UHCPresentations 2 2010Oct [Annex 17] AAPadilla

8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla

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Aquino Health Agenda:Aquino Health Agenda:Universal Health CareUniversal Health Care

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Alexander A. Padilla

UndersecretaryDepartment of Health

27 October 2010


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Sixty percent of our countrymenSixty percent of our countrymenwho succumb to sickness die withoutwho succumb to sickness die without

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seeing a doctor.seeing a doctor.-- PNoys ChallengePNoys Challenge


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Universal Health CareUniversal Health CareDeliberate attention to

the needs of millions ofpoor Filipino families

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w c compr se emajority of our

population


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Filipino Income QuintilesFilipino Income Quintiles

Monthly income Families per quintile

Q1

4

, , ,

Q2 6,073 4,094,164

Q3 9,309 3,912,443

Q4 15,064 3,707,494

Q5 38,065 3,485,067

Source: National Health and Demographic Survey, 2008


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Current StatusCurrent Status

Health Outcomes

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Demographic CharacteristicsDemographic Characteristics

Population, total (millions) 94,013,200 (projected, NSO 2007)

Population < 25 years(% of total population)

52.8 % (projected, NSO 2007)49,617,400 M Filipinos

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Population > 60 years(% of total population)

6.7% (projected, NSO 2007)6,637,100 M Filipinos

Birth rate

(births per 1,000 population)23.4 (NDHS 2008)2,162,303 live births per year

Death rate(deaths per 1,000 population)

5.48 (NSO 2007)515,192.34 deaths / year


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Top Ten Cause of MortalityTop Ten Cause of MortalityCause Total Rate

1. Diseases of the heart 70, 861 84.8

2. Diseases of the vascularsystem 51,680 61.8

3. Malignant Neoplasms 40,524 48.9

4. Accidents 34,483 41.3

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5. Pneumonia 32,098 38.46. Tuberculosis 26,770 31.0

7. Unclassified 21,278 25.5

8. Chronic lower respiratorydiseases

18,975 22.7

9. Diabetes mellitus 16,552 19.8

10. Conditions originating fromthe perinatal period

13,180 15.8

Philippine Statistical Yearbook, 2009


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UN Millennium Development GoalsUN Millennium Development Goals

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Source: MDG Monitor: Quick Facts(accessed 10/11/2010)


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10Source: Philippine Health Statistics, 2005


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Current StatusCurrent StatusHEALTH FINANCING

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Share of health expenditure per GNPShare of health expenditure per GNP

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Total health expenditure = P234.3 B or 3.2 percent of GDP

Source: Philippine National Health Accounts


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Total expenditure on health as a PercentageTotal expenditure on health as a Percentageof GDPof GDP

8.0

10.0

12.0

14.0

16.0

13

0.0

2.0

4.0

6.0

Philippine

s

Thailan

d

Malaysia

VietNam

Chin

a

India

Japa

n

Cub

a

Canad

a

UK

UnitedState

s

Source: World Health Statistics 2010


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Distribution of Health Expenditure byDistribution of Health Expenditure bySource of FundsSource of Funds

14Source: Philippine National Health Account, 2007

Total health expenditure is P234.3 B (3.2 percent of GDP)


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PhilHealthPhilHealthPres. Aquino, on PhilHealth Enrolment:

Sabi ng PhilHealth sa isangbibig, walumpu't pitong porsyento na rawan meron covera e. Sa kabilan bibi

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naman, singkuwenta'y tres porsyento.Ayon naman sa National StatisticsOffice, tatlumpu't walong porsyento ang

may coverage.(Pnoys SONA July 26, 2010; emphasis supplied)

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PhilHealthPhilHealth

Aquino was dismayed at the miserable

benefit delivery rate of the National HealthInsurance Program in the country which

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. , ,

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Coverage

rate

Availment

rate

Support

value

Benefit

deliveryrate

53% 42% 34% 8%


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CURRENT STATUSCURRENT STATUSHEALTH FACILITIES

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Office of Secretary of Health

Attached Agencies

Provincial Health Offices ProvincialHospitals

City Health Offices

(Chartered Cities)

Regional hospitalMedical Centers

SanitariaRegional Offices

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City Health Offices

(Component Cities)

Inter-local Health Zones

CityHospitals

HealthCenters

BarangayHealth

Stations

District hospitalsMunicipal healthoffices/ RuralHealth Unit

Barangay HealthStations

CityHospitals

HealthCenters

Barangay

HealthStations


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Regional HospitalsRegional Hospitals

Corazon Locsin Montelibano MemorialRegional Hospital, Negros Occidental

Southern Philippines MedicalCenter, Davao


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Provincial HospitalsProvincial Hospitals

Davao del Sur Provincial HospitalTeresita Lopez Jalandoni Provincial

Hospital, Negros Occidental


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Strategic directions of theStrategic directions of the

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Priority Health Policy Directions of thePriority Health Policy Directions of the

Aquino AdministrationAquino Administration1. A roadmap towards universal health care through a

refocused PhilHealth;

2. Particular attention to the construction, rehabilitation, andsupport of health facilities:

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, rural health units barangay health stations

3. Attainment of Millennium Development Goals 4, 5, and 6 Reduction of maternal, neonatal, and infant mortality Support to contain/eliminate age old pubic health diseases

(malaria, dengue, TB)


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Health Policy Directions of the AquinoHealth Policy Directions of the Aquino

AdministrationAdministration Attain efficiency by using information technology(IT) in all aspects of health care

Increased attention to trauma, the 4th leadingcause of death

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prevent non communicable diseases: heartdisease, stroke, diabetes, obesity

Attention to emerging diseases(Superbug, nosocomialdiseases, A(H1N1), diseases brought about byclimate change)


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Health Policy Directions of the AquinoHealth Policy Directions of the Aquino

AdministrationAdministration

Improve the access to quality affordable medicines

Continuing efforts in improving governance andregulation to eliminate graft and corruption in all

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areas of health care

Improve the plight of health workers throughinterventions in health education, placement,compensation, among others


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Revitalizing the NHIPRevitalizing the NHIP Paradigm shift in the implementation of NHIP:

Expansion of NHIP coverage

Enrollment of the poorest of the poor Enforce mandatory enrolment of the informal sector (as per

the National Health Insurance Act, R.A. 7875 as amended)

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awareness of PhilHealth benefits and entitlements Access to inpatient and outpatient services through

PhilHealth

Zero co-payment/No balance billing for health carecosts incurred for the poorest in governmenthospitals


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Health Facilities EnhancementHealth Facilities Enhancement Upgrading of health facilities: rural health

units, district hospitals, provincialhospitals, DOH Retained hospital

Improved facility preparedness for trauma (4th

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leading cause of death) Improved capacity of clinical/hospital care for the

most common causes of mortality and morbidity

Improve access to quality affordable medicines


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Strategies for Health FacilitiesStrategies for Health Facilities

EnhancementEnhancement

Public-Private Partnership

Regional Clustering

Fiscal autonomy and income retention for

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government health facilities Streamlining of licensing and regulation for

improved accreditation


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PublicPublic--Private PartnershipsPrivate Partnerships Proposed projects:

IT system for DOH and PhilHealth Philippine Orthopedic Center as Center for

Bone Diseases and Trauma

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Air ambulance project Research Institute for Tropical Medicine

for commercial production of vaccines

San Lazaro Hospital as Center forInfectious Diseases


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PublicPublic--Private PartnershipsPrivate Partnerships Commercial utilization of vacant hospital

land assets Establishment of Multi-Specialty Centers in

selected re ions 3 in Northern Luzon

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Visayas, and Mindanao Construction of Patient and Hospital Staffs

lodging facilities


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Composition of Advisory Board ofComposition of Advisory Board of

Clustered Health FacilitiesClustered Health Facilities Chairman: the Secretary of Health or his

representative Vice Chairman: Regional CHD or Hospital

Director

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em ers: Local chief executives: Governors and mayors

Legislators: Congressmen

Local health officials: PHOs and MHOs

Private Sector: civic and business leaders,NGOs


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Attaining the MDGsAttaining the MDGsEnsure that poorest families are reached

by priority public health programs

Deployment of Community HealthTeams:

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Packaging of services using the Life CycleApproach

Pre-pregnancy: Family Planning services

Pregnancy: Four ante-natal care services anddelivery in health facilities (EmergencyObstetric and Neonatal Care)


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Attaining the MDGsAttaining the MDGsPackaging of services using the Life Cycle

ApproachPost partum: Essential newborn care andimmediate ost artum care

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Infancy/early childhood: GarantisadongPambata


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Strategies for Public HealthStrategies for Public Health

More aggressive promotion of healthy

lifestyle to prevent non communicablediseases: heart

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, , ,

Attention to emerging diseases

(Superbug, nosocomialdiseases, A(H1N1), diseases broughtabout by climate change)


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ICT Tools for HealthICT Tools for Health Information and Communications Technology

will play a major part in ensuring universal

health care is achieved as it can provide qualityand timely information to guide decision makingat all levels.

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attained with out efficient IT Tool support

Access of health to public health programs aswell as clinical services can be augmented by

ICT e.g. Telemedicine Regional Clustering will be dependent on

information sharing


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Philippine Health Outlook ForumPhilippine Health Outlook Forum

For the remainder of this activity, we hope thatwe can explore ways on how we can

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priority areas towards achieving our goal of

Universal Health Care.


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UHCPresentations 2 2010Oct [Annex 17] AAPadilla

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