Professional Documents
Culture Documents
Develop
and Protect
Capabilities
of Individuals
and Families
02
Promote Human
and Social Development
CHAPTER 2
Since the first confirmed COVID-19 case on January 31, 2020, the country has recorded
over 4 million cases. COVID-19 was reported as the third leading cause of mortality in
2021. As of November 1, 2022, a total of 73.55 million Filipinos have been fully vaccinated
against COVID-19, with 20.6 million Filipinos covered with an additional dose.
Beyond its health effects, the pandemic also had major economic impacts, including
increased spending for health as evidenced in the 2021 Philippine National Health
Accounts; reduced economic activities; and increased national debt. At the health system
level, redirected investments and efforts to address the COVID-19 pandemic delayed the
implementation of key UHC reforms and accumulated backlogs in healthcare service
delivery that will require additional resources to catch-up.
References:
DOH. (2022). COVID-19 Case Tracker. https://doh.gov.ph/covid19tracker
DOH. (2022). COVID-19 Vaccination Dashboard. https://doh.gov.ph/vaccines
Panelo, C. (2022): “Investing in UHC post-pandemic” Presented at PHCON 2022, annual conference of the Philippine Society for Public Health Physicians.
30 September 2022
UNFPA. (2020). https://philippines.unfpa.org/en/news/significant-rise-maternal-deaths-and-unintended-pregnancies-feared-because-covid-19-unfpa-and
Strategy Framework
While health care services are essential to remaining health care-related contributors to
health, it is a relatively weak determinant. health outcomes.
Socioeconomic factors, the physical
environment, and health-related behaviors The strategy framework (See Figure 2.1) is
account for 80 to 90 percent of modifiable built on the vision of a holistic approach
contributors to population health to improve health outcomes, reduce health
outcomes. 21,22
The social determinants of inequities where they exist, and achieve
health can be addressed through collaborative UHC. The crucial contribution of non-health
whole-of-government and whole-of-society government agencies and non-government
interventions that promote healthy schools, health system stakeholders to attain societal
communities, and workplaces, and enable health objectives is also highlighted. The
healthy lifestyles through improved health first pillar describes a society that promotes
literacy and health-seeking behavior. physical, mental, and social well-being for all
Addressing persistent and growing gaps Filipinos, especially those living in vulnerable
in the access to and quality of healthcare households and communities. The second
services, ensuring that health care is equitably pillar focuses on empowering individuals
distributed, and improving financial risk and households to make appropriate choices
protection, especially for disadvantaged regarding their own health and seeking care
populations, are needed to improve the when needed. The third pillar describes the
BOOST HEALTH
ACCESS, QUALITY,
SOCIAL DETERMINANTS HEALTHY CHOICES HEALTH SYSTEMS
AND EFFICIENCY
OF HEALTH IMPROVED AND BEHAVIOR ENABLED STRENGTHENED
OF HEALTH CARE IMPROVED
Ensure communities, Increase health literacy Secure sustainable and equitably Increase national and local
workplaces, and distributed health infrastructure government investments for
schools support and human resources health
physical, mental, and Promote appropriate
social well-being for all health-seeking Promote strategic purchasing for Enhance national and local
behavior quality, efficiency, and capacity for health system
Foster a whole-of cost-effectiveness leadership, management,
government, anticipatory governance,
whole-of-society Ensure financial risk protection and resilience to public
approach to health health emergencies
Strategies
Outcome 1: Social determinants of health improved
Ensure communities, workplaces, Strategies include enabling active transport
and schools support physical, environments, livable communities, and
mental, and social well-being for all efficient transportation; promoting safe and
conducive working and learning spaces for all
The social determinants of health refer to
Filipinos; and ensuring access to safe drinking
“non-medical factors that influence health
water, basic sanitation, and nutritious food
outcomes.”23 Settings that promote well-being
choices (See Subchapters 2.2 and 2.3 and
and make health-promoting opportunities
Chapters 3 and 12).
and alternatives available to households
require collaborative and coordinated action
between national and local governments,
as well as government and private entities.
Trans Fat The proposed measure will ban all forms of industrial trans fatty acids; prohibit the sale, Department of Health (DOH),
Elimination manufacture, importation, and distribution of partially hydrogenated oils and oil and fats with Food and Drug Administration,
high trans-fat acid content. and Department of Science and
Technology (DOST)
Establishment of The MRC will include licensed physicians, medical degree holders, students who have DOH
a Medical Reserve completed four years of a medical course, registered nurses, and licensed allied health
Corps (MRC) professionals who may be called upon to assist the national government, its agencies and
instrumentalities, and the LGUs in addressing the medical needs of the public. The President
will have the authority to order the nationwide mobilization of the MRC to complement the
Armed Forces of the Philippines Medical Corps in case of declaration of a state of war, state of
lawless violence, or state of calamity.
Establishment of This bill seeks to establish specialty centers that will provide and improve access to specialized DOH
Specialty Centers health care services.
Creation of the The following are the key features of the proposed measure: (a) creation of the CDC under DOH
Philippine Center the DOH for policy and program coordination; (b) ensuring the health system is well prepared
for Disease Control to forecast, prevent, monitor, and control diseases, injuries, and disabilities both of national
and Prevention and international concern; (c) recentralization of local epidemiology and surveillance units;
(CDC) (d) strengthening epidemiology, public health surveillance, and research capacities; and (d)
ensuring investments to better equip the country in response to public health emergencies.
Creation of the This Institute will be an attached agency of the Department of Science and Technology and DOST
Virology and will serve as the country’s principal virology laboratory, providing investigations, research, and
Vaccine Institute of technical coordination of the entire network of virology laboratories across the country (See
the Philippines Chapter 8).
Neonatal mortality 15 10.54 9.96 9.38 8.81 8.23 7.65 National DOH
rate decreased (per (2022) Demographic
1,000 live births) and Health
Survey
(NDHS)
Infant mortality rate 22 15.83 14.97 14.11 13.25 12.38 11.52 NDHS DOH
decreased (per 1,000 (2022)
live births)
Under-5 mortality 26 24.09 23.61 23.12 22.64 22.15 21.67 NDHS DOH
rate decreased (per (2022)
1,000 live births)
Premature mortality 4.6 3.22 2.76 2.30 1.84 1.38 0.92 CRVS DOH
rate attributed (2020)
to cardiovascular
disease, cancer,
diabetes, and chronic
respiratory diseases
decreased (number
of deaths per 1,000
population aged
30–70 years old)
Death rate due 8.0 5.63 4.84 4.05 3.26 2.47 1.68 CRVS Department of
to road traffic (2020) Transportation,
accidents decreased Metropolitan
(per 100,000 Manila
population) Development
Authority,
Department of
Public Works and
Highways (DPWH)
Safe water supply 91.60 93.28 94.12 94.96 95.80 96.64 97.48 Annual Metropolitan
coverage increased (2020) Poverty Waterworks and
(% families)a Indicator Sewerage System
Survey (APIS) (MWSS), Water
Districts (WDs),
Rural Water
Systems (WS),
Water Service
Providers (WSP)
Access to basic 93.90 95.12 95.73 96.34 96.95 97.56 98.17 APIS MWSS, WDs, Rural
sanitation increased (2020) WS, WSP
(% families)b
Prevalence of 26.7 25.2 23.8 22.3 20.8 19.4 17.9 Expanded National Nutrition
stunting among (2021) National Council
children under Nutrition
5 years of age Survey
decreased (%)c
Percentage of Medical MD: 3 MD: 4 MD: 5 MD: 6 MD: 7 MD: 8 DOH Admin DOH
identified cities Doctor RN: 2 RN: 3 RN: 4 RN: 5 RN: 6 RN: 7 Data
and provinces (MD): 3 RM:82 RM:83 RM:84 RM:85 RM:86 RM:87
with adequate Registered
HRHe-to-population Nurse
ratio based on WHO (RN): 2
reference ratios to Registered
achieve Sustainable Midwife
Development Goals (RM):82
increased (%)
Number of UHC 0 At least At least At least TBD* TBD* TBD* DOH Admin DOH
Integration Sites that (2022) 58 UHC- 58 UHC-IS 58 Data
achieved the target Integration reached UHC-IS
number of Key Sites (IS) 100% of reached
Result Areas for a reached at the Level 100%
particular level in the least 70% of 2 LHS ML of the
Local Health Systems the Level 2 KRA; Level 3
Maturity Levels Local Health At least LHS ML
Systems 58 UHC-IS KRA
(LHS) reached
Maturity at least
Level (ML) 70% of the
Key Results Level 3 LHS
Areas (KRA) ML KRA
Household OOP 41.5 37.7 35.8 33.8 31.9 30.0 28.1 Philippine DOH, PhilHealth
health spending as (2021) National
percentage of CHE Health
decreased (%) Accounts
Percent of health 80% 85% of 100% of 40% of 60% of 80% of 100% of DOH Admin DOH, PhilHealth
facilities with of public public health public private private private private Data
paperless electronic facilities facilities health health health health health
medical record (EMR) only facilities facilities facilities facilities facilities
and regularly submit (2019)
data increased (%)
Note: The targets will be based on the Executive Order on Integration, which will be issued by the President following the evaluation study on the overall benefits
of the local health system integration by Joint Congressional Oversight Committee on UHC.
a,b/
See Chapter 12: Safe water supply sources include piped water, boreholes or tube wells, protected dug wells, protected springs, rainwater, and packaged or
delivered water. This indicator covers the use of improved sanitation facilities such as flush or pour flush to piped sewer systems, septic tanks, or pit latrines;
and ventilated improved pit latrines, composting toilets or pit latrines with slabs, shared or not shared with other households.
c/
See Chapter 3.
d/
Headline indicator.
Strategy Framework
Toward the ultimate goal of ensuring the government, but more importantly, with
transformative lifelong learning for all, the support of the private sector and other
several areas must be addressed not only by stakeholders.
Enhance Early Childhood Care and Design and implement future-ready technical and Harmonize the trifocalized system of education
Development (ECCD) curriculum vocational education and training (TVET) programs for lifelong learning
Develop and implement catch-up programs to Implement structural reforms in LUCs to strengthen Strengthen School-based Management
address learning losses linkages with TVET communities Develop and improve learning materials in line
Ensure access to quality learning resources with international standards and trends
Increase involvement/participation of industry and Rationalize workload of teachers
Improve competencies of teachers
private sector in TVET
Strengthen school-based feeding program to Design a higher education career system
Improve enterprise-based training and bolster
address malnutrition
micro-credentials
Strengthen private-public complementarity in Partner with independent third-party institutions
the provision of quality basic education in assessing and monitoring the progress of
Adopt modern learning spaces Pursue transnational knowledge co-creation linkages students’ proficiency across all levels
with HEIs
Optimize the roles of universities as innovation hubs
and incubation centers
Establish regional university systems
Provide more research-oriented scholarships and grants
Effectively implement online and blended learning
modalities
Develop alternative assessment and certification
methods
Improve student support to ensure student success
Consistent with the overall thrust of local The workload of teachers will be reviewed
empowerment and decentralization, to enable them to focus on teaching rather
school-based management through the than preparing routine reports, performing
School Governing Council will be promoted administrative tasks, and being utilized by
to further deepen the link between the other agencies for program implementation
school and the community. School-based as frontline government personnel. Teachers
management grants of DepEd will be shall focus more on addressing the learning
expanded and enhanced to augment funding losses, coping with the new pedagogical
for programs and projects that are more practices, and enhancing their competencies
responsive in catering to the specific needs of through participation in capacity
individual schools. building interventions in accordance with
international standards. The human resources
Develop and improve learning complement of schools and other education
materials in line with international institutions will be restructured (i.e., hiring
standards and trends more administrative and other non-teaching
Learning materials shall be continuously staff) to ensure effective and efficient service
updated and improved based on recent trends delivery without putting undue burden on the
in international education frameworks and teachers.
standards (e.g., promotion of civic education,
Design a higher education career
Education for Sustainable Development, and
system
global citizenship education with emphasis
on human rights, gender equality and social A higher education career system will be
inclusion, environmental sustainability, designed and implemented for individuals
and social justice in the curriculum). The occupying leadership positions in HEIs. This
aligned competencies of systems thinking, will entail capacity building interventions
anticipatory thinking, normative competence, on leadership and technical skills needed for
strategic competence, and interpersonal their positions. The career system shall create
competence will be the focus of curriculum a roster of qualified candidates for university
and pedagogical development. SUCs and presidents that have competencies at par with
HEIs shall be utilized in developing learning national and international standards while
materials that adopt new pedagogical insulating them from political partisanship.
practices across all levels. Continuous
evaluation and updating of school textbooks
shall be given specific attention. Appropriate
Legislative Agenda
Table 2.2.1 presents legislative measures for consideration by Congress.
Table 2.2.1 Legislative Agenda to Ensure Lifelong Learning Opportunities for All
Review of the Country’s Basic Education System toward The proposed law seeks to revisit the K-12 curriculum to make Department of Education
Improving the Enhanced Basic Education Act of 2013 the graduates more readily employable, better equipped with (DepEd)
critical thinking and problem-solving skills, and imbued with
the skills and capacities needed to be productive and active
citizens of the country.
Expansion of the National Feeding Program in secondary The proposed law addresses what is identified as among the DepEd, National Nutrition
schools biggest problems of the student population by expanding the Council
coverage of the School-Based Feeding Program, as mandated
by RA 11037, to include learners from Grades 7 to 12 to ensure
that proper government interventions are in place for the
youth in their formative and adolescent years.
Expansion of the Government Assistance to Students In recognition of the complementary role of the private schools DepEd
and Teachers in Private Education (GASTPE) to in providing basic education to Filipino learners, the measure
Elementary Level aims to expand the existing government assistance for high
school students and teachers in private education to include
students in private schools in the kindergarten up to Grade
6 level. The Teacher Salary Subsidy is also proposed to be
expanded to cover teachers employed in private elementary
schools.
Strengthening of the Technical and Vocational Education This proposed measure aims to incorporate the existing TESDA
and Training (TVET) in the Philippines by incorporating programs under the “Enterprise-Based Training Program”
Apprenticeship and Dual Training System, providing for administered by the Technical Education and Skills
Continuous Training of the Unemployed, and Expanding Development Authority (TESDA) and expand the provision of
the Provision of Enterprise-Based Education and training programs being implemented within companies. The
Training program can be a mix of workplace training and classroom-
based learning. Strengthening partnerships among local
universities and colleges, TESDA, and TVET institutions are
suggested to be highlighted to ensure that programs will
cater to community needs and priorities, including agri-
entrepreneurship.
Key legislations improving education infrastructure (See Chapter 12), reviving the Mandatory Reserve Officers Training DepEd, Commission on
Corps and/or integrating disaster risk response and management training in the curriculum of students (See Chapter 13), Higher Education, TESDA
promoting upskilling and reskilling of labor force (See Chapter 4), and advancing R&D and innovation (See Chapter 8).
Results Matrix
Table 2.2.2 presents indicators and targets for lifelong learning opportunities.
Table 2.2.2 Results Matrix: Ensure Lifelong Learning Opportunities for All
2. Proportion of learners achieving at least “Proficient” in the National Achievement Test (NAT) (%) NAT Results, DepEd
Learner Information
2.1 Reading System,
Enhanced Basic
Grade 3 56.0 63.4 66.2 68.90 71.7 74.40 77.2
Education Information
(2018)
System
Grade 6 17.7 32.9 40.2 47.6 54.9 62.2 69.5
(2018)
2.2 Mathematics
3. Participation 16.0 23.0 28.0 33.0 43.0 53.0 63.0 Early CHildhood Care ECCD Council
Rate of 0–4.11 (2018) and Development (ECCD)
Years Old in *2018 has the Information System,
Early Learning highest encoding National Child
Programs (%) rate by local Development Center
government Enrollment Tracking and
units (LGUs); Information System,
succeeding National ECCD
years have lower Monitoring Evaluation
submission rates and Accountability
System (will be fully
utilized during the 2nd
term of the Philippine
Development Plan)
4.1 Licensure examination for teachers (LET) (%) LET results Commission on Higher
Education (CHED),
4.1.1 52.36 54 56 58 60 62 64 Professional Regulation
Elementary Commission (PRC)
4.1.2 Secondary 51.13 53 55 57 59 61 63
4.2 Licensure examination across all disciplines (%) Licensure examination CHED, PRC
results
4.2.1 Overall 38.8 40 42 44 46 48 50
takers (2019)
4.2.2 First-time 57 59 61 63 65 67 69
takers (2019)
Strategy Framework
The livability of communities shall be the quality of the natural environment
pursued along three outcomes: social allows communities to thrive in a clean
environment promoted, environmental environment and access green and public
quality improved, and built environment spaces. Upgrading the built environment
upgraded (See Figure 2.3). These will be helps ensure that appropriate housing is
guided by the principles of equity, inclusivity, connected to utilities and linked to social,
resilience, and sustainability. Promoting economic, and recreational spaces by public
the social environment gives priority to and active transportation. All three outcomes
the needs of residents for food, health, will be supported by a governance system
education, social protection, and quality jobs. that is accessible and ensures that livability of
It will build a strong sense of community communities is sustained.
among individuals and families. Improving
58 | Philippine Development Plan 2023-2028
Figure 2.3 Strategy Framework to Establish Livable Communities
Improve access to food, health, education, Broaden waste minimization initiatives Mobilize private sector and government resources
safe drinking water, basic sanitation, social Increase access to proper waste disposal to meet housing needs
services, social protection, and quality jobs facilities Improve housing affordability
(Ch. 2.1, 2.2, 3.2, 5, 11, 13, 15)
Expand monitoring and enforcement of air Increase access of informal settler families,
Strengthen social cohesion and water quality standards homeless, and underprivileged to housing
Build disaster preparedness and resilience Provide access to green spaces Integrate accessibility, health, culture, and
of communities (Ch. 3.2, 11, 15) resilience outcomes into design of housing and
communities
Ensure availability of utilities (Ch. 11)
Provide public and active transportation links (Ch. 11)
Strategies
Outcome 1: Social environment promoted
Improve access to food, health, Strengthen social cohesion
education, safe drinking water, basic
Social cohesion shall be strengthened to
sanitation, social services, social
broaden community participation, secure
protection, and quality jobs
community safety, ensure gender- and
Fulfilling fundamental human needs of culture-responsive interventions, and
each member of the community shall be a promote the welfare of and prevent acts of
priority. Access to food, health, education, violence against vulnerable groups including
safe drinking water, basic sanitation, social women; children; elderly; lesbian, gay,
bisexual, transgender or transsexual, queer
services, social protection, and quality jobs
or questioning, intersex, and allied, asexual,
shall be improved. Communities shall benefit
aromantic, or agender (LGBTQIA); as well as
from national programs to scale up quality
indigenous peoples (IP), among others.
job creation such as upskilling to increase
employability and increased opportunities Communities shall be empowered to create
in agriculture and agribusiness, industries, or join CSOs. They have long been one of the
services, and sustainable resource-based government’s partners in enabling services in
livelihoods (See Subchapters 2.1, 2.2, and 13.1 communities. CSO desks shall be created in
and Chapters 3, 4, 5, 6, 7, and 15). LGUs to fast-track accreditation of CSOs and
selection of representatives to local special
bodies (See Chapter 13).
An inventory on the number of ISFs and The socialized and economic housing
the homeless will be undertaken, and standards (Batas Pambansa 220) shall
an information database system shall be be reviewed to consider minimum
established. Idle government lands will health standards; accessibility; cultural
be completely inventoried and a database appropriateness; climate and disaster
established to identify potential resettlement resilience; energy efficiency; green spaces;
sites for informal settlers. On-site, in-city, active mobility; innovative technologies;
and near-city resettlement programs shall urbanization trends; and changing housing
be adopted. Given issues on land availability, preferences (i.e., halfway homes, first-
vertical housing for ISFs in metropolitan time homebuyers, young professionals,
areas and HUCs shall be an option. and permanent family homes). The
implementation of open spaces such as parks,
The government may provide halfway playgrounds, and community facilities and
homes or dormitories for the homeless who amenities45 shall be strictly enforced, which
cannot afford formal housing tenures, such could likewise be used as green spaces.
as homeownership or rental housing. The
resettlement option will be provided for ISFs Green features in housing and community
living in danger zones while the community design shall be adopted—such as renewable
mortgage program will be an option energy, green roofs, rainwater harvesting
for the rest of the ISFs with community systems, rain gardens, permeable pavement,
organizations. The government shall green construction materials, nature-based
continue programs that specifically cater to storm drainage systems, gray water recycling
certain sectors—such as the police, military system, and energy-efficient windows (with
personnel, and public-school teachers— reference to the Green Building Code).
and expand to vulnerable sectors, such as
low-income women, IPs, indigent elderly, and Road systems shall be designed to provide
people with disability. safe routes in time of emergencies, ample
drainage, and sufficient allocation for
The National Resettlement Policy Framework motorized vehicles, bicycles, and pedestrian
shall be operationalized in local resettlement uses.
plans and programs to ensure that resettlement
communities are livable and livelihood Ensure availability of utilities
are restored. Improvements in building and construction
milestones shall be instituted to
ensure that utilities (water, electricity,
telecommunications, and sanitation)
are available ahead of occupancy. The
Box 2.3. Affordable and Secure Housing in a Livable Community: Disiplina Village, Valenzuela City
Disiplina Village is the biggest in-city relocation program in the Philippines. Disiplina
Village is a public rental housing program in Valenzuela City, Metro Manila, offering
perpetual lease in medium-rise buildings constructed by the National Housing
Authority (NHA). The resettlement area accommodated a total of 3,186 families as
beneficiaries. The city government owns the 11.13-hectare land. NHA investment
is at PHP1.12 billion. The LGU heads the Disiplina Village Management Council
with the president of the Homeowners’ Association of Disiplina Village as one of the
members. Day-to-day concerns and monitoring of the buildings are taken care of by a
designated flood leader and building leader, who also liaise with the City Housing and
Resettlement Office and the NHA.
The beneficiaries maintained their dwellings in-city where they were provided with
access to social services, economic opportunities, and sports and recreational activities
from the presence of community facilities such as schools, day care centers, covered
courts, parks and playgrounds, multipurpose buildings, urban gardens, markets, and
public terminals. More importantly, beneficiaries enjoy security of tenure formalized
through their Certificate of Occupancy.
Source: Pantawid Upa. 2019. Rental Housing Subsidy: Experiences and Lessons in the Philippines. Manila.
National Land Use Bill Address suitable land availability constraints for housing development by Department of Human Settlements
legislating options such as removing the Comprehensive Agrarian Reform and Urban Development (DHSUD)
Program (CARP) restrictions to land consolidation while maintaining land
ownership by beneficiaries, completing inventory of protected areas to
ascertain land for development, and tapping idle or unutilized private lands.
Rental subsidy and access to public Improve access to and affordability of housing especially for the informal DHSUD
rental housing settler families, homeless, and underprivileged.
Strengthening of KSAs Renew the NHA Charter and strengthen its organizational structure and DHSUD
functions. Broaden mandate to allow securitization not only of mortgages
a. National Housing Authority Act - but also of other housing-related receivables or loans resulting in
Renew the NHA Charter and strengthen increased funds available for housing development.
its organizational structure and
functions
Maritime Safety, Security, and Prevent and control marine pollution from any vessel. Philippine Coast Guard, DENR,
Prevention of Ship-Sourced Pollution Bill Department of Science and Technology
Percentage of water bodies conforming with water quality guideline values for the following intended use
Water supply 0% 17% 17% 33% 33% 50% 50% Annual Water DENR
(2021) Quality Report
Food production 0% 13% 25% 25% 38% 38% 50% DENR
(2021)
Primary contact 46% 54% 54% 62% 62% 69% 69% DENR
recreation use (2021)
Percentage of highly 59% 60% 62% 64% 66% 68% 70% Annual Air DENR
urbanized and other major (2021) Quality Report
urban centers within
ambient air quality guideline
values for particulate
matter (PM) 10 and 2.5