Healthy Filipinos 2022

THE PHILIPPINE HEALTH

AGENDA
UNFINISHED HEALTH-
REALTED MILLENNIUM
DEVELOPMENT GOALS
High infant-child-maternal
mortality rates, especially
among the poor

3 out of 10 children are

stunted
Many MDG targets have
not been attained
92% of children have been
breastfed at some time, but
only 27% were exclusively
Inequities in outcomes breastfed
persists across population
groups
Vaccination coverage
remained at 77% in 2013 from
72% in 1993
Inequalities in outcomes persists across population groups
50

Ethiopia

40 India

XII - SOCCSKARGEN
IVB MIMAROPA Quintile 1 Uzbekistan

Bangladesh
Infant Mortality Rate

XIII - CARAGA
ARMM
30 Marshall Islands

Cambodia Iraq
IX Zamboanga Peninsula
VII Central Visayas XI Davao
VI Western Visayas X Northern Mindanao
Indonesia
III Central Luzon PHILIPPINES PHILIPPINES
I Ilocos Region Quintile 2 Egypt
20 V - Bicol Quintile 4 Mongolia
II - Cagayan Valley
IVA - CALABARZON VIII Eastern Visayas
Viet Nam
Quintile 3
NCR CAR
Kazakhstan Iran
Brazil
Quintile 5 Turkey
Georgia
10 Thailand
China Oman

Philippines World

Source: VGTUlep
 LACK OF ACCESS TO
FUNCTIONAL, QUALITY
HEALTH FACILITIES

Bed to population ratio stagnant

Many health facilities remain
underfunded, understaffed and
overcrowded
and low
Occupancy rate of government
hospitals exceeding 100%

Average length of stay in

Lack of human resources for government hospitals 1.5 days
domestic and global health threats. more than private hospitals
 FINANCIAL RISK
PROTECTION

OOP accounts for 56% of Total

Health Expenditures
Out-of-pocket payments Compliance to No Balance Billing
hinders access and is policy ~ 60%
impoverishing

Every year, approx. 1.5 million

Filipinos pushed to poverty

Medicines constitute
more than 60% of OOP
President Rodrigo Dutertes Health-Related Priorities/Pronouncements

10 POINT SOCIO-ECONOMIC AGENDA

SHIFT TO
4. Strengthen implementation of FEDERALISM
the Responsible Parenthood and
Reproductive Health Law to enable
especially poor couples to make WAR AGAINST
informed choices on financial and DRUGS
family planning.
ADDITIONAL FUNDS
8. Invest in human capital
development, including health and
education systems, and match
skills and training to meet the
demand of business and the
private sector.
 Role of Government

Strong Institutions:
Investing in People
Fair and Equal application of
rules

Protection Against Instability

Enabler
 DUTERTE HEALTH AGENDA FRAMEWORK
Goals: Attain Health-Related SDG Targets,
Financial Risk Protection, Better Health Outcomes, Responsiveness

Values: Equity, Efficiency, Quality

3 Thrusts

Health System Building Blocks:

Governance Health Financing Health Workforce Information Regulation Service Delivery
 GUARANTEE 1

PROTECT AT ALL LIFE STAGES AND

ADDRESS TRIPLE BURDEN OF DISEASE
Challenges: Disparities in Health Results , Focused on Public Provision
Care for All Life Stages and Triple Burden of Diseases

Communicable Disease Non Communicable Diseases Diseases of Globalization

HIV/AIDS, TB, Malaria Cancer, Diabetes, Heart Injuries

Neglected tropical diseases Disease, Mental Illness and Substance abuse
Other emerging infections their Risk Factors obesity, Pandemics
(Dengue, Leptospirosis. smoking Health consequences of
Ebola, Zika) Malnutrition climate change / disaster
Travel medicine

Neonate Infant Child Adolescent Adult in Elderly

Reproductive
Age
 GUARANTEE 2

ESTABLISHING FUNCTIONAL
SERVICE DELIVERY NETWORK
Challenges: Fragmentation of Health System, Insufficient Supply of Providers and
Commodities, Lack of Gatekeeping, Focus on Hospitals & Specialist Care, Siloed &
Incomplete Health Information
 Service Delivery Networks (SDN)
Ensure that services are Include the following features

CLOSE TO AND
FELT BY THE PEOPLE;

STRONG GATEKEEPING &

REFERRAL MECHANISM

CLIENT-CENTERED &
CULTURALLY-SENSITIVE

ADEQUATELY PREPARED,
RESPONSIVE AND RESILIENT IN
TIMES OF EMERGENCY &
DISASTER
AT PAR WITH CLINICAL & NON-
CLINICAL STANDARDS
1 Ensure services at points of care

1. Contract networks* of providers to provide continuum of

services
Gatekeeping and access to SDN at HC/RHU/BHS
Inpatient and outpatient services (annual health visits for all poor
families)
Primary care clinics (incl. private outpatient clinics) licensed by DOH

2. Ensure availability of commodities in all access points

PS-DOH, Bulk Procurement, Logistics Management

3. Transform selected DOH hospitals into multi-specialty, end-

referral mega-hospitals, i.e. teaching/training, reference
laboratory
*District hospital paired up with 10+ RHUs or private clinics
 GUARANTEE 3

UNIVERSAL HEALTH INSURANCE

Challenges: Availability and Utilization of Insurance Benefits,
Fairness and Transparency of Benefits Expansion, and Quality of Health Services
 Universal Health Insurance
PHILHEALTH AS

MAIN BUYER OF SERVICES ON BEHALF

THE GATEWAY TO FREE SERVICES OF 100M FILIPINOS

Every Filipino is a member Main revenue source of providers

No balance billing for the poor Covers comprehensive range of
Fixed co-payment for others outpatient and inpatient services &
drugs; financially catastrophic
conditions
Our Strategy
A Advance primary care and quality

C Cover all Filipinos against financial health risk

H Harness power of strategic health human resource

I Invest in digital health and data for decision-making

E Enforce standards, accountability and transparency

V Value clients and patients

Elicit multi-sector, multi-stakeholder support for
E health
 If----Then

If promotion, prevention and

If universal health insurance If efficient and effective
comprehensive services in
leads to pro-poor utilization, utilization of meager
functional SDNs lead to better
non-reliance on out-of-pocket resources enable attainment
and equitable health
payment, and zero heath- of our Sustainable
outcomes and overwhelming
related impoverishment Development Goals
public satisfaction

Then we can safely say that we have

ACHIEVED Kalusugan Para sa Lahat
through the Duterte Health Agenda!
 New Slogan

All for Health

Towards Health for ALL
Lahat Para sa Kalusugan!
Tungo sa Kalusugan Para sa
Lahat