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Revised Budget Structure for the Department of Health

Revised Budget Structure for the Department of Health. Benjamin E. Diokno School of Economics University of the Philippines. Objectives. Design a budget structure that is compatible with the health sector reform implementation strategy

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Revised Budget Structure for the Department of Health

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  1. Revised Budget Structure for the Department of Health Benjamin E. Diokno School of Economics University of the Philippines

  2. Objectives • Design a budget structure that is compatible with the health sector reform implementation strategy • Show as clearly as possible the resources allocated for specific programs, by geographic areas, in order to facilitate the analysis relating government spending to health outputs and outcomes DOH Revised Budget Structure

  3. Characteristics of New Budget Structure (NBS) • Consistent with core functions as envisaged in the health reforms under the FOURmula One for Health • Consistent with desired organizational outcomes as envisioned in the organizational performance indicator (OPIF) for DOH • Information on budget activities and sources of financing is comprehensive • It will continue to have spatial dimension DOH Revised Budget Structure

  4. Issues • Where should the budgets of CHD for (a) general management and supervision and (b) internal and area sectoral planning, human resource development be assigned? • How should locally-funded and foreign-assisted projects be handled? • What will be the level of disaggregation by expenditure by object class? DOH Revised Budget Structure

  5. Process • Step One: Analyze the 2006 proposed budget and identify the specific programs, projects, and activities in accordance with the following functions: governance and management support, policy standards development and TA, and field implementation and coordination. • Step Two: The 2006 budget is then rearranged consistent with the desired objectives of the NBS. DOH Revised Budget Structure

  6. Typical Budget Structure for a CHD I. Governance and Management Support • General management and supervision • Internal and area sectoral planning, human resource, development, including support to operations of coordinating centers II.Technical Assistance and Field Implementation and Coordination • Enforcement and implementation of standards and licensing of health facilities, health products and devises (including pharmaceuticals) and support for quality assurance in LGUs. • Local health technical assistance including health systems development, provision of logistic support to local health programs including disease prevention and control, health promotion and other operations • Direct service provision • Locally funded project(s) DOH Revised Budget Structure

  7. Example: Cordillera Region DOH Revised Budget Structure

  8. Example: Cordillera Region DOH Revised Budget Structure

  9. Example: Cordillera Region DOH Revised Budget Structure

  10. Major Differences Between Old and New • More resources are now attributed to subnational governments, specifically to the centers for health development (CHDs) • The program-project dichotomy has been deemphasized. DOH Revised Budget Structure

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