Status of Universal Health Care in the City of ______

Logo of the City Government

Name of Presentor Designation

Outline
Introduction - Background Information Social Determinants of Health UHC Status - Financial Risk Protection - Status of Health Facilities - MDGs
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City of _________

Map of the City

Total Population : ____ Population Density : ____ per sq. km Income Classification: __ Class No.of Congressional Districts: ___ No.of Brgys. : ___

SOCIAL DETERMINANTS OF HEALTH

 Physical Environment & Infrastructure

Urban HEART Indicator HH w/ access to safe water HH w/ sanitary toilet HH w/ solid waste management Road traffic injuries 2010 National Target 94% 91% 2010 Performance

6%

Sources: _______________________
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 Social & Human Development

Urban HEART Indicator 2010 National Target 2010 Performance

FIC UFC Moderately/Severely Underweight

95 <21.58

Infants exclusively breastfeed Facility-based deliveries Skilled birth attendants Social health insurance Elementary completion rate Teenage pregnancy
Sources: _______________________

85 70 70 80 78 No target
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 Economics
Urban HEART Indicator Employment rate Housing ownership rate 2010 National Target 93% 89% 2010 Performance

Governance
Urban HEART Indicator Government spending for health and social service Social participation rate Voter participation rate % of locally generated revenue out of total budget Index crime rate
Sources: _______________________

2010 National Target 100% 30% 89% No target 42%

2010 Performance

Health is a right of every Filipino citizen and the State is dutybound to ensure that all Filipinos have equitable access to effective health care services

Universal Health Care Strategic Thrust #1

STATUS OF FINANCIAL RISK PROTECTION

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POVERTY INCIDENCE, CITY OF _________

Poverty Incidence, 2011 Number of Families Number of Families belonging to Q1 belonging to Q2

No. of CCT Areas : _____ % Enrollment in Philhealth of CCT Areas: _____

Source: National Household Targeting System, DSWD
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NHIP Enrollment
PHIC Enrollment Coverage: 2008, 2009, 2010
Sector Sponsored Program Individually Paying Program Government Private Non Paying 2008 Enrollees 2009 Enrollees 2010 Enrollees 2010 Target % Accomp.

Overseas Filipino Workers Program

Total Source:
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NHIP Coverage and Availment

Factors explaining the coverage rates in the NHIP in the City

Factors influencing availment of PhilHealth benefits in the City

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NHIP Support Value

Important factors that prevent access to outpatient services

Important factors that prevent access to inpatient services

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Financing Sources FY 2011

CWHS
City Health Budget (City + Brgys.) PhilHealth Reimbursements ODA Funds 1. 2. 3. PDAF / Other Donors 1. 2.

Amount (in Php)

Remarks

DOH 1. Programmed Amount in Php 2. Received Amount in Php 3. Utilized Amount in Php (in %)
TOTAL CWHS 2011 Annual Budget = 2011 Per Capita Budget for Health( Total CWHS Annual Budget divided by population) Total for 2010 =______
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Universal Health Care Strategic Thrust #2

STATUS OF HEALTH FACILITIES

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Map of City-wide Public & Private Health Facilities

ALAMADA BANISILAN ARAKAN PRES. ROXAS ANTIPAS MATALAM ALEOSAN MIDSAYAP KABACAN PRES. ROXAS MAGPET

COTABATO CITY PIGCAWAYAN

LIBUNGAN

CARMEN

KIDAPAWAN CITY PIKIT MLANG MAKILALA

LAMBAYONG LAMBAYONG PRES. QUIRINO LEBAK ESPERANZA ISULAN KALAMANSIG BAGUMBAYAN SEN. NINOY AQUINO PALIMBANG SURALLAH TACURONG CITY

TULUNAN

COLUMBIO LUTAYAN TANTANGAN NORALA KORONADAL CITY STO. NINO BANGA TUPI MALUNGON

Legend: Level 1-3 Hospitals Bemonc Cemonc

TAMPAKAN

POLOMOLOK LAKE SEBU ALABEL TBOLI MAITUM

GEN. SANTOS CITY

KIAMBA MAASIM MALAPATAN

Sample Only

GLAN

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Profile of Public and Private Healthcare Providers (as of 2010)

Health Provider (Public/Private) Doctors NUMBER RATIO PER 100,000 POPULATION IDEAL RATIO PER 100,000 POPULATION 5 Per 100,000 pop.

Nurses
Midwives

5 Per 100,000 pop.

20 per 100,000 pop.

Dentists
Medical Technologists

Sanitary Inspectors

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Main Health Centers/Clinics

Total No. of Main Health Centers/clinics
TOTAL

No. and % of OPB accredited

No. and % of MCP accredited

No. and % of TB-DOTS accredited

Hospitals
Total No. of Hospitals No. and % of accredited LGU Hospitals No. and % of accredited DOH Hospital No. and % of accredited Private Hospital

TOTAL

Lying-in Clinics/Birthing Homes

No. of lying-in clinics/birthin g homes TOTAL No. and % accredited by PhilHealth for MCP No. and % designated as BEmONC No. and % of facilities trained in BEmONC
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Status of Health Facilities Enhancement Program in the City

Facilities targeted for upgrading HFEP Amount programmed Amount released Utilization Balance Status of Completion

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Status of Health Facilities Enhancement Program in the City

Important factors that prevent full implementation of the HFEP Important factors that prevent facilities from getting licensed or accredited Important factors that influence health facility operations and sustainability

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Updates on Public-Private Partnership (PPP) in City Government Hospitals

Name of Partner Name of Project/Activity Type of Support/Amount Status

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Universal Health Care Strategic Thrust #3

MILLENNIUM DEVELOPMENT GOALS

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MDG Goals Goal #4: Reduce Child Mortality Infant Mortality Rate (per 1,000 live births) Under-Five Mortality Rate (per 1,000 live births) Incidence of Protein Energy Malnutrition (PEM) among 0-5 y.o. Fully Immunized Child Goal #5: Improve Maternal Health Maternal Mortality Ratio (per 100,000 live births) Facility-based Deliveries Skilled Birth Attendance Contraceptive Prevalence Rate (modern methods)

2010 Natl Target

2008

2009

2010

17 32 <24% 95%

52 70% 70% 60%

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Risks for MMR, IMR

Three most important factors that influence the risks for maternal and neonatal mortality Three most important factors that affect the establishment and/or mobilization of midwifeled community health teams (CHTs) Status of referral/Service Delivery Networks

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MDG Goals

2010 Natl Target

2008

2009

2010

Goal #6: Combat HIV/AIDS, Malaria, and other Diseases HIV Prevalence among 15 years old and over Malaria Morbidity Rate (per 100,000 pop.)

<1% 62

Malaria Mortality Rate (per 100,000 pop.)

TB Case Detection Rate TB Cure Rate

0.75
70% 85%

Goal #7: Ensure Environmental Sustainability Households With Access to Safe Water

94%

Households With Access to Sanitary Toilets

91%
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MDG Goals Other Indicators Diarrhea Morbidity Rate (per 100,000) Diarrhea Mortality Rate (per 100,000) Mortality from Pneumonia (per 100,000) Dengue Morbidity Rate (per 100,000) Dengue Mortality Rate (per 100,000)

2010 Natl Target

2008

2009

2010

750

<1

21

<10

<1%

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Risks for Non-communicable diseases and conditions

MDG Max Mortality from Non-Communicable Diseases (per 100,000) Mortality from Trauma (accidents and injuries per 100,000) 2008 2009 2010

Three most important factors that influence the risks for noncommunicable diseases Three most important factors that influence case detection/diagnosis Three most important factors that influence treatment/cure
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Status of CIPH Implementation

2011 AOP Implementation

2012 AOP Development

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END

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