Building the Future Health Workforce and

Workforce Planning and Policymaking

Philippine Experience

Dr. Ruth Politico

18 November 2018
10th AAAH Workshop (Side Session)
“There is no health without health workers”

• Number (Quantity)
• Competence (Quality)
• Skill Mix
• Work
At all levels of the
• Working Conditions
health care system • Compensation
• Placement (Distribution)
 PRODUCTION STOCK WORKFORCE

MIDWIFERY
MEDICAL
NURSING NURSES
PHYSICIANS
MIDWIVES
SCHOOLS
SCHOOLS
16
10Public
Public
90,308
40,775
43,044
112 Public
77
41Private
Private
470 Private

Source: National Database on Human Resources for Health Information System (NDHRHIS) as of December
2017, Field Health Services Information System (FHSIS) as of 2016, and DOH Deployment Program
Source: Philippine Commission on Higher Education, 205-2016 Source: Philippine Regulation Commission, 2018 Database as of December 2017.
Health Human Resource Development Bureau
Department of Health Philippines

Ensuring quality health professional education

• Shift to outcomes based education

• Issuance of PSGs and conducts M&E visits for compliance
• Monitoring of institutional performance in licensure exams
• Monitoring of status in recognized QA system
Health Human Resource Development Bureau
Department of Health Philippines

DOH Scholarship and Deployment Program for HRH

Production Current DOH Distribution
(DOH Scholarships) HRH Pool (HRH Deployment)

26,120 CAR
987
346 255
Doctors Pharmacists I: Ilocos II: Cagayan Valley
1,197 1,514

866
1,114
Medicine 16,211
UHC III: Central Luzon
IVA: CALABARZON
1,999
Nurses 1,305
Scholars Implementers NCR V: Bicol
862 2,529

566 VIII: Eastern

4,653 IVB: MIMAROPA Visayas
Medical
875 Midwives
Technologists
733 2,442

Midwifery VI: Western

Visayas
1,380
VII: Central

Scholars Visayas
2,205
CARAGA
1,371
243 111
X: Northern Mindanao
Dentists Nutritionists 1,779
IX: Zamboanga
1,519 XI: Davao
1,115

2,514
Public Health
ARMM XII: SOCCSKSARGEN
Associates 1,537 1,646
Health Human Resource Development Bureau
Department of Health Philippines

Production Distribution Governance

Health Labor Market Analysis (HLMA)
National Health Workforce Account (NHWA)
• Policy for mandatory • Workforce Indicators for • Institutional capacity
return service Staffing Needs (WISN) building initiatives
SERVICE
Agreement
GOVERNANCE for HRH •
REGULATION Revised policies on equitable
DELIVERY
• Integrated in-service distribution of HRH • Succession Planning for
training system • Development of HRIS HRH
• Workforce projection (integrated HRD information
system, eLearning platform, • Productivity Assessment
etc) Tools for HRH
• Redesign financing policies for
health workforce
Health Human Resource Development Bureau
Department of Health Philippines

Improving health workforce planning

Priority Program/Project General Objective
1. National Health Workforce • Standardize the health workforce
Philippines Joint Mission

Accounts information architecture and

WHO and HRH2030

interoperability to track HRH policy

2. Workload Indicators Staffing
Need
3. Health Labor Market Analysis
4. Information Systems for HR Management
(Sectoral)
performance towards UHC
• Determine the required number of HRH in
SDNs using time and motion studies
• Determine labor market dynamics to
optimize and align HRH investments
• Integrated Database System for HRH (links inter-
agency databases with other databases in HHRDB)

22s
Health Human Resource Development Bureau
Department of Health Philippines

Policy directions
• Pre-service education
- Raising of standards on student selection and admission
- Selective moratorium on new MD programs in NCR and regions with 3 or more medical
schools.
- Promote establishment of MD program in regions without medical schools.
- Imposing sanctions on poorly performing schools
- Monitoring visits and mandatory external accreditation of schools

• Updating of professional acts

• Define specialty practice and develop mechanisms for government recognition of training
programs, certifying boards, QA system
• Implementing return service policy for graduates health professional programs in government
universities and colleges (incorporated in the UHC Bill)
Health Human Resource Development Bureau
Department of Health Philippines

Thank you.