nutrition in du30 legacies for the philippine health …...outline •the health system we aspire...
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Nutrition in DU30 Legacies for the Philippine Health Agenda
Outline
• The health system we aspire for in the context of the “current” situation
• Philippine Health Agenda Framework
• Our Legacies 24/7
• DOH-30 Things to Do
The Health System We Aspire For
Filipinos, especially the poor, marginalized, and vulnerable are protected from high cost of health care
FINANCIAL PROTECTION
Filipinos attain the best possible health outcomes with no disparity
BETTER HEALTHOUTCOMES
Filipinos feel respected, valued, and empowered in all of their interaction with the health system
RESPONSIVENESS
GOALS
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EQUITABLE & INCLUSIVETO ALL
PROVIDES HIGHQUALITY SERVICES
USES RESOURCES EFFICIENTLY
TRANSPARENT & ACCOUNTABLE
The Health System We Aspire For
VALUES
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During the last 30 years of Health Sector Reform, DOH has undertaken key structural reforms and continuously built on programs that take us a step closer to our aspiration.
PhilHealth (1995)
Good Governance Programs (ISO, IMC, PGS)
DOH resources to promote local health system development
Milestones
Fiscal autonomyfor government hospitals
RA 7160 (1991) LGC -
Devolution
RA 6675 Generics Act of 1988 – use of generics
Fundingfor Universal Health Care
EO 51 (1986) -The National Code of Marketing of BreastmilkSubstitutes
2000
Every year, around 2000 mothers die due to pregnancy-related complications.
Persistent Inequities in Health Outcomes
Three out of 10 children are stunted.
A Filipino child born to the poorest family is 3 times more likely to not reach his 5th
birthday, compared to one born to the richest family.
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Restrictive and Impoverishing Healthcare Costs
Every year, 1.5 million families are pushed to poverty due to health care expenditures
Filipinos forego or delay care due to prohibitive and unpredictable user fees or co-payments
Php 4,000/month healthcare expenses considered catastrophic for single income families
Tiisin ko nalang ito..
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Poor quality and undignified care synonymous with public clinics and hospitals
Long wait timesLess than hygienic restrooms, lacking
amenities
Poor record-keeping
Overcrowding & under-provision of care
Privacy and confidentialitytaken lightly
Limited autonomyto choose provider
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Lahat Para sa Kalusugan! Tungo sa Kalusugan Para sa Lahat
Goals: Attain Health-Related SDG Targets
Financial Risk Protection, Better Health Outcomes, Responsiveness
Values: Equity, Efficiency, Quality, Transparency
A C H I E V E
ATTAIN HEALTH-RELATED SDG TARGETSFinancial Risk Protection | Better Health Outcomes | Responsiveness
Values: Equity, Quality, Efficiency, Transparency, Accountability, Sustainability, Resilience
3 Guarantees
UNIVERSAL HEALTH
INSURANCE
SERVICE DELIVERY
NETWORK
ALL LIFE STAGES & TRIPLE
BURDEN OF DISEASE
ALL LIFE STAGES &TRIPLE BURDEN OF DISEASE
GUARANTEE #1
Services for Both the Well & the Sick
Guarantee 1: All Life Stages & Triple Burden of Disease
COMMUNICABLEDISEASES
DISEASES OF RAPID URBANIZATION & INDUSTRIALIZATION
NON-COMMUNICABLE DISEASES & MALNUTRITION
Pregnant Newborn Infant Child Adolescent Adults Elderly
First 1000 days | Reproductive and sexual health | maternal, newborn, and child
health | exclusive breastfeeding | food & micronutrient supplementation | Immunization | Adolescent health | Geriatric Health |
Health screening, promotion & information
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Guarantee 1: All Life Stages & Triple Burden of Disease
• HIV/AIDS, TB, Malaria• Diseases for Elimination• Dengue, Lepto,
Ebola, Zika
• Injuries• Substance abuse• Mental Illness• Pandemics, Travel Medicine• Health consequences of
climate change/disaster
• Cancer, Diabetes, Heart Disease and their risk factors – obesity, smoking, diet, sedentary lifestyle
•Malnutrition
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COMMUNICABLEDISEASES
DISEASES OF RAPID URBANIZATION & INDUSTRIALIZATION
NON-COMMUNICABLE DISEASES & MALNUTRITION
SERVICE DELIVERY NETWORK
GUARANTEE #2
Functional Network of Health Facilities
Guarantee 2:Services are deliveredby networks that are
ENHANCED BY TELEMEDICINE
AVAILABLE 24/7 & EVEN DURING DISASTERS
PRACTICING GATEKEEPING
COMPLIANT WITH CLINICAL PRACTICE
GUIDELINES
LOCATED CLOSETO THE PEOPLE (Mobile Clinic or Subsidized Transportation Cost)
FULLY FUNCTIONAL (Complete Equipment, Medicines, Health Professionals)
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UNIVERSAL HEALTH INSURANCE
GUARANTEE #3
Financial Freedom when Accessing Services
•No balance billing for the
poor/basic accommodation &
Fixed co-payment for non-
basic accommodation
• Expand benefits to cover
comprehensive range of
services
• Contracting networks of
providers within SDNs
Guarantee 3: Services are financed predominantly by PhilHealth
PHILHEALTH AS
MAIN REVENUE
SOURCE FOR
PUBLIC HEALTH
CARE PROVIDERS
SIMPLIFY
PHILHEALTH
RULES
PHILHEALTH AS
THE GATEWAY TO
FREE,
AFFORDABLE
CARE
• 100% of Filipinos are members• Formal sector premium paid
through payroll
• Non-formal sector premium paid
through tax subsidy
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Our Strategy
A Advance quality, health promotion and primary care
C
H
I
E
V
E
Cover all Filipinos against health-related financial risk
Harness the power of strategic HRH development
Invest in eHealth and data for decision-making
Enforce standards, accountability and transparency
Value all clients and patients, especially the poor,marginalized, and vulnerable
Elicit multi-sectoral and multi-stakeholder support for health18
Our Legacies 24/7
O Out of Pocket Expenditures for Health and for Medicines for the Poor Reduced
URLEGA
Universal Health Insurance Coverage for All Filipinos
Reverse trend of HIV/AIDS and Tuberculosis
LOWERED MALNUTRITION RATES
Ensured Blood Adequacy
Good Data for Decision Making
Attained Zero Unmet Needs for Modern Family Planning
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CI
E
S
24/7
Community-Based Rehabilitation Program in All Communities
ISO Certification of All Government Hospitals
Expenditures on Health Increased
Sustained Efforts towards Open Defecation, Universal Basic Drinking Water
24/7 Access to Health Services for All Filipinos
DOH-30 THINGS TO DO
1 Health center properly stocked with selected essential medicines
2 PhilHealth-accredited health facilities (MCP, TB-DOTS, PCB)
3 100% of poor families profiled and monitored
4 100% of population covered by social health insurance
5 Promote awareness of HIV/AIDS among the youth
6 100% testing, counseling and treatment for sick population
7 Advocate increased condom use
DOH-30 THINGS TO DO cont..
8 100% of children under five years old weighed and measured in all barangays
9 Decrease malnutrition (UW) rate by 2% per year
10 Decrease stunting rate by 3% per year – related to this is goal of “zero SAM in all barangays”
11 1% of population donating blood
12 Adequate referral system
13 100% functional electronic medical record
14 FHSIS and surveillance data used in the Local Investment Plan for Health
DOH-30 THINGS TO DO cont..
15 No stock-outs of Family Planning commodities16 Full range of FP services offered17 Decrease in unmet need for modern FP18 100% tokhang assessed19 Outpatient and community services available for
drug users20 Referral system for drug users smooth and
functional 21 SDN functional22 QMS I place – 5S standards23 LGU health budget increased24 PhilHealth reimbursement
DOH-30 THINGS TO DO cont..
25 100% of Households using safely managed sanitation services
26 100% of Households using safely managed drinking water services
24/727 Functional and licensed ambulance
28 All barangays visited by MHO at least 2x a year
29 100% of the identified poor provided with annual health check-up
30 One member per household trained on Resuscitation (CPR)
PHILIPPINE HEALTH AGENDA 2016-2022
GOAL/AIM: ATTAIN HEALTH-RELATED SDG TARGETS
Financial Risk Protection/Better Health Outcomes/ Responsiveness
Values: Equitability, Quality, Efficiency, and Transparency
3 GUARANTEES
A C H I E V E OUR LEGACIES 24/7
DOH-30 Things To Do
ALL FOR HEALTHTOWARDS
HEALTH FOR ALL
PHILIPPINE HEALTH AGENDA 2016-2022Healthy Philippines 2022