PHILIPPINE HEALTH AGENDA 2016-2022

Healthy Philippines 2022

GOALS

The Health System We Aspire For

FINANCIAL BETTER HEALTH

RESPONSIVENESS
PROTECTION OUTCOMES
Filipinos, especially the Filipinos attain the Filipinos feel
poor, marginalized, and best possible health respected, valued, and
vulnerable are outcomes with no empowered in all of
protected from high
disparity their interaction with
cost of health care
the health system
2
VALUES

The Health System We Aspire For

EQUITABLE & INCLUSIVE TRANSPARENT &

TO ALL ACCOUNTABLE

USES RESOURCES PROVIDES HIGH

EFFICIENTLY QUALITY SERVICES
3
 During the last 30 years of Health Sector Reform, we have
undertaken key structural reforms and continuously built on
programs that take us a step closer to our aspiration.

Milestones

Devolution Use of Generics Milk Code PhilHealth (1995)

DOH resources to Fiscal autonomy Good Governance Funding

promote local for government Programs for UHC
health system hospitals (ISO, IMC, PGS)
development
 Persistent Inequities in Health Outcomes

2000
Every year, around A Filipino child born to the Three out of 10
2000 mothers die due poorest family is 3 times children are
to pregnancy-related more likely to not reach his stunted.
complications. 5th birthday, compared to
one born to the richest
family.
5
 Restrictive and Impoverishing Healthcare Costs

Tiisin ko na
lang ito..

Every year, 1.5 million Filipinos forego or delay Php 4,000/month

families are pushed to care due to prohibitive healthcare expenses
poverty due to health and unpredictable user considered
care expenditures fees or co-payments catastrophic for single
income families
6
 Poor quality and undignified care synonymous
with public clinics and hospitals

Limited autonomy Less than hygienic restrooms,

Long wait times to choose provider lacking amenities

Privacy and confidentiality Poor record-keeping Overcrowding &

taken lightly under-provision of care
7
 Lahat Para sa Kalusugan!
Tungo sa Kalusugan Para sa Lahat
 • UNIVERSAL HEALTH
COVERAGE

• STRENGTHEN
IMPLEMENTATION OF
RPRH LAW

Investing in People • WAR AGAINST

DRUGS

• ADDITIONAL
Protection Against FUNDS FROM
Instability PAGCOR
 ATTAIN HEALTH-RELATED SDG TARGETS
Financial Risk Protection | Better Health Outcomes | Responsiveness
Goals:)Attain)Health1Related)SDG)Targets
Financial)Risk)Protection,)Better)Health)Outcomes,)Responsiveness
Values: Equity, Quality, Efficiency, Transparency, Accountability, Sustainability, Resilience
Values:)Equity,)Efficiency,)Quality,)Transparency

SERVICE)DELIVERY)
NETWORK

3 Guarantees ALL)LIFE)STAGES)&)
TRIPLE)BURDEN)OF)
DISEASE

UNIVERSAL)
HEALTH)
INSURANCE

A C H I E V E
 GUARANTEE #1

ALL LIFE STAGES &

TRIPLE BURDEN OF DISEASE
Services for Both the Well & the Sick
Guarantee 1: All Life Stages & Triple Burden of Disease
Pregnant Newborn Infant Child Adolescent Adults Elderly

First 1000 days | Reproductive and sexual health | maternal, newborn,

and child health | exclusive breastfeeding | food & micronutrient
supplementation | Immunization | Adolescent health | Geriatric Health
| Health screening, promotion & information

NON-
DISEASES OF RAPID
COMMUNICABLE COMMUNICABLE
URBANIZATION &
DISEASES DISEASES & INDUSTRIALIZATION
MALNUTRITION
12
Guarantee 1: All Life Stages & Triple Burden of Disease

NON-
DISEASES OF RAPID
COMMUNICABLE COMMUNICABLE
URBANIZATION &
DISEASES DISEASES & INDUSTRIALIZATION
MALNUTRITION

• HIV/AIDS, TB, Malaria • Cancer, Diabetes, Heart • Injuries

• Diseases for Elimination Disease and their Risk • Substance abuse
• Dengue, Lepto, Factors – obesity, • Mental Illness
Ebola, Zika smoking, diet, • Pandemics, Travel Medicine
sedentary lifestyle • Health consequences of
• Malnutrition climate change / disaster

13
 GUARANTEE #2

SERVICE DELIVERY NETWORK

Functional Network of Health Facilities
Guarantee 2: Services are delivered
by networks that are
FULLY FUNCTIONAL
(Complete Equipment, PRACTICING
Medicines, Health GATEKEEPING
Professional)

COMPLIANT WITH LOCATED CLOSE

CLINICAL PRACTICE TO THE PEOPLE
(Mobile Clinic or Subsidize
GUIDELINES Transportation Cost)

AVAILABLE 24/7 &

ENHANCED BY
EVEN DURING
TELEMEDICINE
DISASTERS
15
 GUARANTEE #3

UNIVERSAL
HEALTH INSURANCE
Financial Freedom when Accessing Services
Guarantee 3: Services are financed predominantly by PhilHealth

• 100%(of(Filipinos are)members
PHILHEALTH)AS)THE)
• Formal(sector premium)paid)through payroll)
GATEWAY)TO)FREE)
• Non4formal)sector)premium)paid)through)tax(
AFFORDABLE)CARE
subsidy

SIMPLIFY •No(balance(billing(for)the)poor/basic)
PHILHEALTH accommodation)&)Fixed(co4payment
RULES) for)non1basic)accommodation

PHILHEALTH)AS)MAIN) • Expand(benefits(to)cover)comprehensive
REVENUE)SOURCE) range)of)services
FOR)PUBLIC)HEALTH) • Contracting)networks of)providers)within)
CARE))PROVIDERS SDNs
17
 Our Strategy
A Advance quality, health promotion and primary care

C Cover all Filipinos against health-related financial risk

H Harness the power of strategic HRH development

I Invest in eHealth and data for decision-making

E Enforce standards, accountability and transparency

Value all clients and patients, especially the poor,
V marginalized, and vulnerable
Elicit multi-sectoral and multi-stakeholder support for
E health
18
A Advance quality, health promotion and primary care

1. Conduct annual health visits for all poor families and

special populations (NHTS, IP, PWD, Senior Citizens)
2. Develop an explicit list of primary care entitlements that
will become the basis for licensing and contracting
arrangements
3. Transform select DOH hospitals into mega-hospitals with
capabilities for multi-specialty training and teaching and
reference laboratory
4. Support LGUs in advancing pro-health resolutions or
ordinances (e.g. city-wide smoke-free or speed limit
ordinances)
5. Establish expert bodies for health promotion and
surveillance and response
C Cover all Filipinos against health-related financial risk

1. Raise more revenues for health, e.g. impose health-

promoting taxes, increase NHIP premium rates, improve
premium collection efficiency.
2. Align GSIS, MAP, PCSO, PAGCOR and minimize overlaps with
PhilHealth
3. Expand PhilHealth benefits to cover outpatient diagnostics,
medicines, blood and blood products aided by health
technology assessment
4. Update costing of current PhilHealth case rates to ensure that
it covers full cost of care and link payment to service quality
5. Enhance and enforce PhilHealth contracting policies for
better viability and sustainability
H Harness the power of strategic HRH development

1. Revise health professions curriculum to be more

primary care-oriented and responsive to local and
global needs
2. Streamline HRH compensation package to
incentivize service in high-risk or GIDA areas
3. Update frontline staffing complement standards
from profession-based to competency-based
4. Make available fully-funded scholarships for HRH
hailing from GIDA areas or IP groups
5. Formulate mechanisms for mandatory return of
service schemes for all heath graduates
I Invest in eHealth and data for decision-making

1. Mandate the use of electronic medical records in all health

facilities
2. Make online submission of clinical, drug dispensing,
administrative and financial records a prerequisite for
registration, licensing and contracting
3. Commission nationwide surveys, streamline information
systems, and support efforts to improve local civil
registration and vital statistics
4. Automate major business processes and invest in ware-
housing and business intelligence tools
5. Facilitate ease of access of researchers to available data
E Enforce standards, accountability and transparency

1. Publish health information that can

trigger better performance and
accountability
2. Set up dedicated performance
monitoring unit to track
performance or progress of reforms
 Value all clients and patients, especially the poor,
V marginalized, and vulnerable

1. Prioritize the poorest 20 million Filipinos in all health

programs and support them in non-direct health
expenditures
2. Make all health entitlements simple, explicit and
widely published to facilitate understanding, &
generate demand
3. Set up participation and redress mechanisms
4. Reduce turnaround time and improve transparency
of processes at all DOH health facilities
5. Eliminate queuing, guarantee decent
accommodation and clean restrooms in all
government hospitals
E Elicit multi-sectoral and multi-stakeholder support for health

1. Harness and align the private sector in planning

supply side investments
2. Work with other national government agencies to
address social determinants of health
3. Make health impact assessment and public health
management plan a prerequisite for initiating
large-scale, high-risk infrastructure projects
4. Collaborate with CSOs and other stakeholders on
budget development, monitoring and evaluation
 ATTAIN HEALTH-
SERVICE DELIVERY RELATED SDGs
NETWORK

ALL LIFE STAGES &

TRIPLE BURDEN OF
DISEASE

UNIVERSAL
HEALTH
INSURANCE

Financial Risk Protection

Better Health Outcomes
Responsiveness
A LONG-TERM

FOR
THE PHILIPPINES
About AmBisyon Natin 2040
AmBisyon Natin 2040 represents the collective long-term vision and aspirations of
the Filipino people for themselves and for the country in the next 25 years. It
describes the kind of life that people want to live, and how the country will be by
2040. As such, it is an anchor for development planning across at least four
administrations.

AmBisyon Natin 2040 is a picture of the future, a set of life goals and goals for the
country. It is different from a plan, which defines the strategies to achieve the goals.
It is like a destination that answers the question “Where do we want to be?”. A
plan describes the way to get to the destination; AmBisyon Natin 2040 is the vision
that guides the future and is the anchor of the country’s plans.

AmBisyon Natin 2040 is the result of a long-term visioning process that began in
2015. More than 300 citizens participated in focus group discussions and close to
10,000 answered the national survey. Technical studies were prepared to identify
strategic options for realizing the vision articulated by citizens. The exercise
benefitted from the guidance of an Advisory Committee composed of government,
private sector, academe, and civil society.

The life of all Filipinos in 2040:

Matatag, Maginhawa at Panatag na Buhay
By 2040, Filipinos enjoy a strongly rooted, comfortable, and secure life.

In 2040, we will all enjoy a stable and comfortable lifestyle, secure in the
knowledge that we have enough for our daily needs and unexpected expenses,
that we can plan and prepare for our own and our children’s future. Our family
lives together in a place of our own, and we have the freedom to go where we
desire, protected and enabled by a clean, efficient, and fair government.

1 A LONG-TERM VISION FOR THE PHILIPPINES

 Filipinos are strongly rooted: matatag. Filipino families live together; there is
work-life balance so that there is time to spend with family even for members who
work. On weekends, families and friends enjoy time together in parks and
recreational centers. It is a high-trust society with a strong sense of community.
There are volunteer opportunities, and Filipinos spend time to serve the community,
help others who are in need, and contribute to various causes.

Filipinos are comfortable: maginhawa. No one is poor, no one is ever hungry.

Filipino families live in comfortable homes with the desired amenities and secure
tenure. Families and friends are within reach because transport is convenient and
affordable, and they can take a vacation together within the country and abroad.
Children receive quality education so that they realize their full potentials and
become productive members of society. Decent jobs that bring sustainable income
are available, including opportunities for entrepreneurship.

Filipinos are secure: panatag. Filipinos feel secure over their entire lifetime.
They expect to live long and enjoy a comfortable life upon retirement. There are
resources to cover unexpected expenses, and there are savings. They feel safe in all
places in the country. Filipinos trust their government because it is free of
corruption and provides service to all its citizens equally.

Matatag Maginhawa Panatag

Family is together. Free from hunger and Enough resources for
poverty. day-to-day needs,
Time with friends.
unexpected expenses and
Work-life balance. Secure home ownership.
savings.
Volunteering. Good transport facilities.
Peace and security.
Travel and vacation. Long and healthy life.
Comfortable retirement.

A LONG-TERM VISION FOR THE PHILIPPINES 2

Realizing the AmBisyon
All sectors of society, whether public or private, should
direct their efforts towards creating opportunities for
Filipinos to enjoy a matatag, maginhawa at panatag na
buhay. Government, in particular, must use its tools of
fiscal, monetary and regulatory policies to steer the
development path towards enabling Filipinos to attain their
AmBisyon. This pertains to all dimensions of development:
economic, human and physical capital, institutional, social
and cultural.

By 2040, the Philippines is a prosperous middle class

society where no one is poor. People live long and healthy
lives and are smart and innovative. The country is a
high-trust society where families thrive in vibrant, culturally diverse, and resilient
communities.

Filipinos live in a prosperous, predominantly

middle class society where no one is poor.
Economic growth must be relevant, inclusive and
sustainable. Over the next 25 years (until 2040), per
capita income must increase by at least three-fold.
More than the increase in income, economic growth
must progressively improve the quality of life of
the majority of Filipinos.
AmBisyon can be partly achieved by having competitive enterprises that offer quality
goods and services at affordable prices. Government must encourage investments in
these sectors by improving market linkages, simplifying government procedures, and
facilitating access to finance. These should be complemented by appropriate human
capital development, science, technology and innovation. Following are the priority
sectors that have direct impact on AmBisyon:

Housing and Urban Development Manufacturing Connectivity

Construction, construction-related Food processing, housing Roads and bridges, port,
manufacturing, house development-related related, construction-related, airports, vehicles, transport
manufacturing, and utilities (electricity, transport manufacturing, and systems, and communication.
gas, and water). other manufacturing.

3 A LONG-TERM VISION FOR THE PHILIPPINES

Education Services Tourism and Allied Services Agriculture
Formal education and Resort, rest-recreation hotels, Food production, commercial
re-tooling services. accommodation, travel and tour and industrial crop, agricultural
cultural shows, heritage sites, etc. biotechnology, etc.

Health and Wellness Services Financial Services

Primary, secondary, and tertiary care, Consumer financing, enterprise financing,
pharmaceuticals, wellness facilities, sports and insurance savings mobilization.
and fitness facilities, etc.

Government must also ensure that economic growth is broad-based across sectors
and regions; it must result in a more equal income distribution. Moreover, there
should be aggressive interventions to increase opportunities for the poor to
participate in the growth process even as they are protected against the negative
impact of economic and political instabilities, natural and man-made calamities.
Poverty must be eradicated by 2040, if not earlier.

It must also be recognized that certain individuals cannot immediately participate in

the growth process. For infants and children, there is the requisite care, guidance,
health and education services until they become mature enough. It is important that
parents and families are able to provide these, although government should stand
ready to fill the gap. A major intervention, therefore, is for parents to adequately
prepare for having a family.

A LONG-TERM VISION FOR THE PHILIPPINES 4

Filipinos live a long and healthy life.
A long and healthy life allows people to realize their full potential and to enjoy the
attainment of their AmBisyon for many years. This is borne out of healthy lifestyle
choices. New products and processes that are safer and cleaner, and certainly
products that promote good health, are needed as well.

Policies that promote work-life balance

can reduce the strain on people’s health.
Filipinos must also be given more
affordable, clean and safe options for
rest and recreation, like open spaces,
nature parks and public sports and
fitness facilities. In case of illness,
Filipinos must have access to affordable
and good quality healthcare.

Ensuring the quality of health care and

health-related products and the safety of
other products is the responsibility of
government as well.

Filipinos are smart and innovative.

Well-educated, innovative Filipinos will continuously improve the quality of life in the
Philippines. If education is the process of facilitating the “acquisition of knowledge,
skills, values, beliefs and habits”1 , formal education is the structured method of
facilitating the acquisition of a select set of such knowledge, skills, values, beliefs
and habits. Government, therefore, must be proactive in setting the agenda for
education. It is, after all, about molding the future Filipino and creating the future
Philippine society.

5 A LONG-TERM VISION FOR THE PHILIPPINES

More than ensuring that Filipino students acquire the foundational literacies
(reading, numeracy, scientific literacy, ICT literacy, economic and financial literacy,
cultural and civic literacy), the formal education system must also ensure that
students obtain competencies (critical thinking, problem-solving, creativity,
communication, collaboration) and develop character qualities (curiosity, initiative,
persistence and grit, adaptability, leadership, social and cultural awareness)2 . This
may require a revision of the curriculum content, but more importantly, the mode of
delivery. At the same time, there must be access to lifelong learning opportunities
so that competencies are continuously upgraded and updated.

Filipinos live in a high-trust society.

A high-trust society allows Filipinos to enjoy a panatag na buhay together with
their families. Extending to the bigger community, a high trust society equals a
matatag na pamayanan.

A high-trust society allows people to see to their economic pursuits, secure in the
knowledge that they will be able to enjoy the fruits of their labor. However, societal
ties must be strengthened where every Filipino cares for the plight of his fellow
Filipino. Every Filipino must feel upset if another Filipino is found hungry and poor,
or unable to recover from unfortunate events.

A caring society does not evolve overnight; it must be cultivated. Venues and
opportunities for interpersonal interaction must be provided. But usually, it takes
root from building trust in established institutions like government. Government
must therefore begin the process of confidence-building by being clean, fair and
citizen-centered. After all, a high-trust society is the most durable bedrock for
vibrant, culturally diverse, and resilient communities of the Philippines by 2040--
hopefully, sooner.

1
https://worldeducationcom.wordpress.com/2016/05/12/education-is-the-process-of-facilitating-learning-or-the-acquisition-of-knowledge-s
kills-values-beliefs-and-habits-educational-methods-include-storytelling-discussion-teaching-training-and-d-2/
2
http://www.consultancy.uk/news/1734/wef-bcg-students-lack-skills-needed-in-21st-century A LONG-TERM VISION FOR THE PHILIPPINES 6
National Economic and Development Authority
12 St. Josemaria Escriva Drive,
Ortigas Center, Pasig City
Trunkline: (+632)6310945 to 56
Email: ambisyonnatin2040@neda.gov.ph

AmbisyonNatin2040 2040.neda.gov.ph