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Department of Health
2016
DEPARTMENT ORDER
No.2016 - 0045,
SUBJECT: Guidelines for the Preparation and Selection of Proiects for Health
Facility Enhancement Prosram or HFEP FY 2017
RATIONALE
The Department of Health (DOH) continues to pursue "Kalusugan Panglmlahatan"
througlr the improvement of access to quality health services by all Filipinos,
especially the disadvantaged groups.
The DOH's Health Facilities Enhancement Program (HFEP) has aimed at: (l)
improving primary health facilities (RFfUs, BHS) to oogatekeep" and deliver
preventive health services; (2) improving quality of LGU (local government unit)
hospitals to comply with DOH licensing and PhilHealth acqeditation requirements as
referral centers; and (3) decongesting DOH hospitals to be able to provide affordable
quality tertiary care and specialized treatments. Towards these goals, HFEP budget
has been allocated for infrastructure and equipment development of government
health facilities all over the country.
From 201 0 to 2016, a total budget of P87B was allocated for practically all requesting
barangay health stations, rural health units, urban health centers and government
hospitals, including school-based clinics, blood service facilities and reference
laboratories, among others. The HFEP 2017 budget proposal shall be more
responsive to real and updated needs of the communitieso and shall propose to cover
real multi-level and diverse needs for effective program management.
The HFEP 2017 budget proposal shall be based on the review, validation and
correction of past records on HFEP implementation, an updated inventory of
healthcare facilities as to HFEP coverage and gaps, lessons from successes and errors
as shown by program monitoring, audit and evaluation reports, and current projection
of future health facility requirements based on the epidemiology of diseases and
assessment of healthcare system capacities.
II.
OBJECTTVES
To provide participating local government units, national government agencies, DOH
regional offices and hospitals, and other government agencies with the policy
guidelines, processes and timelines in the preparation of proposed projects for HFEP
2077.
receives
purpose
capital outlay budget from the national government for the
of upgrading
and developing govemment hospitals and other essential health facilities.
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IV. COYERAGE
A.
Any govemment organization (local government units and national agencies), nongovemment organizations, civil society organizations, private foundations, people's
organizations or church groups may propose and/or espouse the inclusion of projects
for any govemment-owned health care facility in HFEP 2017. However, it should be
clear that the DOH sets the priorities, inclusion criteria and project development
standards and requirements for HFEP projects-
B.
C.
1.
Health facilities providing direct patient care that are administered by LGUs such
as, but not limited to, barangay health stations, rural health units, urban health
centers, infirmaries and hospitals, public laboratories, dental clinics, blood service
facilities and special service delivery units within its hospitals.
2.
Health facilities providing direct patient care that are administered by the DOH
such as, but not limited to, hospitals, medical centers, drug abuse treatment and
rehabilitation centers, blood service facilities, laboratories, psychiatric facilities,
quarantine stations, mobile healthcare units and special or temporary emergency
health infrastructure.
3.
Health facilities providing direct patient care that are administered by other
national govemment agencies such as the Department of National Defense,
Department of the Interior and Local Government, State Universities and
Colleges, and the Office of the President.
HFEP 2017 budget proposal shall consist mainly of capital outlay for infrastructure
and medical/hospital equipment. However, the DOH shall explore the possibility of
including requests for the maintenance and other operating expenses (MOOE)
required for adequate project implementation and management such as: (1) support
to hiring of contractual staff under DOH central management and regional HFEP
operations, Q) truning and conferences, (3) monitoring and evaluation, and (4)
freight and handling or other services that support HFEP projects under special
circumstances.
l.
Capital outlav budget proposed for HFEP 2017 shall include the following:
a.
service-related
equipment
b.
i.
ii.
$
(f"
2.
c.
Funding assistance for lot acquisition for the use of a DOH hospital or
other DOH health facility but only after existing lot has been fully utilized
and horizontal and vertical expansion can no longer be accommodated
d.
MOOE budeet proposed for HFEP 2017 slnll include the following:
a.
the
DOH HFEP
personnel;
c.
Funding for monitoring the progress of HFEP by DOH officers and staff;
d.
e.
Contingency funds for freight and handling and other services that
support HFEP projects under special circumstances.
D. Exclusions
No budget requests for the following shall be included in the HFEP 2017 proposal:
1.
2.
Duplicate proposal for health facility and/or equipment project under different
funding sources (govemment, non-government or foreign-assisted) or duplication
of HFEP of immediate past years;
Health human resource deployment for health facilities and their salaries and
wages;
8. Information
information material
9.
10. Structures outside of health facilities like peripheral fences and covered pathways.
V. GUIDELINES
l.
Alignment with Policies. The Project Proponent shall align HFEP requests with
the priorities of Kalusugan Pangkalaltatan, and provisions of existing laws, rules
and regulations, namely:
a.
b.
\\P lr.-
-ft Y
f\
3.
a.
b.
c.
Construction of new building for DOH and LGU hospitals to comply with
laws and DOH policies mandating increase in bed capacity, upgrading
health services, providing wards for senior citizens and with licensing and
accreditation requirements.
d.
Projects that address health facility damages brought about by natural and
man-made calamities within the past (one) year, but for which no past or
on-going assistance from DOH or other agencies have been secured for
repair, reconstruction or replacement of equipment and infrastructure
facilities.
in strategically located
a.
2017 l,,i:Yl
Project proposals for DOH health facilities, duly signed by the chidfs or
directors of the hospital or facility concerned, shall be submitted direct to
the HFEP Management Office-Office of the Secretary, for further
processing,
b.
i.
ii.
iii.
iv. For all equipment project proposals: specific nzlme of equipment items,
pulpose, technical specifications, quantities and budgetary cost
estimate;
v.
*F qy
vi.
4. Screening Process:
a.
of
b.
d. The DOH
e.
5.
Review Process. The HFEP-MO shall review the project proposals for alignment
with the priority programs of the DOH and directives of the current
administration, and prepare a project list as part of the HFEP FY20l7 budget
proposal. The HFEP-MO, in coordination with the Secretary of Health, shall
piontize the following health facilities and services:
a.
b.
Those located
in DSWD Listahan
Poverty Reduction);
d.
operations;
e.
Facilities and equipment that are essential, life-saving and address the
main causes ofmorbidity and mortality;
-f'fi$
f.
Hospital blood services and laboratories of the DOH lead blood centers;
g.
h.
Those priority provinces with high poverty magnitude (Category l), those
with high poverty incidence (Category 2), and those that are vulnerable to
shocks and disasters (Category 3).
6.
Approval Process:
a.
b.
c. If
d.
Once the final list is approved, the HFEP-MO shall furnish all the project
proponents/beneficiaries of the result of DOH review and approval of the
DBM for inclusion in the National Expenditure Program for 2017. The
HFEP-MO shall continue to coordinate with the project proponents and
exchange feedback on the progress or status ofapproval ofthe proposed
projects or HFEP 2017 lists until these shall have been carried through for
approval of the House of Representatives, Senate and enacted into law as
part of the General Appropriations Act FY 2077.
e.
ffJH,
VI.
A11
WI.
-$
3q*
B. All
YIil.
EFFECTIVITY
These guidelines shall take effect immediately.
JAI{ETTA
MD, MBA-H