The Performance Governance System (PGS) is the framework adopted by the Department of Health in 2009 to better implement and sustain its health reforms and programs which was in 1998 through the Health Sector Reform Agenda (HSRA). The Universal Health Care or Kalusugan Pangkahalatan (UHC/KP) builds on the concepts and principles of HSRA to realize significant outcomes especially for the poor in terms of better health, financial risk protection, and assured access to health facilities. Focusing on these three important outcomes spell well also of the responsiveness of the health system for the Filipino poor, it is envisioned that by 2030, DOH has fully achieved its goals for all Filipinos.
PGS is designed to strengthen government institutions by focusing on the attainment of long-term vision and by reducing the gap between strategy formulation and strategy implementation to achieve intended results. It seeks to empower organizations to translate their multitude of plans into a singular vision that is highlighted in a Strategy Map which is a visual representation of the strategies and objectives as these are interconnected and executed.
The DOH PGS Pathway outlines the Vision, Mission, Goals, and Targets of the agency to be attained by 2030. It has five perspectives or areas of excellence (i.e. Social Impact, people Empowerment, Internal Processes, Organization and Resources) and two key strategic categories: Equity and Health Governance, and 15 agency broad objectives.
- Better health outcomes
- Equitable health care financing
- Responsive health systems
- High degree of access and utilization of health services by the public
- Align research initiatives, policies, systems and plans with UHC/KP
- Strengthen information monitoring and evaluation systems
- Enhance stewardship role of DOH to improve health sector performance
- Strengthen public internal management for more efficient spending for health
- Ensure rational use and distribution of health services, facilities and technologies
- Ensure sustainable management of DOH health facilities
- Ensure productive, motivated and satisfied health workforce
- Guarantee accountability in DOH
- Provide modern information system
- Rationalize allocation of budget for hospitals, CHDs and DOH Programs
- Improve efficiency on financial procedures
PGS aims to build a culture of participative governance that will in turn strengthen performance-based governance in public institutions, and realize concrete and tangible results within 2-3 years from the time of enrolment or engagement in the system. There are four stages to traverse to secure the coveted recognition: Initiation, Compliance, Proficiency and Institutionalization. Critical requirements are expected from each of the stages, adopting a sequential process from strategy identification, formulation and successful strategy execution. The DOH is currently working for the Proficiency stage.
PGS execution in DOH is still a work in progress. It is still being reviewed and reformulated to be more responsive to the needs of the health sector given its constraints. It is now being reviewed to fine tune the strategies toward the directions and goals of the new Administration under President Benigno Simeon Aquino III. The central goal of the Administration for the health of Filipinos is to finally realize: “Universal Health Care” or the Kalusugan Pangkalahatan (KP).
In order for the DOH to successfully implement KP and the PGS, a multi-sectoral governance council called the National Advisory Committee for Health (NACH) was initially organized in June 29, 2011 when it had its 1st meeting. The 2nd NACH Meeting held last November 15, 2011.
NACH to date has representatives from the Local Government Units (LGUs), Other Government Agencies (OGAs), NGOs, academe, legislative body, private sector, media, and professional groups. Health Secretary Enrique T. Ona stressed the important dual role of NACH as an advisory body and performance evaluator of DOH in assuming its leadership role in the health sector.
Furthermore, to formalize the institutionalization of the PGS in the DOH, the Health Policy Development and Planning Bureau was designated as the Office for Strategy Management (OSM) by virtue of Department Order No. 2011-0080. The HPDPB as the OSM will be responsible for strategy development, scorecard management, organization alignment, planning and budgeting, human capital alignment, strategy communications, initiatives management, strategy review process, best practice sharing.