PHILLIPPINE HEALTH AGENDA (2016-2022) 2.

A filipino child born to the poorest

Family is 3 times more likely to not reach
All for the health towards health for all
his 5th birthday, compared to one born to
Goals: the richest family
3. Three out of 10 children are stunted
1) Financial Protection
- Filipinos, especially the poor, Poor Quality and Undignified care synonymous
marginalized and vulnerable and are with the public clinics and hospitals
protected from high cost of health care
1. Long wait times
1. Better health Outcomes
2. Privacy and confidentiality
- Filipino Attain the best possible health
3. Limited autonomy to choose provider
outcomes with no disparity
4. Poor record keeping
2. Responsiveness
5. Less than hygienic restrooms, lacking
- Filipinos feel respected, valued and
amenities
empowered in all of their interaction
6. Overcrowding and under provision of
with the health system
care
the health system we aspire for
Restrictive and Impoverishing healthcare costs
- Equitable and Inclusive to all
1. Every year 1.5 million families are
- Uses resources efficiently
pushed to poverty due to health care
- Transparent and accountable
expenditures
- Provides high quality services
2. Filipinos forego or delay care due to
During the Last 30 years of health sector prohibitive and unpredictable user fees
reform, we have undertaken key structural or co payments
Reforms and continuously built on programs 3. Php 4,000/months health care expenses
that take us a step closer to our aspiration considered catastrophic for single
income families
Milestones
Attain Health related SDG targets
- Devolution
- Use of generics Financial risk protection/Better health
- Milk codes outcomes responsiveness
- Philhealth (1995)
Values: equity, quality, efficiency,
- DOH resources to promote local health
transparency, accountability, sustainability,
system development
resilience
- Fiscal autonomy for government
hospitals 3 guarantees: Achieve
- Good governance programs
Guarantees 1: all life stages and triple burden
(ISO,IMC,PGS)
of disease
- Funding for UHC
Pregnancy-newborn-infant-child-adolescent-
Persistent Inequities In Health Outcomes
adults-elderly
1. 2000
- First 1000 days/reproductive and sexual
- Every year, around 2000 mothers die
health/maternal, newborn, and child
due to pregnancy related complications
 health/exclusive breastfeeding/food
and macronutrients
supplementation/immunization / accommodation and fixed co-payment
adolescent health/ geriatric health/
health screening, promotion and
information
1. Communicable disease
- HIV/AIDS, TB, Malaria
- Diseases for elimination
- Dengue, lepto, ebola, zika
2. Non communicable disease
- Cancer, diabetes, heart disease and
their risk factors-obesity, smoking,
diet ,sedentary lifestyle
- Malnutrition
3. Diseases of rapid urbanization and
industrialization
- Injuries
- Substance abuse
- Mental illness
- Pandemics, travel medicine
- Health consequences of climate
changes/disaster
Guarantee 2: Services are delivered by
networks that are
1. Fully functional
2. Complaint with clinical practice
guideline
3. Available 24/7 and even during
disasters
4. Practicing gatekeeping
5. Located close to the people
6. Enhanced by telemedicine
Guarantees 3: services are financed
predominantly by philhealth
1. Philhealth as the gateway to free
affordable care
- 100% of filipinos ae members
- Formal sector premium paid through
payroll
- Non formal sector premium paid
through tax subsidy
2. Simplify philhealth
- No balanced billing for the poor/basic
for non basic accommodation
3. Philhealth as man revenue sources for
public health care provides
- Expand benefits to cover
comprehensive range of services
- Contracting networks or providers
within SDNs
Our Strategy
A- Advance quality, health promotion and
primary care
B- Cover all Filipino against health related
financial risk
H- Harness the power of Strategic HRN
development
I- Invest in eHealth and data for
decision making
E- enforce standards, accountability, and
transparency
V- value all clients and patients, especially
the poor marginalized and vulnerable
E- elicit multi-sectoral and multi-
stakeholder support for health
Primary Health Care in the Philippines
Primary Health Care (PHC)
- WHO defines PHC as essential health
care made university accessible to
individual’s and families in the
community by means acceptable to
them through their full participation
and at cost that the community and
country can afford at every stage of
development.
History of PHC
WHAT: first international Conference for PHC
WHEN: September 6-12 1978
WHERE: Almaty (then called alma
Kazakhstan, USSR
WHO: UNICEF/WHO, Dr. Dizon/Dr. Villar
Legal Basis: L.O.L. 949- the legal basis for PHC in
the Philippines signed by Pres. Ferdinand
Marcos, October 19, 1979
Goal of ph
- Health for all filipinos by the year 2000
Theme: health in the hands of the people by
2020
Mission
- To strengthen the health care system by
increasing opportunities and supporting
the conditions wherein people will
manage their own health care.
Key strategy to achieve the goal:
- Partnership with and empowerment of
the people
Cornerstone/Pillars of PHC
1. Active community participation
2. Inter and intra sectoral linkages
3. Use of appropriate technology
4. Support system made available
8 essential elements of Primary Health Care
- Education about prevailing health
problems and how to prevent and
control them
- Food supply and proper nutrition
- Adequate supply of safe water and
basic sanitation
- Maternal and child health, family
planning
- Immunization against infectious
diseases
- Prevention and control of endemic
disease
- Treatment of common infections
- Essential drugs
ata),
Key principles
1. 4 a’s
Accessibility
- Distance/travel time required to get to
a health care facility/services. The home
must be w/in 30 min from the brgy
health stations
Affordability
- Considerations of the individuals,
family, community and government can
afford the services
- The out of pocket expense determines
the affordability of health care
- In the Philippines, government
insurance is covered through philhealth
Acceptability
- Health care services are compatible
with the culture and traditions of the
populations
Availability
- Is a questions whether the health
service are offered In health care
facilities of is provided on a regular and
organized manner
2. Community participation
3. People are the center, object and
subject of development
- Thus, the success of any undertaking
that aims at serving the people is
dependent on people’s participation at
all levels of decision making: planning,
implementing, monitoring and
evaluation. Any Undertaking must also
be based on the peoples needs and
problems
4. Self Reliance
- Through community participation and
cohesiveness of peoples organization
they can generate support for health
dare through social mobilization,
 networking and mobilization of local
resources
5. Partnerships between the community
and the health agencies in the provision
of quality of life .
- Providing linkages between the
government and the nongovernment
organization and people’s organizations
6. Recognition of interrelationship
between the health and development
- Health being a social phenomenon
recognizes the interplay of political
socio cultural and economic factors as
its determinant. Good health therefore,
is manifested by the progressive
improvements in the living conditions
and quality of life.
7. Social mobilization
- It enhances people participations or
governance, support system provided
by the government, networking and
developing secondary leaders
8. Decentralization
- This ensures empowerment and that
empowerment can only be facilitated if
the administrative structure provides
local level political structures with more
substantive responsibilities for
development initiators.
Level of disease prevention
1. Primary prevention
- intervening before health effects occur,
through measures such as vaccinations,
altering risky behaviors (poor eating
habits, tobacco use), and banning
substances known to be associated with
a disease or health condition
2. Secondary prevention
- screening to identify diseases in the
earliest stages, before the onset of signs
and symptoms, through measures such
as mammography and regular blood
pressure testing
3. Tertiary prevention
- managing disease post diagnosis to slow
or stop disease progression through
measures such as chemotherapy,
rehabilitation, and screening for
complications.
ASTANA (2018)
October 25-26, 2018 (the global conference on
primary health care in astana, Kazakhstan)
Universal Health Care (UHC)
Universal Health Care (UHC), also referred to
as kalusugan pangkalahatan (KP)
- is the "provision to every Filipino of the
highest possible quality of health care
that is accessible, efficient, equitably
distributed, adequately funded, fairly
financed, and appropriately used by an
informed and empowered public"
Objective of UHC
- "To provide all Filipinos access to
comprehensive and cost-effective
health care that covers all spectrums of
services." These includes promotive,
preventive, curative, rehabilitative and
palliative care.
- The Aquino administration puts it as the
availability and accessibility of health
services and necessities for all Filipinos.
- It is a government mandate aiming to
ensure that every Filipino shall receive
affordable and quality health benefits.
This involves providing adequate
resources health human resources,
health facilities, and health financing.
- February 2019 - ratification of republic
Act 11223, Universal Health Care Act,
"An Act Instituting Universal Health
Care for All Filipinos, Prescribing
Reforms in the Health Care System, and
Appropriating Funds.
 - October 2019 - RA 11223 (UHC Law)
was signed and specified a timeline
transition for the healthcare system in
the country that will cover a period of
six years.

UHC'S THREE STRATEGIC THRUSTS

1) Financial risk protection through expansion in

enrollment and benefit delivery of the National
Health Insurance Program (NHIP);

2) Improved access to quality hospitals and

health care facilities; and

3) Attainment of health-related SDG

SOURCE OF FUNDING

• Revenue of government from Sin Tax Reform

Law (RA 10351)50% of PAGCOR Income

• 40% of PCSO Charity Fund

• DOH Funding from the national Budget

• PhilHealth subsidy from the national

government

• Premium contributions from PhilHealth

members