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1st International Activity for Health – Kobe University

STATE OF THE  PHILIPPINE HEALTH SYSTEM

Dr. Vachel Gay V. Paller and Renz L. Salumbre
Institute of Biological Sciences College of Arts and Sciences University of the Philippines Los Baños
August 29, 2009

Health Status

Population: 83, 558, 700
Life Expectancy: 70.5 years
Crude Birth Rate: 20. 5
Total Fertility Rate: 3.5
Crude Death Rate: 4.8
Infant Death Rate: 13.2
Maternal Death Rate: 1.1

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Leading Causes of Morbidity (2007)

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2
3
4
5
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7
8
9

Acute lower respiratory tract infection, pneumonia Acute watery diarrhea Bronchitis Hypertension Influenza Tuberculosis (respiratory) Diseases of the heart Dengue fever Malaria

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Chicken pox
Source: Department of Health, 2008

Source: Department of Health, 2008

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The Philippine Health System

•  Dual

System
Act 7160 and Local Government Code of 1991
of health services
of Health and Local Government Units

•  Republic

•  Devolution

•  Department

Tertiary
Secondary
Primary

National
Health Services
Regional and District Health Services
Rural Health Units and Barangay Health Station

s

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Issues and Challenges

•  Accessibility

and quality of health products, facilities and services (DOH, 2008)
and socioeconomic inequity

•  Geographic •  Three

General Issues (Ong, 2002)
Health Workforce

•  Decreasing •  High •  Low

cost of drugs
budget and priority for health

Health Workforce

•  1

physician for 880 patients
doctors left the country as nurses
doctors enrolled in nursing schools

•  3,500 •  4,000 •  1 •  1 •  1

nurse for 235 patients
dentist for 1,800 patients
pharmacist for 1,664 people

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Health Workforce

•  Massive •  Brain

and uncontrolled migration

drain and care drain
the grass is greener
to lack of health workers in the rural areas
are usually concentrated in the urban areas

•  Where •  Resulted

•  Specialists

High Cost of Drugs

•  Local

drug prices are more expensive than in Canada and other neighboring countries
is dominated by high-priced branded medicines
15-20% market share by generic medicines

•  Market •  Only •  Drug

distribution mainly depends on private sector
of drugs are sold by private pharmacies

•  85%

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Low Priority for Health

•  The

health sector is financed inadequately
of the GNP allocated for the health sector
commodity

•  3.0-3.4%

•  Non-visible •  Health

care financing mostly reserved for hospital-based services
enough financial backing for preventive and promotive health services

•  Not

Low Priority for Health

•  Low •  Low

investment in health research and development
social health insurance benefit spending
to identify the targeted community

•  Failure

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