NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY

1. NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR MA. VIRGINIA GUZMAN-ALA, MD, MPH Officer-in-Charge Bureau of International Health Cooperation

2. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY OUTLINE OF THE PRESENTATION 1 Sector Development Approach for Health (SDAH) (Sector-wide Approach (SWAP) 1.1 Definition 1.2 Requirements 1.3 General Objectives 1.4 Specific Objectives 1.5 Operationalization / Status of Implementation

3. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY OUTLINE OF THE PRESENTATION • Financing FOURmula ONE 2.1 GOP / Loan / Grant Mix 2.1.1 National Investment Plan 2.1.2 Province Wide Investment Plan for Health 2.2 Fund Flow Mechanism 2.2.1. NHIP 2.2.1.1 GAA – DOH Regular Budget 2.2.1.2 Automatic Appropriation - EU 2.2.1.3 Donor Managed 2.2.2 PIPH • 2.2.2.1 National Government Counterpart • 2.2.2.2 Grant Part – Budget Support Trust Fund • 2.2.3 LGU Counterpart – MDFO, IRA etc.

4. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.1 Definition SDAH is the term coined by the Philippine Department of Health for Sector-Wide Approach • SDAH is the approach whereby the DOH takes the lead in effectively coordinating and managing donors support and aligning these with government support towards full implementation of a sector program

5. MOBILIZING RESOURCES FOR √ √ √ √ √ √ NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.2 Requirement Sector Program : Health Sector Reform Agenda (HSRA) Implementable : FOURmula One (Implementation Strategy) Strong Government Leadership: the Sec of Health leads F1, MTPDP Unified Management of Donor Support - BIHC The presence of a Medium-Term Expenditure framework-Health Sector Expenditure Framework Strong Public Finance Management System Strong Support of Partner - Development of Partner - LGU and other partners

6. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.3 General Objectives To improve the quality and efficiency of mobilizing and utilizing foreign investment for Fourmula One and harmonizing the same with national / local investments

7. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.4 Specific Objectives To reduce the transactions costs of managing foreign investments in health To reduce duplication and overlaps of donor Initiatives with each other and with existing government programs To ensure sustainability of health reforms

8. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.5 Operationalization / Status of Implementation 7 donors (WB, EU, ADB, JICA, KFW/GTZ, UNFPA, WHO, USAID) Agreements / working arrangement • Joint Planning/assessment • Unified monitoring framework / tools • Unified Project Management • TA map formulated to guard against duplication / redundancies

9. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2 FINANCING FOUR mula One 2.1 GOP / Loan / Grant Mix 2.1.1 National Investment Plan 2.1.2 Province Wide Investment Plan for Health

10. Health Service Delivery PH Hospitals Health R E G U L A T I O N S Good G O V E R N A N C E National Government Counterpart to 16 LGUs Logistics TA Training Systems Dev’t Policy Dev’t/Impl National TA Training Systems Dev’t Policy Dev’t/Impl Local TA Training Systems Dev’t Policy Dev’t/Impl MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2 FINANCING FOUR mula One – GOP / Loan / Grant Mix 2.1.1 National Investment Plan • Automatic Appropriation – EU • Donor Managed – EU/WHO/UNFPA/ • ADB/USAID/JICA/KFW-GTZ Health Care F I N A N C I N G • GAA • Taxes • WB • ADB National Government Counterpart to all LGUs

11. Automatic Appropriation Above Ceiling EU/WHO etc. OR • GAA • Within Ceiling • Taxes • WB • ADB National Government Counterpart IRA TAX CDF Trust Fund Budget Support GRANTS EU Logistics TA Training Systems Dev’t Others USAID / JICA / UNFPA / UNICEF / WHO LGU Counterpart MDFO (DOF) Loans Automatically Appropriated EU WB ADB/ KFW DBM MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2 FINANCING FOUR mula One – GOP / Loan / Grant Mix 2.1.2 Province Wide Investment Plan for Health Others Technically Sound Plan OR

12. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2.2 Fund Flow Mechanism (NIPH) a. Taxes, WB program loan and the ADB policy loan (portion only) will be provided to the DOH as its regular budget b. EU grant to the DOH • A part will be provided in cash through the DBM • A part will be provided in kind as TA for capability building c. Grant Managed assistance • Provided in kind largely as TA / capability building

13. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2.2 Fund Flow Mechanism (NIPH) EC Cash Grant to the DOH EU BSP Inform DBM of Cash Availability Bureau of Treasury Fund 171 Automatic Appropriation Add’l Obliga’l Programs fully backed by grant proceeds DBM (SARO and NCA) Releases based on cash program DOH Special Account

14. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2.2 FUND FLOW MECHANISM 2.2.1 National Government Counterpart a. In Kind – support to all LGUs • Logistics support (vaccines, TB drugs, micronutrients) • Technical Assistance / Training b. In Kind / Cash – additional support of 16 LGU • Technical Assistance • Capability Building (training, mentoring, technology transfer) • Others • Cash will be provided as performance grants

15. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2.2 FUND FLOW MECHANISM 2.2.2 Grant part – EU Grant a. Cash Grant to the LGUs b. Types of on-granting

16. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY c. FUND FLOW MECHANISM EC EC BSP WB Btr Fund 103 BSP BIR DBM SARO / NCA DBM SARO / NCA LGU Separate Account LGU

17. ASIAN DEVELOPMENT BANK Loan Account MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY 2.2 FUND FLOW MECHANISM 2.2.3 LGU Counterpart – Cash counterpart / not in kind • ADB / KFW through MDFO DEPARTMENT OF FINANCE Subsidiary Loan Agreements I = 9% (10/3 yrs MUNICIPAL DEVELOPMENT FUND OFFICE Participating local government units Loan Account National Government Counterpart Distribution Local Hospital and Health Center Upgrading

18. MOBILIZING RESOURCES FOR NATIONAL STAFF MEETING19-21 APRIL 2006DOMINIQUE HOTEL, TAGAYTAY CITY SUB PROJECT LOAN AGREEMENT (SPLA) Purpose of the Loan Loan Amount Interest Rate Payment Period Loan Disbursement Procedure Reporting Requirements