2014 doh budget ppt
TRANSCRIPT
8/12/2019 2014 Doh Budget Ppt
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2014 DOH Budget: Towards
further privatization of
health services
August 10, 2013
8/12/2019 2014 Doh Budget Ppt
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Points:
1. Increases are geared towards privatization
2. PhilHealth does not guarantee accessibility
of health care for the poor.
3. Budget does not address actual needs of the
people for free, affordable, accessible health
services
4. Aquino's proposed DOH budget is nodifferent from the health budget of previous
administrations
8/12/2019 2014 Doh Budget Ppt
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DOH budget increase: does not
address people’s health needs 2013 RA
10352
2014 NEP Difference %
Total National
Expenditure Program
2.006 T 2.268 T 262B 13%
DOH 51.074 B 80.807 B 29.733 B 58%
Percentage to Total
NEP
2.55 3.56
Total Allotment All
Hospitals
10.733 B 16.694 B 5.961 B 55.54%
Hospital Allotment
compared to Total
DOH Budget
21% 21% 0
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Decreasing Hospital Budget
Share
2009 2010 2011 2012 2013 2014
DOH Budget (B) 27.876 28.686 32.427 42.769 51.075 80.171
Hosp Allotment (B) 10.747 10.143 8.808 9.831 10.734 16.695
Percent to DOH 38.55 35.36 27.16 22.99 21.02 20.82
0.000
10.000
20.000
30.000
40.00050.000
60.000
70.000
80.000
90.000
8/12/2019 2014 Doh Budget Ppt
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PhilHealth: highest increase in
DOH allotmentPhilHealth
Subsidy
2014 NEP
Compared
to 2013
PhilHealth
Subsidy
12.612B
Compared
to DOH
Budget
2014
80.807B
Compared
to Total
Hospital
Allotment
201310.333B
Compared
to Total
hospital
Allotment
201416.695B
PhilHealth
Increase
compared
to DOH
Increase29.733B
35.295B 22.683B
difference
or 180%increase
43.31% 341%
(more than
3x)
211%
(more than
2x)
76%
But PhilHealth does not guarantee
free, affordable and accessible health
services for the poor
8/12/2019 2014 Doh Budget Ppt
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Health Facilities Enhancement
Program (HFEP) & Capital Outlay:
Increase directed towardsPrivatization
2014 NEP 2013
GAA
Difference %
Difference HFEP 13.325B 10.772B 2.553B 24%
CO Hospitals 2.062B 0 2.062B
2014 CO 2013 2012 2011 2010 2009
2.063B 0 750M 0 716M 2.148B
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Hospitals without Capital Outlay
Allotment1. Jose R. Reyes Memorial Medical Center
2. Rizal Medical Center
3. San Lazaro Hospital4. Veterans General Hospital
5. St. Anthony Mother & Child Hospital
6. Schistosomias Hospital7. Labuan Public Hospital
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Hospitals without Capital Outlay
Allotment
8. Lung Center of the Philippines
9. National Kidney and Transplant Institute10. Philippine Children’s Medical Center
11. Philippine Heart Center
12. Philippine General Hospital
8/12/2019 2014 Doh Budget Ppt
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Measly Increase Maintenance & Other
Operating Expenses (MOOE)
2014 MOOE
NEP
2013 MOOE Difference %
4.167B 3.869B 298M 7.70
This will worsen the inadequacy of
supplies, medicines, and
procedures and further increase
rates of health services
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MOOE 2009-2014
-40
-30
-20
-10
0
10
20
30
2009 2010 2011 2012 2013 2014 MOOE (Billions)
Percent change
8/12/2019 2014 Doh Budget Ppt
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MOOE 2009-2014
2014MOOE
NEP
2013MOOE
2012MOOE
MOOE2011
MOOE2010
MOOE2009
4.167B 3.869B 3.235B 3.047B 4.357B 3.613B
7.70
(2013-14)
19.59(2012-13)
6.19(2011-12)
-30.08(2010-11)
20.59(2009-10)
Percent
Change
Under the Aquino administration, public
hospitals got the biggest decrease in MOOE(2011)
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Hospitals Without MOOE
Increase1. Lung Center of the Philippines
2. Philippine Children's Medical Center
3. Las Pinas General Hospital and Satellite Trauma
Center4. San Lorenzo Ruiz Special Hospital for Women
5. Ilocos Training and Regional Medical Center
6. Far North Luzon General Hospital and Training Center
7. Southern Isabela General Hospital8. Batanes General Hospital
9. Talavera Extension Hospital
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Hospitals Without MOOE
Increase10. Ospital ng Palawan
11.Don Jose S. Monfort Medical Center
12.Gov. Celestino Gallares MemorialHospital
13.Labuan Public Hospital
14.Margosatubig Regional Hospital15.Adela Serra Ty Memorial Medical Center
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Special Provision No 2 allows the use of
hospital income for MOOE and CO (at
least 25% for purchase of equipment).
more revenue enhancement in the form
of rates hike and more fee for service.
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Magna Carta increased due to
Struggle!
2014 NEP 2013 GAA Difference Percent
Total Personnel 10.768B 8.866B 1.902B 21%
Magna carta 1.016B
** 348M
1.152B
331%
Hazard duty
pay 1.279B 1.279B
8/12/2019 2014 Doh Budget Ppt
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But, with DOH-DBM Joint
Circular # 1:• Removal of either Longevity Pay or step
increment
• Reduction of hazard pay: high risk and low
risk rates among health workers
8/12/2019 2014 Doh Budget Ppt
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Doctor to the Barrios & Rural
Health Practice
2014 NEP 2013
GAA Difference %
DTTB & Rural
Hlth Prac 2.969B
2.799B
170.484M
6%
8/12/2019 2014 Doh Budget Ppt
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Health Services
2014 NEP 2013 GAA Difference % TB, Malaria,
Schisto,
Leprosy,
Filariasis 827.258M 570.443M 256.815M 45%
Rabies Control 202.803M
118.740M
84.063M
71%
EPI 2.842B 1.949B 892.150M 46%
TB Control 1.062B 1.021B 40.841M 4%
Emerging/Ree
merging:HIV,Dengue 781.702M 321.951M 459.751M 143%
Non-
Communicable
Diseases 677.891M 70.764M 607.127M 858%
Family Health 2.843B
2.539B
303.246M
12%
8/12/2019 2014 Doh Budget Ppt
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• Health Services increases geared towards the
implementation of health-related MDG targets in
2015• Foreign donor-driven programs through MDGs
part of the conditions imposed by foreign
monopoly capitalists for their economic interests
• Government not addressing the causes of
poverty that bring about illnesses (massive
landlessness and land monopoly, lack of
national industrialization, and domination of theforeign and local elite)
8/12/2019 2014 Doh Budget Ppt
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PGH: “Ospital ng Bayan” now
“Ospital na may Bayad”
PGH PS MOOE CO Total
2014 1.374B 616.90
3M
0 1.990B
2013 1.377B 616.90
3M
0 1.994B
Change -3.621M
(0)
0 -
3.621M
8/12/2019 2014 Doh Budget Ppt
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Wanted: DOH Budget Relevant to
the Needs of the People
Health allotment based on WHO
recommendation of 5% of GDP
Stop privatization of public hospitals andhealth services
Free, accessible, affordable andcomprehensive health services especially
for the poor
8/12/2019 2014 Doh Budget Ppt
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Calls
PhilHealth subsidy should be directly
allocated to public hospitals and health
facilities, and direct service provision.
Adequate budget allotment for PS,
MOOE, CO of public hospitals.
8/12/2019 2014 Doh Budget Ppt
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Calls
Stop contractualization! Additional plantilla positionsfor doctors, nurses, midwives and health workers in
communities and public hospitals. Absorb all RN
HEALS as regular employees.
Fully fund Magna Carta benefits and given to all
health workers according to the provisions and intent
of Magna Carta of Health Workers (RA 7305).
Fund salary grade increases for nurses (SG 15 for
nurse 1at P24,889 per month and doctors (SG24 for
MO1at P50,000 per month ) and other health workers