| Dilemmas and Choices Featured
in this section are case studies written and contributed by public health managers
during a Health leadership and management program of the Zuellig foundation. What
became of this exercise is a publication entitled ‘Dilemmas and Choices: case
studies on Difficulties inherent in the Practice of good governance in Healthcare.’
These are actual scenarios culled from experiences of Municipal and City Health officers, middle managers
from both DOH Central and Regional offices; Chiefs of Regional Hospitals; Provincial Health officers;
Staff Medical officers, and Chiefs of Provincial and District hospitals.
These case studies document the huge discretion given to public health servants that is a result of devolution
in health care delivery. Through these case studies, misgovernance that ensues is documented and
unchecked practices in their units are exposed. As a guide on how to use these cases, several discussion
questions follow.
The goal of presenting these case studies is to equip good governance advocates with as many scenarios
they may encounter as they monitor how the Government Procurement Reform Law (RA 9184) is implemented
and as they check the quality and quantity of procured goods by the local health units.
Case no.14: I-witness
Our agency procures the supply of drugs and medicines for the city. Bulk bidding is conducted before we can purchase this supply.
Prior to the bulk bidding, the pre-requisite is the pre-bid conference. During this conference, all the members of the Bids and Awards Committee and the bidders and suppliers should be present. Pre-bid conferencing is important because this is were all issues, concerns, questions, clarifications and suggestions regarding the items for procurement are tackled. Read more... |
Case no. 23: To sign or not?
The procurement dilemma at the local level is so frustrating. Please pay particular attention to this: how health services are being adversely affected.
Requesting for medicines in our LGU is dependent upon the report of the General Services Office (GSO), since all our medicine stocks are there and no longer placed under our accountability. Read more... |
Case no. 25: Not the devil’s advocate
I am presently assigned to a fifth class municipality. Seventy percent of the land area is mountains, and only 30% are accessible to motor vehicle. It has a total population of 20,000 residents. The geographic terrain hinders residents from transporting their goods to nearby markets. During the rainy season, the roads become impassable.
The Rural Health Unit is the only health facility providing health care service. There are no private practitioners in the vicinity. Thus, both those who can afford and the indigent depend on the health facility for free medicine and laboratory services. Read more... |
Case no. 26: Doing my bit
In my office, these are the ways by which I try to practice good governance:
I make it a point to require my staff to write narrative reports on seminars attended, trainings conducted, and travels incurred, in addition to submitting the certificate of appearance and necessary documents, for payment of travel expense vouchers. Read more... |
Case no. 30: Being David vs. a Goliath
I am a member of the Bids and Awards Committee of our office. One year, we received a sub-allotment advice and its cash allocation together with the guidelines for the procurement of drugs and medicines for the congressional district of a particular congressman.
A pharmaceutical supplier approached me and asked me if I had already prepared a purchase request (PR) for particular supplies and medicines. Read more... |
Case no.39: Devolution boon or bane?
One of the perennial problems besetting devolved hospitals is the delayed delivery of drugs, medicines and other supplies. Year-in and year-out, we labor in instituting measures to fast-track and clean up the procurement process, but all our efforts end in dismal failure since the same problems crop up. Read more... |
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| Corruption has an impact on the economy. Using case studies, researchers are able to look into incidents of corruption, which provide an objective and useful strategic view of the relationship between corruption and development of the Philippines. |
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