1. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR MA. VIRGINIA GUZMAN-ALA, MD, MPH Officer-in-Charge Bureau of International Health Cooperation

2. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR OUTLINE OF THE PRESENTATION 1Sector Development Approach for Health (SDAH) (Sector-wide Approach (SWAP) 1.1 Definition 1.2 Requirements 1.3 General Objectives 1.4 Specific Objectives 1.5 Operationalization / Status of Implementation

3. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR OUTLINE OF THE PRESENTATION 2Financing FOUR mula ONE 2.1GOP / Loan / Grant Mix 2.1.1National Investment Plan 2.1.2Province Wide Investment Plan for Health 2.2Fund Flow Mechanism 2.2.1. NHIP 2.2.1.1 GAA – DOH Regular Budget 2.2.2 PIPH 2.2.2.1 National Government Counterpart 2.2.3 LGU Counterpart – MDFO, IRA etc. 2.2.1.2 Automatic Appropriation - EU 2.2.1.3 Donor Managed 2.2.2.2 Grant Part – Budget Support Trust Fund

4. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 1SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.1 Definition SDAH is the term coined by the Philippine Department of Health for Sector-Wide Approach SDAH is the approach whereby the DOH takes the lead in effectively coordinating and managing donors support and aligning these with government support towards full implementation of a sector program

5. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.2 Requirement Sector Program : Health Sector Reform Agenda (HSRA) Implementable : FOUR mula One (Implementation Strategy) Strong Government Leadership: the Sec of Health leads F1, MTPDP Unified Management of Donor Support - BIHC Strong Public Finance Management System Strong Support of Partner - Development of Partner - LGU and other partners √ √ √ √ √ The presence of a Medium-Term Expenditure framework-Health Sector Expenditure Framework √

6. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.3 General Objectives To improve the quality and efficiency of mobilizing and utilizing foreign investment for Four mula One and harmonizing the same with national / local investments

7. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.4 Specific Objectives To reduce the transactions costs of managing foreign investments in health To ensure sustainability of health reforms To reduce duplication and overlaps of donor Initiatives with each other and with existing government programs

8. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 1 SECTOR DEVELOPMENT APPROACH FOR HEALTH (SDAH) Sector-Wide Approach (SWAP) 1.5 Operationalization / Status of Implementation 7 donors (WB, EU, ADB, JICA, KFW/GTZ, UNFPA, WHO, USAID) Agreements / working arrangement Joint Planning/assessment Unified monitoring framework / tools Unified Project Management TA map formulated to guard against duplication / redundancies

9. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2FINANCING FOUR mula One 2.1 GOP / Loan / Grant Mix 2.1.1 National Investment Plan 2.1.2 Province Wide Investment Plan for Health

10. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2FINANCING FOUR mula One – GOP / Loan / Grant Mix 2.1.1 National Investment Plan Automatic Appropriation – EU Donor Managed – EU/WHO/UNFPA/ ADB/USAID/JICA/KFW-GTZ GAA Taxes WB ADB Logistics TA Training Systems Dev’t Policy Dev’t/Impl Local TA Training Systems Dev’t Policy Dev’t/Impl National TA Training Systems Dev’t Policy Dev’t/Impl Health Service Delivery PH Hospital s Health R E G U L A T I O N S Healt h Care F I N A N C I N G Good G O V E R N A N C E National Government Counterpart to all LGUs National Government Counterpart to 16 LGUs

11. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2FINANCING FOUR mula One – GOP / Loan / Grant Mix 2.1.2 Province Wide Investment Plan for Health Automatic Appropriation Above Ceiling EU/WHO etc. GAA Within Ceiling Taxes WB ADB Logistics TA Training Systems Dev’t National Government Counterpart GRANTS EU Others USAID / JICA / UNFPA / UNICEF / WHO LGU Counterpart Others IRA TAX CDF Loans MDFO (DOF) ADB/ KFW Automatically Appropriated EU DBMWB Budget Support Trust Fund OR Technically Sound Plan

12. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2.2Fund Flow Mechanism (NIPH) a. Taxes, WB program loan and the ADB policy loan (portion only) will be provided to the DOH as its regular budget b. EU grant to the DOH A part will be provided in cash through the DBM A part will be provided in kind as TA for capability building c. Grant Managed assistance Provided in kind largely as TA / capability building

13. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2.2Fund Flow Mechanism (NIPH) EC Cash Grant to the DOH EU Bureau of Treasury Fund 171 DBM (SARO and NCA) DOH Special Account Inform DBM of Cash Availability Automatic Appropriation Add’l Obliga’l Programs fully backed by grant proceeds BSP Releases based on cash program

14. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2.2FUND FLOW MECHANISM 2.2.1 National Government Counterpart Cash will be provided as performance grants a. In Kind – support to all LGUs Logistics support (vaccines, TB drugs, micronutrients) Technical Assistance / Training b. In Kind / Cash – additional support of 16 LGU Technical Assistance Capability Building (training, mentoring, technology transfer) Others

15. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2.2FUND FLOW MECHANISM 2.2.2 Grant part – EU Grant BUDGET SUPPORT a. Cash Grant to the LGUs b. Types of on-granting For provinces with weak Public Financial Management Systems (PFM) – Kalinga, Southern Leyte Guidelines to be used on Procurement / Finance Management Will require WB clearances (NOL, etc.) for its use WB TRUST FUNDS For Provinces with Strong Finance Management Systems (PFM) – Biliran, North Cotabato, South Cotabato,Mt. Province, Negros Oriental, Eastern Samar – recommended for budget support but risky GOP Guidelines to be used on Procurement / Finance Management Will not require donor clearance for its use

16. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR c.FUND FLOW MECHANISM BUDGET SUPPORTWB TRUST FUNDS EC Btr Fund 103 LGU Separate Account EC WB BSP BIR DBM SARO / NCA LGU BSP

17. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR 2.2FUND FLOW MECHANISM 2.2.3 LGU Counterpart – Cash counterpart / not in kind ADB / KFW through MDFO ASIAN DEVELOPMENT BANK DEPARTMENT OF FINANCE MUNICIPAL DEVELOPMENT FUND OFFICE Loan Account Participating local government units Loan Account National Government Counterpart Distribution Local Hospital and Health Center Upgrading Subsidiary Loan Agreements I = 9% (10/3 yrs

18. NATIONAL STAFF MEETING 19-21 APRIL 2006 DOMINIQUE HOTEL, TAGAYTAY CITY MOBILIZING RESOURCES FOR SUB PROJECT LOAN AGREEMENT (SPLA) Purpose of the Loan Loan Amount Interest Rate Payment Period Loan Disbursement Procedure Reporting Requirements