JUANITO D. TALEON, MD., MPH.

Regional Director DOH, Center for Health Development, CHD 4A-Calabarzon

The Aquino Health Agenda

Universal Health Care for All Filipinos
(Administrative Order No. 2010-0036 )

Deliberate attention to the needs of millions of poor Filipino families which comprise the majority of our population

Filipino Income Quintiles

Monthly income 3,460 6,073 9,309 15,064 38,065 Families per quintile 5,218,267 4,094,164 3,912,443 3,707,494 3,485,067

Q1 Q2 Q3 Q4 Q5

Source: National Health and Demographic Survey, 2008

Ano ang bahagi ng Lokal na Pamahalaan tungo sa Kalusugang Pangkalahatan (KP)?

A. Financial Risk Protection

KP Strategies Improving the National and Regional PhilHealth benefit delivery ratios 1. Expanding enrollment of the poor in the NHIP
Enroll Q2 poor Families

LGUs Role

in PhilHealth; Enforce mandatory enrolment of informal and Individually paying sector

e.g. requirement for business permits and licenses

A. Financial Risk Protection

KP Strategies 2. Promoting the availment of quality outpatient & in-patient services through reformed capitation and no balance billing arrangement for sponsored members LGUs Role Upgrade RHUs/Health Centers and Hospitals to meet quality standards and PhilHealth accreditation Mobilize community health teams (CHT) to inform the families
Advocate and mobilize

3. Increasing the support value of health insurance for the poor

community and lobby goups

B. Health Facilities Enhancement

KP Strategies 1. Improving facility development and preparedness for the most common causes of mortality and morbidity including trauma LGUs Role Develop a Province-wide Facility Rationalization / Investment Plan for health

B. Health Facilities Enhancement

KP Strategies 2. Providing grant mechanisms to support the immediate repair and rehabilitation of selected priority facilities
3.
LGUs Role
Support Health Human

Resources as counterpart

Utilizing Public-Private Partnership approach

Apply Public- Private

Partnership as another financing scheme for facility development

B. Health Facilities Enhancement

KP Strategies 4. Achieving autonomy and income retention schemes for government hospitals and health facilities;

LGUs Role Good Governance and local policies supporting fiscal autonomy
Compliance to licensure

and accreditation requirements

Public service excellence

for health

B. Health Facilities Enhancement

KP Strategies 5. Clustering of service delivery networks to address the fragmentation of services from community to end referral tertiary hospitals LGUs Role
Strengthen the Inter-local

cooperation for health (ILHZ) and service delivery network

B. Health Facilities Enhancement

KP Strategies
Proposed PPP projects for DOH: IT system for DOH & PHIC Philippine Orthopedic Center as Center for Bone Diseases and Trauma Air and sea ambulance project RITM for commercial production of vaccines San Lazaro Hospital as Center for Infectious Diseases

LGUs Role Better Linkages for Health : Strengthen local health system performance Establish cross sectoral networking and alliances Inter-local and Intersectoral cooperation for health (ILHZ)

C. Achieving MDG
KP Strategies
1.

LGUs Role
ENSURE THAT POOREST

Deploying Community Health Teams;

2.
-

Utilizing the life course approach in providing needed services

FP, ante-natal care Essential newborn and immediate postpartum care; Delivery in health facilities GP and Adolescents health Medical and Geriatric care

FAMILIES ARE REACHED BY HEALTH SERVICES!

Funding support for CHTs Continuing training &

updates for local health personnel and CHTs

C. Achieving MDG
KP Strategies 3. Promoting healthy lifestyle to prevent noncommunicable diseases; 4. Ensuring adequate surveillance and preparedness for emerging diseases; and LGUs Role
Encourage Hataw

activities, sports fest in communities & offices

Establish PESU and MESU Formulate Disaster

Preparedness Plan with funding support

C. Achieving MDG
KP Strategies LGUs Role
Strong partnership with

5. Harnessing the

support of interagency and intersectoral approaches to health

DepEd, DILG, DSWD, academe, for health service delivery

Paano Ipatutupad ang Kalusugang Pangkalahatan ?

Functional Structure for KP

Central office Level Other Operation Cluster
Northern Luzon Visayas Mindanao

Secretary of Health Cluster Head Technl Clusters of DOH

Regional Level Other NG Agencies (RDC)

NEDA DSWD DILGz DEpEd -

4 RD of CHDs (Convener)
NCR CHD 4-A CHD 4-B CHD 5

Attached Agencies (RICT)

PHIC RO NNC RO PopCom RO

Local Government Level P/C/M LGUs Hospitals Health Centers and BHS

CHD KP Functional Structure

4 RD of CHDs (KP Chairperson)
NCR CHD 4-B - CHD 4-A - CHD 5 -

KP Operation Support Team

HRDU FHSIS - HPU - RESU

4 ARD of CHDs (KP Vice Chairperson)

NCR CHD 4-B - CHD 4-A - CHD 5

Technical KP Team MDG - Family Health Cluster - Infectious Cluster HFEP Health Facility Cluster

Financing Health Care Financing (Budget and PHIC) Cluster

Field Operation Team - LHAD/PHT - Retained Hospitals

P/C/M LGUs
Hospitals Health Centers and BHS

KALUSUGAN PANGKAHALATAN IMPLEMENTATION Region IV-A (CALABARZON)

Distribution of NHTS-PR Families; No. of CHTs to be deployed; and number of RN Heals Nurses to Support CHTs PROVINCE TOTAL NO. OF NHTS HH NO. OF CHT NEEDED (100 FAMILIES:1) /existing NO. OF RN HEALS NEEDED (5 CHT:1) /existing

Batangas Cavite Laguna Quezon Rizal

IV-A
(CALABARZON)

249,755
128,518 136,823

2,498/59
1,285/99 1,368/277

500/126
257/95 274/133

285,598
101,074 901,768

2,856/30
1,011/16 9,018

571/328
202/10 1,804

Distribution of Poor Families or Individuals Lacking MDG-related Healthcare Services:

PROVINCE NO. OF NHTS-PR CHILDREN BUT NOT GIVEN FIC NO. OF NHTS-PR CHILDREN ELIGIBLE BUT NOT GIVEN VITAMIN A SUPPLEMENTATION

Batangas Cavite Laguna

6,611 2,996 4,562

831 752 771

Quezon
Rizal
IV-A (CALABARZON)

8,694
7,978 30,841

897
1,306 4,557

Distribution of Poor Families or Individuals Lacking MDG-related Healthcare Services:

PROVINCE NO. OF NHTS-PR WOMEN WITH UNMET NEEDS FOR MODERN FP NO. OF NHTS-PR MOTHERS WO DELIVERED THEIR LAST CHILD AT HOME W/ TBAs NO. OF TB SMEAR POSITIVE CASES AMONG NHTS-PR HOUSEHOLDS

Batangas Cavite Laguna Quezon

60,561 27,814 40,653 103,564

42,962 15,127 36,315 94,315

1,461 752 800 1,670

Rizal
IV-A (CALABARZON)

38,823
271,415

22,522
211,241

591
5,274