CHD Scorecard

Action Points for the CHD Scorecard

Name of Office: Bureau of Local Health Development

Red Color (FAIR) - It implies relative weakness and the need for improvement.
Yellow Color (GOOD) - It implies comparatively good performance that must be
maintained and optimized to reach 2010 goals.
Green Color (EXCELLENT) - It merits sustenance & incentives for additional work it
can do to the health system.

Background of the CHD Scorecard

Name of Office: Bureau of Local Health Development

The Center for Health Development (CHD) Scorecard is an instrument of

Health Sector Reform Agenda implementations that monitor and evaluate the
effectiveness and equity (ME3) of the health system. The CHD Scorecard is used by
the department to measure the performance of all CHDs in terms of institution
capacity building (structures, processes and personnel) and in providing assistance
to the LGUs (public, private health providers and agencies), the province-wide and
the regional health system.

Pursuant to Administrative Order No. 2009-0007, otherwise known as

Implementing Guidelines for the CHD Scorecard, all CHDs shall conduct a self
assessment of their performance annually and submit the individual scorecard result
to the Field Implementation Management Office. The 2008 CHD scorecard report has
been disseminated in December 2009 during the ME3 conference. However, validation
of the CHD self-assessment result was requested by the CHD Directors.

This year, another consultative meeting among the CHD technical staff
has been conducted. During the consultative meeting it has been agreed that the
indicator on consumer arbitration (300 points) shall be omitted, hence leaving
the 2008 national average to a total score of 916 points whereas the 2010 target
will be 1,308 points.

Subsequently, Department Memorandum No. 2010-0125 has been issued to

respond to the need for validation of the CHD self-assessment results. The
memorandum also includes the Means of Verification (MOV) used in the validation of
the 2009 CHD Scorecard Assessment Results. Ten (10) indicators were randomly
selected out of the seventeen (17) indicators of the CHD Scorecard Assessment Tool.

Objectives of the CHD Scorecard

Name of Office: Bureau of Local Health Development

To assess performance of CHD as extension offices of the DOH.

To assess effectiveness of CHD in supporting implementation of LGU-led health
system reform implementation.

What are the two major areas of assessment in the CHD Scorecard?

Name of Office: Bureau of Local Health Development

Institution and Capacity Building
Building up institutional CHD structures, processes & personnel.
Database, HRD, Advocacy, M& E, Licensing, Arbitration.
Effective Technical Assistance
Providing Technical Assistance to PWHS.
Technical Assistance, Leveraging Performance & Management Systems.

What does each area of assessment mean?

Institution and capacity building

Database
This section reviews if the CHD has an efficient database on the performance of
province-wide health systems (PWHS) in the region that helps the CHD provide
effective assistance on SERVICE DELIVERY to PWHS.
Personnel Training
This section reviews the adequacy of CHD personnel training.
Policy Dissemination and Advocacy
This section reviews if the CHD effectively advocates F1 policies to all relevant
stakeholders. This will check if the CHDs have policies/standards and protocols for
policy dissemination and advocacy within the region. Further, this will determine
whether the policy dissemination and advocacy has been done for F1 and specific F1
policies of PPAs.
Monitoring and Evaluation
Reviews if the CHD has an effective and systematic monitoring and evaluation system
that helps the CHDs (and local health systems) detect operational problems that the
CHD needs to address.
Technical Assistance to LGUs and Regional Health System
Technical Assistance
Reviews the performance of the CHDs in providing technical assistance to local
health systems.
Leveraging Performance
Reviews the effectivity of CHD systems in improving performance of local health
systems with augmentation logistics, grants and other resources for the poor and
other populations in the region.
Management Systems
Reviews structures set up by the CHD to build institutional capacity for technical
assistance to PWHS.

What is the CHD Scorecard?

Name of Office: Bureau of Local Health Development

It is a part of the Monitoring and Evaluation for Equity and Effectiveness System
(ME3). It is a tool that will assess the performance of the Centers for Health
Development on the execution of the DOH steering and leading function to support an
LGU-led health system reform implementation.

What is the scoring system of the CHD Scorecard?

Name of Office: Bureau of Local Health Development

Scoring and assessment of performance will be based on external and internal

performance benchmarks
External Performance Benchmarksshall compare the CHD performance to the 2010
national target, and to the 2008 national average. The maximum score to be
accumulated by the respective CHDs is 1,308 points (refer to Table 1 for the
details of the score).
Internal Performance Benchmarksshall compare CHD performance with its own past
performance.
2. Scorecards will utilize color coding scheme to show different levels of
performance that is easily understood by clients:

Color (FAIR) The color will be used to tag CHD performance that is lower than the
2008 national average level for a specific indicator. The color implies relative
weakness in performance and the need for substantial efforts at improvement;
Yellow Color(GOOD) The color will be used to tag CHD performance that is equal to
or higher than the 2008 national average but lower than the 2010 national target
for a specific indicator. The color implies comparatively good performance that
must be maintained and optimized to reach 2010 goals.
Green Color (EXCELLENT) The color will be used to tag CHD performance that is
equal to or higher than the 2010 national target for a specific indicator. The
color implies comparatively excellent performance that merits sustenance, or
incentives for additional work it can do for the health system.