This document outlines the Zuellig Family Foundation's Community Health Partnership Program which aims to improve governance, health systems, and institutions to improve maternal and child health outcomes. The program involves training municipal mayors, health officers, and civic leaders (called "Municipal Health Leaders") to strengthen their understanding of health and initiate local health programs. Selection criteria for participating municipalities include needing improved health outcomes and commitment from local leaders. The program has shown success in reducing maternal mortality ratios in participating municipalities and aims to expand its model through a new partnership with the Department of Health.

1. Community Health Partnership Program –
Improving Governance, Health System
and InstitutionsTowards Improvement of
Maternal and Child Health Outcomes
May 28, 2013
Mandaluyong City

2. Zuellig Family Foundation
1901: From
Switzerland,
Frederick
Zuellig goes
to Manila to
work in a
trading firm
1916: Frederick
becomes a
partner in
another trading
firm that he buys
six years later to
form the F.E.
Zuellig Inc.
1943: His Manila-born
sons, Stephen &
Gilbert, take over the
helm of the company
after the death of their
father and successfully
diversifies and expands
internationally
1997:
Pharmaceutical
Health and Family
Foundation is
established for the
health needs of
communities
around Canlubang,
Laguna
2001:
Foundation is renamed
Zuellig Foundation
with focus on advocacy
for public health policy
reforms and training of
health leaders &
professionals
2008:
Following a review of the Foundation’s
objectives, the focus shifts to
“improving health outcomes
for the rural poor.” Foundation
becomes a Family Foundation,
independent of the Zuellig’s
various business interests
BIRTH OF THE FOUNDATION: The family’s initiative in improving health outcomes
Gilbert
Stephen

3. Health Status in 2008
Rich urban Poor rural
Life Expectancy Over 80 years Less than 60 years
Maternal Mortality Ratio Less than 15 More than 150
Infant Mortality Rate Less than 10 Over 90
Skilled Birth Attendant 92.4% 25.1%
Devolution of the Philippine healthcare system (1991)
Fragmentation of health services
Inequities in health outcomes
Health Status in 2008
Source: Sec. Alberto Romualdez, MD, State of the Nation’s Health, Centennial Lecture, 2008

4. ZFF Development Strategy:
Health Change Model and
Bridging Leadership Framework
LEADERSHIP AND
GOVERNANCE
IMPROVED HEALTH SYSTEM
TARGETED AND PRO-POOR
HEALTH PROGRAMS
BETTER HEALTH OUTCOMES:
LOWER IMR, MMR &
MALNUTRITION RATES;
LOWER INCIDENCE OF
COMMUNICABLE &
NON-COMMUNICABLE
DISEASES

5. Intervention on Health Systems Transformation: Municipal Basic Health System’s Technical Roadmap
Leadership &
Governance Health Financing Health Human
Resource
Access to
Medicine &
Technology
Health
information
System
Health Service Delivery
MunicipalHealthGovernance
Municipal
Health Action
Plan
HealthResourceGenerationand
Management
LGU Budget for
Health
(15% IRA)
RHUandBHSResourcemanagement
Health Human
Resource Adequacy
at the RHU
(MD 1:20,000)
(Nurse 1:20,000)
DrugManagementSystem
Presence of
Essential
Medicineat the
RHU
(Stock Basis)
DataCollection,UtilizationandInformationDissemination
Accomplished
Baseline Data
Collection
BarangayHealth
Infrastructure
Presence of Barangay Health Stations
(1 BHS:1 Braangay or 1 BHS per
Catchment)
Maintenanceand Operations
Utilization
Actual budget
Utilization
(95% Utilization)
RHU HHR
Competency
AvailableTransportation for Emergency
Regular Data
Gatheringand
Recording
MaternalandChildCare
Sustainabl
e Maternal
Health
Care
Initiatives
Pre-NatalServices
(at least 80%)
Full Implementation
of Magna Carta for
PublicHealth
WorkersExpanded and
Functional
Local Health
Board
Facility-BasedDevleiries
(85%)
BLGU Health
Budget
(5% of Barangay
IRA)
Skilled Birth Attendants
(85%)
Installed
Performance
ManagementSystem
Sustainabl
e
Breastfeed
ing
Initiatives
ExclusiveBreastfeeding for
Infants (70%)
RHU Medicine
Tracking and
Inventory
System
Maternal/Infant
Death Review
Newborns Initiated
Breastfeeding(85%)
BarangayHealthGovernance
Functional
Barangay
Health
Governance
Body
(with
functionalCHT)
LocalPhilhealthAdministration
4-in-1
Accreditation
Sustainable Essential
Intrapartum and Newborn
Care Initiatives
Health Human
Resource Adequacy
in BHS
(1 Midwife: 1 Brgy;
with consideration to
GIDA)
(BHW to HH 1:20HH)
Sustainabl
e Infant
and Child
Care
Initiatives
Fully ImmunizedChild
(95%)
Regular IEC for
Enrolled
Indigent
(for Q1 and Q2)
Monthly
Updated Health
Data Board
Under-5 Malnutrition
PrevalenceRate
(Below 17.3%)
BHS HHR
Competency
(Basic BHW Training
Course and CHT
Training)
Accomplishment,
Utilizationand
Disseminationof
the DILG, DOH
LGU Scorecards
ReproductiveHealth
Sustainable Adolescent Reproductive
Health Initiatives
Reimbursemen
t Filing
(PCB, MCP, TB-
DOTS) Sustainabl
e Family
Planning
Initiatives
Provisionof FP
Commoditiesand Services
(RHU)
Implemented
and Integrated
Barangay
Health Plan
ContraceptivePrevalence
Rate (63%)
System for BHW
Recruitmentand
Retention
Mechanisms Creation of
Citizen’s Chrater
Ordinance and
System for
Claims
Disposition
and Utilization
Monitoring
Ratio of
Community-
Based
Pharmaccy
(1 BNB/CBP
catchment or 1
BNB per
barangay)
Unmet Needs
(50% under NHTS)
WaSH
Sanitary Toilets
(86%)
Ordnance and Timely
Provisionof BHW
Honorarium
Access to Safe Water
(87% of HH)

6. Community Health Partnership
Program
The Community Health Partnership
Program (CHPP) incorporates local
partnerships among Mayors,
Municipal Health Officers and Socio-
civic leaders who are collectively
called the “Municipal Health
Leaders.”
These leaders undergo training
modules to deepen their
understanding of health, initiate
health programs in their
communities, strengthen health-
related institutions and gather their
constituents’ support for health.

7. Community Health Partnership
Program
Benefits of the Partnership:
• Leadership and Management Training on Health for three participants
(municipal mayor, municipal health officer, and a community civic
leader)
• Opportunity to obtain community health partnership project support
• Exposure to various innovative programs and best practices on health
• Access to the foundation’s network of health partners
Selection criteria:
• Needs improvement in health outcomes as reflected by alarming health
indicators
• Presence of a Local Chief Executive (1st or 2nd term) and Local
Government Unit staff who are committed to participate and provide
community health development equity above and beyond those already
committed in their regular budget.

8. Capability Building Program
Intervention
Health Leaders for the Poor Training
As needed

9. Showing Results: Maternal Mortality Ratio
’08 ‘09 ‘10 ‘11 ‘12 ‘09 ‘10 ‘11 ‘12 ‘10 ‘11 ‘12 ‘11 ‘12 ‘11 ‘12
Cohort 1 Cohort 2 Cohort 3 Cohort 4 Cohort 5
MDG=52
9 municipalities 13 municipalities 8 municipalities 8 municipalities 8 municipalities

10. Critical Factors for Success
 Selection of LGUs and commitment of local health leaders
(Mayors and MHOs)
 Quality of Training Intervention
 Accountability for Deliverables during Practicum
 Presence: Monitoring and Coaching
 Incentives

11. CHPP Experience:
Municipality ofTungawan

12. Expanding our Reach:
DOH-ZFF Health Leadership and
Governance Program

13. Objectives of the Health Leadership and
Governance Program (HLGP)
Department of Health
1. Support and promote the leadership
and governance capability building
to complement the existing technical
expertise of DOH-CHDs in supporting
provincial and municipal health
leaders
2. Institutionalize national policies and
programs that support strengthening
the health leadership and
governance at the local level
The Program aims to create an immediate impact on achieving the health
MDGs by improving local health systems in the 609 priority municipalities.
Local Government
1. Develop the health leadership and
governance capabilities of local
chief executives needed for a
sustainable health system;
2. Improve health outcomes
3. Mobilize public-private
collaboration to facilitate sharing
of resources and replication of best
practices for sustainability

14. Program Components
Health Leadership and Governance Program Participants
Regions Health Leadership and
Management for the Poor
Program
(HLMP)
One-year, two-module
leadership program
(Six-months Practicum:
Coaching and Monitoring)
CHDs, PhilHealth Regional
Office, DSWD Regional Office,
DILG Regional Office, Regional
and Provincial Chief of hospital,
Academic Partner
Provinces Provincial Leadership and
Governance Program
(PLGP)
Three-year,
three-module program
(Six-months Practicum:
Coaching and Monitoring)
Governor and PHO
Municipalities Municipal Leadership and
Governance Program
(MLGP)
One-year, two-module
leadership program
(Six-months Practicum:
Coaching and Monitoring)
Mayor and MHO
Cities MLGP-Short Course on
Urban Health Equity
(MLGP-SCUHE)
One-year, two-module
leadership program
(Six-months Practicum:
Coaching and Monitoring)
City Mayors and City Health
Officers

15. HLGP Operational Framework
Z
F
F
Health Leadership &
Management for the Poor
(HLMP)
CHD “Core Team”:
Regional Directors, HRDU Head, LHAD Head, PHTLs
DOH Central Office
BLHD, HHRDB, NCDPC, HPDPB, NCHFD
DOH REPRESENTATIVES
Health Leadership &
Management for the Poor
(HLMP)
• Training of Trainers
• Training of Coaches
Academic
Institutions
Municipal Leadership &
Governance Program
(MLGP) training
Practicum
Provincial
Leadership &
Governance
Program (PLGP)
Better Health
Outcomes
Lower IMR/MMR
Lower malnutrition
rates
Lower incidence of
communicable &
non-communicable
diseases
Coach and Support
Coach
Coach
Support: technical,
financial,
logistical
feedback
feedback
Z
F
F
• Mayors
• Municipal Health
Officers
• Governors
• Provincial Health
Officers

16. Three-YearTimeframe
Three Waves:
• First Cluster: January 2013
(IV-A, IV-B, V, VIII, IX)
• Second Cluster: June2013
(CAR, I, XI, XII, XIII)
• Third Cluster: June 2013
(VI, VII , X, ARMM, NCR)
** ZFF has started training some
regions under the ZFF-UNFPA
partnership
Four Batches:
• First batch: October 2012
(9 Provinces under ZFF-UNFPA
partnership)
• Second batch: August 2013
(15 Provinces)
• Third batch: September 2013
(14 Provinces)
• Fourth batch: October 2013
(16 Provinces)
** ZFF has started training some
regions under the ZFF-UNFPA
partnership
2013
•First Batch: August 2013 (at least 100
municipalities from Cluster 1 and 2)
2014
•Second batch: February 2014 (200
municipalities: at least 40 from Cluster 3
and 160 from Cluster 1 and 2)
•Third batch: July 2014 (300 municipalities)
CITIES (MLGP-Short Course on Urban Health
Equity) from NCR and other Regions
•First batch: January 2014; 30 cities
•Second batch: January 2015; 30 cities
** Academic Partners will be trained to run
the MLGP

17. Critical Factors for the Success of the
Program
• Support from the DOH Top and Senior Leadership
• Selection and commitment of local chief executives
• Capability and competencies of the academic partners as
training institutions
• Capability and competencies of the DOH-CHDs as coaches
• Level of integration and institutionalization in the DOH CHDs
and academic partners
• Performance-based incentives

18. Health Leadership and Governance Program
Thank you.