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ItemConsistency of Community Health Team (CHT) Recording and Reporting Forms(Department of Health Philippines, 2013)Community Health Teams (CHT) Mobilization presumes to improve the health condition of Filipinos especially the poor. As it operationalize, recording and reporting forms are necessary to monitor their progress towards the attainment of the three strategic thrusts of Kalusugang Pangkalahatan (KP). However, CHT recording and reporting system is inefficient because of the diverse forms developed by other offices aside from the Department of Health-Central Office (DOH-CO). This resulted to difficulty in monitoring and evaluating the implementation of the CHT strategy. Analysis of these forms helps in streamlining, reframing, and improving the disorganized recording and reporting system of CHT. This study aimed to describe the consistency of the home visit and mobilization indicators of the CHT recording and reporting forms. Through descriptive analysis, indicators were cross-tabulated to determine similarities, differences, and inconsistencies between the recording and the reporting forms prescribed by DOH-CO and other offices. Recording and reporting forms of other offices added several important indicators both for CHT mobilization and home visits. Considering these indicators could help in evaluating the effectiveness of CHT in achieving the KP’s three strategic thrusts. However, inconsistencies between the recorded and reported indicators exist in the CHT system. Revision is very important to address the inconsistencies on the CHT forms. Consensus about the indicators needed by the different end-users to create forms aligned with legislative needs of the department. Detailed recording and reporting mechanism and guidelines shall be established to facilitate data retrieval from the CHT up to the regional level.
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ItemCommunity Health Team Deployment in Improving Access to Healthcare among Poor Households: Policy Analysis(Department of Health Philippines, 2014)What is the policy under analysis? Community Health Team Mobilization under Kalusugan Pangkalahatan is implemented to transform the health needs of the poor household to effective demands for health services. They aimed to navigate households which need maternal, newborn, child health and nutrition including family planning services to the nearest health facility. They are to inform these households of their PhilHealth enrolment and benefits. CHT mobilization sought to cover 5,268,631 NHTS-PR households and deploy 52,686 CHTs. What are the objectives of this policy analysis? This policy analysis aimed to evaluate the CHT deployment based on its goals and targets, to assess the issues and gaps of the CHT operations and to recommend policy actions to improve the functionality and performance of the CHT. What is the result of the policy evaluation? The 212,388 deployed CHT members visited 3.9 million households which is 74.1% from the 5.2 million target. From 3.9 million households profiled, 2.3 million or about 60% have at least 1 member given HUP; and 2.67million (68.34%) households were identified to be members of PhilHealth. Only 9 out of 17 regions have their complete reports. Information presented are still limited to assess the effectiveness of CHT program. Still, intermediate outcome, which is the clients who accessed services, is not yet establish to show the entire picture of CHT mobilization. There is a need for monitoring and evaluation system which not only examine the CHT implementation gaps and challenges but also the quality of data reported through the CHT process. What are the social issues identified in the implementation of the policy? Criteria for CHT recruitment was not established resulting to low capacity of the CHT to perform revisits and their reporting functions Inadequate funding support for CHT deployment lead to increase in CHT drop-outs and decrease in household coverage both in the local and national level Existence of several community health workers lead to multiple affiliations. They tend to be overburdened because each CHW program requires specific deliverables and reports monthly. What are the policy reforms recommended to address the issues identified? As a priority program for health, CHT mobilization needs a well-established monitoring and evaluation system to track its accomplishments towards its goals and objective. Reports derived from CHT process ought data quality check to ensure the quality and validity. Operations issues must be assessed regularly to improve the implementation of CHT deployment. Financial support is essential to sustain the implementation of a CHW program such as CHT deployment. The 70% decrease in national budget for CHT deployment indicates for other sources to support CHT mobilization in terms of providing the CHT with adequate amount of allowance during household visits. PhilHealth reimbursement is an avenue to outsource the funds to be provided to the CHTs.