Health Leadership

Governance Program
Orientation
September, 2018
 Institutionalization of the
Health Leadership and
Governance Program (IHLGP)

Cooperative Agreement No. AID-492-A-17-

00005
 Background
The cooperative agreement between ZFF and USAID for the second phase of its partnership on HLGP
under the Global Development Alliance (GDA).
• (1st Cycle) HLGP in USAID Areas: October 2013 – March 31 2017 (DOH ROs 4A, 6, 9, 10, ARMM)
USAID Areas Per Province Targeted No. of Engaged LGUs LGUs that LGUs / Hospitals that LGUs that Deferred/
LGUs with Completed the that did not complete Dropped their
Hospitals Program the training program Participation
Total MLGP 81 77/81 58/77 13/77 6/77
(95%) (75%) (17%) (8%)
Total HLP (ARMM) 37 24/37 18/24 6/24 0
(65%) (49%) (25%)
Total Municipalities 118 101/118 76/101 19/101 6/101
(86%) (75%) (19%) (6%)
Total Cities 3 3/3 2/3 0 1/3
(Batangas, Iloilo*, CDO) (100%) (67%) (33%)
Total Provinces with Engaged 8 7/8 1/7 6/7 1/8
Provincial Hospitals (88%) (14%) (86%) (13%)
Total 129 111/129 78/111 19/111 7/129
(86%) (70%) (17%) (5%)
 Accomplishments of the 1st Cycle
• Improvements across municipalities in terms of strengthening
the municipal local health boards (LHB),
• Improvements in budget allocation and utilization
• Increased barangay engagement through the barangay health
boards (BHB),
• Increased in number of facilities with PHIC accreditation,
hospital management systems, rural health units with referral
policies and establishment of a pregnancy tracking system (PTS)
• Improvements in BL competencies especially in Co-Ownership
(Multi Stakeholder Processes, Team Development, Coaching and
Mentoring, and Conflict Management)
 Region X Accomplishments in Cycle 1
Number of Regional Staff Trained
DMO completed HLMP and TOC as of HLMP-30/30
Northern Mindanao Regional Map
July 2017 TOC- 30/30
Regional staff completed HLMP training RD and ARD with HLGP Coordinator
attended Change Management ;
10 Regional Staff completed HLMP
training

HLGP Areas Alumni

PLGP • LANAO DEL NORTE ( with Gov. Khalid
Dimaporo)
• MISAMIS OCCIDENTAL ( with Gov. Herminia
Ramiro )
• BUKIDNON (with Gov. Jose Ma. Zubiri)
Total 3/5
MLGP • BUKIDNON (8/22)
• CAMIGUIN (2/5)
• LANAO DEL NORTE (13/22)
• MIS. OCC (9/17)
• MIS. OR (10/25)

TOTAL 42/92
CLGP • CAGAYAN DE ORO CITY

TOTAL 1/3
 Regional 2016 Baseline Health Indicators
Province/ City Live births Maternal Infant FBD SBA CPR % of ANC % of PP FIC
Death/MMR Deaths/IMR visits visits

Bukidnon 22,392 30/134 211/9 82 84 43 72 83 87

Camiguin 1,543 1/65 15/10 99 100 25 23 63 72

Lanao del 12,783 3/47 10/1 83 85 53 58 59 68

Norte

Misamis 5,936 0/0 11/2 78 93 44 69 64 81

Occidental

Misamis 13,599 2/15 27/2 88 94 79 66 71 88

Oriental

Cagayan de 19,715 26/132 406/21 96 97 13 58 47 98

Oro

Iligan 8,2015 10/122 93/11 90 93 31 77 70 84

Total Regional maternal deaths - 102/112
 HLGP Cycle 2

1. MDGs to SDGs
2. Alignment with PHA
3. Health Change Model and Bridging Leadership
4. Competency-based program interventions
5. Results-driven
6. Institutionalization of HLGP in DOH
 HLGP Cycle 2

To better contribute to the achievement of SDGs and PHA:

• expand the HLGP focus to include RH/FP, CDs and NCDs as
per agreement during the OPHS Cluster meeting on
September 20, 2016
• LCEs’ leadership and governance in ensuring financial risk
protection and SDN
• Support the institutionalization of HLGP in the DOH central
and regional offices
 Program Components: HLGP Cycle 2

1. Bridging Leadership Fellowship Program for RDs

and ARDs
2. Health Leadership and Management Program for
HLGP team, PHTLs, DMOs & Program managers
3. Provincial Leadership and Governance Program
(PLGP) for Governors, PHOs, CHOs, PCs
4. Municipal Leadership and Governance Program
(MLGP) v.2 for Mayors and MHOs
5. City Leadership and Governance Program (CLGP)
6. Academic Partners Program (APP)
 Region X Cycle 2 Sites
HLGP Areas Alumni Cycle 2
PLGP • LANAO DEL NORTE
• MISAMIS OCCIDENTAL • MISAMIS ORIENTAL
• BUKIDNON
Total 3/5

MLGP • BUKIDNON (8/22) • BUKIDNON -3

• CAMIGUIN (2/5) • CAMIGUIN -3
• LANAO DEL NORTE • LANAO DEL NORTE -2
(13/22) • MIS.OCC -1
• MIS. OCC (9/17) • MIS.OR - 8
• MIS. OR (10/25)

TOTAL 42/92

CLGP 1 2
CAGAYAN DE ORO CITY CAGAYAN DE ORO CITY
ILIGAN CITY
 The Bridging Leadership Process

OWNERSHIP CO-OWNERSHIP CO-CREATION

Engagement
Mechanisms Empowered
Citizenry

E
Inequity/ Multi-Stakeholder
Bridging Personal Shared Responsive Q
Divide Processes/ Vision
Leader and
Vision & Convening and New Programs U
Mission & Institutional
Trust-Building and
Stakeholders Mission Arrangements
I
Dialogue Services/
Social T
Innovations Y
Personal
Response Collaborative
New
Relationships Response
Among Transformed
Stakeholders Institutions

Source: AIM-TeaM Energy Center

Roles and Responsibilities
The Leadership Mission of DOH RO X in Strengthening
SDN towards Achieving the PHA
Better Health
Governor / Provincial /
Outcomes
City Health
City Mayor (Triple Burden of
RD System
Disease)

Provincial / Universal Health

City Health Coverage
PHO / CHO
Plan SDN
12 Legacies
DMO 5
Preventive Care Continuity of Care Curative Care
(RHUs) (Hospitals)
Philhealth Accredited (7-in-1) SDN Network
Level 2 to Tertiary Hospitals
Complete Health Services
Health Information System Level 1
(with data on poor) Infirmary
Disease Hot Spots

DMO 4 Mayors and

MHOs

Internal External
 The Health System by the end of HLGP Engagement
DMO IV
Hospital DMO V
RHU RD
(PDOHO) • BL Competencies
• BL Competencies
Coordinated referral and transfers

Coaching &
Multiple parallel population-health programs

• ______MCP accredited RHUs Technical Assistance

• No Out-of-pocket expenses
(Targeted Program “Hot Spots”)

• Level 2:
• Patient Registry (Indigents) • Level 1: Governor
• NBB
• Patient Registry (Indigents) and Core Group members

• BL Competencies
BHS
• Governance Body including
management committee for SDN
• Health Equity Information System
Private Hospitals/clinics
Lying-ins/Laboratories
• Social Determinants of Health

Priority Health Indicators and Outcomes

Community • Zero maternal death
Health Equity to the poor • Reduced morbidity and mortality
• Information System for Indigents: Profiled,
mapped and tracked by BHWs and RHMs
• Referral and Transportation systems
• Quality patient care and satisfaction
Daghang Salamat! 