UNIVERSAL HEALTH

CARE HIGH IMPACT

FIVE PLAN
(UHC-HI5)
MA. SOPHIA S. PULMONES, MD, MPM
Chief, LHSD

I. BACKGROUND/RATIONALE
15

months left for current administration to hit KP

goals
Need for high impact strategies that can improve
health outcomes
Focus on Five Critical UHC Interventions with
priority for the poor
Theme: Kalusugang Tuloy-tuloy Para sa
Pamilyang Pinoy (KTP3)
Synchronized nationwide implementation of
activities

II. OBJECTIVES
A.

B.

GENERAL OBJECTIVE
To attain key 2015-2016 Universal Health
Care/ Millennium
Development Goals.
SPECIFIC OBJECTIVE
1. To intensify regional operations &
converge in priority poverty
program areas.
2. To implement model plans on 5 key
high impact interventions.

III. GENERAL GUIDELINES

A.

Intensified Regional Operations- ROs to

intensify routine services with the augmentation
of HIF special activities for a period of 15 months
from April to June.

B.

Five Critical UHC Interventions-Reducing

Maternal Deaths, IMR, UFMR, burden of
HIV/AIDS, establishing SDN

III. GENERAL GUIDELINES

Prioritization of the Poor- (1) NHTS-PR identified poor
(2) 43 Category 1,2 & 3 provinces
(3) NAPC identified municipalities for BUB
(4) 29 ASAPP municipalities under Cat 1 provinces
(5) 35 municipalities in 8 provinces identified in
WNI
(6) Rest of the country targeted in a life-cycle
approach
D. Focus on Direct Service Delivery
E. Synchronization of Activities

IV. SPECIFIC GUIDELINES

A.

Preparatory Activities
1. National Performance Delivery Unit
Fig.1 Diagram of Performance Delivery Units

2. Profiling
3. Orientation/ Training

SPECIFIC GUIDELINES
B.

C.

Intensified Regional Operations for Routine Services

1. Deployment of existing HHR by ROs
2. Scaling up of targeted advocacy efforts by ROs
3. Enhancement of Regional Electronic Data Systems by ROs
4. Training of BHWs in TSiSMIS
Intensified Regional Operations for Special Breakthrough
Services
1. UHC Caravan
2. Buntis Congress (Safe Motherhood)
3. RAIDERs (Reach and Innovate Desired Rational Scores)
4. Garantisadong Pambata
2. Regional Offices may realign their budget following DBM

SPECIFIC GUIDELINES
C.

Intensified Regional Operations for Special

Breakthrough Services
5. Voluntary Blood Donations
6. Ultrasound services
7. Access to testing and other services for HIV /AIDS

D.

Financial Mechanism
1. Regional Offices Budgets, additional budget may be
requested from CO through NPDU
2. Regional Offices may realign their budget following
DBM guidelines

HI5

OBJECTIVES:

Maternal Deaths,

UFMR,IMR,
Halt HIV/AIDS,
Strengthen SDN
15 Months
Intensify Regional Operations
Synchronized for Impact

Preparatory
A) Profiling

(Mandatory for all Regions)

1. Q1 /NHTS/Point of Care (June 30,2015) Nationwide

2.. 29 ASAPP Municipalities (June 30,2015) All Families
* ROXI- 3 ASAPP,100%(June 30)
* ROVI 8 ASAPP 50% (June 30) 50% (July 31)
3. 35 WNI Municipalities (September 30,2015) All Families
* ROXI -17 WNI 100%(December 31 2015)
* CARAGA- 18 WNI 25% (June 30,2015)
100% (December 31,2015)
4.Category 1 Provinces (December 30,2015) All Families
5. Category 2 & 3 Provinces (June 30,2016) All Families

B) TSiSMIS

for CHAT (2nd and 4th Wednesday of

the month)

C)

R.A.I.D.e.R.S (4th Friday of each month)

Special Breakthrough Services

A)

HI5 Summit

Mandatory Activities:
1. Motorcade
2. Gallery
3. Press Conference/Media Briefing
4. EXECOM message including HI5
5. Video Message from SOH
Optional: Float
B)

KP Caravan

Mandatory for : (1)Senior Citizen,(2)Father,(3)Mother,(4)Adolescent

(5)Under Five
June 23, October 23, and in December 3,2015
Optional: LGBT, PWD, IPs
*Do not include HPV/Deworming below 5 (to be done in GP)

Special Breakthrough Services

C)

D)

Buntis Congress
Mandatory Activities:
1. Prenatal Services
2. Basic laboratory and CBC for the pregnant
women
3. Oral health
4. Buntis kits
5. Blood typing and for the husband
6. Ultrasound in the usual Buntis Congress (must
have)
June 23, October 23, and in December 3,2015
Garantisadong Pambata/ Deworming
Mandatory
National Deworming July 29

Special Breakthrough Services

Nutrition for ASAPP
Mandatory
For those with ASAPP municipalities Identify malnourish population
For non-ASAPP- Identify at least 3 municipalities/region
Feeding program in 3 months
Optional methods to improve nutrition in ASAPP areas:
Use NNC cooking book , NNC Kumainments
JULY 1, 2015
F) HIV/ AIDS
Mandatory : Intensify activities in at least one major city per region.
1. HIV Testing and counseling for the following population:
MSMs, FSW, TB patients, Pregnant Women and Newly Diagnosed
2. Anti-retroviral Therapy for newly diagnosed People Living with
HIV/AIDS (PLHIV)
E)

HI5 Timeline
2015

April

Activity

May

June

M1
UHC Summit
Buntis Congress
Inventory of HCPs and Facilities
Profiling
Category 1 Municipalities/NHTS
ASAPP Municipalities
43 Priority Provinces
WNI Municipalities

M2
23 to
29

Rest of the Country (Cat 2&3)

KP Caravan
TSisMIS
RAIDERS
Mass Deworming
Nutrition
Micronutrient Supplementation
(ASAPP)
Food Supplementation (ASAPP)
Child Injury Prevention
Distribution of First Aid Kits
HIV

National Voluntary Testing Day

M3
8 to
10
23
30

30
30
30

23

Augus Septe Octob Nove Dece Januar Febru

July
t mber
er mber mber
y
ary March

April

M4

M13

M5

M6

M7

29
1

11 to
17

M8

1
1

2016

30

23

M9

M10

M11

23
3

2nd and 4th Wednesday of the Month

4th Friday of the Month

29

M12

Ju
n
May e
M
1
M14 5

3
0

Regional High
Impact Five
HIF Summit

UNIVERSAL HEALTH CARE HIGH

IMPACT FIVE (HIF) SUMMIT
An activity that will be done at the regional level to
advocate for HIF implementation at the regional,
provincial, and city/ municipal levels.
Participants are all stakeholders to be identified by
the Regional and Provincial HIF Task Forces.
The Summit will include an orientation-lecture on
the KP Roadmap and the five HIF interventions,
presentation of the Regional HIF implementation
plan, open forum, media briefing and signing of
Pledge of Commitment

General Objective
To orient and ensure the commitment
of stakeholders on the 15-month High
Impact Five Breakthrough Strategy
which aims to address various
elements of MDG 4, 5, 6

Expected Outputs
Pledge

of Commitment from all

stakeholders

Provincial

HIF Plans

Universal Health Care

Kalusugang Pampamilya
Roadshow

Serbisyong tuloy tuloy para

sa pamilyang pinoy!

DESCRIPTION:
Universal
CarePISTA
PISTANG
NGKALUSUGAN
KALUSUGAN
Universal Health
Health Care
PAMPAMILYA
(FamilyHealth
HealthFair)
Fair)
Roadshow
PAMPAMILYA (Family
Roadshow
will
will
showcase
the whole
spectrum
the
showcase
the whole
spectrum
of the of
Department
Department
of Healths
Programs from:
of Healths Programs
from:
(1(1) Targeted health promotion packages

(2)
Direct
services
for
each
member
ofofthe
(2)
Direct
services
for
each
member
the
(2)
Direct
services
for
each
member
of
the
geted
health
promotion
packages
Tar)
Targeted
Filipino
Family
from
Lolo,
Lola,
Nanay,
Filipino
Family
from
Lolo,
Lola,
Nanay,
Filipino
Family
from
Lolo,
Lola,
Nanay,
health
promotion
packages
Tatay,
Kuya,
Ate
and
Bunso.
Tatay,
Kuya,
Ate
and
Bunso.
Tatay,
Kuya,
Ate
and
Bunso.
ted health promotion packages
(1) Targeted health promotion

PISTA NG KALUSUGANG
PAMPAMILYA
(Family Health Fair)
Target areas for the Kalusugan Pampamilya
Roadshow will be chosen based on the
following criteria:

High Maternal Mortality

High Infant Mortality
High Under 5 Mortality
Low CPR
Low FIC
Large NHTS-PR Population
ASAPP Municipality
LGU Support for MNCHN

PURPOSE:
To

enhance the profile of Kalusugan

Pangkalahatan and thrusts to meet
MDG targets for mother, child health
and survival, HIV and AIDS.

PURPOSE:
To recognize the supportive role
of the Filipino Family in each of
the individual family members
health care and well-being.

Specific Objectives

Intensify health promotion effort among

mothers, children, adolescents, fathers and
elderly family members through a festive
event that offers health services and
awareness raising activities.

Support and enhance LGU services.

Strengthen public-private and public-public

partnerships.

EXPECTED OUTPUTS

A total of 14,400 poor Filipinos served in

2015.

Improved access to quality health education,

counseling and direct service provision for:
WRA with Unmet Need for Family Planning,
pregnant women, men, under 5 children,
adolescents, elderly and MARPS.

Direct supportive supervision

during the delivery of services.

to

LGUs

Regional
High Impact Five

HIV/AIDS

HIV/AIDS

Harmonious Innovations for

Vulnerable populations,
Advocacy & Intensified
Diagnostic and treatment
Strategy

Harmonious

the National AIDS and STI Prevention and

Control Program (NASPCP), DOH-NCRO, 17
LGUs, other government organizations, NGOs
and other stakeholders implement interventions
that complement each other for HIV prevention
and control
Innovations
- are out-of-the-box strategies that produce
desired outcomes with economical costs and are
replicable especially at a resource-limited setting.

Vulnerable
- are specific group of populations who are at
risk of acquiring HIV/AIDS and/or at
populations
disadvantage
to
receive
appropriate health care services. These
include but not limited to key affected
population (KAP), TB patients and pregnant
mothers

Advocacy
- includes activities that seek influence
decision making in strengthening the
prevention and control of HIV/AIDS.

Intensified
- more deliberate interventions are instituted
to achieve better outcomes

Diagnostic
- specific procedures in the management of
all suspected and confirmed HIV/AIDS
clients and treatment are based on current
and acceptable national and international
standards

Strategy
- a careful distribution and use of resources to
achieve program success

Objectives

To increase to 40 % the number of Male having

Sex with Male tested and know their HIV status by
June 2016.

To increase to 40 % the number of Female Sex

Workers (FSW) tested and know their HIV status
by June 2016.

Objectives

To increase to 80 % the number of TB patients

tested and know their status by June 2016

To increase to 30 % the number of Pregnant

Women tested and know their status by June
2016

To ensure that 90 % of newly diagnosed PLHIV

cases are started on Anti-Retroviral Therapy
by June 2016

Regional
High Impact Five

Nutrition/Oral Health
(Preventive) for
ASAPP

Nutrition & Oral Health

Description
A simultaneous direct service (one balanced and nutritious meal
a day for three months) feeding activities, provision of
micronutrient products; preventive oral health; mental
feeding/mothers class and cooking demonstration; and green
school and food always in the home activities in ASAPP areas of
24 municipalities (6 Provinces under Regions 1, 6, 8, 9 and 11).
An interagency and multi sectoral activities in partnership with
the communities and LCEs targeting infant and pre-school
children, 6-14 years old children, pregnant and nursing women.
After three months, redetermination of height and weight shall de
done to the target participants, a graduation will follow, and a 6month follow through, monitoring and assessment shall be done
thereafter. Selected areas may opt to have a nutrihut and/or a
malnutrition treatment and rehabilitation ward.

Purpose/Objectives

To establish current baseline data of target recipients as

to oral health status, height and weight before the
conduct of interventions.

To mobilize and organize implementing communities and

stakeholders to carry out interventions and sustain the
gains.

To institute preventive oral health in the communities.

To improve oral health, weight and height indicators of

underweight, severely underweight and stunted
participants as maybe applied.

Purpose/Objectives
To prevent the sliding of critically normal target
recipients to malnutrition.
At least 2-3 kilos or 18-20% of initial weight
increased after 3 months.
At least 96% of the total participants per category
enrolled should have gained or increased in the
indicators.

TSiSMIS ?

TSiSMIS
for CHAT
Using TSiSMIS in positive perspective

Tama, Sigurado, Sapat, Makabuluhang

Information System for
Community Health Action Teams

BHW?
They are our
communication
arms and health
navigators

PROBLEMS?
BHWs
1. Limited
informationperpetuates
myths,
misconceptions
and
traditional beliefs
2. No process/ system for
giving
and gathering
information
3. Unaware of opportunities
to give
information
4. Lack of communication
skills

1.

2.

3.

Clients
Low
access
to
modern media like
radio, TV and print
materials
Lowly educated to
understand complex
and
abstract
message
Message delivered
using inappropriate
medium

SOLUTIONS?
BHWs
1. Provide correct
and basic technical
knowledge on the
different programs
(tool kit).
2. IPC/C
3. TSiSMIS for
CHAT
4. RAIDeRS

Clients

Learn from
informal sessions in
their real setting
through
TSiSMIS for CHAT

Step 3. From Counseling to:

TSiSMIS for CHAT

Tama, Sigurado, Sapat, Makabuluhang Information
System for Community Health Action Teams)
(

Uses the principles and phases

in counseling to educate and
move people to action to
manage their own health.
Giving the people adequate,
quality, and technically correct
information/options to make an
informed decision.

Step 3. From Counseling to:

TSiSMIS for CHAT

Tama, Sigurado, Sapat, Makabuluhang Information System for
Community Health Action Teams)
(

Capitalizing on real
life stories across
communities where
people converge &
discuss issues that
has something to do
with their lives or the
affairs of others.

Step 3. From Counseling to:

TSiSMIS for CHAT

Tama, Sigurado, Sapat, Makabuluhang Information System
for Community Health Action Teams)
(

Leading
the
way
or
referring people to facilities
that
can
appropriately
provide their needed health
services and trace source
of wrong information for
validation.
A good avenue to correct
peoples
myths
and
misconceptions on different
health concerns.

Totoo Ba Ang

RAIDeRS
in
UHC-HI-5

RAIDeRS
in
UHC-HI-5

What is RAIDeRS?
Reach
And
Innovate
Desired
Rational
Score

Goal of RAIDeRS:

To contribute to the
improvement
of
Maternal
Neonatal and Child Health and
Nutrition in the Philippines by
reaching every family through
advocacy,
communication,
service delivery, social and
resource mobilization.

Objectives:

Link between community and health care

providers

Roles of RAIDeRS:

Prioritization of Barangay to RAID*

Masterlisting/profiling of:

children ages 0-11 months,

12-23 months

24-59 months

Pregnant women

Tracking of Defaulters ----- RAID!

Provision of health services needed including

health education

Areas to

RAID:

High Infant Deaths.

Low accomplishment in Micronutrient
Supplementation
Low FIC
Low EBF
High Maternal Deaths.
Low Ante-Natal Check up
Low Post Partum Check Up
Environment/Socio
Geographically hard to reach areas.
Municipalities with large population

More than 10 mothers die

everyday due to pregnancy &
delivery related reasons.
30 children are left motherless
everyday

MMR is at 162 in 2006 by 2015,

MMR will have only declined to 140 &
the target of 52 set in the 1990s will
be unachievable ;(

Better Social Marketing

IMPROVE

DEMAND

Community Events in support of

Maternal Health

Buntis Congress & Recognition

of Outstanding Mothers

SUPPLY

Improved Maternal Packages

Strengthen Governance

SYSTE
MS

Policies
Health systems
Evidence Based Programming

Kalusugang tuloy tuloy PARA

KAY NANAY

untis Congress
Description

283,411 pregnant women,

697 health facilities & 6,989 healthcare providers catering to pregnant
moms who are given appropriate care (prenatal & post natal visits, facilitybased delivery, health care financing-approaches that are culture sensitive &
evidence based).

At present, Buntis Congress is already conducted regularly (regional & local)

in partnership with stakeholders (DZMM, NNC, Midwife Foundation of the
Phili.) where pregnant moms are given prenatal care, risk assessment
consultation, nutrition & newborn screening, counselling & birth planning

we intend to add more services & partners & intensify simultaneous activities

Purpose/Objective

to increase knowledge, attitude & skills

on the different health care interventions
for the pregnant women as well as
increase in their health-seeking behavior

untis Congress Plan

HIGH IMPACT
Inpu
t
B
U
N
T
I
S

C
O
N
G
R
E
S
S

Intermediate Outcomes

Final Outcomes

Health Status:
Pregnant women with 4 or
Reduce Maternal Deaths
more prenatal visits, complete
by 57%
iron supplementation, TT
85% of poor women with
immunization
access to Modern Family
Planning (MFP)
no. of birth attended by a
95% Facility Based
healthcare professional
Deliveries
FRP : Increased & wider
Post partum women with 2 or
coverage of pregnant
more post partum visits, given
women
complete iron & vitamin A
Responsiveness: Client
supplements, breastfeeding 1
Satisfaction, Improved
hour after delivery
health seeking behaviour

 Reduction of Maternal Deaths by 57%

85% of poor women with access to MFP
95% Facility Based Deliveries
Decrease MMR to 52/100,000 LB
by end of 2016

Walang Nanay na dapat

mamatay
sa pagbibigay uhay!

Regional High
SERVICE
DELIVERY
Impact Five
NETWORK

Organization & Strengthening of SDN

TWG Establishment:
Regional & Provincial
Profiling:

Clients
Health Care Providers & Health Facilities

TWG Establishment: Regional & Provincial

The

working
group/ point
persons will
dynamically
coordinate
with various
segments
involved in the
institutionaliza
tion of SDN.

Objectives:
To cascade the HI5 Strategies and
activities to their respective offices.
To ensure (and improve) coordination
among the various segments of the
regional and provincial offices.
To monitor & evaluate the
implementation of the HI5 strategies.
To provide report or updates as a
sustainable development reference

Profiling: Clients, Health Care Providers, &

Facilities
This

will include
updating
&
completion of the
current databases of
target clients, health
providers, & health
facilities.
Data
gathered will be
used in targeting and
for
operational
planning;
Will
create
comprehensive SDN
directory

Objectives:
To establish baseline data on
target clients, health care
providers, & health facilities
To
develop a comprehensive
directory
of
Health
care
providers to improve access of
the target clients to their
matched SDN (provider &
facility).
To establish transportation &
communication system

SDN Matching

/ Analysis/
Completion of data (profile of
Consolidation

clients, health care providers, & facilities)

Matching
Provision

of appropriate &
efficient health care services

Consolidation, Analysis & Completion of

data (profile of clients, health care
providers, & facilities)
Comprehensi

Objective/s:
ve analysis & To provide validated
validation of database for SDN

the gathered
data.
The

DOH CO can develop a

universal Analysis tool for
the data Consolidated to be
used by the designated staff
in DOH RO & LGUs

Matching
Harmonization

of
corresponding
available health
services,
providers &
facility to
prioritized
clients needs.

Objective/s:
To provide universal,
quality, efficient, &
accessible health care
to all

Provision of appropriate &

efficient Health Care Services
Provision of Holistic/
Integrated Health
Care Services
(Information, SD &
Rehabilitation/
specialized care:
a. Family/ Community &
facility
b. Setting Up of FP
Services in hospitals
c. Quad-Media Info
Campaign (support
from National)
d. During enlisting/
profiling (Continued
SD whenever

Objective/s:
To provide universal,
quality, efficient, &
accessible health care
to all

Monitoring & Evaluation

FHSIS

uploading & KP Console

(online reporting)
Client-Feedback

Mechanism

PIR

(Will be conducted on Jan. 2016)

Regional High
Impact Five

Child Injury
Prevention

Child Injury Prevention

Description:
This plan is focused on improving information
dissemination and instilling awareness on Child Injury
Prevention.
It involves activities such as the
establishment of baseline data on Child Injury in the
community, organization of support and advocacy
groups, provision of first aid kits, and the utilization of
IEC materials and the conduct of education campaign
and training in children who are potential victims of
child injury and people potentially causing injury

Child Injury Prevention

Purpose/ Objective(s):

1.. To heighten and deepen the awareness of

communities on Child Injury Prevention
2. To inform , communicate and train the
communities on Child injuries and prevention
3. To improve database on Child injury
4. To mobilize multidiscipline and multisectoral
stakeholders in Child Injury Prevention

shines...

Sa tuwid na daan,
Kalusugang tuloy-tuloy para sa Pamilyang

cares

Maternal
health
Kalusugang tuloy-tuloy para sa Pamilyang

Sa tuwid na daan,

Embraces

Sa tuwid na daan,

Child care

Kalusugang tuloy-tuloy para sa Pamilyang

Touche
s
Infant
care

Sa tuwid na daan,
Kalusugang tuloy-tuloy para sa Pamilyang

halts

Sa tuwid na daan,

HIV/A
IDS

Kalusugang tuloy-tuloy para sa Pamilyang

promotes

Service
Delivery
Network

Sa tuwid na daan,
Kalusugang tuloy-tuloy para sa Pamilyang

Inspires

The Filipino
Family

Sa tuwid na daan,
Kalusugang tuloy-tuloy para sa Pamilyang

Innovates

Sa tuwid na daan,
Kalusugang tuloy-tuloy para sa Pamilyang

THANK
YOU!!!