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2.doh transition plan to achieve mdg 4 5 032510 lzl_dohpsecp
LEIZEL P. LAGRADA MD MPH PhD
Medical Officer VI/ OIC – Health Planning Division
Health Policy Development and Planning Bureau
2F Building 3 Department of Health
San Lazaro Compound, Sta. Cruz, Manila 1003
Telefax: 632-7116736
E-mail: leizel.lagrada@gmail.com
I. EXPERIENCE
MEDICAL OFFICER VI/ OFFICER IN-CHARGE
Health Planning Division
Health Policy Development and Planning Bureau
Department of Health
January 2010- Present
• Facilitates the formulation of the national health plans including Health Sector Expenditure Framework for the Philippine Department of Health
• Monitors and evaluates the operational and work and financial plans of Department of Health Central Office bureaus/services, Centers for Health Development and national government hospitals using the Major Final Outputs
• Facilitates the development and improvement of systems in central DOH including, among others, the a) Expenditure Tracking System; b) Technical Assistance Coordination System; c) Health Care Financing Strategy; Health Sector Reform Monograph Series; and, e) the implementation of the reform initiatives
• Provides technical assistance in facilitating investments in the Philippine health sector including the development of project proposals for international (multilateral and bilateral) funding assistance; crafting of terms of reference for different components of several foreign projects; participates and/or represents the bureau in the identification missions, contract negotiations, project preparation studies and project implementation reviews
• Monitors the status of implementation of different foreign assisted project
• Delivers lectures in relation to HSRA/Fourmula 1/health system directions/ health care financing
• Facilitates training and planning workshops
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Medical Officer VI/ OIC – Health Planning Division
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2F Building 3 Department of Health
San Lazaro Compound, Sta. Cruz, Manila 1003
Telefax: 632-7116736
E-mail: leizel.lagrada@gmail.com
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Health Policy Development and Planning Bureau
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Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Understanding the Challenges of Street ChildrenSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
5. Health delivery system - responsibilities
• Regional secondary/tertiary hospitals
• Mental hospitals
• Research Centres
• Vertical programmes (TB, AIDs Malaria etc.)
National (DoH)
• Provincial, city and district hospitals
Provinces (81) and
independent cities
• City health clinics
• City hospitals
Municipalities
(1489)
• Local health stationsBarrangay
(42,000)
6. Financial flows in the health sector
TaxesBorrowings
National Government
PhilHealth Provinces DOH
Specialtypublic
hospitals
HMOs/PrivateHealth
Insurance
HouseholdandPrivateCompanies
Insurancepayments
Retained public
hospitals
Provincial,
District Hospitals
Local govt taxes,fees
& other revenues
Hospital
revenues
Privatehospitals,clinics,MDs
Household out-of-pocket payments
Foreign assistance/
grants
Rural
Health
Units
Municipalities Cities
City
hospital
City
Health
Center
Barangays
Baran-
gay
Health
Stations
8. Key achievements
• Funding for UHC - Sin Tax earmarks
• Expanded insurance benefits package and
population coverage (PhilHealth)
• CCT program helps poor to access free
health insurance (household targeting
system)
• Improvements in PFM at national level
9. Increases in DOH Allocations
0
20
40
60
80
100
120
140
2010 2011 2012 2013 2014 2015 2016
DOH Budget Allocations, 2010-16
(in billion pesos)
National Health Insurance Program Health Facility Enhancement Program Others
10. The national health insurance
programme
10
20
30
40
50
60
70
80
90
100
10
20
30
40
50
60
70
80
90
100
2010 2011 2012 2013 2014 2015 2016
%ofpopulation
No.ofmembers&dependents
PhilHealth Beneficiaries, 2010-2016
SP/IP Other Membership Programs % of pop
11. CCT program linked to health
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
0
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
200720082009 2010 2011 2012 2013 2014 2015
Millionpesos
Numberofhoseuholds
Household coverage and annual budget of the
Pantawid Pamilya Pilipino Program, 2007-
2010
Household Coverage Annual Budget (million pesos)
13. Key budget issues - 2
Inconsistency between LGU spending plans and DoH policy
objectives
Complex planning and procurement for vertical programs
leading to stock outs
Poor quality of local investment planning leading to under-
investment in capital
Weak response to program impact evaluation
Weak oversight and accountability (Health Boards)
14. Little change in local government
spending on health
0
5
10
15
20
25
Share of health in total local government
expenditures, by local government level,
2001-2014
Province (%) City (%) Muni (%)
15. Selected recommendations - 1
Fully implement LGU PFM Reform Roadmap to
match progress made at national level.
Streamline local planning processes (including
investment plans for health, poverty reduction plans)
to improve consistency and avoid duplication.
Improve programming and monitoring of the
intergovernmental fiscal transfer system.
16. Recommendations 2
LGUs to reinvigorate local health boards,
through civil society participation.
PhilHealth to shift performance focus from
enrolment to benefit utilization and develop the
necessary monitoring indicators and information
system.
Conduct independent audits or value-for-money
evaluations of selected government programmes
and projects, and increase the visibility of local
financial indicators.