Public Health Concerns in PH
• Noncommunicable diseases still are most
highest mortality diseases
1. Healthcare system is fragmented
• lack of coordination results in inefficiencies,
gaps in healthcare, challenge in providing
seamless, holistic healthcare for pop
• Health disparities / unequal accessibility
• DOH budget 3rd most expensive
• Out of pocket expenditure / individual spending
on healthcare still high
• Hospitals (esp. lvl 3 / 4) are concentrated in
Urban areas, rural areas no access to
specialized medical services
2. High maternal / newborn mortality rate, High
fertility rate
• demographic transition, more favorable age
structure, less dependent population, better
economical growth
• Poorer = more complications in maternal health,
substandard living environment, higher
incidence of risk factors
• SDG maternal mortality ratio
• Less than 70 / 100,000 live births
• SDG neonatal mortality ratio
• Less than 12 / 1,000 live births
• Less 5 mortality ratio
• Less than 25 / 1,000 live births
3. Rise of NC/C Diseases
• overuse of antibiotics, unhealthy habits and
diets
4. Shortage of Human Medical Resources
• one of greatest challenges in PH health
problems
• low medical personnel income
• MedTechs only 15K, brain drain
Performance governance system, 2004
• Strat for Gov reform of a better health capacity
• achievements of stages will direct to achieve
being beyond better
Initiation
• Roadmap
• strategy design
• Identifying obj / strat / impact indicators
Compliance
• strategy execution
• Align whole org (f/ brgy center to DOH) towards
one goal
• Evaluation
Proficiency
• Strat for good execution
• Monitoring / evaluation execution
• determine if meeting goal
Institutionalization
• attainment of breakthrough results
• Impact, breakthrough results
Being done
• Augmentation of workforce thru Human
Resources Health programs
• designed to face challenges of MP shortage
/ uneven distribution of personnel
• increase competencies of workers
• National Health Workforce Support System
(NHWS)
• addressing in/out – flows of workers
• promoting decent working conditions
• Human Resource management /
development system
• Salaries, benefits
Early Wins
• Improved PhilHealth Enrolment 86 -> 93
• Improved Unmet Need for Family Planning
• women who dont want to get pregnant, but
dont use contraception, 5% improvement
 DOH 8 – Point Agenda
• No one gets left behind
Vision
• make Filipinos healthiest in Asia by 2040
• can only be achieved with Better Health
Outcomes, Stronger Health System, Access to
all levels of Care
Bawat Pilipino / Individuals
• BP ramdam ang Kalusugan
o BP experiences benefits f/ comprehensive
health services w/o financial burden
o Develop functional healthcare provider
network
o Improve Benefit Packages
o Establish more Primary Care facilities
• Ligtas, Dekalidad at Mapagkalinglang Serbisyo
o Ensure quality, safe, people centered
healthcare services for lifecourse
o Establish more specialty center
o Risk-based health regulation
o Improved Program implementation
o Supply Chain and Logistics Management
• Teknolohiya Para sa Mabilis na Serbisyo
o Use digital health / technology for better
health service delivery
o E records for payment claims
o HIS and E health services
o More Public-Private partnership for digital
health improvement
o Digitized administrative process / data
management
Bawat Komunidad
• Handa sa krisis
o Resilient health system to respond to
health crises / emergencies
o Advance mass causality capacity
o Improve displacement / evacuation
logistics
o Establish green health facilities
o Sustain DRRM
• Pag-iwas sa sakit
o Healthy settings / Health literacy
o Ensure health promotion / education
o explore demand-generation activities
o Implement healthy settings approach
• Ginhawa ng Isip at Damdamin
o well-being, quality mental health services
o Ensure provision of mental health services
o Imbibe arts / culture
Bawat Health Worker at Institusyon
• Kapakanan at Karapatan ng Health Workers
o Sufficient / engaged workforce
o providing fair compensation, healthy
working environments, career
development opportunities
• Proteksyon sa Anumang Pandemiya
o strengthen systems for outbreaks /
potential pandemics
o Epidemiology / Surveillance, addtl.
regional biosafety laboratoties, fellowships
for specialty programs on infectious
diseases
DOH Health Programs
DOH E-Learning Program
• open source courses for health programs
• PSSP scholarship program for deserving
Health-Allied courses
o complete a year of return services
Botika ng Bayan / Botika ng Bayani
• supplement primary care facilities with free
essential medicines
• reduce financial burden
Health Facilities Enhancement Program
• establish more centers / hospitals
National Voluntary Blood Services Program
• supported by RA 7719
• public awareness on blood donation
Dangerous Drug Abuse Prevention / Treatment
Program
• in response for increasing cases of drug abuse
Safe Mother Program
• better maternal care services
For Child Nutrition
• Micronutrient Supplementation Program
Routine Immunization Specific Objective

• 6 Vaccine preventable disease – TB, Polio, etc • Provide strategic direction

• Garantisadong Pambata • Identify priority areas for health promotion
• Promote / Provide basis for technical support
Family Planning Program
• Provide guidance on Gov participation
• FHSIS, all Filipinos informed decisions
Vision
regarding family planning
• Healthy Pilipinas, health seeking indivs / health
Smoking Cessation Program
enabling settings / health support are present
• decreasing smoking as cause of morbidity and
Mission
mortality
• Make healthy behaviors the easier choice
HIV / AIDS / STI Prevention and Control program
Goal
• 0 new infection / discrimination / deaths
• Health literate Filipinos, Health enabling
Philippine Acceleration Action Plan for TB
settings, health supporting policies
• Tb elimination in PH
7 Healthy Habits
Malaria Control and Elimination program
Priority Area 1: Nutrition and Physical Activity
• 2021, 62 provinces are Malaria free
• Move more, Eat Right
• decrease Malaria esp in Palawan
• balanced diet / enough exercise
Dengue • protection from NC diseases

• Aedes Borne Viral Diseases / Dengue - Priority Area 2: Environmental Health

Prevention and Control Program
• Be clean, Live sustainably
• ease burden of Dengue
• focus on personal hygiene / cleaner
Health Promotion Framework Strategy surroundings / sustainable living

Health Promotion Priority Area 3: Immunization

• enabling people to increase control over / • Get Vaccinated

improve health • Best protection against diseases for all ages
• healthcare is only 20% of total health, biggest is
Priority Area 4: Substance Abuse
Socioeconomic Factors
• Don’t Smoke, Avoid Alcohol
RA 11223 Universal Health Care Law
• Say no to Drugs
• Emphasis on health promotion, increasing • Harmful use of any substance for mood altering
health literacy, across social determinants of purposes
health • Demands an effective mechanism of deterrence
Administrative Order 2021 – 0063 / Health Priority Area 5: Mental Health
Promotion Framework Strategy 2030
• Care for Yourself, Care for Others
• basis of implementing health strategies • No health w/o meant health
• All Filipinos are health literate
• Health-enabling settings
• Policies are supportive / protective of health
Priority Area 6: Sexual and Reproductive Health

• Practice safe sex

• Make informed decisions about SRH, respect
human right
• Positive / Respectful approaches to sexuality

Priority Area 7: Violence and Injury Prevention

• Do no Harm, Put Safety First

• Culture of Safety