Prof. Neriza G.

Mamasabulod

currently focused on the following three long-term objectives: 1) increased investments in public health programs; 2) achievement of universal social health insurance coverage; and 3) development of a tracking system to monitor health components

a total of P1.415 trillion for government expenditure.

February 15, 2010 Contrary to reports that this years financial plan is higher than the approved P1.541 trillion budget, the total 2010 budget remains at P1.541 trillion despite the increases made by Congress and which the President subjected to conditional implementation, Budget Secretary Rolando Andaya Jr. said. 8.1% higher than last year

GOVT. SECTOR

2009

2010

Health Defense Education

P27.9 billion P56.5 billion P158.2 billion *

28.5 billion P62.7 billion 172.85 billion*

In 2005, five out of 10 Filipinos die without receiving medical attention. The average hospital bill is three times the average monthly income of a worker. In 2000, government was to spend P191 per Filipino per year for health. In 2006, it was reduced to P119 per Filipino per year for health.

 Doctor Nurse

1:1800 1:10000/1:20000 /1:30000 (WHO recommends 2.5:1000) 1:10000/1:20000 /1:30000 (Ideally 61:10000 or 1 per barangay) 13:10000 1:525

Midwife

Hospital Bed Police

` ` `

Access Quality Equity

Large gaps in inequity from among regions (most

inequities: ARMM, Zamboanga, Peninsula, Bicol, Leyte-Samar, Mimaropa)

120 municipaties have remained doctorless for the past 10 years. 24,000 barangays have no midwives

Only 46% of births in rural areas are attended to by health professionals, compared to 77% in urban areas Provinces with the highest poverty incidence have the highest maternal mortality rates.

People with most means and whose needs for health care are often less consumed have the most and best quality health care.
(WHO World Health Report 2008)

In the Philippines, the employed sector comprises about half of the active PhilHealth membership and received 65% of the benefit payments in 2008. Majority or 61% of PhilHealth accredited hospitals are private.
(PhilHealth Ssats, 2008)

It is not acceptable that, in low income countries primary health care would be reduced to a stand-alone health post or isolated communityhealth worker.
(World Health Report 2008)

A strong health system has adequately trained health professionals, well versed in both curative and preventive care, and are backed up by an efficient referral system that facilitates the movement of patients from primary to secondary and tertiary care.

Children and mothers belonging to the lowest quintile of the wealth index are the most vulnerable to illness and death. Almost half or 49.7% of children 12-23months old without any vaccinations at all belonged to mothers with no education.

Poor families often avoid hospital facilities for fear of costly procedures. Data shows that only about 1.7% of women from the lowest wealth quintile access caesarian section services.
NOTE: The ideal proportion of access to caesarian section is 12%-16% for all pregnant women.