The DOH Devolution Transition Plan

CY 2022-2024

ERIC PAUL M. YUMUL, RN, MPA

Development Management Officer IV / DTP FOCAL PERSON
DOH CENTRAL LUZON CENTER FOR HEALTH DEVELOPMENT
 Presentation Outline
1. Overview of the Initial DOH Devolution Transition Plan
2. Principles in Retention of DOH Functions
3. Expenditure Assignment on Health
4. Definition of Terms
5. Summary of Retained & Re-devolved Functions
6. Detailed Health Functions to be Re-Devolved
7. Unbundling of Functions to Each Level of Government
8. Capacity Building Initiatives for LGUs in the context of Full Devolution
of Health Services
9. Recommended Structure and Staffing Complement for PHO, CHO &
MHO
10. Update on the Cascade of DOH DTP 2022-2024

Republic of the Philippines

DEPARTMENT OF HEALTH
 Overview of the Initial DOH Devolution
Transition Plan CY 2022-2024
Considerations:
● Income Class
● Poverty Incidence
Health System has a
● Local Capacity
Devolved Set-up
● Availability of Services & Commodities
in the Local Market
● UHC Act & Pertinent Laws

Not Affected by Re-devolution:

Re-devolution of ● DOH Hospitals & Other National
functions, not necessarily Health Facilities
downloading of funds ● Attached Agencies &
Corporations

Republic of the Philippines

DEPARTMENT OF HEALTH
 Principles for Retention of Functions with DOH
Mandate based on EO 102 s. 1999 & UHC Act

Enabler and Capacity

Leader in Health
Builder

Administrator of National Financier of

Health Facilities, Attached Population-based
Agencies & Corporations Health Services

Republic of the Philippines

DEPARTMENT OF HEALTH
 Expenditure Assignment on Health
Based on the Local Government Code

Province Health services which include hospitals and other tertiary health services

Municipality ● Health services which include the implementation of programs and projects on:
○ Primary Health Care,
○ Maternal and Child Care, and
○ 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

Republic of the Philippines

DEPARTMENT OF HEALTH
 Definition of Terms

Retained with DOH Implementation of functions retained with DOH

Partially Devolved Shared responsibility between NG and LGUs (e.g. NG to retain

buffer / augmentation for GIDA, etc.)

Gradually Devolved Re-devolution of functions in phases (CY 2022-2024)

Fully Devolved Entire function / responsibility re-devolved to LGUs

Republic of the Philippines

DEPARTMENT OF HEALTH
 Summary of DOH P/A/Ps for Re-Devolution CY 2022-2024
DOH Budget Line Items (P/A/Ps) DOH Recommendation LGU Role
1. Health Facilities Enhancement Program Gradually and Partially Devolved Procurement of
(HFEP) Capital Outlay
2. Epidemiology and Surveillance - Disease Partially Devolved by CY 2023 Hiring of DSOs
Surveillance Officers (DSOs)*
3. Human Resources for Health (HRH) Gradually and Partially Devolved Hiring of nurses and
Deployment by CY 2023 midwives
4. Public Health Commodities:
❏ Family Health, Immunization, Nutrition Gradually and Partially Devolved Procurement,
and Responsible Parenting warehousing, storage,
❏ Prevention & Control of Partially Devolved and distribution of
Communicable Diseases Commodities to target
recipients
❏ Prevention & Control of Non- Gradually and Partially Devolved
Communicable Diseases

Republic of the Philippines

Note: DSOs are fully devolved to LGUs by CY 2023 but DSOs in DOH are retained
DEPARTMENT OF HEALTH
 1 Health Facilities Enhancement Program
Basis for Re-devolution: Poverty Incidence
HFEP is mandated to support UHC through allocation of capital
outlay and procurement of health infrastructure, equipment, and
medical transport

Poverty Incidence* Phasing of Gradual & Partial Devolution

Devolved beginning 2022 (Phase I)

Lowest (Richest)
Devolved beginning 2023 (Phase II)

Middle Devolved beginning 2024

Highest (Poorest) Retained with DOH

*Poverty Incidence is defined by PSA as the proportion of families/individuals with per capita income/expenditure less than the per capita poverty threshold
to the total number of families/individuals. (The data generated by the PSA will be used.)

Republic of the Philippines

DEPARTMENT OF HEALTH
 HFEP - Unbundling of 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 will only provide funding support and procurement of infrastructure, equipment and motor vehicle to provinces, cities, municipalities
belongingRepublic
to the category with highest poverty incidence
of the Philippines
**RHUs may pertain to City Health
DEPARTMENT Office, Municipal Health Office, Rural Health Unit, Health Center, District Health Center, Satellite Center
OF HEALTH
***Municipal/District/Provincial Hospitals are classified as LGU Hospitals
 2 Disease Surveillance Officers (DSO)*
Basis for Re-devolution: RA No. 11332
Mandatory Reporting of Notifiable Diseases and
Health Events of Public Health Concern Act
● Each Epidemiology and Surveillance Unit (ESU) shall
have at least 1 DSO duly trained on applied/field
epidemiology, surveillance, and response

● The budget requirements for the operations of ESUs

shall be drawn from the annual budget of their
respective mother offices
*formerly known as Public Health Associates

Republic of the Philippines

DEPARTMENT OF HEALTH
 DSOs - Unbundling of Functions
Functions DOH + CHDs Province City Municipality

Establishment of ESUs ✔ ✔ ✔ ✔
CHD RESU PESU CESU MESU

Hiring of Disease ✔ ✔ ✔ ✔
Surveillance Officers (2022 only; Budget (2023 onwards) (2023 onwards) (2023 onwards)
(beginning CY 2023 in order allocation subject
to prepare LGUs and DSOs to DBM
for technical assistance/ approval)
capacity building)

National policy and standards; ✔ ✔

Technical Assistance to Epidemiology (TA to CESU,
PESU/CESU/MESU; Bureau & CHD MESU)
Capacity Building; & RESUs
Advocacy

Republic of the Philippines

DEPARTMENT OF HEALTH
3 Human Resources for Health Deployment
Basis for Re-devolution of Hiring HRH
● Sec. 24 of UHC Act - To augment health workforce and
secure positions to hire health workforce for deployment
under the National Health Workforce Support System
(NHWSS)

● Beginning CY 2023, the hiring of nurses and midwives in 1st

to 4th income class municipalities will be devolved to LGUs
except in GIDAs, target areas for peace-building efforts, areas
for poverty reduction, and with critical HRH gap

● Low possibility of market failure

Republic of the Philippines

DEPARTMENT OF HEALTH
 HRH Deployment - Unbundling of Functions
Functions DOH Province City Municipality

Hiring of Nurses and ✔ ✔ ✔ ✔

Midwives (2022 only; Budget (2023 onwards) (2023 (2023 onwards)
(beginning CY 2023) allocation subject onwards)
to DBM
approval)

National policy and standards, ✔ ✔

Technical Assistance, (Training/
Training/Capacity Building, capacity
Advocacy building to lower
levels of LGUs)

Pre-service scholarship for ✔

medical and midwifery

*Retained Cadres with DOH: Doctors, Nurses, Midwives, Dentists, Medical Techs, Pharmacist, Nutritionist Dietitian, Physical Therapist

Republic of the Philippines

DEPARTMENT OF HEALTH
4 Procurement of Public Health Commodities
Basis for Delineation of Functions
Re-devolved functions to the LGUs include procurement, storage,
distribution and monitoring.
DOH LGUs (Fund source: IRA or PHIC)
● Internationally procured or with high ● Services with Philhealth benefit
externality packages
● Commodities with economies of scale ● Individual-based services with no
● Population-based services that need to externality or available in the local
be consistently implemented market
● Individual-based services but without ● Population-based services which LGUs
Philhealth package (interim) have the capacity to implement
(components with local markets)
Republic of the Philippines
DEPARTMENT OF HEALTH
4 Proposed Timeline of Transition Plan
Target Date Key Activities
2021 ● Mapping readiness: local suppliers, supply chain, staff competence (TNA)
● Capacity building

2022 ● DOH-CO to stop procurement of individual based commodities with PhilHealth financing,
provided there are local markets and supply chain readiness
● DOH & CHD to procure individual based commodities WITHOUT PhilHealth financing,
provided there are local markets and supply chain readiness; else retain with DOH-CO

2023 ● LGU procurement of individual and population health services for fully devolved functions
● DOH & CHD to procure some devolved functions esp if high cost or with economies of
scale; CHD to monitor and provide technical assistance

2024 ● LGU procurement of individual and population health services for most devolved functions
● DOH and CHD to monitor and provide technical assistance

Republic of the Philippines

DEPARTMENT OF HEALTH
 4A
Family Health, Nutrition & Responsible Parenting Program -
Unbundling of Functions (1)
Functions DOH Province City Municipality

Procurement, Warehousing, Storage &

Distribution to Target Recipients

1) Integrated Management of Childhood ✔ ✔ ✔

Illness (IMCI): Amoxicillin Drops & (2022 onwards) (2022 onwards) (Storage &
Suspension distribution only)

2a) Nutrition: Ferrous Sulfate, Folate ✔ ✔ ✔

(2022 onwards) (2022 onwards) (Storage &
distribution only)

2b) Nutrition: Ready-to-use ✔

Supplementary/ Therapeutic Food (RUSF
& RUTF) F-75 & F-100 therapeutic milk,
Lipid-based nutrient supplement, Vitamin
A, Micronutrient Powder

3) Safe Motherhood: Calcium Carbonate ✔ ✔ ✔

(2023 onwards) (2023 onwards) (2023 onwards)

Republic of the Philippines

DEPARTMENT OF HEALTH
 4A
Family Health, Nutrition & Responsible Parenting Program -
Unbundling of Functions (2)
Functions DOH Province City Municipality

Procurement, Warehousing, Storage &

Distribution to Target Recipients

4a) Family Planning: Combined Oral ✔ ✔ ✔

Contraceptives & Male Condoms (2024 onwards) (2024 onwards) (Storage and
distribution only)

4b) Family Planning: Progestin Only Pill, ✔

IUDs, Progestin subdermal implant, Depo
Medroxyprogesterone Acetate (DMPA)

5) Oral Health: Essential Health Care ✔ ✔ ✔

Package-1 (toothbrush for kids,toothpaste, (2024 onwards) (2024 onwards) (Storage and
germicidal soap), Fluoride, glass ionomer, distribution only)
pit and fissure sealant kit, etchant & sealant,
composite restorative material, high speed
handpiece, light cure unit, ultrasonic scaler

National policy & standards, Technical ✔

Assistance, Capacity Building, Advocacy

Monitoring & reporting of health indicators ✔ ✔ ✔ ✔

Republic of the Philippines
DEPARTMENT OF HEALTH
 4B
Prevention and Control of Communicable Diseases Program -
Unbundling of Functions (1)
Functions DOH Province City Municipality

Procurement, Warehousing, Storage & Distribution to

Target Recipients

1a) Food and Water-Borne Diseases: Oral ✔ ✔ ✔

Rehydration Solutions (ORS), Zinc (2022 onwards) (2022 onwards) (Storage and
distribution only)

1b) Food and Water-Borne Diseases: Diloxanide, ✔

Ciproflaxcin, Azithromycin, Cholera Rapid
Diagnostic Test (RDT)

2a) Leprosy Control: Itraconazole, Vitamin B ✔ ✔ ✔

Complex, Prednisone, Ascorbic Acid, (2022 onwards) (2022 onwards) (Storage and
Betamethasone, Ferrous Salt & Folic Acid, Fusidate distribution only)
cream

2b) Leprosy Control: *Multidrug therapy donated ✔

by WHO will still be provided

3) Integrated Helminth Control: Albendazole ✔ ✔ ✔

Republic of the Philippines (2023 onwards) (2023 onwards) (2023 onwards)
DEPARTMENT OF HEALTH
 4B
Prevention and Control of Communicable Diseases Program -
Unbundling of Functions (2)
Functions DOH Province City Municipality

4a) National Aedes-borne viral diseases ✔ ✔ ✔

prevention & control: Dengue RDT (2023 onwards) (2023 onwards) (2023 onwards)
(NS1) Kits

4b) National Aedes-borne viral diseases ✔

prevention & control: Pyriproxifen,
Deltamethrin 2% EW, Emulsion oil
in H20 1L/bottle, Insecticide
treated screen, Bifenthrin, IRS
spray cans and repair
kits,Novaluron 10%, IgG/IgM
Dengue test, Metofluthrin 0.1%
1L/bottle

5a) Filariasis Elimination: Mupirocin ✔ ✔ ✔

ointment and Ketoconazole cream (2023 onwards) (2023 onwards) (2023 onwards)

5b) Filariasis Elimination: ✔

Diethylcarbamazine Citrate, filariasis
test strips, disease-free markers
Republic of the Philippines
DEPARTMENT OF HEALTH
 4B
Prevention and Control of Communicable Diseases Program -
Unbundling of Functions (3)
Functions DOH Province City Municipality

2a) HIV/AIDS, Sexually Transmitted ✔ ✔ ✔

Diseases & Hepatitis: Penicillin, (2023 onwards) (2023 onwards) (2023 onwards)
Azithromycin, Cefixime, Hepa C & B
surface antigen rapid diagnostic tests

2b) HIV/AIDS, Sexually Transmitted ✔

Diseases & Hepatitis: Abacavir,
Efavirenz, Lamivudine, Nevirapine,
Zidovudine,Dolutegravir, Tenofovir,
Lamivudine + Zidovudine, Lamivudine +
Tenofovir, Lamivudine + Tenofovir +
Dolutegravir, Lamivudine + Tenofovir +
Efavirenz, Lopinavir + ritonavir, Syphilis
Rapid Test Kit, Hepatitis B Viral Load
Reagents, HIV Viral Load POC Test, HIV
RDT-1 (Screening Test), HIV RDT-2 (For
confirmation), HIV RDT-3, Fluconazole,
Sofosbuvir, Daclatasvir

Republic of the Philippines

DEPARTMENT OF HEALTH
 4C Prevention and Control of Non-Communicable Diseases Program -
Unbundling of Functions
Functions DOH Province City Municipality

Procurement, Warehousing, Storage

& Distribution to Target Recipients

a) Cardiovascular: Hypertensive ✔ ✔ ✔
/ Hypercholesterolemia Drugs (2022 onwards) (2022 onwards) (Storage &
(Losartan, Amlodipine, distribution
Simvastatin) only)

a) Diabetes: Gliclazide, ✔ ✔ ✔
Metformin, Insulin, Syringes (2022 onwards - (2022 onwards - (Storage &
Gliclazide & Metformin; Gliclazide & Metformin; distribution
2023 onwards- 2023 onwards- only)
Insulin & syringes) Insulin & syringes)

Republic of the Philippines

DEPARTMENT OF HEALTH
 Summary of Retained & Re-devolved Functions

RETAINED PARTIALLY DEVOLVED FULLY DEVOLVED

■ Environmental & Occupational Health ■ HRH Deployment ■ Hypertension

■ National Immunization ■ Health Facilities Enhancement ■ Hypercholesterolemia
■ Rabies Control Program ■ Leprosy
■ Tuberculosis Control ■ Disease Surveillance Officers ■ Integrated Management of
■ Soil-Transmitted Helminthiasis ■ Family Health, Nutrition & Childhood Illness (IMCI)
■ Mental Health Responsible Parenting ■ Diabetes (beginning CY
■ Cancer ■ Sexually Transmitted Diseases 2023)
■ Oral Health ■ Food & Water-Borne Diseases
■ HIV ■ Filariasis
■ Vector Control (Malaria, Dengue) ■ Dengue Rapid Test
■ Mass Drug Administration
■ Medical Assistance for Indigent Patients Note: These are some examples of key programs and not an exhaustive list.
Subject for further discussion and may be subject to changes.

Republic of the Philippines

DEPARTMENT OF HEALTH
 Service Delivery Standards for
Re-devolved Health Functions
Download the compilation from this link:
https://www.tinyurl.com/DOHDevolutionStandards

Republic of the Philippines

DEPARTMENT OF HEALTH
 VISION STRATEGY MAP 2022
Impact Filipinos are among the healthiest people in Southeast Asia by 2022 and in Asia by 2040 Department of Health

More Responsive Health Systems

Catalyze the transformation of Local Health Systems to

Strategi

Focus
c

Province-wide and City-wide Health Systems

DOH’s support to LGUs in the
DOH’s Inherent Functions in the DOH’s Inherent Functions in the
Process

Devolution Transition
Core

Devolution Transition Devolution Transition

Capacity Building and
Policy, Standards, and Sectoral and Local
Technical Assistance
Regulation Engagements

Infrastructure,
Process
Support

Human Resources Equipment, and Procurement and Performance

Budget Planning
Management and Information Supply Chain Management and
Technology and Execution
Development Management Accountability
Management
DOH’s Support for Equity/Augmentation DOH’s Inherent Functions
MISSION CORE VALUES
To lead Republic
the country in the development of a Productive, Resilient, Equitable and
of the Philippines Professionalism | Responsiveness
People-Centered health OF
DEPARTMENT HEALTH
system for Universal Health care Integrity | Compassion | Excellence
 Office of the
Provincial Health Officer

Republic of the Philippines

Department of Health, Philippines
DEPARTMENT OF HEALTH
Office of the Provincial Health Officer

Office of the Provincial Governor Health Service Delivery Division

Provincial Health Board ● Manage the coordination of health service delivery
operations of PCPNs, hospitals and other health facilities
Management Support Unit ● Oversee the overall integration of the health systems and
Office of the Provincial Health implementation of public health programs, including referral
Officer Provincial DOH Office system, health promotion, epidemiology and surveillance,
and disaster risk reduction and management for health.
Administrative Unit Management Committee
Health System Support Division
● Manages:
Office of the ○ health financing (planning and budgeting)
Health Service Delivery Health Systems Support Municipal/City Mayor ○ health information system
Division (HSDD) Division (HSSD) ○ procurement and supply chain for health products and
Provincial services
Hospital Planning Unit Office of the
Health Promotion Unit Municipal/City Health ○ local health regulation
Health Information Officer I ○ health human resource development
District Hospital 1 Systems Unit
Epidemiology and ○ performance monitoring, among others. (AO 2020-0021)
Surveillance Unit Supply Chain
District Hospital 2 Office of the
Management Unit
Disaster Risk Reduction Municipal/City Mayor Administrative Unit
And Management Unit HRH Management and ● Render administrative and logistics assistance to the other
District Hospital N Development Unit
Office of the units within the PHO.
Public Health Program
Quality and Performance Municipal/City Health ● Coordinates with other offices within the Provincial
Management Unit
Monitoring Unit Officer I Government and its component local government units;
● Manages internal logistics and property management;
● Manages facility, equipment and motor vehicle
maintenance, among others.
For the details on the component LGUs, please refer to the proposed structure for the Municipal and Component City Health Offices
Source: DOH AO 2020-0021, AO 2019-0060, DC 2020-0176

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
Office of the Provincial Health Officer
(Minimum Staffing Recommendation)
Office of the PHO SG
Office of the PHO
1 PHO II 26
(1) Head of Office (SG 26)
1 Administrative Assistant III (sec.) 9

1 Admin Aide IV (Driver/Mechanic) 4

Per Division (HSDD, HSSD) SG

HS Delivery Division Hospital Operations HS Support Division
PHO I (Asst. PHO) for HSDD 25/
(1) Division Chief (SG 25) (1) Division Chief (SG 24) 1
Chief HPO for HSSD 24
(1) Asst. Division Chief (SG (1) Asst. Division Chief (SG 22)
22) 1 Supervising HPO 22

1 Unit head 18

Administrative Unit 2-4 Technical (per unit) 11-20

Unit #1
(1) Unit Head (1) Unit Head (SG18) Administrative Assistant III/ Data encoder
(SG18) 1-2 9
(for each unit)

Administrative Officer IV
Administrative Unit SG
(SG15)
1 Administrative Officer V 18
Technical #1 Technical #2 Technical #3
Administrative Officer II
(SG11) 1 Administrative Officer IV 15

1 Administrative Officer II 11
1 Admin Asst/ Administrative Assistant III
Data encoder (SG9) 1 Administrative Assistant III 9

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
PHO-HSDD

Office of the PHO

HS Delivery Division
PHO I (SG 25)
SvHPO (SG22)

Health Promotion (Provincial) Epidemiology and Surveillance Disaster Risk Reduction and Management Public Health Program Mgt
Unit Unit Unit Unit

● implement health promotion-related programs, ● conduct epidemic/ outbreak and epidemiologic investigations, ● timely, effective and efficient preparedness and response to ● overall implementation of public health
projects and activities case investigations, patient interviews, review of medical public health emergencies and disasters. programs, local health policies, plans
● facilitate coordination among partners, such as records, contact tracing, collection, storage and transport of ● establish and maintain an emergency operation center with and standards, including the
but not limited to local government and hospital samples and specimen, risk assessments, laboratory an early warning system, communication mechanism and coordination of the delivery of public
Health Promotion and Education officers investigation, population surveys and environmental technology, and equipment; health services.
(HEPOs) and Barangay Health Workers as investigation. ● organize and mobilize health emergency response teams
barangay level health promotion officers. ● data management, analysis and mandatory reporting of that are equipped with adequate and appropriate tools and
notifiable diseases and health events of public health concern. supplies.

1 1 1 1
HEPO III (SG 18) SHPO (SG 18) SHPO (SG 18) SHPO (SG 18)

1 1 1 1 1 1 1 1 1
HEPO II (SG 14) HEPO II SG 14 HPO II (SG 15) HPO II (SG 15) HPO II (SG HPO II (SG HPO II (SG HPO II (SG HPO II (SG
(Surveillance) (Statistician) 15) 15) 15) 15) 15)

1 1
HPO I ( SG 11) HPO I (SG 11)

1 1 1 1 1
ADAS III (SG 9) ADAS III (SG 9) Data Encoder (SG 8) ADAS III (SG ADAS III (SG
9) 9)

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
 PHO-HSSD

Office of the PHO

HS Support Division
CHPO (SG 24)
SvHPO (SG22)

Planning Quality and Performance Health Information Systems Supply Chain Management HRH Management and Development
Unit Monitoring Unit Unit Unit Unit

● formulation of the provincial health goals, objectives and ● Ensure that provided health services and operations of the ● information and communication technology ● demand planning and forecasting ● develop strategies on HRH generation, recruitment, retraining and
overall plans, including the local investment plan for health health systems meet the minimum quality standards set by development, management and interoperability ● inventory management retention, including HRH sharing and performance assessment
(LIPH), and other investment and budget plans for health. the DOH, PhilHealth and other stakeholders, and satisfy the of information systems and infrastructure, and ● formulation of transportation and warehousing strategies mechanisms within the province.
● manage the health planning process of the Provincial Health needs and expectations of the clients. health information resources. ● monitoring of proper storage and disposal of medicines, ● Formulate HRH plan
Office. ● Ensure that performance standards are consistent across health commodities and other health products ● Conduct learning development needs assessments and
health facilities and services within the province. interventions, and career development and management system.

1
1 1 1
Planning Officer III (SG
ISA III (SG 19) SHPO (SG 18) HRMO III (SG 18)
18)

1
1 1 1 1
Planning Officer II (SG
HPO II (SG 15) ISA II (SG 16) HPO II (SG 15) HRMO II (SG 15)
15)

1 1 1 1 1
Planning Officer I (SG 11) HPO I (SG 11) ISA I (SG 12) HPO I (SG 11) HRMO I (SG 11)

1 1 1 1
ADAS III (SG 9) ADAS III (SG 9) ADAS III (SG 9) ADAS III (SG 9)

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
 Office of the
City Health Officer
in Highly Urbanized Cities (HUC) or Independent Component Cities (ICC)

Republic of the Philippines

Department of Health, Philippines
DEPARTMENT OF HEALTH
City Health Office in HUCs/ICCs

HS Delivery Division
● Manage the health service delivery operations of PCPNs, hospitals and
other health facilities
● Oversee the overall integration of the health systems and implementation
of public health programs (referral system, health promotion, epidemiology
and surveillance, and disaster risk reduction and management for health)
HS Support Division
● Manages health financing (planning and budgeting, health information
system, procurement and supply chain for health products and services,
local health regulation, health human resource development, and
performance monitoring, among others

Administrative Unit
● Render administrative and logistics assistance to the other units within
the CHO
● Coordination with other offices within the City Government
● Manages internal logistics and property management; and facility,
equipment and motor vehicle maintenance, among others
Urban Health Center
● Serve as the first contact of primary care services in the city delivering
health promotion, disease prevention, health maintenance, counselling,
patient education, diagnosis and management & treatment of acute and
chronic illnesses and referrals.
● Ensure a follow-through course of treatment of a person as whole and
shall provide both population and individual-based health services
● Provide leadership in patient navigation and coordination in a network and
follows the standards set by the DOH

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
City Health Office in HUCs/ICCs
(Minimum Staffing Recommendation)
Office of the CHO SG

Office of the CHO 1 CHO III 26

1 Administrative Assistant III (sec.) 9

(1) Head of Office (SG 26)
1 Admin Aide IV (Driver/Mechanic) 4

Per Division (HSDD, HSSD) SG

CHO II (Asst. CHO) for HSDD 25

1
Chief HPO for HSSD 24
HS Delivery Division Hospital Operations HS Support Division
1 Supervising HPO 22
(1) Division Chief (SG 25) (1) Division Chief (SG 24)
(1) Asst. Division Chief (SG (1) Asst. Division Chief (SG 22) 1 Unit head 18
22)
2-3 Technical (per unit) 11-20

Urban Health Center Administrative Assistant III/ Data encoder (for

CHO I SG 24 1-2 9
Administrative Unit each unit)
Unit #1
(1) Unit Head Per Urban Health Center (based on PCF Standards) SG
(1) Unit Head (SG18)
(SG18)
1 CHO I 24

1 HSDU Head/ 23
Administrative Officer IV
(SG15)
1 HSSU Head 22

Technical #1 Technical #2 Technical #3 # Technical Staff

Administrative Officer II
(SG11)
# Administrative support

Administrative Unit SG
1 Admin Asst/ Administrative Assistant III
Data encoder (SG9) 1 Administrative Officer V 18

1 Administrative Officer IV 15
Republic of the Philippines
Department
DEPARTMENT of Health, Philippines
OF HEALTH
1 Administrative Officer II 11

1 Administrative Assistant III 9

CHO-HSDD

Office of the CHO

HS Delivery Division
CHO II (SG 25)
SvHPO (SG22)

Health Promotion Disaster Risk Reduction and Management Public Health Program Mgt
(City) Epidemiology and Surveillance Unit
Unit Unit Unit

● implement health promotion-related programs, ● conduct epidemic/ outbreak and epidemiologic investigations, ● timely, effective and efficient preparedness and response to ● overall implementation of public health
projects and activities case investigations, patient interviews, review of medical public health emergencies and disasters. programs, local health policies, plans
● facilitate coordination among partners, such as records, contact tracing, collection, storage and transport of ● establish and maintain an emergency operation center with and standards, including the
but not limited to local government and hospital samples and specimen, risk assessments, laboratory an early warning system, communication mechanism and coordination of the delivery of public
Health Promotion and Education officers investigation, population surveys and environmental technology, and equipment; health services.
(HEPOs) and Barangay Health Workers as investigation. ● organize and mobilize health emergency response teams
barangay level health promotion officers. ● data management, analysis and mandatory reporting of that are equipped with adequate and appropriate tools and
notifiable diseases and health events of public health concern. supplies.

1 1 1 1
HEPO III (SG 18) SHPO (SG 18) SHPO (SG 18) SHPO (SG 18)

1 1 1 1 1 1 1 1 1
HEPO II (SG 14) HEPO II SG 14 HPO II (SG 15) HPO II (SG 15) HPO II (SG HPO II (SG HPO II (SG HPO II (SG HPO II (SG
(Surveillance) (Statistician) 15) 15) 15) 15) 15)

1 1
HPO I ( SG 11) HPO I (SG 11)

1 1 1 1 1
ADAS III (SG 9) ADAS III (SG 9) Data Encoder (SG 8) ADAS III (SG ADAS III (SG
9) 9)

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
 CHO-HSSD

Office of the CHO

HS Support Division
CHPO (SG 24)
SvHPO (SG22)

Planning Quality and Performance Health Information Systems Supply Chain Management HRH Management and Development
Unit Monitoring Unit Unit Unit Unit

● formulation of the provincial health goals, objectives and ● Ensure that provided health services and operations of the ● information and communication technology ● demand planning and forecasting ● develop strategies on HRH generation, recruitment, retraining and
overall plans, including the local investment plan for health health systems meet the minimum quality standards set by development, management and interoperability ● inventory management retention, including HRH sharing and performance assessment
(LIPH), and other investment and budget plans for health. the DOH, PhilHealth and other stakeholders, and satisfy the of information systems and infrastructure, and ● formulation of transportation and warehousing strategies mechanisms within the province.
● manage the health planning process of the Provincial Health needs and expectations of the clients. health information resources. ● monitoring of proper storage and disposal of medicines, ● Formulate HRH plan
Office. ● Ensure that performance standards are consistent across health commodities and other health products ● Conduct learning development needs assessments and
health facilities and services within the province. interventions, and career development and management system.

1
1 1 1
Planning Officer III (SG
ISA III (SG 19) SHPO (SG 18) HRMO III (SG 18)
18)

1
1 1 1 1
Planning Officer II (SG
HPO II (SG 15) ISA II (SG 16) HPO II (SG 15) HRMO II (SG 15)
15)

1 1 1 1 1
Planning Officer I (SG 11) HPO I (SG 11) ISA I (SG 12) HPO I (SG 11) HRMO I (SG 11)

1 1 1 1
ADAS III (SG 9) ADAS III (SG 9) ADAS III (SG 9) ADAS III (SG 9)

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
CHO-Urban Health Center

Office of the CHO

UHCenter
CHO I SG 24

HS Delivery Unit HS Support unit BHS

MO IV SG 23 SvHPO SG 22
as unit head as unit head

1
MO III SG 21 (per 20k pop) Nurse I SG 15
ISA II SG 16 AO III SG 14

1
Nurse II SG 17 (per 10k pop) Midwife II SG 11

Administrative Asst III SG 9

1 HPO II SG15 Midwife III SG 13 Sanitation Inspector IV SG 13 1 1 1 1 1

(surveillance) (per 5k pop) (per 20k pop) BHW or BNS Administrative Administrative AAide IV
Administrative Aide III
BHAide per Asst III Aide III (driver)
(Utility Worker) SG 3
SG 4 Barangay SG 9 (Utility Worker) (SG4)
per 20HH (not in SG 3
IOS)
Administrative Asst III SG 9

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
 Office of the
Municipal/City Health Officer
in a Municipality/Component City

Republic of the Philippines

Department of Health, Philippines
DEPARTMENT OF HEALTH
MHO/RHU or CHO/Urban Health Center in a
Municipality/Component City
MHO/RHU or CHO/UHC
● First contact of Primary Care service in municipality or city
● Provide services on:
○ Health promotion
○ Disease prevention
○ Health maintenance
○ Counselling
○ Patient education
○ Diagnosis and management
○ Treatment of acute and chronic illnesses
○ Referrals
● Ensure follow-through course of treatment of a person as a whole
● Provide population-and individual-based health services
● Provide leadership in patient navigation and coordination in a network
● Follows standards set by DOH

HS Delivery Unit
● Provide population-and individual-based health services of the RHU/UHC
● Navigate an coordinate referrals to other service providers within the
HCPN

HS Support Unit
● Render administrative services such as:
○ Management of logistics, equipment, and facilities
○ Management of health data and records
● Coordinate with and submit reports to PHO or respective HCPN

BHS
● Provide primary care services at the barangay level
● Focus on preventive and promotive population-based health services
● Assist in patient navigation as a satellite health facility of RHU/UHU
● Follow standards set by DOH

Republic of the Philippines

Department
DEPARTMENT of Health, Philippines
OF HEALTH
MHO/RHU or CHO/Urban Health Center in a Municipality/Component City
(Minimum Staffing Recommendation)
Office of the CHO SG

1 MO V or CHO II 25

1 Administrative Assistant III (sec.) 9

1 Admin Aide IV (Driver/Mechanic) 4

Per RHU/Urban Health Center (based on PCF Standards) SG

RHP for RHU or 25

1
CHO I for Urban Health Centers 24

1 HSDU Head 23

4 Technical Staff 13-21

1 HSSU Head 22

2 Technical Staff 14-16

1 Administrative Asst. III 9

1 Administrative Aide III 3

BHS (based on PCF Standards) SG

1 Nurse I 15

1 Midwife II 11

1 ADAS III 9

# Barangay Health Aide 4

1 AAide IV 4

1 AAide III 3
Republic of the Philippines
Department
DEPARTMENT of Health, Philippines
OF HEALTH
 Scenario 1: The Municipal/City Health Office is one and the same
MHO/RHU or CHO/UHC in a with the Rural Health Unit/ Urban Health Center and has no hospital
owned and managed by the component LGU

Municipality/Component City Office of the MHO/CHO

Scenario 2: There are several Rural Health units/Urban Health
MO V SG 25 for municipalities Centers under the Municipal/City Health Officer and has a hospital
CHO II SG 25 for cities owned and managed by the component LGU

1 ADAS III (SG9)

1 AAide IV (SG4)

RHU/UHCenter
RHU/UHCenter HOSPITALS
RHP SG 24 for RHU
CHO I SG 24 for Urban Health Centers

HS Delivery Unit HS Support unit BHS

MO IV SG 23 SvHPO SG 22
as unit head as unit head

MO III SG 21 (per 20k pop) 1

ISA II SG 16 AO III SG 14 Nurse I SG 15

Nurse II SG 17 (per 10k pop) 1

Midwife II SG 11

1 HPO II SG15 Midwife III SG 13 Sanitation Inspector IV SG 13 Administrative Asst III SG 9

(surveillance) (per 5k pop) (per 20k pop)
1 1 1 1 1
Republic of the Philippines BHW or BNS Administrative Administrative AAide IV
Administrative Aide III BHAide per Asst III Aide III (driver)
DEPARTMENT OF Asst
Administrative HEALTH
III SG 9 (Utility Worker) SG 3 SG 4
per 20HH
Barangay
(not in
SG 9 (Utility Worker)
SG 3
SG 4

IOS)
 Recommended Structure and Staffing Complement for
PHO, CHO and MHO
● Basis
○ Core vs. Non-Core functions
○ Skills / competencies required to perform the functions
○ Position titles that are more generic than specific and matched with Index of
Occupational Services Standards (IOS)
○ Hierarchy of positions (1 head of office/unit, 1 senior level position, 1 entry level
position)

● Main Consideration: Existing structure/HR complement in the different levels of LGUs

does not follow a prescribed organizational structure and staffing

● LGUs may add more positions, depending on the needs of their LGU and local health
system as provided for in the LGC
Republic of the Philippines
DEPARTMENT OF HEALTH
 DOH Central Luzon CHD
Devolution Transition Plan Team

Republic of the Philippines

DEPARTMENT OF HEALTH
 SCHEDULE OF CASCADE
(August 23-27, 2021)
August 23, 2021 August 24, 2021 August 25, 2021 August 26, 2021 August 27, 2021
Monday Tuesday Wednesday Thursday Friday
Province: Province: Province: Province: Province:
Aurora Tarlac Bulacan Nueva Ecija Pampanga
Zambales Bataan

Provincial Level Municipal / City Level

PHO, PPDO, LIPH, UHC, Finance Officer, HR, C/MHO, Finance Officer, HR, MLGOO, SB on
PLGOO, Provincial Administrator, Health
Procurement Head, SP on Health

Republic of the Philippines

DEPARTMENT OF HEALTH
 Agreements
Office Ways forward

Local Health Offices (PHO, CHO, - Attend and participate in Local Planning and prioritize needs
MHOs) based on the redevolve functions presented during
orientation.
- Coordination with DILG Officer and P/M/CPDO for guidance
in local planning
Provincial DOH Office - Spearhead the cascade of DOH Devolution Transition Plan
in the Province
- Provide TA to area of jurisdiction on the DOH Devolution
Transition Plan
DOH - To continue the provision of TA to LGUs and partners on the
DOH Devolution Transition Plan CY 2022-2024

Republic of the Philippines

DEPARTMENT OF HEALTH
 Issues and Concerns from LGUs
• Involvement of Local Health Officers in Local Planning
• Orientation on FORMS for DTP Formulation (filling up of
forms)
• PS CAP Budget concerns

Republic of the Philippines

DEPARTMENT OF HEALTH
 Maraming salamat po!

Republic of the Philippines

DEPARTMENT OF HEALTH