DEPARTMENT OF HEALTH 2021

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DEPARTMENT OF HEALTH 2021

Published by the Health Policy Development and Planning Bureau – Department of

Health, San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila 1003, Philippines

The mention of specific companies or of certain products does not imply preferential

endorsement or recommendation by the Department. This report may be reproduced

in full or in part for non-profit purposes without prior permission, provided proper

attribution to the Department is made. Furnishing the Department a copy of the

reprinted or adapted version will be appreciated.

EDITORIAL TEAM

Undersecretary Mario C. Villaverde, MD, MPH, MPM, CESO I

OIC-Director IV Frances Rose Elgo-Mamaril, MPH

Maria Socorro Santos, MD, MDE

Napoleon S. Espiritu II, MPP

TECHNICAL WRITERS

Eileen Diane S. Cheng-Fernandez, RN, MPH

May Ann L. Liwanag

Lilia Rose A. Say-awen

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Contents

List of Acronyms 4

Background and Objectives 6

Considerations in the CY 2022 DOH NEP Budget 7

Budget Priorities Framework 7

DOH Devolution Transition Plan CY 2022-2024 8

DOH Performance and Targets 17

Physical Performance and Targets 18

Financial Performance 19

CY 2022 NEP Budget Discussion 19

Estimated Fiscal Space and CY 2022 Sources of Funds for Health 21

Overview of the CY 2022 DOH-OSEC NEP Budget 22

Highlights of the CY 2022 NEP Budget 26

Priority No. 1: UHC Act Implementation, COVID-19 Initiatives, and Health System Resilience 26

Indicative Allocation for UHC Integration Sites in the 2022 NEP 30

Priority No. 2: Implementation of Other Health-related Laws 31

Priority No. 3: Urgent and Compelling Need 32

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List of Tables

Table 1. DOH Budget Priorities Framework

Table 2. LGU Expenditure Assignment on Health

Table 3. Summary of CY 2022-2024 DOH Devolution Transition Plan

Table 4. Phasing of HFEP Gradual and Partial Devolution by Categories of the

National Allocation Framework

Table 5. Unbundling of HFEP Functions

Table 6. Basis for Retention and Re-devolution of the HRH Deployment Program

Table 7. Basis for Retention and Re-devolution of Public Health Commodities

Table 8. Summary of the Retained and Re-devolved Functions

Table 9. DOH Physical Performance CY 2019-2021 and Targets for CY 2022

Table 10. DOH-OSEC Financial Performance in CY 2020, Amount in Billion PhP

Table 11. List of Renamed Hospitals Based on Newly Enacted Laws

Table 12. CY 2022 Sources of Funds for Health

Table 13. DOH-wide Budget GAA 2020-2022 NEP

Table 14. DOH-OSEC Budget by Expense Class, CY 2022 NEP vs. 2021 GAA

Table 15. DOH-OSEC Budget per Organizational Outcome, CY 2022 NEP vs. 2021

GAA, Among in Billion PhP

Table 16. Summary of Major Activities under Priority 1, Amount in Billion PhP

Table 17. Summary of PAPs with Specific Allocation for UHC Integration Sites

(MOOE & CO), in the 2022 NEP, Amount in Billion PhP



List of Figures

Figure 1. Timeline in the Development of the DOH Devolution Transition Plan

Figure 2. National Allocation Framework

Figure 3. DOH-wide Budget Trend from GAA 2010-2021 to NEP 2022

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List of Acronyms

BHS Barangay Health Station

BOQ Bureau of Quarantine

CHD Centers for Health Development

CO Capital Outlay

DATRC Drug Abuse Treatment and Rehabilitation Centers

DBM Department of Budget and Management

DOH Department of Health

DSO Disease Surveillance Officer

EO Executive Order

ESU Epidemiology and Surveillance Unit

FDA Food and Drug Administration

GAA General Appropriations Act

GIDA Geographically Isolated and Disadvantaged Area

HFEP Health Facilities Enhancement Program

HRH Human Resources for Health

IRA Internal Revenue Allotment

IRR Implementing Rules and Regulations

LCP Lung Center of the Philippines

LGC Local Government Code

LGU Local Government Unit

LHSDA Local Health Systems Development and Assistance

MFO Major Final Outputs

MOOE Maintenance and Other Operating Expenses

NAF National Allocation Framework

NEP National Expenditure Plan

NGA National Government Agency

NHWSS National Health Workforce Support System

NKTI National Kidney and Transplant Institute

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NNC National Nutrition Council

NRL National Reference Laboratory

NTA National Tax Allotment

OSEC Office of the Secretary

PAGCOR Philippine Amusement and Gaming Corporation

P/A/Ps Programs / Activities / Projects

PCSO Philippine Charity Sweepstakes Office

PCMC Philippine Children’s Medical Center

P/CWHS Province- and City- Wide Health Systems

PFM Public Financial Management

PHC Philippine Heart Center

PHFDP Philippine Health Facility Development Plan

PITAHC Philippine Institute for Traditional and Alternative Health Care

PNAC Philippine National AIDS Council

PREXC Program Expenditure Classification

PS Personnel Services

PSA Philippine Statistics Authority

RA Republic Act

RESU Regional Epidemiology and Surveillance Unit

RLIP Retirement and Life Insurance Premiums

RHU Rural Health Unit

SAGF Special Account in General Fund

UHC Universal Health Care

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Background and Objectives

The CY 2022 is a significant year for the Department of Health (DOH) given the

numerous changes and challenges that are happening in the health sector. Through

the CY 2022 DOH National Expenditure Plan (NEP) Budget, the Department aims to

attain the following key objectives:

1. To continue the full implementation of the Universal Health Care (UHC) Act

which mandates to strengthen local health systems, integrate them into

province- and city-wide health systems (P/CWHS) and improve the delivery of

population-based health service components such as epidemiology and

surveillance, health promotion, and health emergency preparedness and

response;

2. To build a resilient health system that is responsive to the pandemic and other

public health crisis, especially to emerging and re-emerging infectious

diseases; and,

3. To support the roll-out of the Supreme Court Ruling on the Mandanas-Garcia

case beginning CY 2022 and gradually re-devolve health functions and services

of applicable programs/activities/projects (P/A/Ps) from the DOH to the Local

Government Units (LGUs) pursuant to Executive Order (EO) no. 138 and its

Implementing Rules and Regulations (IRR).

The DOH ceaselessly works in the service of our people to ramp up the

implementation of COVID-19 response and other strategies to attain UHC. The key

investments in the 2022 NEP will enable us to make enduring changes to our health

system to make it responsive to the needs of each Filipino particularly the vulnerable

and disenfranchised by focusing on these efforts for the next year:

● Strengthening LGU capacity to deliver primary care services by harnessing

their increased share in the National Tax Allotment (NTA) next year;

● Reinforcing minimum public health standards through updated, responsive

policies matched with streamlined, institutionalized digital processes and

mechanisms to complement our continuous and heightened vaccination efforts

as we strive for herd immunity;

● Enhancing the country’s health system networks to swiftly and adequately

respond to and recover from health emergencies, particularly for emerging and

re-emerging infectious diseases;

● Promoting multi-sectoral and local engagements, such as private, civil

societies, other local and international partners, to manage multi-dimensional

risks arising from public health emergencies, as well as promoting better health

system standards, capabilities, and innovations; and,

● Mobilizing communities and individuals to promote health and foster more

responsible community behavior through enhanced, people-centered health

promotion and health literacy campaigns.

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Considerations in the CY 2022 DOH NEP Budget

In support of the three key objectives above, the Department has taken into

consideration the following in the CY 2022 DOH NEP Budget:

1. The DOH Budget Priorities Framework

2. DOH Devolution Transition Plan CY 2022-2024

3. CY 2020-2021 Financial and Physical Performance

Budget Priorities Framework

For CY 2022, the Department identified the following budget priorities namely:

Table 1. DOH Budget Priorities Framework

Budget Priority Description

Priority 1 UHC Act Implementation - related / COVID-19 Initiatives / Health System Resilience / Assistance to LGUs for the

Full Devolution

Priority 2 Implementation of Other Health-Related Laws

Priority 3 Urgent and Compelling Need1 or the implementation of

programs, activities, and projects (P/A/Ps) with urgent and compelling need to ensure trajectory towards the attainment of strategic goals indicated in the National Objectives for

Health (NOH) 2017-2022.

Relative to Priority 2, this priority include, but is not limited to, the implementation of

DOH mandates based on enacted health and health-related laws and their IRR,

especially the following with underfunding:

● Republic Act (RA) no. 11463 or the Establishment of Malasakit Centers;

● RA no. 11215 or the National Integrated Cancer Control Program;

● RA no. 11166 or the Comprehensive Policy on HIV-AIDS Prevention;

● RA no. 11148 or the Integrated strategy for Maternal, Neonatal, Child Health

and Nutrition for the first 1,000 days of life;

● RA no. 11037 or the National Feeding Program for Undernourished Children;

● RA no. 11036 or the National Mental Health Policy;

● RA no. 10932 or the Anti-hospital Deposit Law;

● RA no. 11332 or the Mandatory Reporting of Notifiable Diseases and Health

Events of Public Health Concern; and,

● Other health facility specific laws

1 Defined as a situation w here non-implementation of the program or project w ould pose a risk to public safety

and/or result to serious public inconvenience (DBM NBC 2008-02)

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DOH Devolution Transition Plan CY 2022-2024

The implementation of the Supreme Court Ruling on the Mandanas-Garcia case and

the EO no. 138 s. 2021, the “Full Devolution of Certain Functions of The Executive

Branch to Local Governments, Creation of a Committee on Devolution, and for Other

Purposes,” will begin in CY 2022. This will increase the National Tax Allocation (NTA),

formerly known as the Internal Revenue Allotment (IRA), of LGUs and re-devolve

several functions of National Government Agencies (NGAs). The Department of

Budget and Management (DBM) sees that the expected increase in the NTA of LGUs

in 2022 basically puts them in a more critical role in helping the country achieve the

development and growth targets. In line with this, the DOH has developed and

submitted to DBM its Devolution Transition Plan for CY 2022-2024 on September 30,

2021 as required by EO no. 138. Figure 1 shows the timeline in the development of

the DOH Devolution Transition Plan.

This document is still subject to evaluation and approval of the DBM within one

hundred twenty (120) days upon receipt of the completed Devolution Transition Plans.

The concerned NGAs shall update their respective Devolution Transition Plans upon

approval of the 2022 General Appropriations Act (GAA), as may be necessary (Section

8 of DBM-DILG Joint Memorandum Circular no. 2021-2).

Figure 1. Timeline in the Development of the DOH Devolution Transition Plan

The health system of the Philippines has been in a devolved setup since 1991. This is

pursuant to Section 17 of the Local Government Code (LGC) where several functions

in the delivery of basic services and goods, including primary health services, were

devolved to the LGUs. Re-devolution does not mean downloading of funds from an

NGA to LGUs. It means re-devolution of functions performed by NGAs to LGUs based

on the LGC.

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In general, the basis for the re-devolution of functions of selected DOH P/A/Ps

considers the LGU income classification, poverty incidence, capacity of LGUs,

availability of services or commodities in the local market, and implementation of the

UHC Act and other pertinent laws. Lastly, DOH hospitals and other national health

facilities, attached agencies and corporations of the DOH (such as the National

Nutrition Council, Philippine National AIDS Council, PhilHealth, National Kidney and

Transplant Institute, Lung Center of the Philippines, Philippine Children's Medical

Center, Philippine Heart Center, and the Philippine Institute for Traditional and

Alternative Health Care) will not be affected by the re-devolution of functions from

NGAs to LGUs.

The general principles in the retention of some functions with DOH, including its

Regional Offices or Centers for Health Development (CHDs), are based on EO no.

102 series 1999 and the RA no. 11223 or the UHC Act. These DOH policies

specifically reiterates the following principles:

● The DOH is the leader in health. The DOH formulates national policies, plans,

technical standards and guidelines on health and regulates health services and

products.

● The DOH as an enabler and capacity builder. DOH provides capacity

building through training, human resources development, systems

development, and technical assistance.

● The DOH as an oversight mother agency. The DOH is also the oversight to

the corporate hospitals and attached agencies and corporations and

administrator of national and regional hospitals and medical centers and other

health facilities such as the Drug Abuse Treatment and Rehabilitation Centers

(DATRCs) and blood centers.

● The DOH to finance population-based health services. The UHC Act also

mandates DOH to finance population-based health services in

complementation with the LGUs.

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Table 2 shows the expenditure assignment of health functions per level of government

based on Section 17 of the LGC.

Table 2. LGU Expenditure Assignment on Health

Province Health services which include hospitals and other tertiary health services

Municipality Health services which include the implementation of programs and projects on: o Primary Health Care, o Maternal and Child Care, and o Communicable and Non-communicable Disease Control

Services Access to secondary and tertiary health services; Purchase of medicines, medical supplies, and equipment

Rehabilitation programs for victims of drug abuse; Nutrition services and family planning services Clinics, health centers, and other health facilities necessary

to carry out health services

City All the services and facilities of the municipality and province, and in addition thereto, adequate communication and transportation facilities

Barangay Health services which include the maintenance of barangay health facilities

Operational Definition

As a guide, the following terms have been operationally defined in the Devolution

Transition Plan of the DOH:

● Retained with DOH refers to maintaining the inherent DOH-retained functions;

● Partially Devolved refers to functions that will still be shared between the

national and local government units. For instance, a commodity may be re-

devolved to LGUs but buffer stocks for augmentation to Geographically Isolated

and Disadvantaged Areas (GIDA) will be retained at the national level;

● Gradually Devolved refers to the scheme wherein the re-devolution of

functions will be done in phases from CY 2022 to 2024; and,

● Fully Devolved refers to re-devolution of the entire function or responsibility to

the LGUs.

Table 3 provides a summary of the concerned DOH P/A/Ps for re-devolution, the

expected LGU roles, and basis for re-devolution.

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Table 3. Summary of CY 2022-2024 DOH Devolution Transition Plan

DOH Budget Line Item (P/A/Ps)

DOH Recommendation

LGU Role Basis for Re-Devolution

Health Facilities

Enhancement Program (HFEP)

Gradually and

Partially Devolved

Procurement

of Capital Outlay

National

Allocation Framework in the Philippine Health Facility

Development Plan (PHFDP) 2020-2040

Epidemiology and Surveillance

Fully Devolved by CY 20222

Hiring of Disease Surveillance Officers

(DSOs)

RA no. 11332: At least 1 trained DSO per Epidemiology and

Surveillance Unit (ESU)

Human Resources for Health (HRH)

Deployment

Gradually and Partially Devolved

by CY 2023

Hiring of nurses and

midwives

Low possibility of market failure

Public Health Commodities

Family Health, Immunization, Nutrition, and Responsible

Parenting


Procurement, warehousing, storage, and distribution of

commodities to target recipients

With PhilHealth

package, individual-

based health

services (best

optimized by public

and private service

delivery) for

PhilHealth benefit

development and

financing, available

in the local market,

low cost,

population- based

services which

LGUs have the

capacity to

implement

Prevention and Control of

Communicable Diseases


Prevention and Control of Non-

Communicable Diseases


2 Note: DSOs are fully devolved to LGUs by CY 2022 but DSOs in DOH Central Office, RESUs, and

PDOHOs are retained.

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Health Facilities Enhancement Program (HFEP). This program is mandated to

support UHC Act implementation through the allocation of capital outlay and

procurement of health infrastructure, equipment, and medical transport. The main

basis for the re-devolution of functions is the National Allocation Framework (Figure 2)

in the Philippine Health Facility Development Plan 2020-2040. The parameters in the

developed allocation framework include poverty incidence, resources of local

government, presence of GIDA, and the current gap in health facilities to establish

their Health Care Provider Networks.

This framework intends to provide financial support that is equitable, considering both

capacity and gaps of the individual provinces, HUCs, and ICCs towards

implementation of province/city wide health systems.

Figure 2. National Allocation Framework

Table 4. Phasing of HFEP Gradual and Partial Devolution by Categories of the National Allocation Framework

National Allocation Framework Phasing of Gradual & Partial Devolution

Category 4 (High Capacity, Low Gap) Devolved beginning 2022

Category 3 (High Capacity, High Gap) Devolved beginning 2024

Category 2 (Low Capacity, Low Gap) Devolved beginning 2023

Category 1 (Low Capacity, High Gap) Retained with DOH

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Beginning CY 2022, HFEP will re-devolve the functions to Category 4 (high capacity,

low gap) provinces and cities. In 2023, functions will be re-devolved to Category 2 (low

capacity, low gap) provinces and cities. Beginning CY 2024, HFEP will devolve the

funding support and procurement of health infrastructure, equipment and medical

transport to those provinces and cities belonging to Category 3 (high capacity, high

gap). To view the complete list of provinces, cities, and municipalities and the

corresponding year of devolution, visit https://tinyurl.com/LGUcategoriesNAF.

HFEP will continue to fund projects for provinces, cities, and municipalities under

Category 1 as well as for DOH hospitals and other health facilities like Drug Abuse

Treatment and Rehabilitation Centers (DATRCs), National Reference Laboratories

(NRLs), and Blood Centers. The national policy and health facility standard

development as well as the provision of technical assistance will be retained with DOH.

Likewise, the monitoring and evaluation of projects will still be retained by DOH but

provinces, cities, and municipalities also need to perform these functions for their

respective devolved projects.

Relative to the funding support and procurement of infrastructure, medical equipment,

and motor vehicles for certain facility types, Table 5 summarizes the unbundling of

HFEP functions per level of government. The Barangay Health Stations (BHS), Rural

Health Units (RHU)3, existing polyclinics, and LGU Hospitals4 under the Category 1

LGUs will be assisted by the DOH. On the other hand, the infrastructure, medical

equipment. and motor vehicles for the health facilities in the rest of the LGUs will be

funded by their respective provinces, cities or municipalities in accordance with the

LGU expenditure assignment under the LGC. However, the DOH Hospitals and other

DOH health care facilities will still be retained under DOH. Polyclinics are not officially

defined in the National Health Facility Registry, and provide services similar to health

centers and rural health units. Thus, there will be no funding support for the

construction of new polyclinics.

3 RHUs may pertain to City Health Office, Municipal Health Office, Rural Health Unit, Health Center, District

Health Center, Satellite Center 4 Municipal/District/Prov incial Hospitals are classif ied as LGU Hospitals

https://tinyurl.com/LGUcategoriesNAF

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Table 5. Unbundling of HFEP Functions

Functions DOH Province

City Municipality

National policy and health facility standards, Technical assistance

✔

Monitoring & Evaluation of projects ✔ ✔ ✔ ✔

Funding support and Procurement of Infrastructure, equipment, and motor vehicle for:

a) Brgy. Health Stations

(BHS)

✔* ✔

b) Rural Health Units (RHUs) ✔* ✔ ✔

c) Polyclinics ✔** ✔

d) LGU Hospitals ✔* ✔ ✔ ✔

e) DOH Hospitals & Other

Health Facilities

✔*

*Beginning CY 2024, DOH w ill only provide funding support and procurement of infrastructure, equipment and

motor vehicle to provinces, cities, municipalities belonging to Category 1 **Funding of polyclinics is limited to completion of already existing projects.

Human Resources for Health (HRH) Deployment. The hiring of HRH is the

responsibility of LGUs under a devolved setup. LGUs should implement the standard

staffing pattern based on the functions and recommended ratio of HRH to its

population. However, in the UHC Act there is a provision for DOH to provide assistance

to low income and GIDAs by deploying and augmenting the health workforce needs

of local public health systems and to secure positions for hiring of health professionals

and health workforce under the National Health Workforce Support System (NHWSS).

In this case, certain aspects of the HRH Deployment program, including the budget

allocation for retained cadres will be maintained by the DOH. Moreover, the pre-

service scholarship for priority cadre of health professionals and in-service scholarship

programs, policy development, technical assistance, capacity building of deployed

HRH, and advocacy will still be retained with the DOH (Refer to Table 6).

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Table 6. Basis for Retention and Re-devolution of the HRH Deployment

Retained with DOH Devolved to LGUs by CY 2023

● Cadres: Doctors, Nurses, Midwives,

Dentists, Medical Techs, Pharmacist,

Nutritionist Dietitian, Physical Therapist in

GIDAs, target areas for peace-building

efforts, areas for poverty reduction, and

with critical HRH gap

● Pre-service Scholarship for Doctors &

Midwives

● Policy Development, Technical

Assistance, Training, Advocacy

● Cadres: Nurses and

Midwives in 1st to 4th income

class municipalities

● Rationale: Low possibility of

market failure

Beginning 2023, the hiring of nurses and midwives in the 1st to 4th income class

municipalities will be devolved to LGUs except in GIDAs, target areas for peace-

building efforts, priority areas for poverty reduction, and those with critical health

workers gap. These cadres will be subject for re-devolution given the low possibility of

market failure.

Epidemiology and Surveillance. For the Hiring of Disease Surveillance Officers

(DSOs), formerly known as the Public Health Associates, under the Epidemiology and

Surveillance line item, the basis for re-devolution is Rule VII Section 2 of the 2020 IRR

of RA no. 11332 or the “Mandatory Reporting of Notifiable Diseases and Health Events

of Public Health Concern Act,” which provides:

● As a minimum requirement, each Epidemiology and Surveillance Unit (ESU)

shall have at least one (1) DSO duly trained on applied/field epidemiology,

surveillance and response; and one (1) epidemiology assistant of an allied

health profession;

● Moreover, the human resource complement will support the implementation of

the population-based health services under Section 17 of the UHC Act to

ensure an accurate, sensitive and timely epidemiologic, surveillance systems;

and,

● The budget requirements for the operations of ESUs shall be drawn from the

annual budget of their respective mother offices.

Since the budget to cover all DSOs nationwide was not approved in the 2022 NEP,

the devolution of DSOs to all LGUs will begin in 2022 but DOH will consistently retain

funding of DSOs under the DOH Central Office, CHDs, and Provincial DOH Offices

(PDOHOs). DSOs deployed in the regions are to be funded by CHD-Regional

Epidemiology and Surveillance Units (RESUs).

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Public Health Commodities. The main basis for retention and re-devolution of public

health commodities are summarized in Table 7. Retained with DOH means provision

of funding support either as financial grants or non-financial assistance. For in-kind

commodities procured at the DOH Central Office, the Department is responsible for

its logistics and supply chain management; while the implementation and distribution

to its target population are still with the LGUs. Meanwhile, the re-devolved functions

of LGUs must also include not only the procurement but also the warehousing,

storage, and distribution of commodities to component LGUs and its target population.

A price negotiation mechanism shall be established to facilitate more efficient

procurement of select DOH retained commodities, particularly those that are high cost

and/or are single source. Financing for re-devolved functions, services, and facilities

shall either be financed through the NTA or PhilHealth (i.e. for those with benefit

packages).

Table 7. Basis for Retention and Re-devolution of Public Health Commodities

Retained with DOH Devolved to LGUs

(Fund Source: NTA or PHIC)

● Internationally procured or with

limited local market

● Commodities with economies of

scale

● Population-based services that need

to be consistently implemented (e.g.

Vector Control measures)

● Individual -based services but

without PhilHealth package in the

interim

● Services or commodities that are

readily available in the local market

● Services with existing PhilHealth

benefit packages

● Population-based services which

LGUs have the capacity to

implement

Table 8 shows a summary of the P/A/Ps which will be retained under DOH, and those

that will be partially re-devolved or fully re-devolved to the LGUs in the DOH Devolution

Transition Plan. These are only some examples of the key programs and activities of

the Department and not an exhaustive list. Furthermore, retention does not mean

provision of the entire service; instead, it means provision of financial grants and non-

financial assistance in support of program implementation, which still rests with the

LGUs. Meanwhile, in addition to what the LGUs are already funding, they will also

finance those fully devolved and partially devolved PAPs, if applicable.

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Table 8. Summary of the Retained and Re-devolved Functions

Retained with DOH5 Partially Devolved Fully Devolved to

LGUs

● Environmental &

Occupational Health

● National Immunization

● Tuberculosis Control

● Mental Health

● Cancer

● HIV

● Schistosomiasis

● Vector Control

● Medical Assistance for

Indigent Patients

● HRH Deployment

● Health Facilities

Enhancement

Program

● Family Health,

Nutrition &

Responsible Parenting

● Oral Health

● Food & Water-borne

Diseases

● Filariasis

● Dengue

● Emergency & Re-

emerging Infectious

Diseases

● Sexually Transmitted

Infections

● Hypertension

● Hypercholesterolemia

● Diabetes (beginning

CY 2023)

● Leprosy6

● Integrated

Management of

Childhood Illness

● Soil-Transmitted

Helminthiasis

● Rabies Control

● Disease Surveillance

Officers7

Note: These are some examples of key programs and not an exhaustive list.

5 All commodities listed here shall remain with the DOH until such time that they are included in the

expanded PhilHealth benefit package and are locally & readily available 6 WHO-donated multidrug therapy and clofazimine for Leprosy will still be provided.

7 Note: DSOs are fully devolved to LGUs by CY 2022 but DSOs in DOH Central Office, RESUs, and

PDOHOs are retained.

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DOH Performance and Targets

Physical Performance and Targets

The DOH was able to deliver improvements in outputs and outcomes for select

performance indicators as shown in Table 9.

Table 9. DOH Physical Performance CY 2019-2021 and Targets for CY 2022

Program

Performance Indicator

Accomplishment CY 2022

Targets based

on NEP

CY 2019 CY 2020 CY 2021

(Preliminary)

National Health

Insurance

Program

Percent of the

population covered8 by

PhilHealth

100% 100% 100% 100%

Philhealth Registration/

Enrolment Rate

90% 87% 87% 92.5%

Social Health

Protection

Program

Number of patients

provided with medical

expense assistance thru

MAIP9

1.54 M 1.35 M 0.677 M10 1.5 M

Public Health

Program

Number of Current

Users of Modern FP

methods among

Women of Reproductive

Age (15-49 years old)

7.6 M 8.1 M Annually

Reported

8.6 M

Facility-based Deliveries 91% 92%11 Annually

Reported

95%12

Treatment Success

Rate for All Forms of TB

90% 86% Annually

Reported

90%

Number of Malaria-free

provinces

(Out of 81 provinces)

60 60 Annually

Reported

75

Number of Filariasis-

free provinces

(Out of 46 endemic

provinces)

43 4313 Annually

Reported

45

Health Systems

Strengthening

Number of doctors

deployed

511 690 73414 963

8 Per Section 5 of the UHC Act provides that all Filipinos w ill now be included under the National Health Insurance

Program, thereby achieving universal population coverage in principle. 9 In the 2022 NEP , the new MAIP indicator is the number of patients provided w ith medical and f inancial assistance. 10 Preliminary 2021 Accomplishment as of June 30, 2021

11 Program data in 2020 DOH Annual Report

12 Target based on Program Strategic Plan 13 No declaration of Filariasis-free provinces in 2020 due to pandemic

14 Preliminary 2021 Accomplishment as of June 30, 2021

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Program

Performance Indicator

Accomplishment CY 2022

Targets based

on NEP

CY 2019 CY 2020 CY 2021

(Preliminary)

Number of nurses

deployed

18,166 18,994 16,83014 13,58515

Number of midwives

deployed

4,60016 4,585 4,39114 6,316

Number / Percent of

HFEP-projects that

started implementation17

99%

(5,283 of

5,345)

99%

(4,609 of

4,721)

97%

(2,591 of

2,677)

100%

(2,512)

Financial Performance

For the year 2020, the DOH-Office of the Secretary (DOH-OSEC) was able to obligate

88 percent of the allotted budget, equivalent to almost PhP 176 billion of the total

allotted budget of PhP 201 billion. In terms of disbursement, it is at 81 percent or PhP

142 billion of the PhP 176 billion obligations incurred. This is presented by expense

class in Table 10.

Table 10. DOH-OSEC Financial Performance in CY 2020, Amount in Billion PhP

Expense

Class Allotment

Obligation Disbursement18

Amount % Amount %

PS 64 62 97 60 97

MOOE 109 90 83 73 81

CO 28 24 88 9 38

TOTAL 201 176 88 142 81

Source: CY 2022 Utilization as of December 31, 2020; Inclusive of Bayanihan Funds, Special Purpose Funds,

and Automatic Appropriations, and 2019 Continuing Appropriations

CY 2022 NEP Budget Discussion

The years 2016-2017 saw the transition of the DOH budget structure from the Major

Final Outputs (MFO) to the Program Expenditure Classification (PREXC). Since its

implementation in the 2018 GAA, the agency continues to transform and streamline

its P/A/Ps to be more responsive to the changing needs and principles of Public

Financial Management (PFM). The PREXC restructuring in the 2022 NEP seeks to

streamline, integrate, and align the budget to results pursuant to existing policies and

in consideration of emerging needs.

15 The decrease in the number of Nurses in the Nurses Deployment Program is due to the implementation of DBM

Budget Circular 2021-02 w hich increases the SG level of Nurse II from SG 15 to SG 16. How ever, the DOH is

proposing to increase the fund allotment to PhP 3.27B to ensure the retention of the proposed 17,831 Nurses. 16 Shift from MOOE funding to PS-Contractual, actual target is met (4,600 out of 4,000 targeted for deployment)

17 HFEP Report as of July 31, 2021

18 Computed as Disbursement over Obligations Incurred

◼ 20 ◼

The four distinct changes in PREXC structure that were introduced in the 2022 DOH

NEP budget are as follows:

(1) Certain budget line items were merged in order to provide flexibility and

promote efficiency in the use of funds across public health programs, such as

the Complementary Feeding Program which is now merged and subsumed

under the “Family Health, Immunization, Nutrition and Responsible Parenting

Program” as component of Nutrition; and the National Integrated Cancer

Control Program including cancer medicines for children, and the Cancer

Assistance Fund are now merged and subsumed under the “Prevention and

Control of Non-Communicable Diseases” which contribute to the same output

and outcome;

(2) Eleven DOH Hospitals were renamed based on newly enacted laws;

Table 11. List of Renamed Hospitals Based on Newly Enacted Laws

Region From To

NCR San Lazaro Ruiz Women’s Hospital

San Lorenzo Ruiz General Hospital

II Southern Isabela General Hospital

Southern Isabela Medical Center

Veterans Regional Hospital Region II Trauma and Medical

Center

III Bataan General Hospital Bataan General Hospital and Medical Center

Talavera Extension Hospital Talavera General Hospital

VII Eversley Child Sanitarium Eversley Child Sanitarium and General Hospital

Talisay District Hospital Cebu Southern Medical Center

VIII Eastern Visayas Regional Medical Center

Eastern Visayas Medical Center

Schistosomiasis Hospital Gov. Benjamin T. Romualdez General Hospital and Schistosomiasis Center

IX Labuan Public Hospital Labuan General Hospital

X Medina Extension Hospital First Misamis Oriental General

Hospital

◼ 21 ◼

(3) New budget line items were created, namely: the Locally Funded Project -

COVID-19 HRH for Emergency Hiring; Foreign-Assisted Project19 known as the

Philippine COVID-19 Emergency Response Project (PCERP) no. 2 in

partnership with the World Bank; and creation of three new hospitals namely,

the Conrado Estrella Regional Medical and Trauma Center in Pangasinan by

virtue of RA no. 11558 (PS and MOOE allocation); Davao Occidental General

Hospital established by virtue of RA no. 11564 (PS, MOOE, and Capital Outlay

allocation); and, Senate President Neptali Gonzales General Hospital in

Mandaluyong City created as per RA no. 11557 (Capital Outlay allocation).

(4) The Philippine National AIDS Council (PNAC) budget has been separated from

the DOH-OSEC and is now an attached agency by virtue of RA no. 11166.

Estimated Fiscal Space and CY 2022 Sources of Funds for Health

Section 37 of the UHC Act provides the appropriations measures for its

implementation, to wit (Refer to Table 12 for the estimates):

● Total incremental sin tax collections as provided for in RA no. 10351. In

addition, mandated earmarks as provided for in RA nos. 7171 and 8240 shall

be retained;

● Fifty percent (50%) of the National Government share from the income of

Philippine Amusement and Gaming Corporation (PAGCOR);

● Fifty percent (50%) of the Forty percent (40%) of the Charity Fund, net of

Documentary Stamp Tax Payments, and mandatory contributions of Philippine

Charity Sweepstakes Office (PCSO);

● Premium contributions of members;

● Annual appropriations of the DOH included in the General Appropriations Act

(GAA); and,

● National Government subsidy to PhilHealth included in the GAA.

19 Foreign-Assisted Projects on World Bank PCERP 1 and ADB HEAL 2 are fully frontloaded in CY

2021

◼ 22 ◼

Table 12. CY 2022 Sources of Funds for Health20

Funding Source Amount

(in Billions) Remarks

DOH-OSEC and PhilHealth

Baseline Budget 53.23

DOH-OSEC and PhilHealth budget in

2013 (prior to RA 10351)

Projected 2020 excise tax

collections based on new sin tax

laws: RA 11346 and RA 11467

152.14

Repeals the old Sin Tax Law (RA 10346);

Figures are COVID- Adjusted; Preliminary

and subject to change as of October 17,

2021 (Source: DOF Projections)

DOH-OSEC and PhilHealth

Natural Increase 31.65

Computed as 2022 NEP level of DOH-

OSEC and PhilHealth minus Baseline

Budget prior to RA 10351 minus the

Projected sin tax collection for 2022:

[(PhP 237.02 billion - PhP 53.23 billion) -

PhP 152.14 billion]

Philippine Amusement Gaming

Corporation (PAGCOR) 11.88

Projected estimate on 50% of the NG

share from income of PAGCOR (Source:

PAGCOR Letter to DOH dated October

12, 2021)

Philippine Charity Sweepstakes

Office (PCSO)* 3.70*

50% of the 40% of the charity fund for the

first two years per the UHC Act Sec. 41 (j)

TOTAL 252.60

*Pending COVID-19 adjusted medium-term projections from PCSO

Note: Fiscal Space Estimation is exclusive of income generated from Food and Drug Administration (FDA), Bureau of Quarantine (BOQ), Health Facilities and Services Regulatory Bureau (HFSRB), DOH Hospitals, and PhilHealth premiums from direct contributors.

Overview of the CY 2022 DOH-OSEC NEP Budget

Beginning 2014, the DOH budget has increased significantly due to the

implementation of the Sin Tax Law. The 2022 DOH-wide budget is 14 percent higher

than that of the 2021 budget level. The DOH-OSEC has a total allocation of PhP

157.03 billion in the 2022 NEP, which is 17 percent higher than the 2021 GAA. On

top of this, a total of PhP 764.40 million is to be charged under the Special Account in

the General Fund (SAGF). Of this amount, PhP 148.75 million is for the Bureau of

Quarantine (BOQ), PhP 586.24 million for the Food and Drug Administration (FDA),

and PhP 29.42 million for Franchise Tax.

20 Exclusive of estimated fiscal space for UHC and HFEP from offshore gaming revenues per Republic

Act no. 11590 dated September 22, 2021

◼ 23 ◼

The major cost drivers of the DOH-OSEC budget in the 2022 NEP are the following

budget line items: HFEP which increased from PhP 7.84 billion in the 2021 GAA to

PhP 19.56 billion in the 2022 NEP; COVID-19 Laboratory Network funding which

increased from PhP 124 million to PhP 5.09 billion as compared in 2021; and,

Procurement of Supply Chain Management Service which increased from PhP 486.31

million to PhP 1.92 billion in the 2022 NEP. Figure 3 shows the trend of the budget

appropriated for health from GAA 2010-2021 and NEP 2022. For CY 2022, agencies

will continue the cash-based budgeting system, where the budget is expected to be

fully disbursed within the year.

Figure 3. DOH-wide Budget Trend from GAA 2010-2021 to NEP 2022

Note: The trend is exclusive of PhP 3.70 billion allocation for Retirement and Life Insurance Premiums (RLIP) and PhP 764.40 million allocation for the Special Accounts in the General Fund (SAGF)

Out of the PhP 242.22 billion for the DOH-wide budget in the 2022 NEP, PhP 157.03

billion or 65 percent is allocated to the DOH-OSEC. The 35 percent of the budget is

allocated to the DOH attached agencies and corporations, as follows: PhP 79.99

billion or 33 percent to PhilHealth; PhP 4.55 billion or 2 percent to the four corporate

speciality hospitals; PhP 478.08 million for the NNC; PhP 34.99 million to the PNAC;

and, PhP 134.49 million to the PITAHC. (Refer to Table 13).

◼ 24 ◼

Table 13. DOH-wide Budget GAA 2020 - 2022 NEP

Particulars GAA 2020

GAA 2021

NEP 2022

Amount in

Billion PhP

% to Total

NEP21

A. DOH-OSEC 100.56 134.45 157.03 65

B. Attached Agencies **0.46 **0.48 0.51 0.21

National Nutrition Council 0.46 0.49 0.48 0.20

Philippine National AIDS Council **0.01 **0.03 **0.04 0.01

C. Attached Corporations 75.44 77.01 84.68 35

Lung Center of the Philippines 0.42 0.50 0.41 0.17

National Kidney and Transplant

Institute 0.91 1.28 1.27 0.52

Philippine Children’s Medical

Center 1.20 1.93 1.11 0.46

Philippine Heart Center 1.43 1.80 1.77 0.73

Philippine Institute for Traditional &

Alternative Health Care 0.14 0.14 0.13 0.06

Philippine Health Insurance

Corporation (PhilHealth) 71.35 71.35 79.99 33

TOTAL 176.46 211.95 242.22 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million) **PNAC is subsumed under DOH-OSEC in the 2020-2021 GAA; Separated as attached agency in the 2022 NEP per RA 11166

In terms of expense class (Table 14) of the DOH-OSEC budget, the Maintenance and

Other Operating Expenses (MOOE) has the highest proportion of budget at 44 percent

or PhP 68.54 billion, followed by Personnel Services (PS) at 42 percent or PhP 66.19

billion, and Capital Outlay (CO) at 14 percent or PhP 22.30 billion.

21 Numbers may not add up due to rounding off

◼ 25 ◼

Table 14. DOH-OSEC Budget by Expense Class, CY 2022 NEP vs 2021 GAA

Expense Class 2021 GAA 2022 NEP

Amount in Billion PhP % of Total NEP

PS 61.14 66.19 42

MOOE 58.65 68.54 44

CO 14.66 22.30 14

TOTAL 134.45 157.03 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million)

The DOH-OSEC CY 2022 NEP budget of PhP 157.03 billion comprises the agency

specific budget, budget for operations in support of its four organizational outcomes,

including the loan proceeds for the foreign-assisted projects. Table 15 shows the

breakdown of the DOH-OSEC CY 2022 NEP Budget in comparison with the GAA 2021

budget level.

Table 15. DOH-OSEC Budget by Organizational Outcome,

CY 2022 NEP vs 2021 GAA, Amount in Billion PhP

Particulars 2021 GAA

2022 NEP

% of Total NEP

Agency Specific Budget

General Administration and Support 8.09 8.33 5.3

Support to Operations 1.91 3.80 2.4

Sub-Total 10.00 12.13 7.7

Operations

OO1: Access to Promotive & Preventive Health care Service Improved

56.94 73.92 47.1

OO2: Access to Curative & Rehabilitative Health Care Service Improved

49.31 53.02 33.8

OO3: Access to Safe & Quality Health

Commodities, Devices and Facilities ensured

1.08 0.96 0.6

OO4: Access to Social Health Protection 17.13 17.00 10.8

Sub-Total 124.45 144.90 92.3

TOTAL 134.45 157.03 100

Note: Amounts are exclusive of RLIP (PhP 3.70 billion) and SAGF (PhP 764.40 million)

◼ 26 ◼

The bulk of the budget under the DOH-OSEC is for the operations of its organizational

outcomes amounting to PhP 144.90 billion or 92 percent of the total agency budget.

The agency specific budget for General Administration and Support and Support to

Operations comprises 8 percent or PhP 12.13 billion. The budget proposed for

Organizational Outcome 1 (OO1): Access to Promotive and Preventive Health Care

Services Improved, has the biggest share at 47 percent or PhP 73.92 billion. Activities

under OO1 include HFEP, HRH Deployment, Public Health Programs, and the

Foreign-Assisted Projects. This is followed by the proposed budget for OO2: Access

to Curative and Rehabilitative Health Care Services Improved with 34 percent of the

proposal or PhP 53.02 billion. OO2 activities include Operations of National (and Sub-

national) Reference Laboratories, DOH-retained hospitals, and DATRCs. A total of

PhP 959.32 million or 0.6 percent is allotted for OO3 for the Health Regulatory

Program, and PhP 17 Billion or 11 percent for the Social Health Protection Program

under OO4.

Highlights of the CY 2022 NEP Budget

Major Thrusts of the DOH Budget

For CY 2022, the major thrusts in the DOH budget are based on the health

commitments in the Philippine Development Plan and the Budget Priorities

Framework. As discussed in the previous section, major activities of the DOH-OSEC

can be categorized under three main priorities namely:

Priority 1: UHC Act Implementation-related and COVID-19 Initiatives (including

Assistance to LGUs for the Full Devolution)

● 1A: UHC Act Implementation-related ⮚ 1.A.1 : Health Systems Strengthening

⮚ 1.A.2 Population-based & Primary Care Service Provision

● 1B: COVID-19 Initiatives / Health System Resilience Priority 2: Implementation of Other Health-Related Laws

Priority 3: Urgent and Compelling Need

Priority No. 1: UHC Act Implementation, COVID-19 Initiatives, and Health System

Resilience

A total of PhP 78.83 billion is allotted under NEP 2022 for Priority 1 which includes

PAPs related to UHC Act implementation, COVID-19 initiatives, and Health System

Resilience, including assistance to LGUs for the Full Devolution. This amount can be

further disaggregated as PhP 59.15 billion for Health Systems Strengthening

programs such as HRH Deployment, HFEP, local health systems development,

◼ 27 ◼

regulation, and population-based health services and primary care service provision.

The remaining PhP 19.68 billion is for COVID-19 Initiatives and Health Systems

Resilience.

Table 16 shows the breakdown of budget line items under Priority 1 in the CY 2022

NEP. Some budget line items such as Health Facility Policy and Plan Development,

Family Health, Immunization, Nutrition and Responsible Parenting, Prevention &

Control of Communicable Diseases and Public Health Management contribute to more

than one sub-category or priority area.


P/A/P 2022 NEP

Amount Major Activity

Priority 1A: UHC Act Implementation Related Proposals

HRH Deployment 17.01

To strengthen the capacity of the primary health care workforce

and to support national and local health systems through:

● Deployment of 22,271 HRH (963 Doctors, 13,585 Nurses,

6,316 Midwives, 222 Dentists, 303 Pharmacists, 200

Nutritionist-Dietitians, 601 Medical Technologists, 81

Physical Therapists)

● Provision of 2,823 Pre-service scholarship grants for

doctors and midwives.

Health Facilities

Enhancement

Program

19.56

To support national and local health facilities through the

provision of capital outlay with breakdown as follows:

● PhP 18.39 billion worth of infrastructure and various

equipment for health facilities in low-income or high

poverty areas

● PhP 1.09 billion worth of motor vehicles

● PhP 82 million for the monitoring and evaluation of HFEP

implementation activities

Local Health

Systems

Development and

Assistance

0.50

To support the strengthening of local health systems and to

provide assistance to the 58 UHC Integration Sites for integration

of their respective local health systems into P/CWHS

Pharmaceutical

Management 0.28

To procure essential medicines for 148 Botika ng Bayan (BNB)

and 55 Bayani (BNBi) and hiring of 164 Pharmacy assistants

Health Technology

Assessment 0.014

To cover the operations of the Health Technology Assessment

unit

Health Sector

Research

Development

0.18

To facilitate the conduct of Health Policy and Systems type

Researches (HPSR), analyses and research translation in

support of the UHC Act and health systems strengthening

◼ 28 ◼

P/A/P 2022 NEP


Health Information

Technology 0.62

To defray expenses for capacity building and operations of DOH-

KMITS and to procure ICT equipment to support implementation

of the UHC Act & COVID-19 activities

HRH Institutional

Capacity

Management

0.27

To provide Learning and Development interventions to DOH

internal staff and LGU HRH: Post-graduate and Certificate

courses, In-House courses, Health System Management

courses for deployed HRH, Health Leadership and Governance

Modules (UHC Implementation), & online courses (DOH

Academy)

Health Facility

Policy and Plan

Development

0.29

To support policy and plan development for health facilities and

its operations (inclusive of PhP 105.6 million for operations of the

One Hospital Command Center)

Operations of

Regional Offices 1.26 To support ongoing activities of Centers for Health Development

Regulation of

Health Facilities &

Services

0.077 To support ongoing regulatory and licensing activities at the

Central Office and Centers for Health Development

(Note: This amount cannot cover the proposed expansion of

UHC-related regulatory activities, such as the licensing of

primary care facilities)

Regulation of

Regional Health

Facilities and

Services

0.28

Epidemiology and

Surveillance 0.11

To support ongoing epidemiology and surveillance activities and

defray salaries of existing job orders (Note: This amount cannot

cover the funding for the Disease Surveillance Officers and

operations of COVID-19 Surveillance Unit and Adverse Effect

Following Immunization Unit)

Health Emergency

Preparedness &

Response

0.28

To provide capacity building and technical assistance on

Disaster Risk Reduction and Management in Health (DRRM-H)

to CHDs, Hospitals and LGUs and to procure essential

preparedness and response supplies and equipment

Health Promotion 0.48 To support implementation of Healthy Communities and Health

Schools and ongoing health promotion activities

Public Health

Management 3.89

To implement the soft component of integrated public health

programs at the national and regional level through policy

development, technical assistance and trainings, health

promotion, and research activities

Environmental and

Occupational

Health

0.005 To provide commodities for drinking water disinfection, water

sampling, and chemical reagents

◼ 29 ◼

P/A/P 2022 NEP


Family Health, Immunization, Nutrition & Responsible Parenting

National

Immunization 8.5822

To provide vaccines across life stages for priority target groups

(Note: Inclusive of PhP 650 million for COVID-19 immunization

devices)

Family Health,

Nutrition, and

Responsible

Parenting

2.20

To provide micronutrient supplementation and family planning

commodities to target population groups. This includes the PhP

250 million for Complementary Feeding.

Prevention and Control of Communicable Diseases

Elimination of

Diseases 0.33

To provide commodities to address diseases for elimination such

as Malaria, Filariasis, Schistosomiasis, and Leprosy23

TB Control 1.69 To provide commodities for the diagnosis, prevention, treatment,

and control of Tuberculosis

Prevention &

Control of Other

Infectious

Diseases

5.06

To provide commodities to diagnose, prevent, treat, and control

other infectious diseases (Note: Inclusive of PhP 3.44 billion for

the procurement of Personal Protective Equipment (PPE) and

PhP 639 million for GeneXpert COVID-19 cartridges)

Rabies Control 1.08 To provide commodities to address animal bites

Sub-Total

(Priority 1A) 59.15 UHC Act Implementation Related Proposals

Priority 1B: COVID-19 Initiatives / Health System Resilience

LFP: COVID-19

Laboratory Network

Commodities

5.09 To provide for 4.38 million COVID-19 tests and other Laboratory

Network needs

LFP: COVID-19 Human Resources for Health Emergency Hiring

3.80 To augment health facilities with HRH dedicated for COVID-19

response

Foreign-Assisted Projects

1.29 To cover the loan proceeds of World Bank PCERP 2 and ADB

HEAL 1 loans for CY 2022

Quick Response Fund

0.50 To cover health emergency response activities and procure

commodities and capital outlay projects

Operations of Blood

Centers & National

Voluntary Blood

0.51

To support ongoing operations of DOH national, regional, and

subnational blood centers in addressing blood transfusion needs

of critical patients

22 Exclusive of PhP 45.367B for COVID-19 vaccine booster shots under Unprogrammed Funds (as approved by

DBM) 23 Multi-drug therapy for Leprosy that are donated by WHO shall be continuously provided to LGUs

◼ 30 ◼

P/A/P 2022 NEP


Services

Procurement and

Supply Chain

Management

Service

1.92

To cover the warehousing, hauling, and brokerage expenses for

the procurement of commodities (PhP 1.46 billion) and

construction/equipping of regional warehouses (PhP 464 million)

Operation of National Reference Laboratories

0.30 To support ongoing operations pre-COVID

International Health Policy Development and Cooperation

0.04

To support ongoing activities of BIHC, including participation to

Technical Group on Diplomatic Negotiation and Engagement on

COVID-19 loans and other official development assistance

Regulation of Health Establishments and Products (FDA)24

1.00 To cover licensing of health establishment, re-engineering of systems and procedures on registration of health products, post marketing surveillance

Provision of Quarantine Services and International Health Surveillance (BOQ)25

0.32

To enhance surveillance activities at all points of entry by strengthening workforce and others as essential part of preparedness for health challenges

Sub-Total

(Priority 1B) 19.68

COVID-19 Initiatives/ Health System Resilience

Note: Other COVID-19 Initiatives are already incorporated in Priority 1A under UHC-related activities: PhP 61M for DPCB COVID-dedicated Job Orders, PhP 650M (COVID Immunization Devices), PhP 3.44 B ( PPEs), PhP 639M (COVID GeneXpert cartridges), PhP 105.6M (One Hospital Command Center)

Total (Priority 1) 59.15

Indicative Allocation for UHC Integration Sites in the 2022 NEP

At present, there are 58 UHC Integration Sites (UHC-IS) which have committed to

integrate into P/CWHS through a letter of intent. In order to support them, the UHC-IS

are being provided with both technical assistance for their preparatory and

organization activities, as well as hiring of additional UHC-IS support staff. Currently,

CHDs were directed to assist UHC-IS to form local UHC Performance Management

Teams which will be responsible for localizing and implementing UHC and integration

reforms.

24 PS budget is charged under Operations of DOH-OSEC w hile MOOE and CO budget are charged under SAGF

25 ibid.

◼ 31 ◼

Based on Sections 17 and 41 of the UHC Act IRR, the CY 2022 investments aims to

support the local health systems integration initiatives of 58 UHC Integration Sites.

Of the PhP 59.15 billion allotted for UHC Implementation activities, PhP 19.95 billion

or 34 percent is allocated to support programs, projects, and activities for the 58 UHC

Integration Sites. The budget line items with specific allocation for the 58 UHC

Integration Sites comprise of HRH deployment, Local Health Systems Development

and Assistance (LHSDA), and capital outlay funds under the HFEP and Health

Promotion Program.

On top of this, the UHC Integration Sites also receive support from other DOH

programs, projects, and activities dedicated for all LGUs such as the annual regular

assistance for public health commodities amounting to PhP 20.31 billion, and

technical assistance and capacity building for ongoing LHSDA activities amounting to

PhP 237.11 million for all LGUs. All the other LGUs which are not part of the 58 UHC

Integration Sites will likewise continue to receive funding support from DOH such as

the HRH Deployment Program and HFEP, among others.

Table 17. Summary of P/A/Ps with Specific Allocation for UHC Integration Sites

(MOOE & CO) in the 2022 NEP, Amount in Billion PhP

P/A/P Amount Major Activity

HRH Deployment 9.32 Deployment of all cadres in 58 UHC IS

Local Health Systems Development and Assistance

0.26 Regular and Top up Fixed Tranche

Health Facility Enhancement Program

10.24

Capital Outlay (Infrastructure, equipment and motor vehicle) for health facilities in UHC IS that covers BHS, RHUs, Polyclinics, LGU Hospitals, TTMF, Other Health care Facilities, MegaHealth Centers, and DOH Hospitals

Health Promotion 0.13 Assistance for 34 UHC-IS based on 2020 Local Health Systems Maturity Levels baseline assessment of Health Promotion key result areas

Total 19.95

Priority No. 2: Implementation of Other Health-related Laws

Under Priority 2, a total of PhP 69.21 billion is allocated for activities pursuant to other

recently enacted health laws such as the Mental Health Act, Cancer Law, Malasakit

Act, and re-nationalization of hospitals.

◼ 32 ◼


P/A/P 2022 NEP


Prevention and

Control of Non-

Communicable

Diseases

1.38 To provide commodities for the prevention, treatment, and

control of Diabetes (PhP 22.45 million), Cancer (PhP 786.96

million), and Mental Health (PhP 568.04 million) conditions

Medical Assistance

for Indigent Patients 17.00 To provide medical and financial assistance for indigent and

financially-incapacitated patients

Operation of DOH

Hospitals in Metro

Manila

13.48 To subsidize salaries of personnel and augment the regular

operations of Metro Manila specialty hospitals for patient

management

Operation of DOH

Regional Hospitals

and Other Health

Facilities

37.35 To subsidize salaries of personnel and augment the regular

operations of DOH-retained Regional Hospitals for patient

management


Priority No. 3: Urgent and Compelling Need

For Priority 3, a total of PhP 1.38 billion is allocated for budget line items whose

implementation have an urgent and compelling need.


P/A/P

2022 NEP


Operation of Dangerous Drug Abuse Treatment & Rehabilitation Centers

1.38

To provide for the operating expenses of DDAPTP and 22 DATRCs (13 existing DOH-managed Drug Abuse Treatment Rehabilitation Centers (DATRCs), 5 donated DATRCs, 4 newly Established DATRCs in Mountain Province, La Union, Las Piñas and Zamboanga


Through the funding of these budget proposals, the Department aims to: (1) attain a

health system that is resilient and responsive to the pandemic, especially to emerging

and re-emerging infectious diseases; (2) strengthen the local health systems; (3)

capacitate LGUs in performing the re-devolved functions and services and (4) improve

the delivery of population-based health services such as epidemiology and

surveillance, health promotion, and health emergency preparedness and response

and primary care service provision.

◼ 33 ◼

HEALTH POLICY DEVELOPMENT AND PLANNING BUREAU

2021

Documents

DEPARTMENT OF HEALTH 2021