PIPH

Province-wide Investment Plan for Health (PIPH)

What are the requirements for the approval of the PIPH & AOP?

The plan (PIPH & AOP) developed by the province & recommended by LICT must be appraised by the CHD and must be reviewed by DOH Joint Appraisal Committee (JAC). JAC will recommend the appraised plan for finalization and approval by the Provincial Governor & the DOH (Secretary/CHD Director).

What is AOP?

Annual Operational Plan is the yearly implementation of the PIPH which contains all the PPAs to be implemented within the year, annual targets, time frame, resource requirements and sources of funding.

What is PIPH?

PIPH is a medium term development plan that serves as the key instrument in building the DOH-LGU partnership, in collaboration with international development partners and other local stakeholders, to attain the health sector reform goals. PIPH translates national health goals (NOH, MTPDP & MDGs) into specific concrete actions (PPAs) at the local levels.

What is the current status of PIPH ?

All eighty (80) provinces nationwide have an approved JAC recommended PIPH.

The PIPH of F16 provinces will end in December of this year (2010). 2010 AOP is the 3^rd AOP of F15 provinces; 2^nd AOP of ARMM and F44 provinces.

What is the legal basis to implement a PIPH?

The legal basis of LGU & DOH to implement a PIPH is the Memorandum of Agreement (MOA) entered by the LGU represented by the Provincial Governor and the DOH represented by the Secretary of Health. It is guided by DOH Administrative Order No. 2007-0034 that sets the policy and operational framework for PIPH development.

What is the legal basis to implement the AOP?

The legal basis of LGU to implement an AOP is the Service Level Agreement (SLA) signed by the Provincial Governor representing the LGU and the CHD Director representing the DOH.

SLA states the roles and responsibilities of both parties, the agreed funds support from DOH & ODA partners in the form of tranches (Fixed & Variable), the cash transfers & commodities from DOH and the counterparts of the LGU (the province & its component municipalities).

What is the purpose of PIPH?

Serves as vehicle for implementing and consolidating support for health reforms to achieve health sector goals of better health outcomes, more responsive health system, and equitable health care financing through DOH-LGU partnership representing all interests, activities, investments of stakeholders for health in a Province-Wide Health System (PWHS).

What is the reform strategy use in PIPH?

FOURmula One for health is the reform strategy in PIPH; it utilizes four reform pillars namely; Service Delivery, Health Care Financing, Health Regulation and Governance.

What is the timeframe of PIPH implementation?

The timeframe for PIPH implementation is five years; 2006 to 2010 for the 16 pilot convergence provinces (F16); followed by 15 roll-out provinces (F15) and ARMM provinces (2008 to 2012) and finally the 44 rollout provinces (F44) from 2009 to 2013.

The timelines for the attainment of NOH & MTPDP goals is 2010 and for the attainment of MDGs is 2015.

What is the tool use to monitor PIPH implementation?

DOH use LGU scorecard to monitor the implementation of PIPH. Performance in the agreed indicators in the SLA is Green or Excellent for LGU who met their 2010 targets, yellow or good rating if performance is below 2010 target but equal or higher than 2006 baseline average, and red or poor performance if below the 2006 baseline.

DOH encourages the provinces to go for Green or excellent performance by providing performance base grants (variable tranche) for performing provinces.