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Family Planning in the Face of Decentralization. Ma. Paz G. de Sagun OPHN/USAID/Manila. Performance Based Grants to LGUs. Features of the MGP Same as LPP, but implemented in large municipalities and cities Requires counterpart funding from the LGU. Features of the LPP
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Family Planning in the Face of Decentralization Ma. Paz G. de Sagun OPHN/USAID/Manila
Performance Based Grants to LGUs Features of the MGP • Same as LPP, but implemented in large municipalities and cities • Requires counterpart funding from the LGU Features of the LPP • Empowers LGUs to identify and solve problems in population, family planning and maternal and child health, set policies and standards of services, and provide counterpart funds and technical assistance • Relies on local chief executives – governors and city/municipal mayors – for overall project implementation • Offers financial and technical assistance to LGUs to augment local resources for health and improve their managerial capability • Serves as integrating mechanism for other training assistance, supply of FP commodities and medicines, IEC, voluntary surgical contraception, monitoring and research • Operates on a performance-based scheme • Implemented through a Memorandum of Agreement between the DOH and participating LGUs
Municipal Advocacy Teams – Mayor, Councilors, NGOs Provincial Advocacy Networks – NGOs and civil society organizations, particularly those from the academe, media, church, women’s organizations, human rights groups, youth groups, grassroots community organizations • Budget line item for population, FP and RH in Municipal Development Plans and Budgets • Legislation creating Municipal Advocacy Team • Legislation creating Population Officer position in the municipality
Establishment of inter-local health zones • Enrolment in the National Health Insurance Program • Introducing corporate practices in hospitals • User fees • Revenue retention • Upgrading hospital and rural health units for certification and accreditation