The Health Leadership and Governance Program (HLGP) is a three-year joint program of the
DOH and ZFF that is designed to develop leadership and governance capabilities of local chief
executives and other local health leaders under the Aquino government’s Kalusugang
Pangkalahatan (Universal Health Care) Program.
  • HLGP will run from 2013 until 2016, and will cover 15 regions, 54 provinces, 549municipalities and 60 cities all over the country. These areas were selected from the 609 municipalities identified by the National Anti-Poverty Commission as priority municipalities for poverty reduction.
Patterned after ZFF’s Health Change Model, the HLGP shall employ a combination of technologies and approaches: (i) bridging leadership for health leaders; (ii) health systems
approach or technical roadmap using WHO’s six building blocks of a local health system development; (iii) strengthening community health teams and local health boards towards improving health governance, health seeking behavior and service delivery at the community level; and, (iv) results management that measures performance in terms of outputs, outcomes
and impact based on a logical program framework. The HLGP shall have three program components:
A. Component 1: Leadership and Governance Capability Building
The HLGP shall be implementing packages of leadership and governance capability building interventions for local chief executives and other municipal health leaders, governors and other provincial health leaders, and health professionals from the DOH Regional Offices (ROs) and Regional offices of PhilHealth and other government agencies like the DSWD and DepEd. These programs are:
  1. Municipal Leadership and Governance Program (MLGP)
  2. Provincial Health Leadership and Governance Program (PLGP)
  3. Health Leadership and Management for the Poor (HLMP)
MLGP is a one-year leadership program for mayors and municipal health officers, which is supplemented by coaching and mentoring sessions from the DOH–RO during the practicum. Participants are expected to improve their municipal health indicators as course deliverables, which includes engaging other local stakeholders such as the municipal health board. Module themes include grounding and visioning, enhancing adaptive leadership capacity, and developing transformative leadership. The LCE and his/her health leadership team are expected to deliver specific outputs and outcomes during the practicum through the application of knowledge and
skills gained in the modular training activities.
Coaching shall be provided during the practicum with extended technical support and occasional coaching after the first year of training until end of the HLGP in 2016.
PLGP is a three-year program designed to enhance leadership and governance capabilities of Governors and Provincial Health Officers. Specifically, it aims to develop a health systems approach to thinking, decision-making and collaborative action among provincial leaders that are responsive to public health care needs such that they will not be concerned only with provincial hospitals and other health facilities but also with the
capabilities and performance of rural health units at the municipal level. It essentially employs the modules used in the MLGP, primarily enhancing adaptive leadership capacity and developing transformative leadership. The Provincial Governor and his/her health leadership team are expected to deliver specific outputs and outcomes during the practicum, which immediately follows each module. Senior public health experts, including former DOH secretaries, provide coaching during the practicum.
HLMP is a one-year, two-module leadership and management program that intends to enhance the leadership and technical capacities of DOH-RO personnel to effectively and efficiently implement the HLGP and provide support to provincial and municipal health leaders.
The Provincial Health Team Leaders as well as DOH Representatives are expected to provide technical and leadership coaching for local chief executives and their teams, playing a critical role in helping them attain better health outcomes. HLMP also aims to strengthen and support the Regional Implementation and Coordination Team (RICT), which is composed of the DOH-RO, PhilHealth, the Department of the Interior and Local
Government (DILG), and the Department of Social Welfare and Development (DSWD) in the implementation of health reforms in the regions.
DOH Regional Office
Regional Director
Chief of Local Health Systems Development
Chief of Human Resources Development Unit
Public Health Program Officers
Provincial Health Team Leaders
DOH Representatives
Regional Vice President
Local Health Insurance Officer
Department of Social Welfare and
Regional Director
Department of Interior and Local
Regional Director
Regional Hospital (DOH Retained)
Chief of Hospital
Provincial Local Government Unit
Provincial Health Officer
Chief of Hospital
Academic Partner
Department Chair
Assigned Faculty Members
The HLMP will have the following modules:
Module 1: Training on basic concepts of the Health Change Model with Bridging Leadership as the platform for leadership development
Module 2: Deepening the leadership and adaptive competencies required to address gaps that account for the non-accomplishment of deliverables; training on coaching and mentoring immediately follow to prepare the Fellows for their roles as coaches and mentors of municipal leaders
Practicum: Fellows undergo a six-month practicum after each module and are expected to deliver specific outputs and outcomes.
B. Component 2: Local Health System Development
The Local Health System Development component of the project entails interventions that are anchored on the six building blocks of local health systems development customized to fit the context of the municipalities. In the LGU roadmap, the core technical deliverables are anchored on DOH programs such as financing (PhilHealth enrolment, accreditation of facilities, among others), Health Facility Enhancement Program, and the mobilization of Community Health Teams, among others. The adaptive leadership component intends to motivate mayors and MHOs to strengthen their local
health systems based on their analysis of health information, ownership of health issues,and commitment to resolve issues pertaining to governance, financing, access to health facilities, information and medicines, and effectiveness of programs and service delivery.
1. Health Facility Enhancement Program
Improvements in local health infrastructure and facilities receive financial support from program implementing partners. These may include construction of barangay health stations and water systems, acquisition of medical equipment, transportation and other facilities that support the efficient delivery of quality health services.
2. Health Information Systems Improvement
Technical and financial assistance such as training and orientation of LGU personnel on health data collection and analysis, provision of software and hardware, and internet connection through partnerships with service providers are extended to partner municipalities. Improvements in the health information system allows for the collection of accurate and organized data, which may be used for health policy research, planning, and decision-making.
C. Component 3: Community Participation and Health-Seeking Behavior
This component is aimed at developing technical and leadership capabilities of public health professionals, health volunteers and community residents.
1. Barangay Health Leadership and Management Workshops (BHLMW)
The BHLMW is a leadership training program for members of the Community Health Teams and other public health professionals working at the community level, such as Public Health Nurses and Rural Health Midwives, as well as barangay leaders, and health workers and volunteers. It aims to provide the knowledge and skills necessary for the delivery of quality health services at the community level. It also includes technical
modules on Integrated Management of Childhood Illnesses (IMCI), Maternal, Newborn,Childcare, and Nutrition (MNCHAN), among others.
2. Multi-Stakeholder Activities
Community participation and improved health-seeking behavior is promoted through theconduct of multi-stakeholder activities and consultations involving multi-sectoral partners. Financial and technical assistance are provided for organizing events such as the Buntis Congress, Community Health Summit, Technical Working Group Workshops, and
Barangay Assemblies, among others.
  1. To assist the Regional Offices in setting up the structure, management processes and competent personnel to effectively implement the HLGP in the region;
  2.  To facilitate institutional arrangements between DOH-ROs and ZFF’s academic partners for the implementation of the municipal leadership and governance capability building program;
  3.  To install leadership training and coaching system at the DOH-ROs and coach the RD and HLGP core team in utilizing them under the HLGP;
  4.  To implement a quality assurance program to protect ZFF’s brand and quality of leadership capability build programs as requested by the DOH-ROs; and
  5.  To advise DOH on adjustments or revisions in policies, systems and implementation processes to make them more responsive to the demands of DOH-ROs and LGUs emerging from the implementation of the HLGP. These may include:
  • Competency-based training and performance management system (HHRDB)
  • Health facility enhancement program (NCHFD)
  • Training and mobilization of Community Health Teams (NCDPC)
  • Results-based monitoring and evaluation system for HLGP (BLHD)