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
![Page 1: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/1.jpg)
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
![Page 2: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/2.jpg)
Health for all • An impossible dream?
![Page 3: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/3.jpg)
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
![Page 4: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/4.jpg)
or
3. You invest in programs to increase the health of the population
In this case you need a health-increasing infrastructure
![Page 5: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/5.jpg)
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.
![Page 6: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/6.jpg)
Health Promotion means
changing the environment
and
changing the behaviour
for better health.
![Page 7: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/7.jpg)
![Page 8: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/8.jpg)
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.
![Page 9: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/9.jpg)
![Page 10: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/10.jpg)
others
Blindness
Mental disorders
• Diabetes • Chronic
respiratory diseases
• Cancers • Cardiovascular diseases
Tobacco control
Injuries
![Page 11: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/11.jpg)
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
![Page 12: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/12.jpg)
![Page 13: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/13.jpg)
What are opportunities to improve HP in the PH?
![Page 14: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/14.jpg)
You may say I’m a dreamer But I’m not the only one
I have a dream today!
![Page 15: Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo](https://reader034.vdocuments.mx/reader034/viewer/2022051513/547a75bdb379595e2b8b49b7/html5/thumbnails/15.jpg)
Ways forward Premise: inclusive economic growth; healthy people = wealthy people
• Universal health coverage • Rationalization plan and DOH • Earmarked sin tax revenues • Health promotion legislation