GUIMARASHEALTHINSURANCEPROJECT(GHIP)

SUMMARY:
Inaccessible, inefficient and inadequate health services are harsh realities that
continue to confront our people, particularly the poor segment of the population.
Realizing this, the government, which has the primary task of financing and
delivering health services to the people, reviewed and studied current financing
schemes to be more efficient and generate more revenue for health care.

Trying different approaches and strategies, the government has come up with the
Medicare I Program a compulsory health insurance scheme which was
implemented in 1972 under the Philippine Medical Care Commission (PMCC),
now Philippine Health Insurance Corporation (PHIC), popularly known as
PhilHealth. Its coverage included the formal salaried-sector and their
dependents. The non-formal sector was being left out.

To fill in the gap, a parallel program was conceptualized which was called the
Medicare II. This program was implemented in pilot provinces to test its viability
and one of the chosen sites was the Province of Guimaras, thus the birth of the
Guimaras Health Insurance Project (GHIP).

PROJECT DESCRIPTION OR PROJECT RATIONALE AND OBJECTIVES

GHIP was implemented in the province with the hope of providing adequate,
affordable and accessible medical health services to the low-income
Guimarasnons. This project, being an integral part of the health delivery system
(curative aspect) is consistent with the Provinces economic and social
development thrust.

To support this project, cost-sharing scheme in the payment system for annual
contribution of Php 150.00 was established. The 85-65 sharing (85 by the
members, 25 by the municipality and 40 by the province) was adopted. This
program was able to give the population benefits and security in terms of medical
intervention/hospitalization. Strengthening the project through various activities
like intensified information campaign, orientation and networking with other line
agencies are being planned to support the future plans and directions of the
project.

This project aims to recruit and renew a total of 20,000 members by the end of
2010 and full support and commitment of the LGUs and NGOs in the recruitment
and membership renewal drives are needed.
 For technical support, the project established working relationship with GTZ,
through them, the MIS was installed and upgraded both hardware and software.
Data encoding for membership, premium payment and claims are being updated.

This project was able to receive technical and equipment assistance from
SHINE-GTZ (MIS software, Iomega Zip Driver and disks, 1 UPS) and ICHSP
(Laser Printer). Likewise, documentation and other office equipment were
procured through the utilization of Galing Pook Awards prize.

Since the conversion of the hospital into an economic enterprise, a Project

Management Office (PMO) was created to strengthen the GHIP in terms of its
manpower component to assure the continuity and sustainability of the project.
There is also a need for a continuous advocacy, information dissemination and
recruitment and renewal of membership in order to increase its membership.

PROJECT HISTORY

1972MedicareIProgramwasimplementedunderthePMCC(nowPhil
Health)
1976MedicareIIpilotedinNuevaValencia
1992MedicareIIreplicatedprovincewideandstartedwithseedcapital
ofP50,000.00
1993Projectlaunching;CreationofGHIPCouncil;SigningofMOA
betweentheProvinceofGuimaras&PMCC
1994InstallationofMISatGHIP
1995Increaseinthebenefitpackagefromamin.Of400.00to600.00&
max.of900.00to1,500.00
1996AcquiredassistancefromSHINEGTZ;Mun.ofSanLorenzo&
Sibunagautomaticallyparticipatedintheproject
1997WonGalingPookAwardssponsoredbyAIM
1998SavetheChildrenparticipated&financedPhp60.00ofmembers
share
1999IdentifiedfortechnicalassistancebyICHSP
2000ImprovementandupgradingofGHIP
2001MOUwassignedontheincreasepremium/benefitsofGHIP
2002GTZSHIconductedsurveyonthepossibilityofIntroducingthe
RaffleSchemeinGuimaras&theInstituteofPublicHealth
ManagementofUPconductedabaselinestudyonSocialHealth
Reinsurance
2003PSWDOfinancedmembersshareofPhp85.00forindigents
 2004IntensifiedGHIPcampaign
2005SeveralBrgys.SubsidizedformembershipCreationofProject
ManagementOfficeIntroductionandimplementationof 2in1
HealthPackageinMun.OfBuenavista
2006Proposed3in1packagebythemunicipalityofJordan.(Philhealth,
GHIPandRedCross);ProposedtheIssuanceofIds;Maximizationof
BenefitstoMembers
2007Implementationofthe3in1PackageinJordanandNuevaValencia;
IssuanceofIdsinJordanandNuevaValencia.
2008ImplementationofNoGHIPnoPhilheathintheMun.of
Buenavista.Purchaseof1unitIsuzuDmax.
2009ContinuoussupportofMayorsandBrgy.Captainsthrough
Subsidizing.ConstitutingtheGHIPBOD.RevisedManualOperations.
2010Increasingofmembershipstatusforupto20,000members
ConsultationmeetingandtrainingofILHZinPalawan

PROJECTRESULTS

At present, we still have the same objective. We have added several

strategieslikethehousetohousecampaigninthebarangaystobeableto
reach out people who cannot afford to come to their
municipalities/provincetopaytheirpremiumsduetolimited
Resources and look for sponsors to those who cannot afford to pay their
premiums.

Tapped multistakeholders groups of local Goverment Units, Government
Agencies, NGOs and community health workers to conduct information
dissemination,recruitment,collectionandotherrelatedactivities.

As of December 2010 we have a total of 21,127 active members
representing77%oftotalhouseholdsandatotalof2,845,409.03medicare
communityhealthfund.

KEYIMPLEMENTATIONSTEPS

Mainoutput Whoare Timeframe Budget/Other Lessons

Involved Required Resources Learned
needed
(1,800,000.00)
Step1 HiringofGHIPstaff Provl/Mun. Januaryto
LGU December
2010
Step2 Designationofprogram LocalChief 1stquarter
Coordinator Executive

Step3 Recruitmentof Municipal Januaryto

membership clerks,CVHWs, December
Marketers, 2010
Brgy.Official
Step4 Provisionsofincentives ProvlGHIP/ Januaryto
LGU December
2010
Step5 Reimbursementof ProvlGHIP Januaryto
incurredmedical office December
expenses 2010
Step6 Issuanceofreminders Mun,/provl Januaryto
toexpiredmembership office December
2010
Step7 Provisionof Provl/mun. Januaryto
provl/mun. LGU December
counterpart 2010

Step8 Information Brgy.Official, Januaryto

Dissemination CVHWs, December
Mun./Provl 2010
GHIPstaff
Step9 Orientationto GHIPstaff Januaryto
marketers/ December
Stakeholders 2010
Step10 Housetohouse GHIPstaff Januaryto
campaign December
2010
Step11 Production/ GHIPstaff Januaryto
distributionofinfo December
materials 2010
Step11 Attendanceto GHIPstaff Januaryto
conferencesmeeting, December
trainingsasrequired 2010
perinvitation
Step12 Coordination& GHIPstaff Januaryto
collaborationw/LGUs, December
NGOs/Pos&otherline 2010
agencies
Step13 Repair/upgradingand GHIP Januaryto
maintenanceofMIS December
2010
Step14 Recording&reporting, GHIP Januaryto
documentation& December
communication 2010
Step15 ConductofGHIP GHIP Januaryto
meetings December
2010
Step16 Monitoring GHIP Every
Quarter
Step17 Procurementofoffice GHIP Januaryto
supplies December
2010
Step18 TranspoExpenses/fuels GHIP Januaryto
Repair/maintenanceof December
vehicle 2010

ANALYSISANDLESSONSLEARNED

1. EffectiveServiceDelivery

Contributedtothecomprehensivehealthserviceprogramoftheprovince
by enhancing medical coverage for the low income households, mostly
farmersandfisherfolks.

Mobilizedlocalhumanresourcesatthebarangay,municipalandprovincial
levels to implement the recruitment, conduct information dissemination
and provide medical care services through barangay health workers,
barangaynutritionscholarsandkeycommunityleaders.


2. PositiveSocioEconomicImpact

Derivedsavingsbymembersthroughlocallowcostmedicalcareservices.
Developed a feeling of security among members especially in time of
hospitalization.

3. Peopleempowerment

TheGHIPisanchoredontheconceptofpartnershipamongLGU,NGOsand
NGAsindeliveringbasichealthservices.

Active participation of municipalities, barangay officials and community
healthvolunteersinrecruitment,renewalandinformationdissemination.

An NGO is adequately represented in the GHIP coordinating council, the
programspolicymakingbody.TheNGOwithacomprehensivenetworkof
peoples organizations all over the province is adequately represented in
theprogramplanning,implementationandevaluation.

4. Replicability

GHIPcanbeeasilyreplicatedconsideringthefollowing:

GHIPisacomponentofthecomprehensivehealthprogramwith
following major componentspreventive/promotive health,
curativeandrehabilitativehealthservices.

Theprogramrequiresminimalresourcestostartwith.Whenthe
program started in 1993, the initial seed capital was only
P50,000.00fromthe3municipalitiesandprovincialgovernment.

Costsharingschemeformembersisaffordable(P85.00fromthe
members,P25.00fromthemunicipalityand40fromtheprovince)
as it takes into account the socioeconomic conditions of the
Guimarasnons.

 GHIP requires simple multistakeholder and participatory project
managementstructureandoperatingsystems.

5. Sustainability

Since the program beneficiaries are low income members, mostly fisher
folks and farmers, GHIP is partly dependent on the resources of the local
governmentunit.

The continuity of the GHIP is supported by a multistakeholders group as
shown by the Memorandum of Agreement among participating
government agencies (Philippine Medical Care Commission and the LGUs
ofGuimaras)

6. CreativeuseofPowersprovidedbythelocalGovernmentCode

ThelocalGovernmentCodeprovidesthelegalbasisfortheimplementation
ofGHIP.TheCodeexpresslygrantedpowersnecessaryfortheefficientand
effective governance and essential for the promotion of the general
welfare.

The participation of the nongovernment organizations in the GHIP serves

asthelegalbasisforthepartnershipactivitiesoftheNGOsandtheLGUin
theGHIP.Insection34to36underArticle3,Chapter3,Book1,thecode
definestherelationshipsoftheLGUsandnongovernmentorganizations.

7. FutureDirection

WiththesuccesswehaveinGuimarasprovince,wearecertainthatinthe
coming years, with the Guimaras Health Insurance Project, the
Guimarasnonswillbecome:

SelfReliantandempowered
Managersoftheirownhealth

 The Guimaras experience in the implementation of the health insurance

projectisarealizationthatanaffordable,accessibleandadequatemedical
careisattainablebythepoorFilipinos.


LocalChiefExecutive ProjectManager

Name FelipeHilanA.NavaM.D. HarlandStuartG.Sollesta

Designation Governor ProjectManager
Department GovernorsOffice GovernorsOffice
Address ProvlCapitol,SanMiguel,Jordan SanMiguel,Jordan
Phone (Include 0335813349/0332371111 0332371472
areacode)
Fax (Include 0335813349/0332371111
areacode)
Email Guimarasmangoes@yahoo.com harlandstuart@yahoo.com