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Health Indicators

Benchmark

Rich Urban Communities

Poor Rural Communities

Life Expectancy at Birth Infant Mortality 19/1000LB Rate Maternal 52/100,000LB Mortality Rate

over 80 under 60 years years less than 10 over 90 less than 15 over 150

Province/ City

Infant Fully Under 5 Mortality Immunized Mortality Rate Children Rate (2009) (%) (/1000 LB) (/1000 LB)

Maternal % of Births Facility Mortality Ante Attended by Based Ratio Natal Care Skilled Health Deliveries (/100,000 (%) Personnel (%) LB)

FP Prev Rate (%)

Tuberculosis Control Case Cure Rate Detection (2009) Rate

Albay Cam Norte Cam Sur

Catanduanes Masbate Sorsogon Iriga City Legazpi City Naga City BICOL ACCOM
Regnl Target by 2015 Natl Target by 2015

8.2 13.7 9.1 8.5 14.1 6.8 12.1 10.1 15.7

73.7 83.3 73.6 81.2 83.4 79.5 77.3 90.6 93.4

12.7 18.5 15.2 12.9 25.8 12.9 23.1 15.0 19.0

56.8 66.8 65.5 121.3 160.0 142.8 1.1 120.9 76.0

73.0 60.6 64.9 45.9 71.7 59.7 60.9 55.5 72.5

69.3 63.4 52.2 71.2 58.7 82.6 73.1 84.8 72.4

54.4 34.3 17.0 66.7 18.3 82.6 11.0 41.4 41.9

31.1 38.4 20.8 44.7 36.9 36.9 21.7 30.5 64.4

96 112 92 91 80 99 172 43 156

85 85 84 86 87 85 83 77 88

10.2 8

78.5 95

16.7 16

96.4 65.4 32 80

65.0 80

39.2 32.0 80 60

96 70

84 85

19

95

27

52

80

80

80

60

96

85

Basic health services as well as tertiary care for the majority of Filipinos are inadequate, fragmented, inefficient, and incomplete. Services are largely inaccessible and unaffordable. The Philippines health sector is dominated by commercial interests of a segment of the system that is not really about health outcomes but is primarily about bottom-line profits.

Human resources for health are insufficiently educated, inappropriately trained, and poorly motivated to address the health care concerns of most Filipinos. Poorly compensated government health workers are unable to influence behaviors of their high earning private sector counterparts within the change-resistant environments of their respective professional organizations. Failure of public financing for health. The combined weight of the uncoordinated spending for health by the national government, local governments and our national social health insurance program has been low and weak resulting to on out-of-pocket payments by patients.

Organised health care system built around the principle of universal coverage for all members of society, combining mechanisms for health financing and service provisions. (Wikipedi)
A governmental system meant to ensure that every citizen or resident of a region has access to the required medical services. (http://www.wisegeek.com/what-isuniversal-health-care.htm)

Addresses: Quality, Responsiveness, Availability and Accessibility


Focuses: Eliminating disparities (equity) and inefficiencies (governance) Guiding principle: Providing essential health care packages to all regardless of age, gender, religion, ethnicity, socio-economic status, ideology, etc.

Filipino should have access to high quality health care that is


Accessible Efficient Equitably distributed Fairly financed Adequately funded Directed in conjunction with an informed and empowered public.

Overarching philosophy is that access to social services is based on needs and not on the capability to pay.

Better Health Outcomes

Responsive Health System

Equitable Health Financing

Achieving Healthrelated MDGs

Health Financing

Service Delivery

Policy, standards and regulation

Governance for Health

Health Information

Health Human Resource

Multiple funding sources with the goal of significantly reducing out-of-pocket spending especially by those in the poorest income deciles:

Quantum increases in tax-based government spending at both national and local


Borrowing, additional taxes, re-allocation of non-social service sector Mandatory increase allocation of IRA to be spent on health

Significant increases in the PhilHealth support value for identified services in the basic package
Mandatory membership to Philhealth Development of basic health packages and expanding to increasingly sophisticated services

Integrate and strengthen health workforce regulatory functions under one body attached to the DoH to unify standards and regulations of the production, practice, and deployment of the various health professions.
Teaching and training institutions to tailor production for service to underserved communities either as government (national or local) or civil society professionals

Update and rationalize practice laws of the different health professions premised on health care being a team effort taking into account the principles of primary health care.

A revisiting of the Local Government Code and its implementation with the view of enabling government facilities to be more integrated, efficient and effective. The integration and organization of government facilities in accordance with the principles of primary health care by providing integrated health services either directly or through a unified and formalized referral system.

Full implementation of the BFAD Strengthening Law that health goods should be re-designed to ensure not only safety and effectiveness of health products but also affordability especially for government agencies.
Strict regulation of marketing and other promotional activities for health products including advertising prohibitions for certain goods. Strengthening of other regulatory functions of DOH, other government agencies.

eHealth masterplan designed to maximize the use of information technology for health service delivery.
Identify, collect and analyze major health data including burden of disease, actual costs of health services, historical utilization and budget for health services, necessary for implementation of Universal Health Care. Requiring health providers and facilities to submit mandated health reports using standard

Transparency should be the norm for all institutions involved in health care. Empower citizens as data generators and as information users. Strengthen health research through the establishment of the Philippine National Health Research System (PNHRS).

Sustainability Phase Scale-up Phase Launch Phase

August to December 2011

2012 to 2013

2014 to 2016

NHIP sponsored programme of the poorest NHTS-PR households No balance billing (NBB) policies by govt hospitals serving NHTS-PR families RNheals nurses and midwives deployment for capacitation of existing community-level workers with CHT functions

MHO

RHM

Health facilities enhanced/upgraded to ensure the poorest NHTS-PR families access out and inpatient benefit packages (OP and IP packages) Treatment packs shall be procured and distributed to RHUs CCTs (4Ps) beneficiaries

Focused resources and efforts in areas with highest concentration of NHTS poor families Scale-up public health programmes like:
women with unmet need for MFP mothers giving birth at home with TBAs children not fully vaccinated and Vit. A supplements adults who are TB smear positive common life-style related diseases

Prioritise municipalities where 80% of NHTS-PR families are found In each of these municipalities, assess:
NHIP Enrolment Accreditation status of RHUs, clinics and lying in Accreditation status of hospitals (public, private) Position of LCE on health issues Availability of public health commodities (stocks)

Determine targets and interventions for:


NHIP enrolment and membership services CHT and Rnheals deployment Upgrading of health facilities Securing public health commodities Capacity building

Draw up joint province- or city-wide agreements

Rolled-out of a new sponsored programme with full national government premium to poorest families listed in the NHTS-PR at 2,400PhP per family. Closure of the upgrading gap for local health facilities and DoH-retained hospitals to ensure access to improved quality of health services Inclusion of a catastrophic care coverage to be introduced by 2013;

Sustained coverage of NHTS-PR families in the NHIP

Enhancement of the OP and IP packages with NBB


Sustained quality care through Health Facility Enhancement Programme Deployment of CHTs and Rnheals Attainment of health-related MFG by 2015

Province/City

No. of NHTSPR HH (KPDO)

Required No. of CHD Target No. of NHTS-PR Households No. of NHTS-PR CHT 2011 2012 2013 TOTAL HH Members (Q1) (Q2 + Q1) targeted (CCT) cover by by the KP DO

CHD

Legazpi City ALBAY CAM NORTE Iriga City Naga City

18,122 126,525 69,192 8,084 10,969

906 6,326 3,459 404 548

10,322 77,920 40,802 4,628 6,193

1,405 11,661 Non-CCT 3,768

2,064 15,584 8,160 926 1,239

8,258 + Q1 62,336 + Q1 32,642 + Q1 3,702 + Q1 4,954 + Q1

10,322 77,920 40,802 4,628 6,193

CAM SUR
CATANDUANES MASBATE

217,226
30,331 160,894

10,861
1,516 8,044

125,387
16,743 103,478

82,135
77,419

25,077
3,349 20,696

100,310 + Q1
13,394 + Q1 82,782 + Q1

125,387
16,743 103,478

SORSOGON
TOTAL

141,245
745,413

2,062
37,270

75,769
461,242

171,215

15,154
92,248

60,615 + Q1
368,994 + Q1

75,769
461,242

Province/City

Required No. of CHT Member to Cover CHD Targets 516 3,896

CHD Target No. of CHT Members to be Trained 2011 (Computed against CCT HH) 70 513 2012

Legazpi City ALBAY

446 73

CAMARINES NORTE
Iriga City Naga City CAMARINES SUR CATANDUANES MASBATE SORSOGON TOTAL

2,040
231 310 6,269 837 5,174 3,788 19,274

0
0 188 3,661 0 3,872 0 8,304

2,040
231 148 2,981 837 3,792 3,788 10,970

Diploma in Midwifery two-year program Clinical Practicum in Foundations of Midwifery Normal OB and Care of the Newborn Introduction to High Risk Obstetrics Basic Care of Infants and Feeding Basic Family Planning Primary Health Care Midwifery Ethics, Law and Practice

Bachelor of Science in Midwifery four-year degree program Clinical Practicum in Mgt of OB Emergencies and High-risk Pregnancies Care of Infants and Children Comprehensive Family Planning Community Health Service facility Mgt Midwifery Pharmacology Research Entrepreneurship Administration and Supervision Midwifery Majors: Education Community Health Reproductive Health Administration and Supervision or Health Care Facility Mgt