uhcpresentations 2 2010oct [annex 17] aapadilla
TRANSCRIPT
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
1/38
Aquino Health Agenda:Aquino Health Agenda:Universal Health CareUniversal Health Care
1
Alexander A. Padilla
UndersecretaryDepartment of Health
27 October 2010
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
2/38
Sixty percent of our countrymenSixty percent of our countrymenwho succumb to sickness die withoutwho succumb to sickness die without
2
seeing a doctor.seeing a doctor.-- PNoys ChallengePNoys Challenge
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
3/38
Universal Health CareUniversal Health CareDeliberate attention to
the needs of millions ofpoor Filipino families
3
w c compr se emajority of our
population
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
4/38
Filipino Income QuintilesFilipino Income Quintiles
Monthly income Families per quintile
Q1
4
, , ,
Q2 6,073 4,094,164
Q3 9,309 3,912,443
Q4 15,064 3,707,494
Q5 38,065 3,485,067
Source: National Health and Demographic Survey, 2008
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
5/38
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
6/38
Current StatusCurrent Status
Health Outcomes
6
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
7/38
Demographic CharacteristicsDemographic Characteristics
Population, total (millions) 94,013,200 (projected, NSO 2007)
Population < 25 years(% of total population)
52.8 % (projected, NSO 2007)49,617,400 M Filipinos
7
Population > 60 years(% of total population)
6.7% (projected, NSO 2007)6,637,100 M Filipinos
Birth rate
(births per 1,000 population)23.4 (NDHS 2008)2,162,303 live births per year
Death rate(deaths per 1,000 population)
5.48 (NSO 2007)515,192.34 deaths / year
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
8/38
Top Ten Cause of MortalityTop Ten Cause of MortalityCause Total Rate
1. Diseases of the heart 70, 861 84.8
2. Diseases of the vascularsystem 51,680 61.8
3. Malignant Neoplasms 40,524 48.9
4. Accidents 34,483 41.3
8
5. Pneumonia 32,098 38.46. Tuberculosis 26,770 31.0
7. Unclassified 21,278 25.5
8. Chronic lower respiratorydiseases
18,975 22.7
9. Diabetes mellitus 16,552 19.8
10. Conditions originating fromthe perinatal period
13,180 15.8
Philippine Statistical Yearbook, 2009
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
9/38
UN Millennium Development GoalsUN Millennium Development Goals
9
Source: MDG Monitor: Quick Facts(accessed 10/11/2010)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
10/38
10Source: Philippine Health Statistics, 2005
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
11/38
Current StatusCurrent StatusHEALTH FINANCING
11
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
12/38
Share of health expenditure per GNPShare of health expenditure per GNP
12
Total health expenditure = P234.3 B or 3.2 percent of GDP
Source: Philippine National Health Accounts
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
13/38
Total expenditure on health as a PercentageTotal expenditure on health as a Percentageof GDPof GDP
8.0
10.0
12.0
14.0
16.0
13
0.0
2.0
4.0
6.0
Philippine
s
Thailan
d
Malaysia
VietNam
Chin
a
India
Japa
n
Cub
a
Canad
a
UK
UnitedState
s
Source: World Health Statistics 2010
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
14/38
Distribution of Health Expenditure byDistribution of Health Expenditure bySource of FundsSource of Funds
14Source: Philippine National Health Account, 2007
Total health expenditure is P234.3 B (3.2 percent of GDP)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
15/38
PhilHealthPhilHealthPres. Aquino, on PhilHealth Enrolment:
Sabi ng PhilHealth sa isangbibig, walumpu't pitong porsyento na rawan meron covera e. Sa kabilan bibi
15
naman, singkuwenta'y tres porsyento.Ayon naman sa National StatisticsOffice, tatlumpu't walong porsyento ang
may coverage.(Pnoys SONA July 26, 2010; emphasis supplied)
15
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
16/38
PhilHealthPhilHealth
Aquino was dismayed at the miserable
benefit delivery rate of the National HealthInsurance Program in the country which
16
. , ,
16
Coverage
rate
Availment
rate
Support
value
Benefit
deliveryrate
53% 42% 34% 8%
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
17/38
CURRENT STATUSCURRENT STATUSHEALTH FACILITIES
17
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
18/38
Office of Secretary of Health
Attached Agencies
Provincial Health Offices ProvincialHospitals
City Health Offices
(Chartered Cities)
Regional hospitalMedical Centers
SanitariaRegional Offices
18
City Health Offices
(Component Cities)
Inter-local Health Zones
CityHospitals
HealthCenters
BarangayHealth
Stations
District hospitalsMunicipal healthoffices/ RuralHealth Unit
Barangay HealthStations
CityHospitals
HealthCenters
Barangay
HealthStations
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
19/38
Regional HospitalsRegional Hospitals
Corazon Locsin Montelibano MemorialRegional Hospital, Negros Occidental
Southern Philippines MedicalCenter, Davao
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
20/38
Provincial HospitalsProvincial Hospitals
Davao del Sur Provincial HospitalTeresita Lopez Jalandoni Provincial
Hospital, Negros Occidental
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
21/38
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
22/38
Strategic directions of theStrategic directions of the
22
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
23/38
Priority Health Policy Directions of thePriority Health Policy Directions of the
Aquino AdministrationAquino Administration1. A roadmap towards universal health care through a
refocused PhilHealth;
2. Particular attention to the construction, rehabilitation, andsupport of health facilities:
23
, rural health units barangay health stations
3. Attainment of Millennium Development Goals 4, 5, and 6 Reduction of maternal, neonatal, and infant mortality Support to contain/eliminate age old pubic health diseases
(malaria, dengue, TB)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
24/38
Health Policy Directions of the AquinoHealth Policy Directions of the Aquino
AdministrationAdministration Attain efficiency by using information technology(IT) in all aspects of health care
Increased attention to trauma, the 4th leadingcause of death
24
prevent non communicable diseases: heartdisease, stroke, diabetes, obesity
Attention to emerging diseases(Superbug, nosocomialdiseases, A(H1N1), diseases brought about byclimate change)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
25/38
Health Policy Directions of the AquinoHealth Policy Directions of the Aquino
AdministrationAdministration
Improve the access to quality affordable medicines
Continuing efforts in improving governance andregulation to eliminate graft and corruption in all
25
areas of health care
Improve the plight of health workers throughinterventions in health education, placement,compensation, among others
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
26/38
Revitalizing the NHIPRevitalizing the NHIP Paradigm shift in the implementation of NHIP:
Expansion of NHIP coverage
Enrollment of the poorest of the poor Enforce mandatory enrolment of the informal sector (as per
the National Health Insurance Act, R.A. 7875 as amended)
26
awareness of PhilHealth benefits and entitlements Access to inpatient and outpatient services through
PhilHealth
Zero co-payment/No balance billing for health carecosts incurred for the poorest in governmenthospitals
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
27/38
Health Facilities EnhancementHealth Facilities Enhancement Upgrading of health facilities: rural health
units, district hospitals, provincialhospitals, DOH Retained hospital
Improved facility preparedness for trauma (4th
27
leading cause of death) Improved capacity of clinical/hospital care for the
most common causes of mortality and morbidity
Improve access to quality affordable medicines
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
28/38
Strategies for Health FacilitiesStrategies for Health Facilities
EnhancementEnhancement
Public-Private Partnership
Regional Clustering
Fiscal autonomy and income retention for
28
government health facilities Streamlining of licensing and regulation for
improved accreditation
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
29/38
PublicPublic--Private PartnershipsPrivate Partnerships Proposed projects:
IT system for DOH and PhilHealth Philippine Orthopedic Center as Center for
Bone Diseases and Trauma
29
Air ambulance project Research Institute for Tropical Medicine
for commercial production of vaccines
San Lazaro Hospital as Center forInfectious Diseases
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
30/38
PublicPublic--Private PartnershipsPrivate Partnerships Commercial utilization of vacant hospital
land assets Establishment of Multi-Specialty Centers in
selected re ions 3 in Northern Luzon
30
Visayas, and Mindanao Construction of Patient and Hospital Staffs
lodging facilities
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
31/38
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
32/38
Composition of Advisory Board ofComposition of Advisory Board of
Clustered Health FacilitiesClustered Health Facilities Chairman: the Secretary of Health or his
representative Vice Chairman: Regional CHD or Hospital
Director
32
em ers: Local chief executives: Governors and mayors
Legislators: Congressmen
Local health officials: PHOs and MHOs
Private Sector: civic and business leaders,NGOs
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
33/38
Attaining the MDGsAttaining the MDGsEnsure that poorest families are reached
by priority public health programs
Deployment of Community HealthTeams:
33
Packaging of services using the Life CycleApproach
Pre-pregnancy: Family Planning services
Pregnancy: Four ante-natal care services anddelivery in health facilities (EmergencyObstetric and Neonatal Care)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
34/38
Attaining the MDGsAttaining the MDGsPackaging of services using the Life Cycle
ApproachPost partum: Essential newborn care andimmediate ost artum care
34
Infancy/early childhood: GarantisadongPambata
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
35/38
Strategies for Public HealthStrategies for Public Health
More aggressive promotion of healthy
lifestyle to prevent non communicablediseases: heart
35
, , ,
Attention to emerging diseases
(Superbug, nosocomialdiseases, A(H1N1), diseases broughtabout by climate change)
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
36/38
ICT Tools for HealthICT Tools for Health Information and Communications Technology
will play a major part in ensuring universal
health care is achieved as it can provide qualityand timely information to guide decision makingat all levels.
36
attained with out efficient IT Tool support
Access of health to public health programs aswell as clinical services can be augmented by
ICT e.g. Telemedicine Regional Clustering will be dependent on
information sharing
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
37/38
Philippine Health Outlook ForumPhilippine Health Outlook Forum
For the remainder of this activity, we hope thatwe can explore ways on how we can
37
priority areas towards achieving our goal of
Universal Health Care.
-
8/10/2019 UHCPresentations 2 2010Oct [Annex 17] AAPadilla
38/38