167

DEPARTMENT OF HEALTH

Legal Basis

Presidential Proclamation (June 23, 1898) created the Board of Health in the New Republicunder President Emilio Aguinaldo.Executive Order No. 317 (January 1, 1941) elevated the Board of Health into the Department ofHealth and Public Welfare (DHPW).Executive Order No. 94 (October 4, 1947), pursuant to Republic Act No. 51 or the ReorganizationAct of 1946, transferred the Bureau of Public Welfare under the DHPW to the Office of thePresident and renamed the DHPW to Department of Health (DOH).Executive Order No. 851 (December 2, 1982) reorganized the DOH to synchronize healthstructures and operations with the shift to parliamentary form of government whence it becameknown as the Ministry of Health (MOH).Executive Order No. 119 (January 30, 1987) reorganized the MOH (later, under the presidentialform, as Department of Health) and clustered agencies and programs under the Office of PublicHealth Services, Office for Hospital and Facilities Services, Office for Standards and Regulations,and Office for Management Services.Executive Order No. 102 (May 21, 1999) redirected the functions and operations of the Departmentof Health consistent with the Administrative Code of 1987 (EO 292) and the Local GovernmentCode of 1991 (RA 7160).

Mandate

The Department of Health (DOH) provides assistance to local government units (LGUs), people’sorganizations (POs), and other members of civil society in effectively implementing programs,projects and services that promote the health and well being of every Filipino; prevent and controldiseases among populations at risks; protect individuals, families and communities exposed tohazards and risks; and treat, manage, rehabilitate individuals affected by disease and disability.

The Department of Health (DOH) logo is dominated by a caduceus, a winged staff with two snakeswrapped around it, which is the symbol of the medical profession, its basic quality being the powerto heal. Inside the ‘shield’ are the figures of a building, representing a hospital; a microscope,symbolizing research; and an anchor, denoting quarantine. Under these symbols is the motto“Floreat Salubrita Populi”, meaning “Promotion of Health for the People”, which is an abstract of whatDOH is mandated to do.

168

LOGICAL FRAMEWORK (DOH)

Major FinalOutputs

Societal Goal

Sectoral Goals

OrganizationalOutcomes

Poverty reduction and improved quality of life

Improved health statusof the population

Nutritionalwell beingassured

Accessto quality

populationmanagementinformation

and servicesimproved

Accessto quality

and affordablehealth productsand services

assured

Accessto social health

insuranceassured

Health, nutritionand population

policyand programdevelopment

Capabilitybuilding services

for LGUsand other

stakeholders

Leveragingservices

for priority healthprograms

Regulatoryservicesfor healthproducts,devices,

equipmentand facilities

Tertiary andother specialized

health care

Desired populationgrowth and distribution

(OSEC, NNC, POPCOM) (OSEC, NNC, POPCOM) (OSEC) (OSEC) (OSEC)

169

FY 2008 MFO BUDGET

By Agency/By MFO(In thousand Pesos)

Particulars

MFO 1 Health,

nutrition and population policy and program

development

MFO 2 Capability building

services for LGUs and

other stakeholders

MFO 3 Leveraging services for

priority health

programs

MFO 4 Regulatory services for

health products, devices,

equipment and facilities

MFO 5 Tertiary and

other specialized health care

TOTAL

% Share

Department of Health (Office of the Secretary)

2,526,066

2,528,804

2,373,703

683,794

7,280,791

15,393,158

94.68%

National Nutrition Council

34,324

439,001

-

-

- 473,325

2.91% POPCOM

265,829

126,679

-

-

- 392,508

2.41%

TOTAL

2,826,219

3,094,484

2,373,703

683,794

7,280,791 16,258,991

100%

% Share

17.38%

19.03%

14.60%

4.21%

44.78%

100%

170

By Agency/By Expense Class(In thousand Pesos)

Particulars PS MOOE CO TOTAL % Share

DOH-OSEC

6,266,311

7,410,829

1,716,018

15,393,158 94.68%

National Nutrition Council

30,883

427,892

14,550

473,325 2.91%

POPCOM

84,439

305,564

2,505

392,508 2.41%

TOTAL

6,381,633

8,144,285

1,733,073

16,258,991 100%

% Share

39.25%

50.09%

10.66%

100%

171

LOGICAL FRAMEWORK (DOH-OSEC)

Major FinalOutputs

Societal Goal

Sectoral Goal

OrganizationalOutcomes

Improved health status of the population

Access to social healthinsurance assured

Health policy andhealth programdevelopment

Capabilitybuilding services

for LGUsand other

stakeholders

Leveragingservices

for priority healthprograms

Regulatoryservices for

health products,devices,

equipmentand facilities

Tertiaryand otherspecializedhealth care

Service DeliveryPrograms

• Epidemiology & Disease Surveillance

• Disease Prevention & Control

• Operation of PNAC

• Health Promotion

• Health Emergency

• Health Facility Planning, Operations & Infrastructure Development

Foreign AssistedProjects

• Help for CatubigagriculturalAdvancement Project

• Women’s Healthand SafemotherhoodProject II

(MFO 1, 2, 3)

Regulation Programs•Regulation of Food &Drugs

• Regulation of HealthFacilities & Services

• Regulation of Devicesand Radiation Health

• Quarantine Services &International HealthSurveillance

• NationalPharmaceuticalDevelopment includingprovision of drugs andmedicines

(MFO 1, 2, 3, 4)

Operation of CHDs• Field coordination,internal & area sectoralplanning, humanresource development& other supportservices

• Implementation ofhealth regulations &standards

• Local healthassistance includinghealth systemsdevelopment & publichealth program support

• Direct serviceprovision

(MFO 1, 2, 3, 4, 5)

Service DeliveryPrograms

• Operation of SpecialHospitals, MedicalCenters & Institutes forDisease Prevention &Control

• Operation of DangerousDrug Abuse Treatment &Rehabilitation Centers

Foreign AssistedProjects

• Development of a Sub-specialty Centers forHeart, Lung, KidneyDisease in Luzon,Visayas & Mindanao

(MFO 5)

General Administration& Support Services

Support to Operations• Formulation &

Development ofNational Health Policies& Plans includingEssential NationalHealth Research

• Health InformationSystems & TechnologyDevelopment

• Health Human ResourceDev’t

• Development ofpolicies, supportmechanisms &collaboration forinternational healthcooperation

• Health SystemDevelopment

• Health Care AssistanceForeign Assisted

Projects• Health Sector

Dev’tProject• Health Sector Reform

Project

(MFO 1, 2, 3, 4, 5)

P/A/Ps

Access to qualityand affordablehealth products

and services assured

Basic needs of the population are met towards poverty reduction

DOH-Office of the Secretary

172

FY 2007 FY 2008 Particulars Targets Amount Targets Amount

MFO 1 Health policy and health program development

1,072,898

2,526,066

Performance Indicators • Number of policies/standards/programs developed vs

planned 487 525 • Number of policies monitored for implementation* 0 525 • Number of management information system developed* 30 40 • Number of special studies and surveys conducted vs.

planned 17 26 MFO 2 Capability building services for LGUs and other stakeholders

1,072,871

2,528,804 Performance Indicators • Number of local health system models developed 92 120 • Number of advocacy activities conducted for LGUs to

adopt systems/models developed 1,254 1,300 • Number of LGUs assisted to implement the local health

systems/model developed 270 300 • Number of health training courses developed and

implemented vs master training plan 558 673 • Number of men and women successfully completing

training (per type of course) 35,220 39,350 • % of participants who rate training as satisfactory* - 80% • Number of persondays of technical assistance 61,509 67,750 MFO 3 Leveraging services for priority health programs

1,126,169 2,373,703

Performance Indicators • % of budget (drugs, etc.) allocated/provided to

LGUs based on service performance* increasing

percentage • % of procured logistics distributed within standard time 75% 80% • Disbursement rate (for F1 sites)* • Number of outbreaks investigated within standard time 21 30

PERFORMANCE MEASURES AND TARGETS

* New performance indicators

173

FY 2007 FY 2008 Particulars Targets Amount Targets Amount

MFO 4 Regulatory services for health products, devices, equipment and facilities

699,801

683,794

Performance Indicators Application backlog • Number of applications processed within standard

time/total received

20,297 processed

25,500 received

22,153 processed

25,457 received

• Number of complaints addressed within standard time/no. of complaints received 30 30

• Number of complaints resolved 120 130 • Number of health products (food, drugs)/health

establishments (food, drugs, cosmetics)/health facilities/health devices and technologies registered/licensed/accredited 45,887 42,548

• % reduction in prices of list of essential drugs commonly bought by the poor 50% 50%

MFO 5 Tertiary and other specialized health care.

7,427,032

7,280,791

Performance Indicators • Occupancy rate 85% 85% • Nosocomial infection rate <2% <2% • Net hospital death rates (deaths beyond

48 hrs. after admission) 2.5%

and below 2.5%

and below • Cost/bed day*

3rd level referral hospital Php 1,200 Php 1,200 2nd level referral hospital Php. 800 Php. 800 1st level referral hospital Php. 500 Php. 500 Infirmary/primary care Php. 300 Php. 300

• % of MOOE used for drugs and supplies* -

at least 50% of MOOE +

income • % of filled and unfilled prescriptions by hospital

pharmacy* -

0% unfilled prescription by

hospital pharmacy

• % of Philhealth enrolled members (by type) patients against total admissions*

-

increasing percentage

• % of internally generated funds for indigent patients against total budget*

-

increasing

• Ratio of hospital income to hospital total budget.* - increasing

TOTAL, DOH-OSEC Appropriation 11,398,771 15,393,158 * New performance indicators

NOTE: Amount for FY 2008 includes the RLIP and Special Account.

174

Particulars PS MOOE CO TOTAL % Share

MFO 1 Health policy and health program development

451,904

1,569,104

505,058

2,526,066

16.41%

MFO 2 Capability building services for LGUs and other stakeholders

451,867

1,571,881

505,056

2,528,804

16.43%

MFO 3 Leveraging services for priority health programs

383,379

1,491,938

498,386

2,373,703

15.42%

MFO 4 Regulatory services for health products, devices, equipment and facilities

187,772

383,930

112,092

683,794

4.44% MFO 5 Tertiary and other specialized health care

4,791,389

2,393,976

95,426

7,280,791

47.30%

TOTAL

6,266,311 *

7,410,829 *

1,716,018

15,393,158

100%

% Share

40.71%

48.14%

11.15%

100%

FY 2008 MFO BUDGET

By MFO/Expense Class(In thousand Pesos)

*Amount of PS and MOOE includes RLIP and Special Accounts.

175

Legal Basis

! Republic Act No. 6365 (August 16, 1971) established the National Population Program andcreated the Commission on Population.

! Presidential Decree No. 79 (December 8, 1972) revised certain provisions of RA 6365, placingPOPCOM under the control and supervision of the Office of the President, and its purposes,objectives and functions redefined.

! Executive Order No. 123 (January 30, 1987) reorganized the Department of Social Welfare andDevelopment (DSWD) and made POPCOM one of its attached agencies.

! Executive Order No. 408 (June 18, 1990) transferred POPCOM from DSWD to the Office of thePresident.

! Executive Order No. 476 (August 14, 1991) attached POPCOM to the National Economic andDevelopment Authority (NEDA) to facilitate coordination on policies and programs relative topopulation.

! Executive Order No. 188 (March 24, 2003) attached POPCOM to the Department of Health(DOH).

Mandate

The Commission on Population (POPCOM) is the central policymaking, planning, coordinating, andmonitoring body of the population program.

Commission on Population

The Commission on Population (POPCOM) logo is a symbolic form ofall types of people. The adjoined loops connote interrelationship ortogetherness, whether in connection with a family or with individuals in acommunity. Completing the logo is a circle enveloping the symbolicfamily or community, signifying that the family and the individual in thecommunity are the main focus of all POPCOM’s efforts.

176

LOGICAL FRAMEWORK (POPCOM)

Societal Goal

Major Final Outputs

Programs/Activities/Projects

Poverty reduction and improved quality of life

Population Policy and Program Development

Capability Building Services for LGUs

and other stakeholders

Coordination of the implementation of approved national, sectoral, regional, and local population program, plans, and policies Formulation and development of long-range and annual population policies, programs, and plans

Provision of technical assistance, skills enhancement (on POPDEV data management, M & E, advocacy and resource mobilization), and subsidies to LGUs and other population partners

Access to quality population management information & services improved

Improve health status Attain a desired population growth & distribution Sectoral Goals

Organizational Outcome

177

PERFORMANCE MEASURES AND TARGETS

Particulars FY 2007 FY 2008 Target Amount Target Amount MFO 1 Population Policy and Program Development Performance Indicators: No. of policies formulated in coordination with

national and local bodies (e.g. RP/NFP, CSR, RH/FP, POPDEV Integration)

No. of POPDEV sensitive program/agency plans and guidelines/standards developed at the national, regional and local levels

No. of advocates/advocacy networks organized and maintained, materials produced, and events organized/ promoted at the national and local levels

No. of population information/ knowledge centers maintained/ updated and No. of clients/users served

Not targeted

in 2007 because

different sets of indicators were used

50

1 national 15 regional

2/region

17 maintained 80 events

16

4,000

265,829

MFO 2 Capability Building Services for LGUs and other stakeholders Performance Indicators: No. of LGUs with local policies, resolutions No. of LGUs with ordinances formulated and

implemented to support POPDEV Integration No. of TA through TOT, training, orientations,

workshops and others for capability building, policy formulation, plan development, standard/guideline setting, M & E and resource mobilization on the three (3) program areas (POPDEV Integration, AHYD, RH/FP, RP/NFP) provided to LGU program workers and other stakeholders

No. of satellite information centers established/maintained

No. of clients served at the satellite centers Satisfaction rate of clients served Total

Not targeted in 2007 because

different sets of indicators were used

1,000

60

30

200 5,000 90%

126,679

392,508

178

FY 2008 MFO Budget

By MFO/By Expense Class(in thousand pesos)

Particulars PS MOOE CO TOTAL % Share MFO 1 Population Policy and Program Development 84,439 178,885 2,505 265,829 67.73% MFO 2 Capability Building Services for LGUs and other stakeholders 126,679 126,679 32.27%

TOTAL 84,439 305,564 2,505 392,508 100% % Share 21.51% 77.85% 0.64% 100%

179

National Nutrition Council

Legal Basis

! Presidential Decreee No. 491 (June 25, 1974), or the “Nutrition Act of the Philippines”, createdthe National Nutrition Council (NNC) under the Office of the President as the policy-making andcoordinating body for nutrition.

! Executive Order No. 234 (July 22, 1987), “Reorganization Act of the National Nutrition Council”,reaffirmed the need for an intersectoral national policy-making and coordinating body on nutrition,transferring NNC to the Department of Social Welfare and Development (DSWD).

! Administrative Order No. 88 (August 28, 1987) transferred the NNC as an attached agencyfrom the DSWD to the Department of Agriculture (DA), the latter having been named Chair of theNNC Governing Board.

! Executive Order No. 472 (November 2005) named the Department of Health (DOH) as NNCChair and transferred the NNC to DOH as an attached agency.

! Executive Order No. 616 (April 2007) created the Anti-Hunger Task Force composed of 29national government agencies, led by DOH through NNC, to ensure that hunger mitigationprograms are in place.

Mandate

The National Nutrition Council (NNC) oversees the implementation of the hunger mitigation program.It formulates national food and nutrition policies and strategies; and coordinates planning, monitoringand evaluation of the national nutrition program.

The National Nutrition Council (NNC) logo is a spoke of spoons denotingthat improving the nutrition situation cannot be achieved by spoonfeedingalone, nor by the generosity of a single sector’s ‘spoon’. The solutionrequires a collaborative effort, or a contribution from several ‘spoons’.It means creating and recreating ideas, seeking unity and a totality ofapproach for the improvement of Filipino lives.

180

LOGICAL FRAMEWORK (NNC)

Societal Goal

Sectoral Goal

OrganizationalOutcome

Major FinalOutputs

Programs/Activities/Projects

PerformanceIndicators

Poverty reduction and improved quality of life

Improved health status of the population

Nutritional wellbeing of all Filipinos assured

Nutrition policyand program development

services

Nutrition capability buildingservices for LGUs

and other stakeholders

Planning and policy formulation - Multi-levelprogram formulation

• Medium-Term Philippine Plan of Actionfor Nutrition

• Accelerated Hunger-MitigationProgram

• Legislative Agenda on Nutrition

Maintenance of Nutrition ManagementInformation Systems

Development, production, and distribution ofprinted and audio-visual materials and othertechnical materialsConduct of and participation in training andconferences• Nutrition program management• Training on the Barangay Nutrition

Scholar ProgramOrganization and conduct of special eventstoward intensified nutrition advocacyProvision of logistics support to local nutritionprograms• Barangay Nutrition Scholar Program• Provision of cash awards to LGUs with

outstanding nutrition improvement andhunger mitigation programs

Coordination of nutrition program at regionaland local levels

No. of policies, standards, programs developedNo. of policies, standards, programs coordinatedNo. of policies, standards, programs monitoredNo. of special studies/surveys/programimplementation reviews conductedNo. of program management systems developedProgram management systems updatedNo. of nutrition assessment/situationer reportreleased, disseminated

No. of conferences, worlshops, training with built-in evaluation mechanisms conductedNo. of participants oriented/trained and monitoredNo. of local nutrition action plans formulated,locally budgeted/funded implemented, monitoredand evaluatedNo. of modules, manuals amd syllabusdeveloped, printed and distributed, by kindNo. of nutrition IEC materials in various ttilesdeveloped, aired, printed, installed and distributed

181

PERFORMANCE MEASURES AND TARGETS

FY 2008 MFO BUDGET

By MFO/By Expense Class(In thousand pesos)

Particulars PS MOOE CO Total % Share

MFO 1 Nutrition policy and program development services 14,034 18,790 1,500 34,324 7.25%

MFO 2 Capability building services for LGUs and other stakeholders

16,849 409,102 13,050 439,001 92.75%

TOTAL 30,883 427,892 14,550 473,325

% Share 6.52% 90.40% 3.07% 100% 100%

FY 2007 FY 2008 Particulars Target Amount

(In ‘000) Target Amount

(In ‘000) MFO 1 Nutrition policy and program development services

24,266 34,324

Performance Indicators No. of policies, standards, programs developed 5 6 No. of policies, standards, programs coordinated 5 6 No. of policies, standards, programs monitored 5 6 No. of program management systems developed 10 10 No. of nutrition assessment, situationer/report released/disseminated 2 2 MFO 2 Nutrition capability building services for LGUs and other stakeholders

28,134 439,001

Performance Indicators No. of conferences, workshops, training with built-in evaluation mechanisms conducted

25

1,277

No. of participants oriented/trained and monitored 50 800,906 No. of local nutrition action plans formulated, locally budgeted/funded, implemented, monitored and evaluated 22,404 22,404

No. of modules, manuals and syllabus developed, printed and distributed, by kind 1,911 2,310 No. of nutrition IEC materials in various titles developed, aired, printed, installed and distributed 11,047 595,060

TOTAL 52,400 473,325

182

7.25%