Local Government Unit (LGU) Health Scorecard
The LGU Health Scorecard (LGU HSC) which was first implemented in 2008 is one of the monitoring tools that has been developed for the Monitoring and Evaluation for Equity and Effectiveness Strategy (ME3). It is a composite scorecard of stakeholders within the province-wide health system (PWHS) that measures health system performance to ensure equity and monitor effectiveness in the implementation of health reforms. It reports performance to clients and stakeholders in a system of open accountability, for outcomes valuable to all Filipinos especially the poor.
After the partnership with DILG ended in 2016, the LGU HSC website was developed to facilitate data collection and report generation. At present, the LGU HSC remains to be an important M&E tool institutionalized by the DOH as reported during an impact assessment done last 2017 wherein LCEs and other stakeholders expressed the importance of the scorecard as a tool to convey performance results to LCEs and other stakeholders as well as guide them to better plan on health. The assessment report showed that the LGU HSC conveys disparities across different LGUs in implementing health programs; local health system performance; and poorly delivering health programs. Further to this, the LGU HSC was suggested to be included as one of the criteria in the Seal of Good Local Governance.
|What is LGU HEALTH Scorecard?|
|Why is there a need for LGU HEALTH Scorecard?|
|To whom is the LGU HEALTH Scorecard intended for?|
|How does the LGU HEALTH Scorecard work?|
1. Performance Indicators
1.1. KPIs shall be utilized for monitoring and evaluating LGU performance in carrying out priority health projects, programs and activities.
1.2. The LGU HSC shall consist of input, output, and intermediate outcome indicators that are representative measures of the local health systems’ commitment and initiatives to address health issues among other priorities. These indicators shall be periodically reviewed in terms of its alignment with the national health agenda defined through the national objectives for health, UHC implementation, the directives of the Secretary of Health and upon consultation with concerned program managers. The identified KPIs shall be issued through a Department Circular/Memorandum.
1.3. The health service coverage indicators monitored at the national level shall use the Field Health Service Information System (FHSIS) as its official data source or other information systems of the DOH as defined in Section VII.3 of AO 2019-0003 dated April 24, 2019 entitled “The FOURmula One (F1) Plus for Health Monitoring and Evaluation (M&E) System”.
1.4. The LGU Health Scorecard shall use the average performance of LGUs for a specific year as the baseline for indicators not reported in the national context (e.g., percentage of municipal/component city budget allocated to health).
1.5. Official data reports issued by the DOH- attached agencies including PhilHealth and NNC may be designated as an official data source for the reporting of the accomplishment on select LGU Health Scorecard indicators.
2. Report Dissemination and Utilization
2.1. Nationwide publication and dissemination of results shall be done yearly through the Centers for Health Development (CHDs) after the official release by the DOH Central Office;
2.2. Local Investment Plan for Health including budgetary allocations shall be guided by the LGU’s performance results;
2.3. Adequate feedback mechanism on the implementation of this policy such as the conduct of consultative meetings and program implementation reviews, and dissemination of performance results through health summits, health managers’ meetings, and other similar activities shall be conducted annually;
2.4. An evaluation of the implementation processes and the impact of LGU Health Scorecard implementation (at the different LGU levels) shall be conducted every three to five (3-5) years and shall be spearheaded by the BLHSD;
2.5. The manual of procedure on the implementation of the LGU Health Scorecard shall be regularly updated (every 3-5 years) following the findings of the process and impact evaluation. This shall guide the CHD LGU Health Scorecard Coordinators, DOH Representatives, and Local Health Officers, among others on the concepts, structures, and processes of the LGU Health Scorecard implementation.
2.6. The nationwide publication and dissemination of the official evaluation/annual report released by the DOH to the CHDs shall be done within the second semester of the succeeding year through a Department Circular/Memorandum.
3. Scoring System
Scoring and assessment of performance done at the DOH Central Office shall be based on external and internal performance benchmarks and shall use the following color-coding scheme and signs:
3.1 External Performance Benchmark - shall compare the Province/City-Wide Health System performance to the National Baseline and Target
a. Red color - the Province/City-Wide Health System performance is lower than the national baseline. There is comparative weakness in performance and the need for substantial efforts for improvement.
b. Yellow color - the Province/City-Wide Health System performance is higher than the national baseline but lower than the national target. There is comparatively good performance that must be maintained and optimized to reach target goals.
c. Green color - the Province/City-Wide Health System performance is equal to or higher than the national target. There is comparatively excellent performance that merits sustenance, or incentives for its contribution to the health system.
d. Gray color – the Province/City-Wide Health System has no data on the specific indicator.
e. Black color - the indicator is not applicable or non-endemic to the LGU.
3.2 Internal Performance Benchmark- shall compare the Province/City-Wide Health System performance with its past performance.
a. Arrow Up sign – the current Province/City-Wide Health System performance has improved when compared to the previous year.
b. Equal sign - there is no change in current Province/City-Wide Health System performance when compared to the previous year.
c. Arrow Down sign - the current Province/City-Wide Health System performance has worsened when compared to the previous year. There is comparative weakness in performance and the need for substantial efforts for improvement.
4.1 The LGU Health Scorecard Performance Report of an LGU shall be issued to the concerned PWHS/CWHS annually by the DOH – CO through its CHDs. The Performance Report shall contain a brief description of the LGU, its previous year’s performance results, and graphical representations of performance for each KPI.
4.2. The BLHSD shall issue standard reporting forms and tools to be utilized by the DOH CHDs in recording, consolidating, and validating the performance of the PWHS/CWHS within their region.
1. Administrative Order No. 2021-0002 dated 08 January 2021, “Implementing Guidelines for the LGU Health Scorecard”
2. Department Memorandum No. 2021-0077 Implementation of LGU HSC Performance results for 2020
3. Department Circular 2020-0211- Dissemination of the 2012 to 2018 Local Government Unit Health Scorecard Assessment Report
4. Department Memorandum No. 2020-0275 - Dissemination of the Local Government Unit Health Scorecard Manual of Procedures (LGU HSC MOP)