indicator is the number of patients provided w ith medical and financial assistance.
10 Preliminary 2021 Accomplishment as of June 30, 2021
11 Program data in 2020 DOH Annual Report
12 Target based on Program Strategic Plan
13 No declaration of Filariasis-free provinces in 2020 due to pandemic
14 Preliminary 2021 Accomplishment as of June 30, 2021

◼ 18 ◼
 Accomplishment CY 2022
Program Performance Indicator CY 2019 CY 2020 CY 2021 Targets based
(Preliminary) on NEP
Number of nurses 18,166 18,994 16,83014 13,58515
deployed
Number of midwives 4,60016 4,585 4,39114 6,316
deployed
Number / Percent of 99% 99% 97% 100%
HFEP-projects that (5,283 of (4,609 of (2,591 of (2,512)
started implementation17 5,345) 4,721) 2,677)

Financial Performance

For the year 2020, the DOH-Office of the Secretary (DOH-OSEC) was able to obligate
88 percent of the allotted budget, equivalent to almost PhP 176 billion of the total
allotted budget of PhP 201 billion. In terms of disbursement, it is at 81 percent or PhP
142 billion of the PhP 176 billion obligations incurred. This is presented by expense
class in Table 10.

Table 10. DOH-OSEC Financial Performance in CY 2020, Amount in Billion PhP

Expense Obligation Disbursement18
Allotment
Class Amount % Amount %
PS 64 62 97 60 97
MOOE 109 90 83 73 81
CO 28 24 88 9 38
TOTAL 201 176 88 142 81
Source: CY 2022 Utilization as of December 31, 2020; Inclusive of Bayanihan Funds, Special Purpose Funds,
and Automatic Appropriations, and 2019 Continuing Appropriations

CY 2022 NEP Budget Discussion

The years 2016-2017 saw the transition of the DOH budget structure from the Major
Final Outputs (MFO) to the Program Expenditure Classification (PREXC). Since its
implementation in the 2018 GAA, the agency continues to transform and streamline
its P/A/Ps to be more responsive to the changing needs and principles of Public
Financial Management (PFM). The PREXC restructuring in the 2022 NEP seeks to
streamline, integrate, and align the budget to results pursuant to existing policies and
in consideration of emerging needs.

15 The decrease in the number of Nurses in the Nurses Deployment Program is due to the implementation of DBM
Budget Circular 2021-02 w hich increases the SG level of Nurse II from SG 15 to SG 16. How ever, the DOH is
proposing to increase the fund allotment to PhP 3.27B to ensure the retention of the proposed 17,831 Nurses.
16 Shift from MOOE funding to PS-Contractual, actual target is met (4,600 out of 4,000 targeted for deployment)
17 HFEP Report as of July 31, 2021
18 Computed as Disbursement over Obligations Incurred

◼ 19 ◼
The four distinct changes in PREXC structure that were introduced in the 2022 DOH
NEP budget are as follows:

(1) Certain budget line items were merged in order to provide flexibility and
promote efficiency in the use of funds across public health programs, such as
the Complementary Feeding Program which is now merged and subsumed
under the “Family Health, Immunization, Nutrition and Responsible Parenting
Program” as component of Nutrition; and the National Integrated Cancer
Control Program including cancer medicines for children, and the Cancer
Assistance Fund are now merged and subsumed under the “Prevention and
Control of Non-Communicable Diseases” which contribute to the same output
and outcome;

(2) Eleven DOH Hospitals were renamed based on newly enacted laws;

Table 11. List of Renamed Hospitals Based on Newly Enacted Laws

Region From To

NCR San Lazaro Ruiz Women’s San Lorenzo Ruiz General

Hospital Hospital

II Southern Isabela General Southern Isabela Medical

Hospital Center

Veterans Regional Hospital Region II Trauma and Medical

Center

III Bataan General Hospital Bataan General Hospital and

Medical Center

Talavera Extension Hospital Talavera General Hospital

VII Eversley Child Sanitarium Eversley Child Sanitarium and

General Hospital

Talisay District Hospital Cebu Southern Medical Center

VIII Eastern Visayas Regional Eastern Visayas Medical

Medical Center Center

Schistosomiasis Hospital Gov. Benjamin T. Romualdez

General Hospital and
Schistosomiasis Center

IX Labuan Public Hospital Labuan General Hospital

X Medina Extension Hospital First Misamis Oriental General

Hospital

◼ 20 ◼
 (3) New budget line items were created, namely: the Locally Funded Project -
COVID-19 HRH for Emergency Hiring; Foreign-Assisted Project19 known as the
Philippine COVID-19 Emergency Response Project (PCERP) no. 2 in
partnership with the World Bank; and creation of three new hospitals namely,
the Conrado Estrella Regional Medical and Trauma Center in Pangasinan by
virtue of RA no. 11558 (PS and MOOE allocation); Davao Occidental General
Hospital established by virtue of RA no. 11564 (PS, MOOE, and Capital Outlay
allocation); and, Senate President Neptali Gonzales General Hospital in
Mandaluyong City created as per RA no. 11557 (Capital Outlay allocation).

(4) The Philippine National AIDS Council (PNAC) budget has been separated from
the DOH-OSEC and is now an attached agency by virtue of RA no. 11166.

Estimated Fiscal Space and CY 2022 Sources of Funds for Health

Section 37 of the UHC Act provides the appropriations measures for its
implementation, to wit (Refer to Table 12 for the estimates):
● Total incremental sin tax collections as provided for in RA no. 10351. In
addition, mandated earmarks as provided for in RA nos. 7171 and 8240 shall
be retained;
● Fifty percent (50%) of the National Government share from the income of
Philippine Amusement and Gaming Corporation (PAGCOR);
● Fifty percent (50%) of the Forty percent (40%) of the Charity Fund, net of
Documentary Stamp Tax Payments, and mandatory contributions of Philippine
Charity Sweepstakes Office (PCSO);
● Premium contributions of members;
● Annual appropriations of the DOH included in the General Appropriations Act
(GAA); and,
● National Government subsidy to PhilHealth included in the GAA.

19Foreign-Assisted Projects on World Bank PCERP 1 and ADB HEAL 2 are fully frontloaded in CY
2021

◼ 21 ◼
 Table 12. CY 2022 Sources of Funds for Health 20
Amount
Funding Source Remarks
(in Billions)

DOH-OSEC and PhilHealth DOH-OSEC and PhilHealth budget in

53.23
Baseline Budget 2013 (prior to RA 10351)

Repeals the old Sin Tax Law (RA 10346);

Projected 2020 excise tax
collections based on new sin tax
laws: RA 11346 and RA 11467
Figures are COVID- Adjusted; Preliminary
152.14
and subject to change as of October 17,
2021 (Source: DOF Projections)

Computed as 2022 NEP level of DOH-

OSEC and PhilHealth minus Baseline
DOH-OSEC and PhilHealth Budget prior to RA 10351 minus the
31.65
Natural Increase Projected sin tax collection for 2022:
[(PhP 237.02 billion - PhP 53.23 billion) -
PhP 152.14 billion]

Projected estimate on 50% of the NG

Philippine Amusement Gaming share from income of PAGCOR (Source:
11.88
Corporation (PAGCOR) PAGCOR Letter to DOH dated October
12, 2021)

Philippine Charity Sweepstakes 50% of the 40% of the charity fund for the
3.70*
Office (PCSO)* first two years per the UHC Act Sec. 41 (j)

TOTAL 252.60
*Pending COVID-19 adjusted medium-term projections from PCSO

Note: Fiscal Space Estimation is exclusive of income generated from Food and Drug Administration
(FDA), Bureau of Quarantine (BOQ), Health Facilities and Services Regulatory Bureau (HFSRB), DOH
Hospitals, and PhilHealth premiums from direct contributors.

Overview of the CY 2022 DOH-OSEC NEP Budget

Beginning 2014, the DOH budget has increased significantly due to the
implementation of the Sin Tax Law. The 2022 DOH-wide budget is 14 percent higher
than that of the 2021 budget level. The DOH-OSEC has a total allocation of PhP
157.03 billion in the 2022 NEP, which is 17 percent higher than the 2021 GAA. On
top of this, a total of PhP 764.40 million is to be charged under the Special Account in
the General Fund (SAGF). Of this amount, PhP 148.75 million is for the Bureau of
Quarantine (BOQ), PhP 586.24 million for the Food and Drug Administration (FDA),
and PhP 29.42 million for Franchise Tax.

20Exclusive of estimated fiscal space for UHC and HFEP from offshore gaming revenues per Republic
Act no. 11590 dated September 22, 2021

◼ 22 ◼
The major cost drivers of the DOH-OSEC budget in the 2022 NEP are the following
budget line items: HFEP which increased from PhP 7.84 billion in the 2021 GAA to
PhP 19.56 billion in the 2022 NEP; COVID-19 Laboratory Network funding which
increased from PhP 124 million to PhP 5.09 billion as compared in 2021; and,
Procurement of Supply Chain Management Service which increased from PhP 486.31
million to PhP 1.92 billion in the 2022 NEP. Figure 3 shows the trend of the budget
appropriated for health from GAA 2010-2021 and NEP 2022. For CY 2022, agencies
will continue the cash-based budgeting system, where the budget is expected to be
fully disbursed within the year.

Figure 3. DOH-wide Budget Trend from GAA 2010-2021 to NEP 2022

Note: The trend is exclusive of PhP 3.70 billion allocation for Retirement and Life Insurance
Premiums (RLIP) and PhP 764.40 million allocation for the Special Accounts in the General Fund
(SAGF)

Out of the PhP 242.22 billion for the DOH-wide budget in the 2022 NEP, PhP 157.03
billion or 65 percent is allocated to the DOH-OSEC. The 35 percent of the budget is
allocated to the DOH attached agencies and corporations, as follows: PhP 79.99
billion or 33 percent to PhilHealth; PhP 4.55 billion or 2 percent to the four corporate
speciality hospitals; PhP 478.08 million for the NNC; PhP 34.99 million to the PNAC;
and, PhP 134.49 million to the PITAHC. (Refer to Table 13).

◼ 23 ◼
 Table 13. DOH-wide Budget GAA 2020 - 2022 NEP

NEP 2022
GAA GAA
Particulars
2020 2021 Amount in % to Total
Billion PhP NEP21

A. DOH-OSEC 100.56 134.45 157.03 65

B. Attached Agencies **0.46 **0.48 0.51 0.21

National Nutrition Council 0.46 0.49 0.48 0.20

Philippine National AIDS Council **0.01 **0.03 **0.04 0.01

C. Attached Corporations 75.44 77.01 84.68 35

Lung Center of the Philippines 0.42 0.50 0.41 0.17

National Kidney and Transplant

0.91 1.28 1.27 0.52
Institute

Philippine Children’s Medical

Center 1.20 1.93 1.11 0.46

Philippine Heart Center 1.43 1.80 1.77 0.73

Philippine Institute for Traditional &

0.14 0.14 0.13 0.06
Alternative Health Care

Philippine Health Insurance

71.35 71.35 79.99 33
Corporation (PhilHealth)

TOTAL 176.46 211.95 242.22 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million)
**PNAC is subsumed under DOH-OSEC in the 2020-2021 GAA; Separated as attached agency in
the 2022 NEP per RA 11166

In terms of expense class (Table 14) of the DOH-OSEC budget, the Maintenance and
Other Operating Expenses (MOOE) has the highest proportion of budget at 44 percent
or PhP 68.54 billion, followed by Personnel Services (PS) at 42 percent or PhP 66.19
billion, and Capital Outlay (CO) at 14 percent or PhP 22.30 billion.

21 Numbers may not add up due to rounding off

◼ 24 ◼
 Table 14. DOH-OSEC Budget by Expense Class, CY 2022 NEP vs 2021 GAA
2022 NEP
Expense Class 2021 GAA
Amount in Billion PhP % of Total NEP

PS 61.14 66.19 42

MOOE 58.65 68.54 44

CO 14.66 22.30 14

TOTAL 134.45 157.03 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million)

The DOH-OSEC CY 2022 NEP budget of PhP 157.03 billion comprises the agency
specific budget, budget for operations in support of its four organizational outcomes,
including the loan proceeds for the foreign-assisted projects. Table 15 shows the
breakdown of the DOH-OSEC CY 2022 NEP Budget in comparison with the GAA 2021
budget level.

Table 15. DOH-OSEC Budget by Organizational Outcome,

CY 2022 NEP vs 2021 GAA, Amount in Billion PhP
2021 2022
Particulars % of Total NEP
GAA NEP

Agency Specific Budget

General Administration and Support 8.09 8.33 5.3

Support to Operations 1.91 3.80 2.4

Sub-Total 10.00 12.13 7.7

Operations

OO1: Access to Promotive & Preventive

56.94 73.92 47.1
Health care Service Improved

OO2: Access to Curative & Rehabilitative

49.31 53.02 33.8
Health Care Service Improved

OO3: Access to Safe & Quality Health

Commodities, Devices and Facilities 1.08 0.96 0.6
ensured

OO4: Access to Social Health Protection 17.13 17.00 10.8

Sub-Total 124.45 144.90 92.3

TOTAL 134.45 157.03 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million)

◼ 25 ◼
The bulk of the budget under the DOH-OSEC is for the operations of its organizational
outcomes amounting to PhP 144.90 billion or 92 percent of the total agency budget.
The agency specific budget for General Administration and Support and Support to
Operations comprises 8 percent or PhP 12.13 billion. The budget proposed for
Organizational Outcome 1 (OO1): Access to Promotive and Preventive Health Care
Services Improved, has the biggest share at 47 percent or PhP 73.92 billion. Activities
under OO1 include HFEP, HRH Deployment, Public Health Programs, and the
Foreign-Assisted Projects. This is followed by the proposed budget for OO2: Access
to Curative and Rehabilitative Health Care Services Improved with 34 percent of the
proposal or PhP 53.02 billion. OO2 activities include Operations of National (and Sub-
national) Reference Laboratories, DOH-retained hospitals, and DATRCs. A total of
PhP 959.32 million or 0.6 percent is allotted for OO3 for the Health Regulatory
Program, and PhP 17 Billion or 11 percent for the Social Health Protection Program
under OO4.

Highlights of the CY 2022 NEP Budget

Major Thrusts of the DOH Budget

For CY 2022, the major thrusts in the DOH budget are based on the health
commitments in the Philippine Development Plan and the Budget Priorities
Framework. As discussed in the previous section, major activities of the DOH-OSEC
can be categorized under three main priorities namely:

Priority 1: UHC Act Implementation-related and COVID-19 Initiatives (including

Assistance to LGUs for the Full Devolution)

● 1A: UHC Act Implementation-related

⮚ 1.A.1 : Health Systems Strengthening
⮚ 1.A.2 Population-based & Primary Care Service Provision

● 1B: COVID-19 Initiatives / Health System Resilience

Priority 2: Implementation of Other Health-Related Laws

Priority 3: Urgent and Compelling Need

Priority No. 1: UHC Act Implementation, COVID-19 Initiatives, and Health System
Resilience

A total of PhP 78.83 billion is allotted under NEP 2022 for Priority 1 which includes
PAPs related to UHC Act implementation, COVID-19 initiatives, and Health System
Resilience, including assistance to LGUs for the Full Devolution. This amount can be
further disaggregated as PhP 59.15 billion for Health Systems Strengthening
programs such as HRH Deployment, HFEP, local health systems development,

◼ 26 ◼
 regulation, and population-based health services and primary care service provision.
The remaining PhP 19.68 billion is for COVID-19 Initiatives and Health Systems
Resilience.

Table 16 shows the breakdown of budget line items under Priority 1 in the CY 2022
NEP. Some budget line items such as Health Facility Policy and Plan Development,
Family Health, Immunization, Nutrition and Responsible Parenting, Prevention &
Control of Communicable Diseases and Public Health Management contribute to more
than one sub-category or priority area.

Table 16. Summary of Major Activities under Priority 1, Amount in Billion PhP
2022 NEP
P/A/P
Amount Major Activity
Priority 1A: UHC Act Implementation Related Proposals

To strengthen the capacity of the primary health care workforce

and to support national and local health systems through:
● Deployment of 22,271 HRH (963 Doctors, 13,585 Nurses,
6,316 Midwives, 222 Dentists, 303 Pharmacists, 200
HRH Deployment 17.01
Nutritionist-Dietitians, 601 Medical Technologists, 81
Physical Therapists)
● Provision of 2,823 Pre-service scholarship grants for
doctors and midwives.
To support national and local health facilities through the
provision of capital outlay with breakdown as follows:
● PhP 18.39 billion worth of infrastructure and various
Health Facilities
equipment for health facilities in low-income or high
Enhancement 19.56
poverty areas
Program
● PhP 1.09 billion worth of motor vehicles
● PhP 82 million for the monitoring and evaluation of HFEP
implementation activities
Local Health
To support the strengthening of local health systems and to
Systems
0.50 provide assistance to the 58 UHC Integration Sites for integration
Development and
of their respective local health systems into P/CWHS
Assistance
Pharmaceutical To procure essential medicines for 148 Botika ng Bayan (BNB)
0.28
Management and 55 Bayani (BNBi) and hiring of 164 Pharmacy assistants
Health Technology To cover the operations of the Health Technology Assessment
0.014
Assessment unit
Health Sector To facilitate the conduct of Health Policy and Systems type
Research 0.18 Researches (HPSR), analyses and research translation in
Development support of the UHC Act and health systems strengthening

◼ 27 ◼
 2022 NEP
P/A/P
Amount Major Activity
To defray expenses for capacity building and operations of DOH-
Health Information
0.62 KMITS and to procure ICT equipment to support implementation
Technology
of the UHC Act & COVID-19 activities
To provide Learning and Development interventions to DOH
internal staff and LGU HRH: Post-graduate and Certificate
HRH Institutional
courses, In-House courses, Health System Management
Capacity 0.27
courses for deployed HRH, Health Leadership and Governance
Management
Modules (UHC Implementation), & online courses (DOH
Academy)

Health Facility To support policy and plan development for health facilities and
Policy and Plan 0.29 its operations (inclusive of PhP 105.6 million for operations of the
Development One Hospital Command Center)

Operations of
1.26 To support ongoing activities of Centers for Health Development
Regional Offices
Regulation of
Health Facilities & 0.077 To support ongoing regulatory and licensing activities at the
Services Central Office and Centers for Health Development
Regulation of (Note: This amount cannot cover the proposed expansion of
Regional Health UHC-related regulatory activities, such as the licensing of
0.28 primary care facilities)
Facilities and
Services
To support ongoing epidemiology and surveillance activities and
defray salaries of existing job orders (Note: This amount cannot
Epidemiology and
0.11 cover the funding for the Disease Surveillance Officers and
Surveillance
operations of COVID-19 Surveillance Unit and Adverse Effect
Following Immunization Unit)
To provide capacity building and technical assistance on
Health Emergency
Disaster Risk Reduction and Management in Health (DRRM-H)
Preparedness & 0.28
to CHDs, Hospitals and LGUs and to procure essential
Response
preparedness and response supplies and equipment

To support implementation of Healthy Communities and Health

Health Promotion 0.48
Schools and ongoing health promotion activities

To implement the soft component of integrated public health

Public Health programs at the national and regional level through policy
3.89
Management development, technical assistance and trainings, health
promotion, and research activities
Environmental and
To provide commodities for drinking water disinfection, water
Occupational 0.005
sampling, and chemical reagents
Health

◼ 28 ◼
 2022 NEP
P/A/P
Amount Major Activity

Family Health, Immunization, Nutrition & Responsible Parenting

To provide vaccines across life stages for priority target groups

National
8.5822 (Note: Inclusive of PhP 650 million for COVID-19 immunization
Immunization
devices)
Family Health,
To provide micronutrient supplementation and family planning
Nutrition, and
2.20 commodities to target population groups. This includes the PhP
Responsible
250 million for Complementary Feeding.
Parenting

Prevention and Control of Communicable Diseases

Elimination of To provide commodities to address diseases for elimination such

0.33
Diseases as Malaria, Filariasis, Schistosomiasis, and Leprosy 23
To provide commodities for the diagnosis, prevention, treatment,
TB Control 1.69
and control of Tuberculosis

Prevention & To provide commodities to diagnose, prevent, treat, and control

Control of Other other infectious diseases (Note: Inclusive of PhP 3.44 billion for
5.06
Infectious the procurement of Personal Protective Equipment (PPE) and
Diseases PhP 639 million for GeneXpert COVID-19 cartridges)

Rabies Control 1.08 To provide commodities to address animal bites

Sub-Total
59.15 UHC Act Implementation Related Proposals
(Priority 1A)
Priority 1B: COVID-19 Initiatives / Health System Resilience

LFP: COVID-19
To provide for 4.38 million COVID-19 tests and other Laboratory
Laboratory Network 5.09
Network needs
Commodities
LFP: COVID-19
Human Resources To augment health facilities with HRH dedicated for COVID-19
3.80
for Health response
Emergency Hiring
Foreign-Assisted To cover the loan proceeds of World Bank PCERP 2 and ADB
1.29
Projects HEAL 1 loans for CY 2022
Quick Response To cover health emergency response activities and procure
0.50
Fund commodities and capital outlay projects
Operations of Blood To support ongoing operations of DOH national, regional, and
Centers & National 0.51 subnational blood centers in addressing blood transfusion needs
Voluntary Blood of critical patients

22 Exclusive of PhP 45.367B for COVID-19 vaccine booster shots under Unprogrammed Funds (as approved by
DBM)
23 Multi-drug therapy for Leprosy that are donated by WHO shall be continuously provided to LGUs

◼ 29 ◼
 2022 NEP
P/A/P
Amount Major Activity
Services

Procurement and
To cover the warehousing, hauling, and brokerage expenses for
Supply Chain
1.92 the procurement of commodities (PhP 1.46 billion) and
Management
construction/equipping of regional warehouses (PhP 464 million)
Service
Operation of
National Reference 0.30 To support ongoing operations pre-COVID
Laboratories
International Health To support ongoing activities of BIHC, including participation to
Policy Development 0.04 Technical Group on Diplomatic Negotiation and Engagement on
and Cooperation COVID-19 loans and other official development assistance
Regulation of
To cover licensing of health establishment, re-engineering of
Health
1.00 systems and procedures on registration of health products,
Establishments and
post marketing surveillance
Products (FDA)24
Provision of
Quarantine
To enhance surveillance activities at all points of entry by
Services and
0.32 strengthening workforce and others as essential part of
International Health preparedness for health challenges
Surveillance
(BOQ) 25
COVID-19 Initiatives/ Health System Resilience
Note: Other COVID-19 Initiatives are already incorporated in
Sub-Total Priority 1A under UHC-related activities: PhP 61M for DPCB
19.68 COVID-dedicated Job Orders, PhP 650M (COVID
(Priority 1B)
Immunization Devices), PhP 3.44 B ( PPEs), PhP 639M
(COVID GeneXpert cartridges), PhP 105.6M (One Hospital
Command Center)

Total (Priority 1) 59.15

Indicative Allocation for UHC Integration Sites in the 2022 NEP

At present, there are 58 UHC Integration Sites (UHC-IS) which have committed to
integrate into P/CWHS through a letter of intent. In order to support them, the UHC-IS
are being provided with both technical assistance for their preparatory and
organization activities, as well as hiring of additional UHC-IS support staff. Currently,
CHDs were directed to assist UHC-IS to form local UHC Performance Management
Teams which will be responsible for localizing and implementing UHC and integration
reforms.

24 PS budget is charged under Operations of DOH-OSEC w hile MOOE and CO budget are charged under SAGF
25 ibid.

◼ 30 ◼
Based on Sections 17 and 41 of the UHC Act IRR, the CY 2022 investments aims to
support the local health systems integration initiatives of 58 UHC Integration Sites.
Of the PhP 59.15 billion allotted for UHC Implementation activities, PhP 19.95 billion
or 34 percent is allocated to support programs, projects, and activities for the 58 UHC
Integration Sites. The budget line items with specific allocation for the 58 UHC
Integration Sites comprise of HRH deployment, Local Health Systems Development
and Assistance (LHSDA), and capital outlay funds under the HFEP and Health
Promotion Program.

On top of this, the UHC Integration Sites also receive support from other DOH
programs, projects, and activities dedicated for all LGUs such as the annual regular
assistance for public health commodities amounting to PhP 20.31 billion, and
technical assistance and capacity building for ongoing LHSDA activities amounting to
PhP 237.11 million for all LGUs. All the other LGUs which are not part of the 58 UHC
Integration Sites will likewise continue to receive funding support from DOH such as
the HRH Deployment Program and HFEP, among others.

Table 17. Summary of P/A/Ps with Specific Allocation for UHC Integration Sites
(MOOE & CO) in the 2022 NEP, Amount in Billion PhP
P/A/P Amount Major Activity

HRH Deployment 9.32 Deployment of all cadres in 58 UHC IS

Local Health Systems

Development and 0.26 Regular and Top up Fixed Tranche
Assistance
Capital Outlay (Infrastructure, equipment and motor
vehicle) for health facilities in UHC IS that covers
Health Facility
10.24 BHS, RHUs, Polyclinics, LGU Hospitals, TTMF, Other
Enhancement Program
Health care Facilities, MegaHealth Centers, and DOH
Hospitals
Assistance for 34 UHC-IS based on 2020 Local
Health Promotion 0.13 Health Systems Maturity Levels baseline assessment
of Health Promotion key result areas
Total 19.95

Priority No. 2: Implementation of Other Health-related Laws

Under Priority 2, a total of PhP 69.21 billion is allocated for activities pursuant to other
recently enacted health laws such as the Mental Health Act, Cancer Law, Malasakit
Act, and re-nationalization of hospitals.

◼ 31 ◼
 Table 18. Summary of Major Activities under Priority 2, Amount in Billion PhP
P/A/P 2022 NEP

Amount Major Activity

Prevention and
To provide commodities for the prevention, treatment, and
Control of Non- 1.38 control of Diabetes (PhP 22.45 million), Cancer (PhP 786.96
Communicable
million), and Mental Health (PhP 568.04 million) conditions
Diseases
Medical Assistance
17.00 To provide medical and financial assistance for indigent and
for Indigent Patients financially-incapacitated patients
Operation of DOH To subsidize salaries of personnel and augment the regular
Hospitals in Metro 13.48 operations of Metro Manila specialty hospitals for patient
Manila management
Operation of DOH
To subsidize salaries of personnel and augment the regular
Regional Hospitals
37.35 operations of DOH-retained Regional Hospitals for patient
and Other Health
management
Facilities
Total (Priority 2) 69.21

Priority No. 3: Urgent and Compelling Need

For Priority 3, a total of PhP 1.38 billion is allocated for budget line items whose
implementation have an urgent and compelling need.

Table 19. Summary of Major Activities under Priority 3, Amount in Billion PhP
P/A/P 2022 NEP

Amount Major Activity

Operation of To provide for the operating expenses of DDAPTP and 22

Dangerous Drug DATRCs (13 existing DOH-managed Drug Abuse Treatment
Abuse Treatment 1.38 Rehabilitation Centers (DATRCs), 5 donated DATRCs, 4
& Rehabilitation newly Established DATRCs in Mountain Province, La Union,
Centers Las Piñas and Zamboanga

Total (Priority 3) 1.38

Through the funding of these budget proposals, the Department aims to: (1) attain a
health system that is resilient and responsive to the pandemic, especially to emerging
and re-emerging infectious diseases; (2) strengthen the local health systems; (3)
capacitate LGUs in performing the re-devolved functions and services and (4) improve
the delivery of population-based health services such as epidemiology and
surveillance, health promotion, and health emergency preparedness and response
and primary care service provision.

◼ 32 ◼
HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU
2021

◼ 33 ◼