8 Point Agenda Humanistic Leadership and Good Governance 092823

Humanistic Leadership and Good Governance
for the 8-Point Action Agenda Implementation
Presented by:
JOSE MARI C. CASTRO, MD, CFP, MPH, MPA

Development Management Officer V
Head, Field Operations Cluster
Metro Manila Center for Health Development
September 28, 2023
doh.gov.ph
The Health Sector’s 8-Point Action Agenda of SOH
TEODORO J. HERBOSA
Outlin  Background on:

e ○ Humanistic Leadership
○ Good Governance
 Ensuring Humanistic Leadership and Good
Governance in Implementing the 8-point Action
Agenda
○ Approaches
○ Key Performance Indicators
Republic of the Philippines
Department of
Health
/doh.gov.ph
“Sa Healthy Pilipinas, Bawat Buhay
Mahalaga”
The Health Sector’s 8-Point Action Agenda
TEODORO J. HERBOSA, MD doh.gov.p

h
Secretary of Health
Para sa Bawat Pilipino

Department of
Health 4
/doh.gov.ph
Para sa Bawat Komunidad

Department of
Health 5
/doh.gov.ph
Para sa Bawat Health Worker

Department of
Health 6
/doh.gov.ph
Mainstream the primary
health care approach,
ensuring that every
Filipino experiences and
benefits from
comprehensive health
services without
financial hardship

Department of
Health 7
/doh.gov.ph
Ensure access to
high-quality, safe, and
people-centered health
care services across
the lifecourse

Department of
Health 8
/doh.gov.ph
Leverage digital health

and technology for
efficient and
accessible health
service delivery

Department of
Health 9
/doh.gov.ph
Para sa Bawat
Komunidad
Ensure a resilient health
system prepared to
effectively respond to
health crises and
health emergencies

Department of
Health 10
/doh.gov.ph
Para sa Bawat
Komunidad
Promote healthy
settings andenhance
Filipinos’ health literacy

Department of
Health 11
/doh.gov.ph
Para sa Bawat Komunidad
Enhance Filipinos’
well-being and
ensure quality
mental health
services

Department of
Health 12
/doh.gov.ph
Ensure a sufficient and

engaged health
workforce by providing
fair compensation,
healthy working
environments, and
opportunities for career
development

Department of
Health 13
/doh.gov.ph
Strengthen systems
and structures to
prevent, manage, and
recover from disease
outbreaks and
potential pandemics

Department of
Health 14
/doh.gov.ph
Humanistic Leadership and Good Governance
for the 8-Point Action Agenda
Implementation
Kenneth G. Ronquillo, MD, MPHM, CESO III
Undersecretary of Health
Governance and Organizational Development doh.gov.ph
Team
Behaviour
Thoughts
Humanistic Leadership
Having a deep understanding of what Beliefs
motivates people and the genuine care and
concern for others with the intention to
support and help
Values

Department of
Health
/doh.gov.ph
Good Governance
Involves ensuring strategic policy frameworks exist
and are combined with effective oversight,
coalition-building, regulation, attention to system-
design and accountability

Department of
Health
/doh.gov.ph
In order for change to happen, we must organize ourselves
and the sector through HUMANISTIC LEADERSHIP and GOOD
GOVERNANCE APPROACHES
Education Participation Facilitation Negotiation Coercion

Communicate changes Involvement in Provision of skills and Incentives for making Disincentive for
and reason for them designing and emotional support the change change to happen
implementing the
change

Department of
Health
/doh.gov.ph
Situationer
Sectoral Outcome General Explanation
Performance* ● Effects of the pandemic
35% 21% 3 ● Under-investment in health
%
(19/55) (8/39)
F1 Plus for Health
● Misalignment of commitments
PDP 2017-2022
Commitments and resources
(1/39)
SDG 2030 ● Institutional limitations such as
Health Stakeholders
Performance* absorptive capacity, unfilled
74% 90 96% 39
staffing patterns, underdeveloped
health institutions and facilities
% %
(2,113/2,853) Average International
DOH Central Ofice, Health Partners CY
CHDs, and Hospitals 2020
CY 2022 PES Rating Average
PhilHealth LGU CY 2021
*Accomplishment rate in M&E systems including scorecards
CY 2021
Health Sector
Better, Equitable
Health
Performance
Stronger
Health
Access to all
Levels of
Outcomes System Care
27(2017) (2022)
111
(2015) (2020)
Maternal mortality ratio
Percent of Provinces with 50.1
Adequate bed to population ratio
144
2312 12
21 22 41.5
(2017) (2022) (2017) (2022)
Percent of Provinces with (2017)
Infant mortality rate (2016) (2021)
adequate RHU to population ratio Social health insurance
(2022)
554 650 73 73
spending as
Out-of-pocket health spending as
percentage of current health
(2016) (2021) percentage of current health expenditure
(2017) (2022) expenditure
Tuberculosis incidence
30 18 14
Percent of Provinces with adequate
BHS to population ratio (Inpatient)
117K 158K 31 40 1 (Outpatient)
(2010) (2022) (2021)
(2016) (2022)
Estimated number of Percent of population who have spent
Percent of Provinces with adequate
PLHIV greater than 10 percent of their HH
doctor to population ratio
income on health
4.6
(2010) (2019)
100 96
(2016) (2022)
Premature mortality
4.6 to NCDs
attributed
Percent of Provinces with
adequate nurse to population ratio
33.4 75 72
(2010) (2021)
26.7
Prevalence of Stunting
(2016)
Percent of Provinces with
(2022)
among under-five children adequate midwife to population ratio
Necessary Shifts to Humanistic Leadership and Good Governance
FROM TO
● Dissemination of
✓ Development of effective management
Monitoring
Results
responses
● Compliance to reportorial
requirements ✓ Basis for incentives and disincentive
✓ Evaluation agenda
Evaluation
● Part of the research
✓ Stand-alone process with checks and
agenda
balance in place
Strategy Management
● Strategy process ✓ Gate-keeper of strategic commitments
champions ✓ Alignment of stakeholder scorecards
✓ DOH process with in-house capacity to
Organizational Development
● Outsourced to implement OD
consultants ✓ Change champions
✓ Leadership capacity enhancement
● Quality assurance for

✓ QA in support of strategy management
Quality Management
certification
● Quality improvement ✓ QI at all levels of the health system
only at service delivery ✓ Customer and client satisfaction
Health Sector M&E Logical Framework
INPUT PROCESS / OUTPUT INTERMEDIATE OUTCOME IMPACT
● Budget allocated for P/A/Ps ● No. of Policies, Standards

and Regulation issued
8-Point Universal
● No. of Personnel funded to
implement relevant P/A/Ps ● No. of Capacity Building
Action Agenda Health Care
and Technical Assistance
● No. of Infrastructure or provided ● Bawat Pilipino (14) ● Better, Equitable Health
technologies utilized to Outcomes (6)
implement relevant P/A/Ps ● No. of Stakeholder ● Bawat Komunidad (10)
Engagements ● Stronger Health
● Bawat Health Worker Systems (2)
● No. of Health Care Provider
(4)
Network / Primary Care
● Access to all Levels of
Provider Networks established
= 28 indicators Care (2)
● No. Individual-based health
services provided = 10 indicators
● No. of Population -based
health services provided
Impact Indicators
Goal: Better, Equitable Health
Outcomes
No. Indicator
Baseline End-Term Target Data Reporting
(Year) (2028) Source Unit
Male 70 (2020) Male 71 Civil Registration

1 Average Life Expectancy (years) and Vital Statistics PSA
Female 76 (2020) Female 77 (CRVS)
Maternal mortality rate per 100,000 144

2 126 CRVS PSA
live births (2020)
National
Infant mortality rate per 1,000 live 22 Demographic and
3 12 PSA
births (2022) Health Survey
(NDHS)
Premature mortality rate attributed to 5

4 1 CRVS PSA
non-communicable diseases (2020)
Tuberculosis incidence (per 100,000 650 TB Global

5 520 WHO
population) (2021) Report
Prevalence of stunting among children 27 Expanded National

6 18 Nutrition Survey DOST-FNRI
under five years of age (2021) (ENNS)
Impact Indicators
Goal: Stronger Health
System Baseline End-Term Target Data Reporting
No. Indicator
93 UHC Household DOH -

7 Responsiveness score >93
(2019) Survey PMSMD
85% (public facilities)

>85 (public facilities) UHC Household DOH -
8 Client Satisfaction Rate 97% (private facilities)
>97 (private facilities) Survey PMSMD
(2019)
Impact Indicators
Goal: Access to All Levels of
Care
No. Indicator
Baseline End-Term Target Data Reporting
Household
Philippine
out-of-pocket health
42 National Health
9 spending as 28 PSA
(2021) Accounts
percentage of current
(PNHA)
health expenditure
Incidence of Special Study

catastrophic health using Family
expenditure among 30% Income and DOH-
10 <30%
those who had at least (2021) Expenditure PMSMD
one inpatient care Survey Data
BAWAT PILIPINO
Action Agenda #1: Bawat Pilipino ramdam ang
kalusugan
Mainstream the primary health care approach, ensuring that every Filipino experiences
and benefits from comprehensive health services without financial hardship
Baseline End-Term Target Data

No. Indicator Reporting Unit
(Year) (2028) Source
Percent of Filipinos assigned to a Primary Care 15%

11 Provider 100% Administrative Data DOH-PHIC
(2022)
Number of Primary Care Provider Network
contracted by PhilHealth for Comprehensive 0¹
12 TBD Administrative Data DOH-PHIC
Outpatient Benefit Package (2022)
Number of Health Care Provider Network 0²

13 contracted by PhilHealth 4-63 Administrative Data DOH-PHIC
(2022)
PhilHealth Support Value 66%

14 80% Administrative Data DOH-PHIC
(2017)
Percent of benefit payout for primary care 0.16%

15 31% Administrative Data DOH-PHIC
(2022)
16 Percent spending for primary care TBD TBD PNHA PSA
Percent of provinces with adequate primary care 21%

17 facilities 50% Administrative Data DOH-HFDB
(2022)
¹The current Konsulta Package will be transitioned to Comprehensive Outpatient Benefit Package by 2025.
²Health Care Provider Network is currently being finalized by PhilHealth.
3Indicative Target set by PhilHealth
BAWAT PILIPINO
Action Agenda #2: Ligtas, dekalidad, at mapagkalingang
serbisyo
Ensure access to high-quality, safe, and people-centered health care services across
the lifecourse

Percent of functional designated specialty 74%

18 100% Administrative Data DOH-HFDB
centers established (2022)
Percent of provinces with adequate 27%

19 bed-to-population ratios 60% Administrative Data DOH-HFDB
(2021)
Proportion of fully immunized children 72% National Demographic and

20 95% PSA
(2022) Health Survey
Treatment success rate - Drug-Sensitive 80%

21 Tuberculosis 90% Administrative Data DOH-DPCB
(2022)
Percent of PLHIV on Antiretroviral Treatment 65% HIV/AIDS and ART Registry of

22 (ART) 95% DOH-EB
(2022) the Philippines (HARP)
Dengue Case Fatality Rate 0.3%

23 <1% Administrative Data DOH-EB
(2022)
BAWAT PILIPINO
Action Agenda #3: Teknolohiya para sa mabilis na
serbisyo
Leverage digital health and technology for efficient and accessible health service
delivery

100% private
80%*
Percent of health facilities with paperless health facilities
(2019)
24 electronic medical record and regularly submit Administrative Data DOH-KMITS
data 100% public
*public health
health facilities
facilities only
by 2024
BAWAT KOMUNIDAD
Action Agenda #4: Handa sa
krisisa resilient health system prepared to effectively respond to health crises and
Ensure
health emergencies

Percent of Integrated local health system with

0
25 functional Disaster Risk Reduction and 100%1 Administrative Data DOH-HEMB
(2022)
Management in Health (DRRM-H) System
Percent of public hospitals recognized as 7%

26 50% Administrative Data DOH-HFDB
green, safe, and climate resilient hospitals (2022)
¹Target includes the 71 local health systems which resulted from integration
BAWAT KOMUNIDAD
Action Agenda #5: Pag-iwas sa
sakit healthy settings and enhance Filipinos’ health literacy
Promote

Percent of Filipino adults with suﬃcient or 35%

27 69% Health Literacy Survey DOH-HPB
excellent comprehensive health literacy (2021)
HLA-KAP and Health

Percent of Filipino adults who visited a health 79%
28 80% Promotion and Literacy DOH-HPB
facility in the past six months (2021)
Longitudinal Study
Percent of communities recognized as Healthy

29 TBD¹ 60% Administrative Data DOH-HPB
Setting
Percent of workplaces recognized as Healthy

30 Setting TBD² 60% Administrative Data DOH-HPB
Percent of schools recognized as Healthy

31 TBD³ 60% Administrative Data DOH-HPB
Setting
¹Healthy communities: Target timeline for the baseline data is 2023 provided agreements with the Inter-Agency Technical Working Group on Healthy Communities (IATWG-HC)
²Healthy workplaces: Target timeline for the baseline data is 2024 provided that Implementation of the Healthy Workplace Initiative is being piloted for 2023
³Healthy schools: Target timeline for the baseline data is 2023 provided agreements with the National Technical Working Group on Healthy Learning Institutions (NTWG-HLI)
BAWAT KOMUNIDAD
Action Agenda #5: Pag-iwas sa sakit
(cont.) healthy settings and enhance Filipinos’ health literacy
Promote

Age-standardized prevalence of current tobacco

20%
32 use among persons aged 15 years and older 14% Global Adult Tobacco Survey DOH-EB
(2021)
Proportion of women aged 15–49 years who

make their own informed decisions regarding 82% National Demographic and
33 sexual relations, contraceptive use, and 98 PSA
(2022) Health Survey
reproductive health care
BAWAT KOMUNIDAD
Action Agenda #6: Ginhawa ng isip at
damdamin
Enhance Filipinos’ well-being and ensure quality mental health services

Percent of LGUs providing primary care mental

34 TBD TBD Administrative Data DOH-DPCB
health services
BAWAT HEALTH WORKER
Action Agenda #7: Kapakanan at karapatan ng health
workers
Ensure a sufficient and engaged health workforce by providing fair compensation,
healthy working environments, and opportunities for career development

Physician 3%
Physician 72%
Percent of cities and provinces with adequate Nurse 2%
35 Nurse 72% Administrative Data DOH- HHRDB
Human Resources for Health to population ratio Midwife 82%
Midwife 100%
(2022)
CO 75%
CHDs 94%
Percent of positions filled based on
Hospitals 78%
36 DBM-approved staﬃng patterns for CO, CHDs, 80% Administrative Data DOH- HHRDB
DATRCs 81%
LGUs, Hospitals, DATRCs
LGUs: TBD
(2022)
BAWAT HEALTH WORKER
Action Agenda #8: Proteksyon sa anumang
pandemiya
Strengthen systems and structures to prevent, manage, and recover from disease
outbreaks and potential pandemics

Percent of verified health events of public

87%
37 health concern and/or outbreaks responded/ 90% Administrative Data DOH-EB
(2021)
investigated that are controlled/closed
Percent of regions and

41%
38 provincial/city/municipality LGUs with 100% Administrative Data DOH-EB
(2020)
functional epidemiology and surveillance unit
Health Sector Accountability Framework
AmBisyon Natin 2040

Sustainable Development Goals 2030
Philippine Development Plan 2023-
2028
DOH Office of National

8-Point Action
Partners Agenda
and Health
the Secretary Government Local
The Networks Providers The Filipino
and its Attached Agencies and Government
Congress including (Both Public Citizenry
Agencies and Constitutional Units
Academe, and
Corporations Bodies
NGOs, Private)
CSOs
Whole-of-Government and Whole-of-Society
and POs Approach
Sa Healthy Pilipinas,
Bawat Buhay
Mahalaga!

Department of
Health
/doh.gov.ph
Maraming Salamat
po!
Department of
Health
/doh.gov.ph

8 Point Agenda Humanistic Leadership and Good Governance 092823

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Humanistic Leadership and Good Governance

for the 8-Point Action Agenda Implementation

JOSE MARI C. CASTRO, MD, CFP, MPH, MPA

Outlin  Background on:

TEODORO J. HERBOSA, MD doh.gov.p

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Leverage digital health

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Ensure a sufficient and

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Education Participation Facilitation Negotiation Coercion

Republic of the Philippines

35% 21% 3 ● Under-investment in health

✓ DOH process with in-house capacity to

● Quality assurance for

● Budget allocated for P/A/Ps ● No. of Policies, Standards

Male 70 (2020) Male 71 Civil Registration

Maternal mortality rate per 100,000 144

Premature mortality rate attributed to 5

Tuberculosis incidence (per 100,000 650 TB Global

Prevalence of stunting among children 27 Expanded National

93 UHC Household DOH -

85% (public facilities)

Incidence of Special Study

Baseline End-Term Target Data

Percent of Filipinos assigned to a Primary Care 15%

Number of Health Care Provider Network 0²

PhilHealth Support Value 66%

Percent of benefit payout for primary care 0.16%

16 Percent spending for primary care TBD TBD PNHA PSA

Percent of provinces with adequate primary care 21%

Baseline End-Term Target Data

Percent of functional designated specialty 74%

Percent of provinces with adequate 27%

Proportion of fully immunized children 72% National Demographic and

Treatment success rate - Drug-Sensitive 80%

Percent of PLHIV on Antiretroviral Treatment 65% HIV/AIDS and ART Registry of

Dengue Case Fatality Rate 0.3%

Baseline End-Term Target Data

Baseline End-Term Target Data

Percent of Integrated local health system with

Percent of public hospitals recognized as 7%

Baseline End-Term Target Data

Percent of Filipino adults with suﬃcient or 35%

HLA-KAP and Health

Percent of communities recognized as Healthy

Percent of workplaces recognized as Healthy

Percent of schools recognized as Healthy

Baseline End-Term Target Data

Age-standardized prevalence of current tobacco

Proportion of women aged 15–49 years who

Baseline End-Term Target Data

Percent of LGUs providing primary care mental