Download - Kalusugan Pangkalahatan: Para Kanino?
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Mr. Jossel I. EbesateStaff Regent, University of the PhilippinesNational President, Alliance of Health Workers
Kalusugan Pangkalahatan:Para Kanino?
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Kasalukuyang sitwasyon
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6
80,000
sa kada 10 Pilipino ay namamatay nang walang atensyong medikal
sanggol na Pilipino ang namamaty taun-taon mula sa mga MAIIWASANG sakit
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Life Expectancy: >80 years
Infant Mortality Rate <10
Maternal Mortality Ratio <15
Life Expectancy: <60 years
Infant Mortality Rate >90
Maternal Mortality Ratio >150
(Romualdez, 2008)
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At current rate of decline, the Philippines is unlikely to reach the MDG target for MMR by 2015
0
50
100
150
200
250
1993 1998 2006 2011 2015
209
172162
52
140
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70% ng mga Pilipino ay walang access sa mga pinaka-esensyal na gamot
(WHO World Medicines Situation, 2004)
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HATIAN NG GASTOS SA PANGKALUSUGAN
59% out of pocket
23% government
18% Shared-Risk Schemes Including National Health Insurance (PhilHealth)
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Philippine Health Insurance Corporation (PhilHealth)
Ang PhilHealth ay patuloy na ginagamit bilang instrumento ng POLITICAL PATRONAGE
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Selected HDI Data 2005 -20101 Norway 1 10 US 4 61 Mal 57 73 Thai 92 84 Phils 97 108Viet113
Life Expectancy 79.4 81.0 77.4 79.6 73.2 74.7 70 69.3 70.4 72.3 70.5 74.9
Maternal Mort/100K 6 7 8 11 41 62 44 110 170 230 170 150
Infant Mort/1K 4 3 7 7 10 6 18 14 26 26 17 12
Birth Att by Prof’l (%) 100 100 99 99 97 100 99 99 60 62 85 88
Pop Growth 0.5 0.7 0.9 0.9 1.6 1.5 0.7 0.5 1.6 1.7 1.2 1.0
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Sagot ng Pamahalaan sa
Malalang Kalagayang
Pangkalusugan
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Comprehensive Reforms in Health
Universal Health Care (2010 -2016)Fourmula One
for Health (2005 – 2010)Health Sector
Reform Agenda (1999- 2004)
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Strategy Five (HCF Strategy 2010-2020 - DOH):Secure fiscal autonomy of facilities
2010 2014 2020
DOH retained hospitals with income retention
DOH retained hospitals receive salaries from DOH budget
DOH retained hospitals are fully corporatized and autonomous; they do not receive subsidies
LGU health facilities without income retention
LGU health facilities with income retention
LGU health facilities receive minimal subsidy
Revenues = local taxes DOH and LGU fund capital outlay
DOH and LGU fund capital outlay
GOP spending on supply side: PHP 45 billion
PHP 60 billion
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Patuloy na Pagbaba ng Budget Pangkalusugan
(Total Health Sector Budget and DOH Budget)
2011 2012 2013
P40,508,912
P50,558,824
P46,821,977
P30,618,385
P42,847,536
P40,969,880
Source: DOH Agency Budget Notes, HOR
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Selected HDI Data 2005 -20101 Norway 1 10 US 4 61 Mal 57 73 Thai 92 84 Phils 97 108Viet113
Public Health Exp as % GDP
8.0 7.5 6.6 7.1 2.0 1.9 3.1 2.7 1.1 1.3 1.5 2.8
Private Health Exp as % GDP
1.6 2.2 8.0 9.1 1.8 2.9 1.3 1.6 1.8 2.5 3.7 4.4
/Capita ($)Health Exp
3,409
4,763
5,274
7,285 349 604 321 286 153 130 148 183
Physician/10,000 pop. 36 39 26 27 7 7 3 3 12 12 5 6
Hosp. Beds 34 39 27 31 19 18 22 22 13 5 26 28
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Privatization sa porma ng corporatization
*HB 4069 – Rep Anthony Golez
*HB 6145 – Rep Raul Daza
*SB 3130 – Sen Franklin Drilon
*An Act Transforming the 26 Government Hospitals into Government Owned and Controlled Corporations and for Other Purposes
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Corporatization• Refers to a public organization that transforms into a
corporation. The company’s activity is regulated under corporate law (Corporation Code) and the revenue is regulated by contract (Aidemark, 2005), but the company is still owned largely by the public and is usually not operated for profit.
• Corporatization can be seen as a step towards privatization (Öhrming & Sverke, 2001) or even as a form of privatization itself (Lundqvist, 1991).
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Privatization
• It is sufficient that one of these functions (i.e., the financing, production or regulation) is transferred to private management to say that a privatization has taken place (Lundqvist, 1991)
• Privatization could also apply to the sale of state property, such as real estate or capital (Blomqvist, 2005).
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Ibayong pagsasamantala sa Manggagawang Pangkalusugan
*Freeze Hiring (No creation of plantilla positions since 1995
*Contractualization including Outsourcing
*Installment Salary Increase/Freeze in Legislated Wage Increase
*Reorganization/Rationalization
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Summary
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Ang sagot ng pamahalaan sa
lumalalang sitwasyong pangkalusugan ay
ibayong pagtalikod sa responsibilidad nitong
itaguyod ang kalusugan ng mamamayan at
pagtaguyod ng interes ng negosyo sa
serbisyong pangkalusugan
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Panawagan
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*Tutulan ang pagsasapribado ng mga pampublikong ospital
*Maglaan ng sapat na badget pangkalusugan (5% of GDP – P527B)
*Siguraduhin ang sapat na bilang ng mga manggagawang pangkalusugan (WHO – 2.3:1,000 population)
*Ipaglaban ang libre, kumprehensibo at progresibong sistemang pangkalusugan