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Support for Health Sector Reform :  Philippines :Go to Project Summary

Support for Health Sector Reform :  Philippines

Timetable  |  Financing Plan and TA Utilization

TA Name Support for Health Sector Reform
Country Philippines
TA Number 4647
Project Number 39066- 01
Source of Funding/Amount[Proposed]
Technical Assistance Special Fund US$1.00  million
Thematic Classification
Social Development
Gender Equity
Description Rationale. The primary challenge facing the health sector is identifying ways to improve the efficiency and effectiveness of health service delivery. The country is confronted with low public sector performance in the health sector, as it inadequately addresses (i) the health needs of the population at large, (ii) the financing or risk sharing mechanisms and burden of health care cost, and (iii) the inefficiencies, and the unnecessary cost burden of health care. Devolution had led to limited resources and weak capacity at the LGU level. HSRA provides the strategy to overcome these obstacles. A rationalized health service delivery system is expected to lead to efficiency gains. Improved coverage under social health insurance would reduce household health care cost burden. Improved capacity for planning and implementation would introduce appropriate programs and budgets to address the dual-disease burden, and seeking partnerships with the private and nongovernment sectors is expected to enhance effectiveness of health service delivery.

Impact and Outcome. The TA will provide support to enhance the implementation of HSRA. The TA will help build capacity in DOH to streamline policy and refine monitoring systems, and assist LGUs to initiate and implement these reforms. The TA will help the Government to head start HSRA in the 15 selected convergence sites. In 2003, DOH identified 15 convergence sites, as the first set of 15 out of the 79 provinces to achieve HSRA. The convergence site approach is a DOH strategy for phasing HSRA implementation in the provinces over time by streamlining policies, developing guidelines, concepts, and administrative orders, and harmonizing the processes between involved public actors at the central level. The TA will particularly accelerate HSRA implementation in up to 5 convergence sites under HSDP.

Methodology and Key Activities. The TA will consist of two components: (i) support for HSRA implementation; and (ii) initiatives to enhance capacity of local health care system under HSRA. The TA team will work closely with the Government and other stakeholders to help strengthen ongoing HSRA activities, in a timely fashion, through a comprehensive methodological assessment, technical review, building on international experiences, preparation of systems, and implementation capacity.

Implementation Arrangements. The TA will be implemented during 18 months (September 2005 to February 2007).
Linkage to Country/Regional Strategy In the 1990s, the Government introduced a comprehensive health sector reform program. This mandates the betterment of the health of the population and strengthening various functions of the health sector, including public health, hospital reform, health care financing, health regulations, and local health systems. The ADB project on Health Sector Development Program supports the Government of the Philippines's health sector reform program initiative, and addresses health concerns of the poor and vulnerable.
Geographical Location Philippines
Business Opportunities
  Consulting Services A team of international and domestic consultants will implement all technical assistance (TA) components, guided by a team leader, to support the Health Sector Reform Agenda (HSRA). The team will be recruited through an international consulting firm and will include (i) 3 international consultants (18 person-months), (a) technical advisor, health sector reform specialist, (b) health systems specialist, and (c) social health insurance specialist; and (ii) 7 domestic consultants (81 person-months), (a) TA manager, health specialist, (b) district health planning and management specialist, (c) hospital financial management specialist, (d) health care finance specialist, (e) public health specialist, (f) drug procurement management specialist, and (g) human resource planning specialist. The TA technical advisor will oversee the work of the TA team, and the TA manager will coordinate with the Government and other involved stakeholders. The TA team will be supervised by the Department of Health (DOH) director of the health policy development and planning bureau, and receive technical guidance from the project team leader of the Asian Development Bank (ADB) -supported Health Sector Development Program (HSDP)
Total budget for international firm = $900,000 (approximately)
  Procurement N/A
Responsible ADB Officer Vincent De Wit
Responsible ADB Department Southeast Asia Department
Responsible ADB Division
Executing Agencies Department of Health
Fact-finding 04 Apr 2005 to 29 May 2005
Approval 15 Sep 2005
Financing Plan / TA Utilization Top TA Amount
ADB Others Gov Total Approved Amount Revised Amount
$1,000,000.00 $1,000,000.00 $912,535.06
 Total Commitment Uncommited Balance Total Disbursement Undisbursed Balance
$912,535.06 $87,464.94 $912,535.06 $87,464.94
2008 Asian Development Bank

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