sustainable health financing through health promotion funds by dr. ulysses dorotheo
DESCRIPTION
The presentation was shown during the Healthy People, Wealthy Nation Forum last January 29, 2014.TRANSCRIPT
Southeast Asia Tobacco Control Alliance
Sustainable Health Financing through Health Promotion Funds
E. Ulysses N. Dorotheo, MD, FPAO
Healthy People, Wealthy Nation (Achieving Inclusive Growth in the Philippines through Health Promotion)
29 January 2014
Health for all • An impossible dream?
You receive 1 billion pesos/year to spend for the health of the PH population (100 million).
3 options:
1. Keep the money for yourself - for your “health”
2. Give every person ten pesos/year to spend for his/her health
or
or
3. You invest in programs to increase the health of the population
In this case you need a health-increasing infrastructure
The overall goal in health is to improve or maintain the health of the people.
Health care / disease management: focus on people with diseases
Disease Prevention: focus on people with risk factors
Health promotion strengthens resources for health in all people
(with disease / risk factors / the healthy)
Most return on investment in health promotion; least in disease management
An overall approach from disease management to disease prevention
to health promotion is needed.
Health Promotion means
changing the environment
and
changing the behaviour
for better health.
Why sustainable?
o We have a long-lasting (and increasing) problem (e.g. NCDs)
but also
o We offer innovative solutions with a long-term inclusive policy and action plan
(Health Promotion and Disease Prevention)
A sustained problem needs a sustainable approach.
others
Blindness
Mental disorders
• Diabetes • Chronic
respiratory diseases
• Cancers • Cardiovascular diseases
Tobacco control
Injuries
Best Practices in Health Promotion Delivery
Set up health promotion fund: focus on innovative, sustainable HP activities
Source of funding: surcharge tax (regular and sustainable funding)
Governance model: independent agency (autonomous decision-making; governance board independent from any political group)
Mandated by law: long-term funding secured for HP use only
What are opportunities to improve HP in the PH?
You may say I’m a dreamer But I’m not the only one
I have a dream today!
Ways forward Premise: inclusive economic growth; healthy people = wealthy people
• Universal health coverage • Rationalization plan and DOH • Earmarked sin tax revenues • Health promotion legislation