Family Planning

in the Face of

DecentralizationMa. Paz G. de Sagun

OPHN/USAID/Manila

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Performance Based Grants Performance Based Grants to LGUsto LGUs

Features of the LPPFeatures of the LPP Empowers LGUs to identify and solve Empowers LGUs to identify and solve

problems in population, family planning problems in population, family planning and maternal and child health, set policies and maternal and child health, set policies and standards of services, and provide and standards of services, and provide counterpart funds and technical assistancecounterpart funds and technical assistance

Relies on local chief executives – Relies on local chief executives – governors and city/municipal mayors – for governors and city/municipal mayors – for overall project implementationoverall project implementation

Offers financial and technical assistance to Offers financial and technical assistance to LGUs to augment local resources for LGUs to augment local resources for health and improve their managerial health and improve their managerial capabilitycapability

Serves as integrating mechanism for other Serves as integrating mechanism for other training assistance, supply of FP training assistance, supply of FP commodities and medicines, IEC, commodities and medicines, IEC, voluntary surgical contraception, voluntary surgical contraception, monitoring and researchmonitoring and research

Operates on a performance-based schemeOperates on a performance-based scheme

Implemented through a Memorandum of Implemented through a Memorandum of Agreement between the DOH and Agreement between the DOH and participating LGUsparticipating LGUs

Features of the MGPFeatures of the MGP

Same as LPP, but Same as LPP, but implemented in large implemented in large municipalities and municipalities and citiescities

Requires counterpart Requires counterpart funding from the LGUfunding from the LGU

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Municipal Advocacy Teams – Mayor, Councilors, NGOsMunicipal Advocacy Teams – Mayor, Councilors, NGOs

Provincial Advocacy Networks – NGOs and civil society Provincial Advocacy Networks – NGOs and civil society organizations, particularly those from the academe, organizations, particularly those from the academe, media, church, women’s organizations, human rights media, church, women’s organizations, human rights groups, youth groups, grassroots community groups, youth groups, grassroots community organizationsorganizations Budget line item for population, FP and RH in Budget line item for population, FP and RH in

Municipal Development Plans and BudgetsMunicipal Development Plans and Budgets

Legislation creating Municipal Advocacy TeamLegislation creating Municipal Advocacy Team

Legislation creating Population Officer position Legislation creating Population Officer position in the municipalityin the municipality

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Establishment of inter-local health Establishment of inter-local health zoneszones

Enrolment in the National Health Enrolment in the National Health Insurance ProgramInsurance Program

Introducing corporate practices in Introducing corporate practices in hospitalshospitals User feesUser fees Revenue retentionRevenue retention

Upgrading hospital and rural Upgrading hospital and rural health units for certification and health units for certification and accreditationaccreditation