Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

January 25, 2023

DEPARTMENT MEMORANDUM
No. 2023 - Obl

FOR : ALL UNDERSECRETARIES, ASSISTANT

SECRETARIES, DIRECTORS OF CENTERS FOR
HEALTH DEVELOPMENT AND MINISTER OF
HEALTH - BANGSAMORO AUTONOMOUS REGION
MUSLIM MINDANAO, BUREAU DIRECTORS, HEADS
IN
OF ATTACHED AGENCIES AND ALL OTHER DOH
UNITS CONCERNED

SUBJECT : Guidelines in Support of the Implementation of the Seal of

Good Local Governance (SGLG) - Health Compliance and
Responsiveness Assessment Area

I. BACKGROUND

Republic Act No. 11292 otherwise known as

“The Seal of Good Local Government Act of
2019” identified ten (10) assessment areas that a Local Government Unit (LGU) should
pass in order to qualify for the Seal of Good Local Governance (SGLG). One of the
assessment areas is Health Compliance and Responsiveness which looks into the LGU’s
capability to advocate and effectively implement and deliver health goods and services.

Section 4 of the SGLG Act established the Council of Good Local Governance (“the
Council”) consisting of national government agencies who are
technical leads of the ten
(10) SGLG assessment areas and a representative from the basic sector nominated by the
National Anti-Poverty Commission. The Act mandated each council member agency to
establish a Technical Working Group (TWG) that shall assist in the implementation of their
respective assessment areas including the identification, review, and recommendation to
the Council a set of performance indicators that shall measure the LGU’s contribution
towards the attainment of desired outcomes consistent with the long-term development
plans of the National Government. For the health sector, these include reforms espoused in
the Universal Health Care Act, mandatory reporting of notifiable diseases and health events
of public health concern, LGU Scorecard on health, Health Sector Strategy and Healthy
Communities, among others.

Il. OBJECTIVES

To provide guidance and streamline the

activities of the Department of Health (DOH) and
Ministry of Health-Bangsamoro Autonomous Region in Muslim Mindanao (MOH-
BARMM) in
support of the implementation of the SGLG.

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http:/Avww.doh.gov.ph; e-mail: [email protected]
III. DEFINITION OF TERMS

A. Seal of Good Local Governance (SGLG) - is a progressive performance assessment

system that gives LGUs distinction for their remarkable performance across
governance areas. Itis an award, incentive, honor, and recognition-based program for
all LGUs which encourages commitment from LGUs to continuously progress and
improve their performance along various governance areas (RA No. 11292 Section 3
and RA No. 11292 Implementing Rules and Regulations Rule III, Section 1).

-
Health Compliance and Responsiveness is a key performance area in the SGLG. This
refers to the LGU’s capability to advocate, effectively implement and deliver health
services and information systems, as well as, pursue evidence-based health promotion
and protection policies scientifically proven and accepted to advance population health
and individual well-being, reduce the prevalence of communicable diseases and its
risk
factors, lower the incidence of infectious diseases, address mental health issues and
improve health status throughout the life course (RA No. 11292 Section 7,d).

Field Health Service Information System (FHSIS) - is a major component of the

network of information sources developed by the DOH to
enable
it
to better manage
nationwide health service delivery activities and provide the desired management
its
information (AO No. 2011-0010).

Integrated TB Information System (ITIS) - is an electronic information system that is

used to collect, consolidate, and report TB data coming from all health facilities
managing TB cases under the National TB Control Program (AO No. 2015-0024).

Local Government Unit Health Scorecard (LGU HSC)

assess and monitor the performance of LGUs in the - is the primary tool used to
implementation of local health
reforms within the province-wide/city-wide health system. Itfacilitates the reporting of
LGU
progress in meeting the national health targets based on the priority programs,
projects, and activities of the DOH (AO No. 2021-0002).

IV. GUIDELINES

A. In compliance with Section 5 of the Implementing Rules and Regulations of RA 11292,

the DOH SGLG TWG, chaired by the SGLG council member, shall assist in the
development of performance indicators and oversee the implementation of the Health
Compliance and Responsiveness Assessment Area of the SGLG
1. TWG members are encouraged to designate their alternate representative
through an official memorandum addressed to the BLHSD Director. Only
officially designated alternate representatives shall have voting privileges on
the approval of matters discussed during the TWG meeting.
2. A majority of the members shall constitute a quorum. Each TWG member
entitled to (1) one vote. The affirmative vote of a majority of all TWG members
is
is necessary to approve the SGLG Health Compliance and Responsiveness
indicators and their corresponding targets; Provided, that the affirmative vote of
a majority of the member present is sufficient to approve matters relating to
ordinary business such as the issuance of an advisory to guide the CHDs inthe
timelines of SGLG implementation, endorsement of list
of passers and non-
passers. In cases where holding a meeting is not possible, approval of
 documents may be facilitated by the secretariat through an Ad Referendum
process.
The TWG may invite representatives from other DOH Offices/Bureaus, DOH
Centers for Health Development, Local Government Units (LGU), Leagues of
LGUs, Representatives of Local Health Officers, other National Government
Agencies, Official Development Assistance Partners, and Non-Government
Organizations to provide technical inputs during consultations and meetings, as
deemed necessary.

B. SGLG Health Compliance and Responsiveness indicators shall be representative

measures of the local health systems’ commitment and initiatives to address priority
health and health-system-related challenges.
1. Consistent with Section 5 (b) of the SGLG Act, the development of indicators
shall reflect outcomes that are performance-based, encouraging outputs that
reflect concrete benefits to the community in terms of policy, rules, regulations,
behavior, skill competencies, knowledge, or attitude.
A copy of the official list of SGLG-Health Compliance and Responsiveness
indicators along with its metadata shall be issued through a Department Circular
once approved by the SGLG Council.
The set of SGLG-Health Compliance and Responsiveness indicators shall be
monitored, evaluated, and reviewed every end of the medium-term to provide
LGUs with the opportunity to improve their performance and attain the targets
in contribution to the attainment of the National Objectives for Health.

C. The DOH
shall protect the integrity of the data and impose discipline in reporting to
ensure that all reported data are true and correct. LGUs shall send their reports in
accordance with the implementation guidelines and timeline issued by the respective
programs.
1. The implementation of the SGLG-Health Compliance and Responsiveness
indicators shall follow the prescribed timeline by the program including the
deadline for submission and/or encoding of performance results. After the cut-
off period specified in the implementing guidelines of concerned programs, all
submitted validated data shall be considered "OFFICIAL".
In case of clerical and encoding errors, the LGU shall submit an accomplished
Data Change Request (DCR) form as prescribed in Annex A of this policy. All
DCRs shall be reviewed by the assigned DOH Representative/Technical
Officer, validated by the respective CHD/MOH-BARMM LGU HSC
Coordinators, and endorsed by the CHD Regional Director/BARMM Minister
is
of Health addressed to the Chair of the DOH SGLG TWG. It the responsibility
of the CHD to review the veracity of the DCR based on the CHD information
system or program records. Only DCR forms bearing the signature of the
concerned CHD Director/ BARMM Minister of Health and submitted with
acceptable means of verification/supporting documents shall be processed at the
National Level. Annex B provides the process flow for the DCR request process.

D. The official published data from the approved data source of the LGU performance
results shall be used in reporting to the DILG-SGLG secretariat. In cases where
discrepancy in the published data due to clerical error is identified upon the review of
the CHD, FHSIS, LGU HSC, ITIS, or Program Coordinator, the appeal for data change
shall follow the process prescribed in Annex B of this policy.
Vv. ROLES AND RESPONSIBILITIES

A. DOH Central Office

L. DOH SGLG TWG shall:
a. Provide the overall direction for the implementation of the Health
Compliance and Responsiveness Criteria of the SGLG;
b. Identify, review, and recommend performance indicators and their
parameters in accordance with Rule IV, Section 7 of the implementing
rules and regulations of RA No. 11292 for submission
approval;
tothe Council for

Convene at
least bi-annually or as necessary to discuss matters related
to the SGLG implementation;
Utilize the assessment results and operational concerns consolidated by
the DILG SGLG secretariat as reference in their review of indicators;
Review, approve and monitor feedback on the intervention packages
designed by the owners of indicators included in the SGLG aimed at
enhancing the capacity of LGUs which did not qualify for the SGLG
award through the concerned Bureaus/Offices; and,
Decide on or elevate to the Council issues and concerns that may arise
during SGLG implementation as necessary

2. Bureau of Local Health Systems Development shall:

a. Act as the secretariat of the DOH SGLG TWG;
b. Provide technical and administrative support for the activities of the
TWG;
Undertake liaising and coordination activities between
members/offices;
oe Document proceedings of the TWG;
Disseminate relevant information to members/offices;
mmoSubmit consolidated output to the Council; and,
Execute all other functions as may be assigned by the TWG.

3. Other DOH Offices and Other Attached Agencies shall:

a. Submit to the secretariat information needed for their indicator/s
included in the Health Compliance and Responsiveness assessment
area; and
Address issues concerning their indicator/s that arise during SGLG
implementation.

B. Centers for Health Development and MOH-BARMM

1. Through their DOH Representative-MOH BARMM Technical Officer, shall
ensure that the DCR form is properly filled with complete and appropriate
supporting documents.
The DOH Representative /MOH BARMM Technical Officer shall endorse the
properly filled DCR form with complete appropriate supporting documents to
the CHD-LGU HSC Coordinator.
The CHD/ MOH BARM\M shall review the request for the recommended action
and endorses the request duly signed by the CHD Regional Director/ BARMM
Minister of Health to the DOH SGLG TWG.
The CHD/MOH BARMM shall encodeall the requests received in the template
(Annex C) provided by the DOH SGLG TWG
VI. REPEALING CLAUSE

Department Circular No. 2022-0168 and other related issuances inconsistent or contrary to
the provisions stated in this policy are hereby revised, modified, repealed, or rescinded
accordingly.

For strict compliance.

By Authority of the Secretary of Health

KENNETH G. RONQUILLO, MD, MPHM, CESO

Undersecretary of Health
III
Health Policy and Infrastructure Development Team
Annex A. Data Change Request Form
DATA CHANGE REQUEST FORM
Instructions:
1.
to
This form shall be used to request for changes in submitted data due clerical error after the system is closed.
2, All requests submitted should have been duly signed
verification.
by all concemed and with supporting documents attached for means of

3. Use a separate Data Change Request Form for each indicator

* To be filled-up by the LGU requesting for revision

A. REQUESTING LOCAL HEALTH OFFICER *

Signature over Printed Name Date of Request

LGU INFORMATION*
REGION:
PROVINCE/HUC/ICC:
MUNICIPALITY/CC:

1, DETAILS OF THE DOCUMENT TO BE REVISED*

Performance Year:
Indicator Name:

Data Source: 0 LGU HSC 0 FHSIS o Others:

2. DETAILS OF REQUEST AND JUSTIFICATION*

FROM: TO:
Original Vatue Requested Value

3. LIST OF SUPPORTING DOCUMENTS ATTACHED

i,

ii.

iii.

** To be accomplished by the concerned DOH Representative/MOH-BARMM Technical Officer

B. DOH REPRESENTATIVE/ MOH-BARMM Technical Officer **

Signature over Printed Name Date Received

4, Request form is properly filled-up:**
o Yes a No

5. Completeness of supporting documents/ MOVs:**

0 Complete a Incomplete

DATE REVIEWED:**

6. ACTION TAKEN (Check the

appropriate box)**
0 Endorse to CHD/MOH-BARMM LGU HSC Coordinator
D Return to LGU, state reason/s:
***To be accomplished by the DOH CHD/MOH-BARMM Date Received:

For Governance Indicators: Reviewed by the DOH CHD/ MOH- BARMM LGU HSC Coordinator vis-a-vis the submitted
LGU HSC
Data Capture Form***
For FHSIS and Service Coverage Indicators (e.g., Stunting): Reviewed by Program Coordinator***

Signature over Printed name Designation Date Reviewed

7. RECOMMENDED ACTION (Check Appropriate Bi 0x)

oRecommending Approval, Approved Value

ORequest Denied, state reason/s

Endorsed by:

CHD Director

To be accomplished by DOH SGLG TWG: Date Received:

To be accomplished by DOH Central Office/Attached Agency: Date Received:

REVIEWED BY NATIONAL PROGRAM MANAGER:

oORequest Approved, Approved Value

Request Denied, state reason/s:

Approved by:

Bureau Director/Head of Office

8. LGU HSC:
Date Signature
System Updated
 Annex B. Flow Chart for Data Change Request Process
Guide Questions:
Is there an error observed in the value reported for
the indicator?
Is the error clerical in nature?

If YES
to both questions proceed to Step 1

Step 1 LGU
accomplishes the Data Change Request fonu (Aunex A) and prepares attachments
—
supporting documents

| The DOH Representative/ MOH BARMM

Step 2 LGU submits to DOH Representative MOH BARMM Technical Officer (email or hard Technical Officer retums the request to the
copy) who validates completeness of documents submitted LGU and
provides Technical Assistance ( as
needed)

Is the DCR completely

NO
accomplished with supporting
documents?

DOH Representative/ MOH BARMM Tecluical Officer endorses request with

supporting documents (email/hard copy) to the CHD-LGU HSC Coordinator
y
CHD/MOH BARMM to encode ALL requests
Step 3 CHD/MOH BARMM reviews request for recommended action and endorses the
received in the template (Amex C). The link for online
fequest signed by the CHD Regional Director/BARMM Minister of Health to the DOH [-—-
encoding/submission will be provided by the DOH
SGLG TWG. The DCR and its
attachments will be emailed to |[email protected]
SGLG TWG
4
Step 4 DOH SGLG TWG Secretariat coordinates with the concemed DOH offices/Attached
Agencies for processing of requests
HER t
Step 5 DOH Central Office/Attached Agencies - National Program Manager reviews the
request for appropriate action (approval/denial) signed by the Bureau Director/Head of
Office and submits the request to the DOH SGLG TWG Secretariat
1
Step 6 DOH SGLG TWG Secretariat to feedback status
of request to the CHD/MOH BARMM
aud BLHSD-HSMED
to update LGU HSC information system as needed

Steps:
1, The LGU local health officer accomplishes the data change request form and attaches the necessary supporting documents
(Meansof Verification) and endorses it to the DOH Representative¢MOH BARMM Technical Officer. In the case of HUCs
and ICCs, data change requests shall be submitted to the City DOH Office.
The DOH Representative)MOH BARMM Technical Officer ensures the data change request form is completely accomplished
with the complete supporting documents.
2.1 Ifincomplete: The DOH Representative¢MOH BARMM Technical Officer returns the request form to the concerned LGU
local health officer and provides technical assistance, as needed.
2.2 If complete: The DOH Representative /MOH BARMM Technical Officer endorses the request and supporting documents
to the CHD-LGU HSC Coordinator.
The CHD/ MOH BARMM reviews the
request for the recommended action and endorses the request signed by the CHD
Regional Director BARMM Minister of Health to the DOH SGLG TWG. The request form bearing the signature of the CHD
Director/ BARMM Minister of Health and its attachments shall be emailed to [email protected]_ The CHD/MOH BARMM
shall also encode all the requests received in the template (Annex C) using the link to be provided by the DOH SGLG TWG
Secretariat.
The DOH SGLG TWG Secretariat coordinates with the concerned DOH offices/ Attached Agencies for processing of requests
DOH Central Office/Attached Agencies - National Program Manager reviews the request for appropriate action
(approval/denial) signed by the Bureau Director/Head of Office and submits the request to the DOH SGLG TWG Secretariat.
The DOH SGLG TWG Secretariat shall feedback the status of request to the CHD/MOH BARMM
update LGU HSC Information system as needed.
BLHSD-HSMED and to
 Annex C. Monitoring Tool for Data Change Reques

1. The CHD/ MOH-BARMM shall encode all Data Change Requests received by the CHD Director/ BARMM Minister of Heath
2. The CHD/ MOH-BARMM shall submit to the BLHSD (TWG Secretariat) the consolidated list of all approved and disapproved Data Change Requests to BLHSD along with the supporting documents provided by the LGUs

Date requested by Name of Clty/ documents Status of Request

Le Region Province
Mant
Indicator Name Original Value Requested Value "pi
ia ite ewe LGU (Approved/Disapy
Approved Value