Local Investment Plan for Health

Orientation Module on the Use of the LIPH

Handbook for Mayors and Governors
UNICEF Philippines

Bureau of Local Health Systems

Development

Page

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

Contents
Contents..................................................................................................................... 2
I.

Background.......................................................................................................... 3

II.

Objective and Learning Outcomes.......................................................................3

A.

Objective........................................................................................................... 3

B.

Contents............................................................................................................ 4

C. Expected Output............................................................................................... 4
III.

Methodology..................................................................................................... 4

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

I.

Backgrou
nd

The Province-wide Investment Plan for Health (PIPH), introduced in 2006, was
intended to strengthen local health planning with significant consideration for
building capacities of devolved health managers in Local Government Units (LGUs),
and to localize the Health Sector Reform Agenda through the local health plans.
The DOH and UNICEF jointly conducted the first thorough assessment of the
planning process for the Province/City-Wide Investment Plan for Health (P/CIPH) in
2014. The assessment, the first since the P/CIPH was implemented in 2006, was
carried out through key informant interviews and focus group discussions with DOH
Regional and LGU Health Offices. It took into account DOH Regional Offices and LGU
experiences, challenges and innovations in local health planning. The assessment
also showed the expressed need by the LGUs for continued technical assistance
from the DOH Regional Offices on planning for investment in health.
The assessment resulted in revising the P/CIPH planning guidelines and the
recommendations are contained in the new of the Local Investment Planning for
Health (LIPH) Handbook on Principles, Guidelines, Procedures, and Processes. The
Handbook will serve as a principal tool for Local Health Offices when they develop
and write their respective Local Investment Plans for Health. It will also be DOH
Regional Offices guide in providing technical assistance to Local Government Units.
Thus this module, has been written to facilitate and standardize the conduct of
orientations on the revised LIPH planning guidelines, procedures and processes for
Local Chief Executives such as Mayors and Governors.

II.

Objective and Learning

Outcomes
A. Objective

This one-day activity is aimed at orienting Local Chief Executives, such as Mayors and
Governors and their technical staff on the revised LIPH Handbook on Planning Principles,
Guidelines, Processes and Procedures to generate support on planning for LIPH and AOP in
particular as well as on investing for health in general.

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

B. Contents
The contents of this orientation package will be capsules of the following:
1.
Relevance of LIPH
2.
LIPH Planning Framework
3.
LIPH Principles and Guidelines
4.
Essentials in Planning
5.
Steps in Formulating LIPH and AOP

C. Expected Output
This one-hour orientation activity is expected to result in:
1. LCE support for LIPH and AOP, most specially for improving:
a. community participation in LIPH/AOP planning
b. collection and banking of evidences that will be used for planning
c. harmonization of planning schedules of LGU
d. increased investment on health
2. Plan for integrating LIPH and AOP into bigger LGU development plans
3. Policy cover for the LIPH planning team

III. Methodolo
gy
This one-hour orientation on the use of LIPH Handbook is designed to be interactive, using
multi-media to simplify planning process in order for the LCEs to have a clear grasp of what is
LIPH and its role in strengthening local health systems.
The following slides can be used by the presentor to facilitate discussion with the
LCEs or their representatives. Or the presentor can choose from the different slides:
Table 1. Power point presentation guide.

SLIDE TITLE
LIPH
Milestones

CONTENT

FACILITATORS NOTES
1. Facilitator shall go through the
major milestones of the LIPH,
which was popularly known as
the Province-wide or City-wide
Investment Plan for Health. This
slide provides milestones on
planning as well as
implementation of the LIPH

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

SLIDE TITLE

CONTENT

FACILITATORS NOTES

Purpose of the
Handbook

2. Emphasize the four identified

purposes of the LIPH Handbook.
But the facilitator can add up
more as he/she fits based on the
handbook itself, such as tools for
critical analysis found in the
Annex, etc.

Users of the
Handbook

3. Read each stakeholder who will

benefit from the handbook. The
facilitator needs to emphasize
the particular audience of the
current orientation. For example,
if the audience is composed of
DMOs, put emphasis on the
Handbook as their guide in
providing TA. If the audience are
LGU planning teams, emphasize
the use of the Handbook as an
additional tool for them. Taking
into consideration other planning
tools that the LGUs may have on
BUB or from other national
agencies like DILG and NEDA
4. The facilitator introduces the six
building blocks of the local
health system, as the pillars of
the Universal Health Care. Put
emphasis on LIPH Handbook as
the tool guide in planning to
ensure that investments for each
building block is appropriately
planned and costed. The role of
political leaders in governance
for health has to be emphasized
5. This is the classic presentation of
the Health System Building
Blocks and their common goals.
The facilitator shall briefly
explain what is meant by
improved health outcome,
responsiveness, financial risk
protection and improved
efficiency

Health System
Building
Blocks

WHO Health
System
Building Block

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

SLIDE TITLE

CONTENT

FACILITATORS NOTES

LIPH aims

6. The facilitator expounds on the

LIPH aims to improve health
systems to improve health
outcomes, responsiveness of the
local health system and financial
risk protection.

Principles and
guidelines

7. The facilitator can BRIEFLY

explain or elaborate the
Principles and Guidelines

Principles and
guidelines

8. The facilitator can BRIEFLY

explain or elaborate the
Principles and Guidelines

Principles and
guidelines

9. The facilitator can BRIEFLY

explain or elaborate the
Principles and Guidelines

LIPH Planning
Management
Structure

10.Facilitator to emphasize that this

is a proposed composition.
Membership not limited to those
indicated in the Table.
Look for local champions.
Who are the key players in LIPH
development? Think about who

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

SLIDE TITLE

CONTENT

FACILITATORS NOTES
are the private sector
representatives? He/she needs
to emphasize to the LCEs or
representatives the need for
policy cover mandating the
planning team

LIPH Planning
Management
Structure

11.Facilitator to emphasize that this

is a proposed composition.
Membership not limited to those
indicated in the Table.
Look for local champions.
Who are the key players in LIPH
development? Think about who
are the private sector
representatives? He/she needs
to emphasize to the LCEs or
representatives the need for
policy cover mandating the
planning team

Monitoring the
planning
process

12.This is one of the enhancements

of the planning process.
Previously there was no formal
monitoring of the planning
process. The presentor will
BRIEFLY explain or elaborate the
provision.

Monitoring the
planning
process

13.This is one of the enhancements

of the planning process.
Previously there was no formal
monitoring of the planning
process. The presentor will
BRIEFLY explain or elaborate the
provision.

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

SLIDE TITLE

CONTENT

FACILITATORS NOTES

Monitoring the
planning
process

14.This is one of the enhancements

of the planning process.
Previously there was no formal
monitoring of the planning
process. The presentor will
BRIEFLY explain or elaborate the
provision.

Monitoring the
planning
process

15.This is one of the enhancements

of the planning process.
Previously there was no formal
monitoring of the planning
process. The presentor will
BRIEFLY explain or elaborate the
provision.

Roles and
responsibilitie
s

16.The presentor will BRIEFLY

explain or elaborate the
provision but needs to
emphasize the role of the LGUs.

Essentials in
planning

17.Facilitator to discuss the three

essentials in planning for LIPH.
The LCEs need to understand
that the LGUs strategic
directions (vision, mission, goals)
will guide the LIPH/AOP

Orientation Module on the Use of the LIPH Handbook for Mayors and Governors

Planning
workflow and
the
participatory
process

18.Tips in discussing this figure:

You dont have to wait for
barangay development plan to
be finished before starting LIPH
What is essential
municipal/city-wide LIPH reflects
barangay plan, and the brgy plan
is aligned with the general
directions/vision, mission, goal of
the municipality of city.

Workflow in
drafting LIPH
& AOP

19.Presentor shall emphasize the

tedious and iterative process so
that the LCE can understand the
efforts and investment that are
poured into planning for LIPH

communicatin
g the preplanning
activities

20.Presentor to emphasize the need

to formally communicate the
planning activity and the reason
for doing such. One particular
reason is the data preparation.

Slide 25:
Communicatio
n for appraisal
& approval

21.There is a recommendation for

the approval of the LIPH to be
done at the regional level, to be
signed by the DOH Regional
Director, instead of coursing it to
the DOH National office and
having it signed by the DOH
Secretary. Expect a lengthy
discussion on this
communication flow chart