Group Discussion Questions for Provincial/City LHA team

I.

PRODUCTION OF LHA
Premise: Province/City has produced or is in the process of producing the
2006 LHA as a result of the capacity-building activities by the DOH, in its
efforts to institutionalize LHA estimation (DOH AO 2009-2006)
If there has been any other LHA produced prior to 2006, ask the same
questions for these LHAs. Note that there may have been other activities
not explicitly called LHA but estimated the sources and uses of health
expenditures.
1. What is the current status of the
production of the 2006 LHA
estimates?
2. Are there any other LHA estimates
produced prior to the 2006 LHA
estimates? Has there been any
other effort to estimate the
sources and uses of health
expenditures in the province/city?
For 2006 LHA, and for other LHA
produced prior to 2006 LHA
3. What was the process in producing
the LHA? Who were involved and
how long did it take to produce?
What problems were encountered?
What resources were used and
how much did these cost?
For Who, consider DOH,
PhilHealth, Province,
Municipalities, etc.
For Costs, consider staff cost,

consultant cost, survey cost,

office cost, IT cost, travel cost,
training cost, dissemination
cost, other cost
Training on how to make LHA
estimates
Data Gathering

Production of LHA Tables

Analysis, Narrative Report,

Presentation Materials

Who:
How long:
Resources and Cost:
Problems Encountered:
Who:
How long:
Resources and Cost:
Problems Encountered:
Who:
How long:
Resources and Cost:
Problems Encountered:
Who:
How long:

Other steps taken

4. Are there any recommendations

for other parties (e.g. DOH,
PhilHealth) on the process of
producing the LHA?
5. Are there institutional mechanisms
are in place to update the LHA
annually? If so, what are there
mechanisms? If not, why not?
6. What are future plans for LHA
estimation?

II.

USING THE LHA

1. Has the 2006 LHA been
presented to:
- The local chief
executive?
- Other stakeholders?
Who?
2. If answer in #2 is yes, what
particular information was
contained? Were there
recommendations? What
recommendations were made?
3. What was the feedback?
4. What difficulties were
encountered prior. during, and
after the
presentation/dissemination?
What would you recommend
to prevent these difficulties in
the future?
5. How is LHA
presented/disseminated vis-vis the provinces planningbudgeting cycle?
6. Has any policy or decision
been made out of information
on
Who pays for health
care? What were paid

Resources and Cost:

Problems Encountered:
Who:
How long:
Resources and Cost:
Problems Encountered:

for?
Who are the sources of
fundings?
(This question is not limited to
2006 LHA.)
7. If answer in #6 is Yes,
a. What policy or decision
was that? (generation of
new resources,
reprioritization, improving
efficiency)
b. Who made the policy or
the decision?
c. Which particular
information was used to
generate the
policy/decision? Where did
the information come
from? How was the
information produced?
-

8. What are future plans in terms

of disseminating and using the
LHA results?