8-POINT ACTION AGENDA

The Medium-Term Strategy of the Health Sector for 2023-2028

“Sa Healthy Pilipinas, Bawat Buhay Mahalaga”

doh.gov.ph
CONTENT OF THE PRESENTATION
HEALTH SECTOR OBJECTIVES &
PERFORMANCE INTERVENTIONS
Overview of the healthcare sector’s performance from Set of the strategic objectives and planned
2017-2022 actions to attain these objectives

HEALTH SECTOR INDICATORS

GOALS Metrics used in monitoring and evaluation that
measure the long-term and intermediate outcomes
Set of goals to guide actions and measure
progress toward desired outcomes.

M&E LOGICAL IMPLEMENTING

FRAMEWORK GUIDELINES
Outlines the inputs, process/output, intermediate Precise and detailed rules, strategies, plans, course of
outcomes and impact action, procedures, or practice to be implemented or
followed

Republic of the Philippines

Department of Health 2
/doh.gov.ph
 Maternal Mortality Ratio
111 144 Health Sector
Performance
(2015) (2020)

Infant Mortality Rate

21 22
(2017) (2022) Percent of Provinces w/
Adequate Bed to Patient Ratio
Tuberculosis Incidence
554 650 27 23
(2017) (2022)
(2016) (2021)
Social Health Insurance Spending
as Percentage of CHE
Estimated Number of PLHIV Percent of Provinces w/
117K 158K Adequate Nurse to Patient Ratio 18 14
(2010) (2022) (2016) (2021)

100 96
(2016) (2022)
Premature Mortality Attributed to Incidence of Catastrophic Health
4.6 NCDs 4.6 Expenditure (inpatient)
(2010) (2019) Percent of Provinces w/
Adequate Midwife to Patient 30
Stunting among Under-Five Ratio
(2021)

33.4 Children 26.7 75 72

(2016) (2022) Source: NOH 2017-2022 Performance Report
(2010) (2021)

Republic of the Philippines

Department of Health 3
/doh.gov.ph
 Bawat
Pilipino

Bawat
Komunid
ad

Bawat
Health
Worker at
Institusyo
n
Republic of the Philippines
Department of Health 4
/doh.gov.ph
 HEALTH SECTOR GOALS
VISIO
GOAL 1 GOAL 2 GOAL 3
N

BETTER HEALTH STRONGER ACCESS TO ALL

OUTCOMES HEALTH SYSTEMS LEVELS OF CARE FILIPINOS ARE
AMONG
THE HEALTHIEST
IN ASIA BY 2040

Republic of the Philippines

Department of Health 5
/doh.gov.ph
 HEALTH SECTOR M&E LOGICAL FRAMEWORK
INTERMEDIATE
INPUT PROCESS / OUTPUT IMPACT
OUTCOME
● Policies, Standards and
● Budget Regulation 8-Point Action Agenda Universal Health Care
● Personnel hired ● Capacity Building and ● Bawat Pilipino ● Better Health
● Infrastructure and Technical Assistance ● Bawat Komunidad Outcomes
● Stakeholder ● Bawat Health Worker ● Stronger Health
technologies
Engagement Systems
● Health Care Provider ● Access to all Levels of
Network / Primary Care
Care Provider
Networks
● Individual-based
health services
● Population -based
health services

Republic of the Philippines

Department of Health 6
/doh.gov.ph
 IMPACT INDICATORS
GOAL 1 NO. INDICATOR
BASELINE
END TERM
TARGET DATA SOURCE
REPORTIN
(Year) G UNIT
(2028)
Civil Registration
Male 70 (2020) Male 71
1 Average Life Expectancy (years) and Vital Statistics PSA
Female 76 (2020) Female 77
(CRVS)
Maternal mortality rate per 144
2 126 CRVS PSA
100,000 live births (2020)

National
Infant mortality rate per 1,000 live 22 Demographic and
3 12 PSA
births (2022) Health Survey
(NDHS)
BETTER HEALTH
Premature mortality rate
OUTCOMES 4 attributed to non-communicable 5
(2020)
1 CRVS PSA
diseases
Tuberculosis incidence (per 650
5 520 TB Global Report WHO
100,000 population) (2021)

Expanded
Prevalence of stunting among 27
6 18 National Nutrition FNRI
children under five years of age (2021)
Survey Department
(ENNS)
Republic of the Philippines
of Health 7
/doh.gov.ph
 IMPACT INDICATORS
GOAL 2 NO. INDICATOR
BASELINE
END TERM
TARGET DATA SOURCE
REPORTIN
(Year) G UNIT
(2028)

93 UHC Household DOH-

7 Responsiveness score >93
(2019) Survey PMSMD

85% >85
(public facilities) (public facilities) UHC Household DOH-
8 Client Satisfaction Rate 97% >97 Survey PMSMD
(private facilities) (private facilities)
(2019)

STRONGER
HEALTH SYSTEMS

Republic of the Philippines

Department of Health 8
/doh.gov.ph
 IMPACT INDICATORS
GOAL 3 NO. INDICATOR
BASELINE
END TERM
TARGET DATA SOURCE
REPORTIN
(Year) G UNIT
(2028)

Household out-of-pocket health Philippine

9 spending as percentage of current 42 >28 National Health PSA
(2021)
health expenditure Accounts (PNHA)

Special Study
Incidence of catastrophic health using Family
30% DOH-
10 expenditure among those who had <30 Income and
(2021) PMSMD
at least one inpatient care Expenditure
Survey Data
ACCESS TO ALL
LEVELS OF CARE

Republic of the Philippines

Department of Health 9
/doh.gov.ph
 Bawat
Pilipino

Bawat
Komunid
ad

Bawat
Health
Worker at
Institusyo
n
Republic of the Philippines
Department of Health 10
/doh.gov.ph
 11

Bawat Pilipino Every Filipino experiences

health and well-being

Mainstream and strengthen the

primary health care approach,
ensuring that every Filipino has access
Department of Health
Republic of the Philippines

to comprehensive health services

/doh.gov.ph

without experiencing financial

hardship.
STRATEGIC INTERVENTIONS
1. Strengthen Primary Care Provider Network and
Health Care Provider Network
2. Ensure every Filipino is registered to a Primary
Care Provider (PCP)
3. Boost national and local financing for primary
care
 1
ACTION AGENDA 1: Bawat Pilipino, ramdam ang kalusugan
Mainstream and strengthen the primary health care approach, ensuring that every
Filipino has access to comprehensive health services without experiencing financial
hardship.
END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)
Percent of Filipinos registered to a Primary Care 15%
11 90% Administrative Data DOH-PHIC
Provider (2022)

Number of Primary Care Provider Network contracted

12 by PhilHealth for Comprehensive Outpatient Benefit 0¹ TBD Administrative Data DOH-PHIC
(2022)
Package
Number of Health Care Provider Network contracted by 0²
13 4-63 Administrative Data DOH-PHIC
PhilHealth (2022)

14 PhilHealth Support Value 66% 80% Administrative Data DOH-PHIC

(2017)

15 Percent of benefit payout for primary care 0.16% 31% Administrative Data DOH-PHIC
(2022)

16 Percent spending for primary care 4% 8% PNHA PSA

¹The
17current Konsulta
Percent of Package will be
provinces transitioned
with adequate to Comprehensive
primary care Outpatient 21%by 2025.
Benefit Package
facilities 50% Administrative Data DOH-HFDB
²Health Care Provider Network is currently being finalized by PhilHealth. (2022)
3
Indicative Target set by PhilHealth
 13

Bawat Pilipino Safe, high-quality, and

people-centered services

Ensure the provision of high-quality,

safe, and people-centered services,
which include access to affordable
Department of Health
Republic of the Philippines

medicines, across the lifestages.

/doh.gov.ph

STRATEGIC INTERVENTIONS
1. Ensure delivery of comprehensive and
integrated health and nutrition services across
all levels of care
2. Implement mechanisms for commodity
availability and affordability
3. Adopt agile regulatory framework to support
providers in underserved areas
 ACTION AGENDA 2: LIGTAS, DEKALIDAD AT

2
MAPAGKALINGANG SERBISYO
Ensure the provision of high-quality, safe, and people-centered services, which
include access to affordable medicines, across the lifestages.

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

18 Proportion of fully immunized children 72% 95% NDHS PSA

(2022)

19 Treatment success rate - Drug-Sensitive Tuberculosis 80% 90% Administrative Data DOH-DPCB
(2022)

HIV/AIDS and ART

20 Percent of PLHIV on Antiretroviral Treatment (ART) 65% 95% Registry of the DOH-EB
(2022)
Philippines (HARP)
Percent of provinces with adequate bed-to-population 27%
21 60% Administrative Data DOH-HFDB
ratios (2021)

Percent of functional designated specialty centers 74%

22 132 based on the
¹Target: 1 latest submission of HFDB 100% Administrative Data DOH-HFDB
established (2022)
 15

Bawat Pilipino Technology for efficient

health service delivery

Leverage digital health and technology

for efficient and accessible health
service delivery.
Department of Health
Republic of the Philippines

STRATEGIC INTERVENTIONS
/doh.gov.ph

1. Increase efficiency and productivity in service

delivery by harnessing digital health
technologies.
2. Streamline administrative processes and data
management in the DOH and the health sector
through digital transformation
3. Improve benefit payment processing through
leveraging data services and innovative
technologies
4. Engage the private sector in digitalization
initiatives in health.
 ACTION AGENDA 3: TEKNOLOHIYA PARA SA MABILIS NA

3
SERBISYONG PANGKALUSUGAN
Leverage digital health and technology for efficient and accessible health service
delivery

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

100%
80%* private health
(2019) facilities
Percent of health facilities with paperless electronic
23 Administrative Data DOH-KMITS
medical record and regularly submit data *public 100%
health public health
facilities only facilities by
2024
 17

Bawat
Ready for health crises and
Komunidad
emergencies

Ensure a responsive and resilient

health system and communities that
can effectively prevent, prepare for,
Department of Health
Republic of the Philippines

respond to and recover from public

/doh.gov.ph

health emergencies and crises.

STRATEGIC INTERVENTIONS
1. Strengthen the climate resilience and
environmental sustainability of health care
facilities
2. Advance capability to manage large-scale health
emergencies
 4
ACTION AGENDA 4: HANDA SA KRISIS
Ensure a responsive and resilient health system and communities that can effectively
prevent, prepare for, respond to and recover from public health emergencies and
crises

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

Percent of public hospitals recognized as green, safe, and 7%

24 50% Administrative Data DOH-HFDB
climate resilient hospitals (2022)

Percent of Integrated local health system with functional

25 Disaster Risk Reduction and Management in Health 0 100%1 Administrative Data DOH-HEMB
(2022)
(DRRM-H) System
¹Target includes the 71 local health systems which resulted from integration
 19

Bawat
Disease prevention and
Komunidad
health promotion

Address determinants of health and

improve healthy behaviors through the
promotion of health-enabling settings,
Department of Health
Republic of the Philippines

implementation of healthy public

/doh.gov.ph

policies, and enhancement of health

literacy.
STRATEGIC INTERVENTIONS
1. Enable adoption of healthy behaviors of the
seven priority areas of the Health Promotion
Framework Strategy
2. Strengthen intersectoral action and health
promotion governance at all levels
 5
ACTION AGENDA 5: PAG-IWAS SA SAKIT
Address determinants of health and improve healthy behaviors through the
promotion of health-enabling settings, implementation of healthy public policies, and
enhancement of health literacy

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)
Proportion of women aged 15–49 years who make their
26 own informed decisions regarding reproductive health 86% 90% NDHS PSA
(2022)
care

Age-standardized prevalence of current tobacco use 20% Global Adult Tobacco

27 14.95% DOH-EB
among persons aged 15 years and older (2021) Survey

Percent or number of healthy settings recognized:

a. Communities
28 TBD¹ 60% Administrative Data DOH-HPB
b. Workplaces
c. Schools

Percent of Filipino adults with sufficient or excellent 35%

29 69% Health Literacy Survey DOH-HPB
¹Healthy comprehensive
communities: Targethealth
timeline literacy
(2021)
for the baseline data is 2023 provided agreements with the Inter-Agency Technical Working Group on Healthy Communities (IATWG-HC)
²Healthy workplaces: Target timeline for the baseline data is 2024 provided that Implementation of the Healthy Workplace Initiative is being piloted for 2023
³Healthy schools: Target timeline for the baseline data is 2023 provided agreements with the National Technical Working Group on Healthy Learning Institutions (NTWG-HLI)
 21

Bawat
Mental health and overall
Komunidad
well-being

Enhance Filipinos’ well-being and

ensure quality mental health services.
Department of Health
Republic of the Philippines

/doh.gov.ph

STRATEGIC INTERVENTIONS
1. Improve access to mental, neurological, and
substance use disorders health services
2. Integrate client-focused approaches towards
holistic care
3. Institutionalize Enhanced Treatment Program
for Outpatient Services for Drug Users
6
ACTION AGENDA 6: GINHAWA NG ISIP AT DAMDAMIN
Enhance Filipinos’ well-being and ensure quality mental health services

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

Percent of LGUs providing primary care mental health

30 TBD TBD Administrative Data DOH-DPCB
services
 23
Bawat Health
Advancement and protection
Worker at
of health workers' rights and
Institusyon
well-being

Ensure an adequate, competent, and

committed health workforce by
providing fair compensation, decent
Department of Health
Republic of the Philippines

work conditions, and opportunities for

/doh.gov.ph

career development.

STRATEGIC INTERVENTIONS
1. Increase availability of health workers in health
facilities, institutions, and communities
2. Strengthen capacities of health workers to
deliver health quality services
3. Improve working conditions of healthcare
workers at all levels of the health care system
 ACTION AGENDA 7: KARAPATAN AT KAPAKANAN NG HEALTH

7
WORKERS
Ensure an adequate, competent, and committed health workforce by providing fair
compensation, decent work conditions, and opportunities for career development

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

Physician Physician
3% 72%
Percent of cities and provinces with adequate Human
31 Nurse 2% Nurse 72% Administrative Data DOH-HHRDB
Resources for Health to population ratio
Midwife 82% Midwife
(2022) 100%

Percent of LGUs that provided full hazard pay,

32 subsistence and laundry allowances to permanent public TBD TBD TBD TBD
health workers in accordance to RA No. 7305
 25
Bawat Health
Worker at Protection against any
Institusyon pandemics

Strengthen health systems and

structures to prevent, manage, and
recover from disease outbreaks and
Department of Health
Republic of the Philippines

potential pandemics.
/doh.gov.ph

STRATEGIC INTERVENTIONS
1. Strengthen Disease Surveillance and Epidemic
Response
2. Institutionalization of Philippine Health
Laboratory System (PHLS)
8
ACTION AGENDA 8: PROTEKSYON SA ANUMANG PANDEMYA
Strengthen health systems and structures to prevent, manage, and recover from
disease outbreaks and potential pandemics

END TERM
BASELINE REPORTING
NO. INDICATOR TARGET DATA SOURCE
(Year) UNIT
(2028)

Percent of regions and provincial/city/municipality LGUs 41%

33 100% Administrative Data DOH-EB
with functional epidemiology and surveillance unit (2020)
 HUMANISTIC
LEADERSHIP
This leadership approach calls on all
stakeholders to demonstrate genuine
empathy, care, and support for others.
The essence of this leadership style is its
service-driven and people-oriented
nature.
STRATEGIC INTERVENTION
Enhance leadership and management skills among DOH and LGU public
health institution leaders
GOOD
GOVERNANCE
This calls on all stakeholders to ensure
that health commitments are judiciously
pursued using strategy, performance,
and quality management systems.
STRATEGIC INTERVENTIONS
1. Elevate performance monitoring in tandem with systems for
evaluation, accountability and learning (MEAL)
2. Streamline program evaluation as input to decision making
3. Transform public health institutions through an organizational
development approach
4. Mainstream and streamline quality assurance and improvement
systems in full support of the strategy
Republic of the Philippines
Department of Health 27
/doh.gov.ph
 STRATEGY MAP FOR THE 8-POINT ACTION AGENDA
VISION FOR THE HEALTH SECTOR
IMPACT

Filipinos are among the healthiest people in Asia by 2040

BETTER HEALTH STRONGER HEALTH ACCESS TO ALL LEVELS
OUTCOMES SYSTEMS OF CARE

8-Point Action Agenda

Sa Healthy Pilipinas, Bawat Buhay Mahalaga!
STRATEGY

Bawat Health
Bawat Pilipino Bawat Komunidad
Worker
at Institusyon

HUMANISTIC LEADERSHIP & GOOD GOVERNANCE Republic of the Philippines

Department of Health 28
/doh.gov.ph
 Governance
Framework &
Management
Systems STRATEGIC NATIONAL
PERFORMA QUALITY PERFORMA POLICIES
NCE MANAGEM NCE SUCH AS
GOVERNAN ENT MANAGEM EASE OF
CE SYSTEM SYSTEM ENT DOING
(PGS) (QMS) BUSINESS
SYSTEM
(SPMS) ACT

Republic of the Philippines

Department of Health 29
/doh.gov.ph
 1 The DOH shall institutionalize organizational development as a
driver for change management and “right-sizing”.

2
Other public health institutions, including local health offices and
LGU-owned healthcare facilities, shall be encouraged and assisted

IMPLEMENTI to institutionalize organizational development within their

institution.

NG
3
Government agencies/entities and other health stakeholders are

GUIDELINES
strongly encouraged to align their policies, programs, and funds for
health with the 8-Point Action Agenda.

Alignment of
4
All health stakeholders’ commitments and contributions to the
Policies, Programs, implementation of the strategy shall be indicated and monitored
annually in scorecards
Projects and Funds
5
All DOH offices shall align their WFPs, PPMP, and respective
medium-term program investment plans with the 8-Point Action
Agenda.

Republic of the Philippines
Department of Health
/doh.gov.ph
6
LGUs are enjoined to align their respective Local Investment Plans
for Health and Annual Operational Plans with the 8-Point Action
Agenda with the assistance of CHDs.
30
Maraming Salamat po!

Republic of the Philippines

Department of Health
/doh.gov.ph