The Fourmula One for Health:

The Road Map for Health Sector Reforms in thePhilippines 2005 2010
What is
FOUR
mula
ONE
for Health?:Defining the Road Map for Reforms
FOUR
mula
ONE
for Health
is the implementation framework for health sector reformsin the Philippines for the medium term
covering 2005-2010. It is designed to
implementcri t i cal heal t h i nt ervent i ons as a si ngl e package, backed by ef f ect i ve
management infrastructure and financing
arrangements.Thi s document provi des t he road map t owar ds achi evi ng t he st r at e
gi c heal t h sect or reform goals and objectives of
FOUR
mula
ONE
for Health

from the national down to thelocal levels.
FOUR
mula
ONE
for Health

engages the entire health sector, includi ng the public
and private sectors, national agencies and local government units, external
developmentagencies, and civil society to get involved in the implementation of
health reforms. It isan invitation to join the collective race against fragmentation of the health
system of thecountry, against the inequity of healthcare and the impoverishing effects
of ill-health.With a robust and united health sector, we can win the race towards
better health and a brighter future for generations to come.
Starting the Race with the End in Mind:
Four
mula
One
for Health Goals and Objectives
Over-all Goals
The implementation of
FOUR
mula
ONE
for Health is directed towards achievingthe following end goals, in consonance with the
health system goals identified by theWorld Health Organization, the Millennium
Development Goals, and the Medium TermPhilippine Development Plan:

better health outcomes;* More responsive health system; and* More equitable healthcare
financing.


Objective:
The main objective of health regulation under
FOUR
mula
ONE
for Health isassuring access to quality and affordable health products, devices, facilities and
services,especially those commonly used by the poor.
F1 Component No. 3: HEALTH SERVICE DELIVERY

ensuring the availability of providers of basic and essential health services inlocalities

designating providers of specific and specialized services in localities

intensifying public health programs in targeted localities
Objective:
FOUR
mula
ONE
for Health interventions in service delivery are aimed atimproving the
accessibility and availability of basic and essential health care for all, particularly
the poor. This shall cover all public and private facilities and services
F1 Component No.4: GOOD GOVERNANCE IN HEALTH

establishing FOUR-IN-ONE advanced implementation sites

developing on LGU FOURmula ONE for Health Scorecard

institutionalizing a FOURmula ONE for Health Expanded Professional Career Track
Objective:
The obj e c t i ve of good gove r na nc e i n he a l t h i s t o i mpr ove he a l t h
s ys t e ms performance at the national and local levels.
FOUR
mula
ONE
for Health will introduceinterventions to improve governance in local health systems, improve
coordination acrosslocal health systems, enhance effective private-public partnership, and
improve nationalcapacities to manage the health sector.
Defining the Rules of Engagement:Seven (7) General Guidelines for Health Reform Implementation
F1 Rule No.1:
FOUR
mula
ONE
for Health will organize the critical reform initiatives into four implementation components,
namely, Financing, Regulation, Service Delivery andGovernance.
F1 Rule No. 2:
The implementation of
FOUR
mula
ONE
for Health will focus on a fewmanageable and critical interventions. Such interventions will be
identified using the acriteria


F1 Rule No. 3:
The reforms will be implemented under a sector-wide approach, whichencompasses a
management perspective that covers the entire health sector and aninvestment portfolio that
encompasses all sources.
F1 Rule No. 4:
The National Health Insurance Program (NHIP) will serve as the main lever toeffect desired
changes and outcomes in each of the four implementation components,where the main functions
of the NHIP including enrollment, accreditation, benefitdelivery, provider payment and
investment are employed to leverage the attainment of thetargets for each of the reform
components.
F1 Rule No. 5:
The functional and financial management arrangements will be defined in termsof specific
offices having clear mandates, performance targets and support systems,within well-defined time
frames in the implementation of reforms within eachcomponent.
F1 Rule No. 6:
The functional clustering of teams and assignment of specific Team Leaders shallfacilitate
implementation, monitoring and supervision in a coordinative manner and shallnot, in any way,
prejudice the corporate nature of the DOH-attached agencies nor theautonomy of Local
Government Units.
F1 Rule No. 7:
The selection of
FOUR-in-ONE
Convergence Sites will be governed by the followingcriteria:

Willingness of the LGU to participate in the
FOUR
mula
ONE
for Healthimplementation, in terms of willingness to provide the requisite
counterpartresources, and willingness to enter into formal national government to
local g o v e r n me n t , i n t e r -
l o c a l g o v e r n me n t a n d g o v e r n me n t t o p r i v a t e s e c t o r networking,
partnership and resource sharing arrangements;

Presence of local initiatives or start-up activities relevant to
FOUR
mula
ONE
s t r a t e gi e s , t o i nc l ude , but not l i mi t e d t o: de ve l opme nt o f i nt e r -
l oc a l he a l t hz o n e s , e n r o l l me n t o f i n d i g e n t s i n t o t h e s o c i a l h e a l t h
i n s u r a n c e s y s t e m, improvement in drug management systems, among others;

Relativel y high feasibility of success and sustainabilit y, to include factors such as
capacity to enter into loans, capacity to absorb investments and sustainthe reform process, etc.;
and

Availability of funds from GOP and external sources for capital investmentrequirements.

Working Like Clockwork:Setting F1 Targets and Timetable of Implementation
Two (2) Major Phases of F1 Reforms:
The
FOUR
mula
ONE
for Health timetable shall be divided into two major phases:1. The
I mmediate term
- c o v e r s t h e p e r i o d b e t w e e n t o D e c e mb e r 2 0 0 5 corresponding to the
project preparation phase of the HSRA projects funded byvarious funding agencies
in support of reforms in the DOH, PhilHealth and theexisting 16 convergence sites;
and2. The
Medium term
- covering the years 2006-2010, this corresponds to the five-year horizon of actual
implementation of F1 reforms at the national and local levels.
Reaching the Finish Line: