Our Project at a Glance
Project Design Matrix (PDM)

Objectively Verifiable Indicators

Means of Verification

Important Assumptions

Overall Goal
Health Status of the people in the Province is enhanced.

Infant Mortality Rate, Maternal Mortality Rate, incidence rate of non-communicable diseases and incidence rate of communicable diseases are decreased.

1. PHO annual reports

1. Vertical health programs continues to be funded.
2. Natural disaster will not disturb accessibility of the people and provision of service by providers.

Project Purpose
Local health system is strengthened to improve quality of health service in the Province of Benguet.

[Health Service] Number of RHUs with SS-II certification and PhilHealth Accreditations are increased. (All 13 RHUs will be SS-II certified and PHIC OPB and TB-DOTS accredited and number of RHUs with PHIC MCP accreditation will be increased from 2 RHUs in June 2006.)
[Governance] Annual Health Plan is developed in Province and ILHZs based on medium-term Plan for Health¹.
[Finance] Total health budget² is increased (baseline: 156 million peso in 2005).
[Drug Supply System] Total number of days out of stock for indicator drugs³ is decreased.

1. DOH & PhilHealth report on health facility certification/ accreditation.
2. Provincial / ILHZ annual health plan
3. Budgetary report of municipalities and the province
4. Stock record cards

1. No major change on national health policies and standards on SS and PHIC occurred.
2. LGUs have efficient and responsive procurement system.

Expected Outputs

Output 1.Supporting system of providing quality health services by Rural Health Unit (RHU) is established.

[Trainings and Equipments]

1. Number of RHUs which comply with training and equipment requirements for SS-II certification and PhilHealth accreditations is increased. (All 13 RHUs will comply with training and equipment requirements for SS-II certification and PhilHealth OPB and TB-DOTS accreditations)

[Referral System]

1. Referral Manual is revised and implemented in all 19 health facilities.
2. No. of patient referrals are recorded in all 19 health facilities..

[Monitoring & Supervision]

1. ILHZ monitoring tool is newly developed.
2. No. of ILHZ monitoring/supervision is increased.

1. RHU assessment on certification and accreditations
2. Provincial referral manual
3. Referral records of health facilities
4. ILHZ monitoring tool
5. ILHZ monitoring record

1. Health facilities (buildings and infrastructures) are maintained and upgraded by the funds outside the project.
2. Sufficient human resource is available for taking accreditation of DOH and PHIC.
3. Trained counterpart stay at positions.
4. No major change of policy and health financing of the Benguet occurs.

Output 2.Health governance (management) of the Province is strengthened.

[Provincial Health Plan]

1. Strategic provincial health plan is revised into Provincial Investment Plan for Health.⁴

[ILHZ Health Plan and activities]

1. Strategic ILHZ health plan (medium term) is updated.
2. ILHZ boards have documented meetings quarterly.
3. Resolutions are passed by ILHZ boards.

1. Provincial investment plan for health
2. Strategic (medium term) ILHZ health plans
3. ILHZ meeting minutes
4. ILHZ resolutions

Output 3.Financial system of healthcare of the Province is strengthened.

1. Income from user fees is increased (baseline: 32 million in 2005).
2. Amount of MOOE for health programs is increased (baseline: 43 million peso in 2005)
3. Amount of other sources⁵ in total health budget is increased.
4. Number of PhilHealth enrollment is increased (baseline 6,082 in Dec. 2005).⁶
5. Amount of capitation fund is increased (569 thousand peso in 2005)

1. Budgetary report of municipalities and the province
2. PhilHealth reports on enrollment and payment

Output 4.Overall drug supply system of the province is strengthened.

1. Number of RHUs/hospitals that maintain the stock record on the indicator drugs3 is increased.
2. Number of RHUs/hospitals that record number days of out of stock on the indicator drugs3 is increased.

1. Stock records on indicator drugs at health facilities

Output 5. Information and experiences of the Project are shared with DOH and other FOURmula One provinces.

1. Number of F1 meeting attended.
2. Number of study tour sent and received.
3. Newsletter of the project is issued at least twice a year.
4. Project Web page is established and updated periodically.

1. Records of F1 meeting.
2. Reports of study tours
3. Project news letters
4. Project web page

Activities

1. Supporting System for Health Services
1. Develop service improvement plan.
2. Provide equipments for health service improvement.
3. Conduct trainings necessary for SS-II certification and PHIC accreditations.
4. Strengthen two-way referral system
5. Strengthen ILHZ level monitoring and supervision

1. Governance
1. Revise and implement ILHZ plans.
2. Develop and implement Provincial Investment Plan for Health.
3. Conduct management skill training.

1. Finance
1. Develop plan and conduct activities for financial improvement of each health facility.
2. Implement activities of advocacy/publicity for insurance participation

1. Drug Supply System
1. Review baseline data and identify problems.
2. Conduct training on drug inventory management.
3. Develop drug procurement plan based on the inventory record.

1. Information / Experience Sharing
1. Attend FOURmula One meetings and share lessons and outputs.
2. Conduct / receive study tours to / from other provinces.
3. Share progress of the Project through newsletter and Web page of the Project.

Inputs
(Philippine Side)

1. Counterparts
2. facilities and other expenses related to Project implementation
3.  

(Japanese Side)

1. Experts
2. Equipments
3. Training
4. Other expenses related to Project implementation