Name of Office: Bureau of Local Health Development

1. Red Color (FAIR) - It implies relative weakness and the need for improvement.
2. Yellow Color (GOOD) - It implies comparatively good performance that must be maintained and optimized to reach 2010 goals.
3. Green Color (EXCELLENT) - It merits sustenance & incentives for additional  work it can do to the health  system.

Name of Office: Bureau of Local Health Development

             The Center for Health Development (CHD) Scorecard is an instrument of Health Sector Reform Agenda implementations that monitor and evaluate the effectiveness and equity (ME3) of the health system. The CHD Scorecard is used by the department to measure the performance of all CHDs in terms of institution capacity building (structures, processes and personnel) and in providing assistance to the LGUs (public, private health providers and agencies), the province-wide and the regional health system.

            Pursuant to Administrative Order No. 2009-0007, otherwise known as “Implementing Guidelines for the CHD Scorecard”, all CHDs shall conduct a self assessment of their performance annually and submit the individual scorecard result to the Field Implementation Management Office. The 2008 CHD scorecard report has been disseminated in December 2009 during the ME3 conference. However, validation of the CHD self-assessment result was requested by the CHD Directors.

            This year, another consultative meeting among the CHD technical staff has been conducted. During the consultative meeting it has been agreed that the indicator on “consumer arbitration” (300 points) shall be omitted, hence leaving the 2008 national average to a total score of 916 points whereas the 2010 target will be 1,308 points.

            Subsequently, Department Memorandum No. 2010-0125 has been issued to respond to the need for validation of the CHD self-assessment results. The memorandum also includes the Means of Verification (MOV) used in the validation of the 2009 CHD Scorecard Assessment Results. Ten (10) indicators were randomly selected out of the seventeen (17) indicators of the CHD Scorecard Assessment Tool. 

Name of Office: Bureau of Local Health Development

1. To assess performance of CHD as extension offices of the DOH.
2. To assess effectiveness of CHD in supporting implementation of LGU-led health system reform implementation.

Name of Office: Bureau of Local Health Development

1. Institution and Capacity Building
   • Building up institutional CHD structures, processes & personnel.
   • Database, HRD, Advocacy, M& E, Licensing, Arbitration.
2. Effective Technical Assistance
   1. Providing Technical Assistance to PWHS.
   2. Technical Assistance, Leveraging Performance & Management Systems.

1. Institution and capacity building
   • Database
     • This section reviews if the CHD has an efficient database on the performance of province-wide health systems (PWHS) in the region that helps the CHD provide effective assistance on SERVICE DELIVERY to PWHS.
   • Personnel Training
     • This section reviews the adequacy of CHD personnel training.
   • Policy Dissemination and Advocacy
     • This section reviews if the CHD effectively advocates F1 policies to all relevant stakeholders. This will check if the CHDs have policies/standards and protocols for policy dissemination and advocacy within the region. Further, this will determine whether the policy dissemination and advocacy has been done for F1 and specific F1 policies of PPAs.
   • Monitoring and Evaluation
     • Reviews if the CHD has an effective and systematic monitoring and evaluation system that helps the CHDs (and local health systems) detect operational problems that the CHD needs to address.
2. Technical Assistance to LGUs and Regional Health System
   • Technical Assistance
     • Reviews the performance of the CHDs in providing technical assistance to local health systems.
   • Leveraging Performance
     • Reviews the effectivity of CHD systems in improving performance of local health systems with augmentation logistics, grants and other resources for the poor and other populations in the region.
   • Management Systems
     • Reviews structures set up by the CHD to build institutional capacity for technical assistance to PWHS.

Name of Office: Bureau of Local Health Development

It is a part of the Monitoring and Evaluation for Equity and Effectiveness System (ME3). It is a tool that will assess the performance of the Centers for Health Development on the execution of the DOH steering and leading function to support an LGU-led health system reform implementation.

Name of Office: Bureau of Local Health Development

1. Scoring and assessment of performance will be based on external and internal performance benchmarks

• External Performance Benchmarksshall compare the CHD performance to the 2010 national target, and to the 2008 national average. The maximum score to be accumulated by the respective CHDs is 1,308 points (refer to Table 1 for the details of the score).
• Internal Performance Benchmarksshall compare CHD performance with its own past performance.

      2. Scorecards will utilize color coding scheme to show different levels of performance that is easily understood by      clients:

• Color (FAIR)– The color will be used to tag CHD performance that is lower than the 2008 national average level for a specific indicator. The color implies relative weakness in performance and the need for substantial efforts at improvement;
• Yellow Color(GOOD)– The color will be used to tag CHD performance that is equal to or higher than the 2008 national average but lower than the 2010 national target for a specific indicator. The color implies comparatively good performance that must be maintained and optimized to reach 2010 goals.
• Green Color (EXCELLENT)– The color will be used to tag CHD performance that is equal to or higher than the 2010 national target for a specific indicator. The color implies comparatively excellent performance that merits sustenance, or incentives for additional work it can do for the health system.