The Department of Health (DOH) has begun implementing the health reforms under its Health Sector Reform Agenda (HSRA) in selected cities and provinces in the country.

The HSRA is the framework of the major strategies, organization and policy changes, and public investments to improve the countrys hospital systems, public health programs, local health systems, health regulatory systems and health financing systems.

Considering that the overall reform process which covers a comprehensive agenda such as the HSRA takes some time to be fully implemented at a national scale, the DOH set up so-called convergence sites. The convergence sites were chosen based on the strong interest of local executives and their level of commitment on health, particularly in establishing dynamic health systems. Their number was defined by the capacity of the DOH and PhilHealth to provide enabling resources.

The first batch of convergence sites are located in Pangasinan, Nueva Vizcaya, Bulacan, Pasay City, Capiz, Negros Oriental, South Cotabato, Misamis Occidental, Palawan, Southern Leyte, Agusan del Sur, Baguio City and Ifugao. In addition, sixty-four more convergence sites were identified.

The reforms being implemented in convergence sites cover various aspects of the five key areas identified in the HSRA. For instance, the hospitals in the convergence sites are now implementing programs to improve management systems and quality of services. They are also pursuing measures to increase and retain revenues they generate to augment their budgets.

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