EXECUTIVE ORDER NO. 205
EXECUTIVE ORDER NO. 205 - PROVIDING
FOR THE CREATION OF A NATIONAL HEALTH PLANNING COMMITTEE (NHPC) AND THE
ESTABLISHMENT OF INTER-LOCAL HEALTH ZONES (ILHZs), THROUGHOUT THE
COUNTRY, AND FOR OTHER PURPOSES
WHEREAS,
the 1987 Constitution provides that the State shall promote and protect
the general well-being of the citizenry;
WHEREAS, R.A. 7160, otherwise known as the 1991 Local Government Code
mandated for the devolution of the delivery of the health services and
facilities as one of the basic functions and responsibilities of all
the local government units or LGUs at all levels;
WHEREAS, Sec. 33 of R.A. 7160, further provides that LGUs may “group
themselves, consolidate their efforts and services and resources for
purposes commonly beneficial to them where they may, upon approval of
the sanggunian concerned . . . under such terms and conditions as may
be agreed upon by the participating LGUs through a Memorandum of
Agreement”;
WHEREAS, through the initiative of the League of Provinces of the
Philippines (LPP), in coordination with the Department of Health (DOH)
and the Department of the Interior and Local Government (DILG), a
“Health Covenant ‘99” was forged among the above-mentioned stakeholders
and participants of the “Governors’ Workshop on Health: Partnership for
Devolution”, held last March 9-10, 1999 at Pasay City, with the main
objective of achieving an integrated health care delivery system at the
national and local levels by the year 2000, and thereafter;
WHEREAS, based on the Health Covenant, and as agreed upon by the
participants of the said Workshop, foremost of the major
recommendations specified therein to meet the objectives set forth were
as follows: (1) the creation of a National Health Planning Committee
(NHPC) to oversee and ensure adherence by all LGUs and concerned
stakeholders to appropriate guiding principles and coordinated planning
and implementation of a comprehensive and integrated National and Local
Health Plans as well as priority programs and projects by all LGUs
through their local health boards (LHBs); (2) the establishment of
“Inter-Local Health Zones” throughout the country, through Inter-Local
Government Cooperation defining their mechanisms, governing structures,
powers and functions, and funds and resources, and (3) the reactivation
and strengthening by the LGUs of their respective Local Health Boards
(LHBs).
NOW, THEREFORE, I, JOSEPH EJERCITO ESTRADA, President of the Republic
of the Philippines, by virtue vested in me by the Constitution and the
laws, do hereby order:
Section 1. Declaration of Policy. — It is the policy
of the State that full and integrated delivery and development of
health care services throughout the country must be promoted,
encouraged, and ensured, especially for the poor and marginalized
sectors of society. Towards this end, the State shall provide for the
participation and active involvement and collaboration of all local
government units (LGUs) together with the major stakeholders,
particularly with the Department of Health (DOH) and the Department of
Interior and Local Government (DILG) with the main objective of
achieving an integrated health care delivery system at the national and
local levels by the year 2000 and thereafter.
Sec. 2. Organization of the National Health
Planning Committee (NHPC). — The National Health Planning Committee,
herein referred to as NHPC, is hereby constituted to serve as the
overall coordinating body to oversee and ensure adherence by all LGUs
and concerned stakeholders to appropriate guiding principles and
coordinated planning and implementation of a comprehensive and
integrated National and Local Health Plans and Priority programs and
projects by all LGUs through their local health boards (LHBs).
Sec. 3. NHPC Composition. — Within one (1) month
after the approval of this Executive Order, the NHPC shall be convened
and composed of the following:
1.
Secretary of the DOH
- Chairman
2. Secretary
of DILG
- Co-Chairman
3. National
President of the League
- Vice-Chairman
of Provinces
4. Executive
Secretary
-
Ex-Officio Member
5. Chairman of
Senate
Committee
- Ex-Officio Member
on Health
6. Chairman of
House Committee
- Ex-Officio Member
on Health
7. Secretary
of the DBM
- Member
8. Two (2)
representatives from
the
- Members
private sector
A Secretariat shall be organized to provide support to the NHPC. The
DOH Secretary shall designate his Undersecretary to act as head of the
NHPC Secretariat. The members of the Secretariat shall be composed of
the following: Official representatives from the DOH, DILG, Union of
Local Authorities of the Philippines (ULAP), League of Cities, League
of Municipalities and Liga ng mga Barangay.
Sec. 4. NHPC Functions. — Aside from the main
responsibilities of the NHPC mentioned under Sec. 2 hereof, it is
likewise expected to perform the following specific functions:
1.
Ensure and sustain the agreements reached during the “Governors’
Workshop for Health” held last March 9-10, 1999, especially the
recommendations specified under the “Health Covenant ‘99”, as well as
in the workshop outputs, which are both made an integral part of this
Executive Order;
2. Promote
policies, programs and projects on health to enhance local autonomy in
planning and implementing an integrated health care delivery system and
an integrated health plan at the national and local levels;
3. Formulate a
partnership mechanism among all the LGUs, concerned National Government
Agencies (NGAs), through the DOH and DILG, and the private sector, NGOs
and civic groups to support the local health service delivery systems;
4. Ensure that
all LGUs shall prioritize the reactivation and strengthening of the
LHBs as an initial move in making decentralized health services work;
5. Recommend
specific and adequate resources both in cash and in kind to be allotted
to the LGUs by the concerned NGAs (i.e., DOH and DILG) to enhance local
government capability, responsibility and accountability relative to
the delivery of basic health services prior to the commencement of the
annual planning calendar and budget cycle at the national, provincial
and city levels, subject to the guidelines and criteria to be
formulated by the NHPC in consultation with the LGUs, through the LPP
and ULAP, and to ensure its inclusion in the preparation of the Annual
General Appropriations Act (GAA) budget of DOH and DILG beginning CY
2000 and every succeeding fiscal year for proper implementation of the
consolidated National and Local Health Plans;
6. Act as the
over-all coordinating body for all local health boards (LHB) and ensure
the organization and/or reactivation of all DHBs at every local
government level as well as their active involvement in the policy
formulation and program planning and implementation of health services;
7. Formulate
the annual planning guides, standards and format that shall serve as
the integrating principles for ensuring that there will be functional
merger of the annual priority health programs and projects of the
national and local governments that shall be carried out at the
provinces with their component cities and municipalities and highly
urbanized cities (HUCs). These Provincial/HUC Health Plans shall be
submitted to the NHPC, copy furnished the Office of the President not
later than forty-five (45) days after the signing of this Order;
8. Recommend
to the President an initiative scheme package for outstanding LGUs with
the best local health plan implemented at their respective LGUs,
including a health insurance scheme particularly to the 100 poorest
families in every province and city;
9. Submit a
semi-annual and year-end report to the Office of the President; and
10. Perform
other functions that may be designated by the President or as may be
deemed necessary by the NHPC Chairman.
Sec. 5. Establishment of the Inter-Local Health
Zones. — For the effective delivery of integrated health care and
ensure smooth coordination between and among cities, municipalities and
barangays, and pursuant to Sec. 33 of R.A. 7160, there are, hereby,
established Inter-Local Health Zones (ILHZs) throughout the country
whose organization is to be assisted by the DOH and DILG. These
Inter-Local Health Zones comprise a well-defined population (by level
of governance) in a rural or urban area, and all institutions and
sectors whose activities contribute to improved health care delivery in
that zone. The composition, functions and required resources of these
ILHZs shall be approved by the NHPC upon endorsement by the Provincial
Governor or City Mayor.
Sec. 6. Integrated Provincial/City Health Plan. —
In accordance with the guidelines promulgated by the NHPC, every
municipality, component city and highly urbanized city through their
respective local health boards must develop their own health plan which
shall be integrated into an Inter-Zonal Health Plan incorporating two
(2) levels of health care, namely: referral (district) hospital and
identified set of main health centers/barangay health stations with
catchment populations. These Inter-Zonal Health Plans shall be
aggregated into a Provincial/City Health Plan taking into account the
actual needs and available resources of their LGUs in relation to the
national health objectives. All Provincial/City Health Plans shall be
submitted to the NHPC on the date prescribed by the committee.
Sec. 7. Funding. — All Governors, City and
Municipal Mayors, through their respective Sanggunians, shall provide
specific budgetary appropriations under their approved local
development plan for the proper implementation of their respective
health plans. As a counterpart support from the National Government,
the DOH and other concerned NGAs shall likewise allocate and devolve
funds to augment local funds intended for this purpose, as provided for
under Article 31 of the IRR of R.A. 7160, subject to the guidelines and
criteria to be set by the NHPC. The DOH shall set aside a separate fund
for the technical and administrative operations of the NHPC Secretariat
beginning CY 1999 and thereafter.
Sec. 8. Inter-Agency Coordination. — All concerned
Departments and other attached agencies, LGUs, GOCCs, and other
instrumentalities of the government are hereby directed to cooperate
and give their full support to the NHPC, ILHZs and LHBs to ensure the
effective performance of their functions.
Sec. 9. Effectivity. — This Order shall take
effect immediately.
DONE in the City of Manila,
this 31st day of January 2000.
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