Country’s Health Care

Delivery System
• The Philippines has a mixed public-private
healthcare system that operates within a
fragmented environment.
• The private sector caters to only about 30
percent of the population but is far larger than
the public system in terms of financial
resources and staff (Oxford Business Group,
2018).
• Both the national government and LGUs
manage the delivery of promotive, preventive,
curative and rehabilitative health services.
• The DOH supervises the government
corporate hospitals, specialty and regional
hospitals while the Department of National
Defense (DND) runs the military hospitals.
• At the local level, the provincial governments
manage district and provincial hospitals.
• municipal governments provide primary care
including preventive and promotive health
services and other public health programs
through the RHUs, which are the first point of
contact for government-provided health
services, (Dayrit, et al., 2018).
 Challenges and implications

• The archipelagic nature of the country, uneven

distribution of its population and the varying levels
of economic growth in the regions led to human
resource for health mal distribution.
• lackedover 2,500 RHUs or health centers and
more than 500 barangay health stations to serve
the population in 2016
 MISSION
VISION To lead the country in the
Filipinos are among the development of a
healthiest people in productive, resilient,
Southeast Asia by 2022, equitable and people-
and Asia by 2040 centered health system
Health Sector Reform Agenda (HSRA)
3 Strategic goals
 Strategic goals and targets

•In response to the challenges identified in

improving health outcomes and the health
system, the DOH pursues FOURmula One
Plus (F1 Plus) for Health, which aims to
provide Universal Health Care (UHC) for all
Filipinos in the medium to long term.
The Health System We Aspire for (VALUES)
Milestone during the last 30 years of Health
Sector Reform
National Health Plan

Paulyn Jean B. Ubial

Francisco Duque III

 Five Pillars
• Financing • Regulation • Governance

• Service Delivery • Performance Accountability

 Objective of Formula One Plus

General Objective
Sustainable investments for health
secured, efficiently used and equitably
allocated for improved health
outcomes
Objective of Formula One Plus
Specific Objective 1
More resources for health efficiently mobilized
and equitably distributed
Revenues from NHIP and innovative taxes.
Fiscal autonomy of government-owned health
facilities.
Government and private sector
complementation in health insurance coverage.
 Objective of Formula One Plus
Specific Objective 2
Health spending rationalized
Financing for population-based and individual-
based health interventions.
Consolidation of government funds for health into
a single pool.
Fixed co-payment for selected health packages.
Multi-year budget for priority health programs.
 Objective of Formula One Plus

Specific Objective 3
Financial resources focused towards high impact
interventions
Identification of priority health programs.
Link between financing of health services and
performance.
UHC Act in the Philippines:
a new dawn for health care
Universal Health Care (UHC) Bill
(Republic Act No. 11223)
 Health Devolution in the Philippines

• Republic Act (RA) 7160, or more commonly known as the

1991 Local Government Code (LGC),