UNIT 3.1. Principal Health Reforms

Health Sector Reform

deals with a fundamental change of processes in policies and institutional arrangements of the health sector, usually guided by the government

PhilHealth membership

DOH three key reform strategies (2010-2016)

1. universal and sustainable ___________________________

2. upgrading and modernizing government health facilities through the ______________________________

3. fortifying efforts to achieve the ______________________________ targets

1 = ?

Health Facilities Enhancement Program (HFEP)

DOH three key reform strategies (2010-2016)

1. universal and sustainable ___________________________

2. upgrading and modernizing government health facilities through the ______________________________

3. fortifying efforts to achieve the ______________________________ targets

2 = ?

Millenium Development Goals (MDG)

DOH three key reform strategies (2010-2016)

1. universal and sustainable ___________________________

2. upgrading and modernizing government health facilities through the ______________________________

3. fortifying efforts to achieve the ______________________________ targets

3 = ?

Administrative Order (AO) No. 2023-0015

Adoption of the 8-Point Action Agenda as the Medium-Term Strategy of the Health Sector for 2023-2028

8-Point Action Agenda

• aligned with the Philippine Development Plan 2023-2028

• aims to guarantee that every Filipino experiences health and well-being

• comprehensive plan that focuses on placing Filipinos at the heart of healthcare reforms, promoting community health, and strengthening healthcare institutions and health care worker welfare

service-driven and people-oriented

The 8 Point Agenda has a foundation in humanistic leadership and good governance which emphasizes a:

1. _______________________________ thrust

2. _______ in roles

3. _____________________________ to ensure holistic health and well-being for all Filipinos

1 = ?

clarity

The 8 Point Agenda has a foundation in humanistic leadership and good governance which emphasizes a:

1. _______________________________ thrust

2. _______ in roles

3. _____________________________ to ensure holistic health and well-being for all Filipinos

2 = ?

collaboration among stakeholders

The 8 Point Agenda has a foundation in humanistic leadership and good governance which emphasizes a:

1. _______________________________ thrust

2. _______ in roles

3. _____________________________ to ensure holistic health and well-being for all Filipinos

3 = ?

kalusugan

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

1 = ?

Ligtas, dekalidad, at mapagkalingang

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

2 = ?

Teknolohiya

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

3 = ?

krisis

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

4 = ?

sakit

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

5 = ?

isip at damdamin

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

6 = ?

Kapakanan at karapatan

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

7 = ?

pandemya

Sa Bagong Pilipinas, Bawat Buhay Mahalaga:

1. Bawat Pilipino, ramdam ang ____________

2. ____________________________ serbisyo

3. ____________ para sa mabilis na serbisyong pangkalusugan

4. Handa sa _________

5. Pag-iwas sa ______

6. Ginhawa ng _____________

7. __________________________________ ng heath workers

8. Proteksyon sa anumang _______________

8 = ?

DOH, PhilHealth, LGUs, healthcare providers, both government and private

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

1 = ?

unmet healthcare needs

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

2 = ?

rationalizing capital investments

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

3 = ?

systematic tracking

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

4 = ?

partnerships

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

5 = ?

health professional education system

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

6 = ?

capacity for and managing the risks

Strategies to achieve the goals of UHC:

1. strengthening the governance and accountability of key actors – the _________________________________________________________________

2. pragmatic assessment of the ________________________ of the population and persistent inequities

3. ___________________________ consistent with the reconfiguration of the service delivery system

4. _________________ of the health system’s progress using a combination of data collection mechanisms

5. fostering _____________ with the private sector and other government institutions

6. aligning the __________________________________ with international standards

7. developing the _________________________________ that future developments could create in the health sector.

7 = ?

1995

year of Republic Act No. 7875 National Health Insurance Act

Republic Act No. 7875 National Health Insurance Act

Seeks to provide all Filipinos with the mechanism to gain financial access to health services, giving priority to those who cannot afford such services

1999

year of Health Sector Reform Agenda

Health Sector Reform Agenda

Aims to improve the way health care is delivered, regulated and financed through systemic reforms in public health, the hospital system, local health, health regulation and health financing.

2005

year of FOURmula One (F1) for Health

FOURmula One (F1) for Health

Implements the reform strategies in service delivery, health regulation, health financing and governance as a single package that is supported by effective management infrastructure and financing arrangements, with particular focus on critical health interventions.

2008

year of Republic Act No. 9502 Universally Accessible Cheaper and Quality Medicines Act

Republic Act No. 9502 Universally Accessible Cheaper and Quality Medicines Act

Allows the government to adopt appropriate measures to promote and ensure access to affordable quality drugs and medicines for all.

2010

year of Expanded Senior Citizen's Act [Republic Act No. 9994]

Expanded Senior Citizen's Act [Republic Act No. 9994]

• Grants additional benefits and privileges to senior citizens, including 20% discount and exemption from the value-added tax (VAT) on the purchase of the following:

  • medicines, pneumococcal vaccines and other essential medical supplies, accessories and equipment

  • professional fees of attending physicians in private clinics and hospitals and of caregiver recommended by private hospital

  • on medical and dental services, diagnostic and laboratory fees in all private hospitals, medical facilities, outpatient clinics, and home health-care services;

• Free medical and dental services, diagnostic and laboratory fees in all private outsourced, medical facilities, outpatient clinics, and home health care services.

Administrative Order No. 2010-0032

provides the guidelines and mechanisms to implement the provisions of Republic Act No. 9994

2010

what year was Health Financing Strategy

Health Financing Strategy 2010-2020

Supports the overall sector goals of improving financial protection, achieving efficiency gains and ensuring access to quality care through five pillars

• creating more fiscal space for health

• sustaining membership in PhilHealth-pooling

• who pays for what

• provider payments

• fiscal autonomy of health facilities

2010

year of Aquino Health Agenda for Universal Health Care [Administrative Order No. 2010-0036]

Aquino Health Agenda for Universal Health Care [Administrative Order No. 2010-0036]

• Seeks to improve, streamline, and scale up the reform strategies laid out in the Health Sector Reform Agenda (1999) and the FOURmula One for Health to address inequities in health outcomes by ensuring that all Filipinos, especially those belonging to the lowest two income quintiles, have equitable access to quality health care.

• Specifically, this policy reform aims to:

  • strengthen the National Health Insurance Program (NHIP) as the prime mover in improving financial risk protection

  • generate resources to modernize and sustain public health facilities

  • improve the provision of public health services to achieve the Millennium Development Goals (MDGs).

• More popularly known as Kalusugan Pangkalahatan

2011

year of Mandatorу Infants and Children's Health Immunization Act [Republic Act No. 10152]

Mandatorу Infants and Children's Health Immunization Act [Republic Act No. 10152]

• Declares that the government shall take a proactive role in the preventive health care of infants and children, particularly in providing the mandatory basic immunization for all infants and children for the following vaccine-preventable diseases: (i) tuberculosis; (ii) diphtheria, tetanus and pertussis; (iii) poliomyelitis; (iv) measles; (v) mumps; (vi) german measles; (vii) hepatitis-B; (viii) H. influenzae type B (HiВ).

• All infants shall be given the birth dose of the hepatitis-B vaccine within 24 hours of birth.

• These mandatory basic immunizations shall be given free at any government hospital or health centre to infants and children up to five (5) years of age.

2012

Sin Tax Reform Act [Republic Act No. 10351]

2012

year of Responsible Parenthood and Reproductive Health Act [Republic Act No. 10354]

Responsible Parenthood and Reproductive Health Act [Republic Act No. 10354]

• Guarantees universal and free access to nearly all modern contraceptives for all Filipinos, including impoverished communities, at government health centres. The law mandates reproductive health education in government schools and recognizes a woman's right to post-abortion care as part of the right to reproductive health care. \

• Reinforced by Executive Order No. 12 2017, Attaining and Sustaining Zero Unmet Need for Modern Family Planning through the Strict Implementation of the Responsible Parenthood and Reproductive Health Act, Providing Funds Therefore and for Other Purposes

2013

year of The National Health Insurance Act [Republic Act No. 7875 as Amended by Republic Act No. 9241 and Republic Act No. 10606]

The National Health Insurance Act of 2013 [Republic Act No. 7875 as Amended by Republic Act No. 9241 and Republic Act No. 10606]

Salient amendments include:

• provision of full National Government subsidy to enrol poor families identified by the DSWD's National Household Targeting System - Poverty Reduction (NHTSPR) and coverage for pregnant women

• simplified membership requirements

• simplified availment rules and increased financial protection for the poor through no-balance billing

• streamlined accreditation process

• better administration of the National Health Insurance Program.

2014

year of Republic Act No. 7432, as Amended by Republic Act No. 9994 and Republic Act No. 10645 Act Providing for The Mandatory PhilHealth Coverage for All Senior Citizens

Republic Act No. 7432, as Amended by Republic Act No. 9994 and Republic Act No. 10645 Act Providing for The Mandatory PhilHealth Coverage for All Senior Citizens

• Provides for mandatory coverage of all senior citizens by the National Health Insurance Program of PhilHealth

• funds needed to ensure PhilHealth coverage shall be sourced from the proceeds of Republic Act No. 10351, also known as Sin Tax Reform Act of 2012.

2016

year of The Philippine Health Agenda [Administrative Order No. 2016-0038]

The Philippine Health Agenda [Administrative Order No. 2016-0038]

• Building on previous reforms, it aims to:

  • ensure the best health outcomes for all, without any form of inequity

  • promote health and deliver health care through means that respect, value, and empower clients and patients as they interact with the health system

  • protect all families especially the poor, marginalized, and vulnerable against the high costs of health care.

• it guarantees that health services are:

  • available for both the well and the sick at all life stages and responsive to the triple burden of disease

  • delivered by a functional network of health facilitied

  • financed predominantly by PhilHealth.

modernizing government facilities

OBJECTIVES OF HEALTH SERVICE DELIVERY:

1. to improve the delivery of health services by _________________________ through the HFEP

2. to strengthen the mechanisms to ensure delivery of ______________________ to achieve MDG targets.

1 = ?

priority public health services

OBJECTIVES OF HEALTH SERVICE DELIVERY:

1. to improve the delivery of health services by _________________________ through the HFEP

2. to strengthen the mechanisms to ensure delivery of ______________________ to achieve MDG targets.

2 = ?

upgrade the capacity of public health facilities

Health Service Delivery Strategies for improving access to quality hospitals and other health facilities include:

1. utilizing the HFEP to ___________________________________________ to adequately manage the most common causes of mortality and morbidity, including trauma;

2. establishing _____________________________ to support the immediate repair, rehabilitation, and construction of selected priority health facilities;

3. establishing _____________________________________ of health facilities to mitigate the impact of devolution that led to service fragmentation;

4. ensuring access to quality ____________

5. deploying _________________________ to augment the local health workforce

1 = ?

public-private partnerships (PPPs)

Health Service Delivery Strategies for improving access to quality hospitals and other health facilities include:

1. utilizing the HFEP to ___________________________________________ to adequately manage the most common causes of mortality and morbidity, including trauma;

2. establishing _____________________________ to support the immediate repair, rehabilitation, and construction of selected priority health facilities;

3. establishing _____________________________________ of health facilities to mitigate the impact of devolution that led to service fragmentation;

4. ensuring access to quality ____________

5. deploying _________________________ to augment the local health workforce

2 = ?

regional clustering and referral networks

Health Service Delivery Strategies for improving access to quality hospitals and other health facilities include:

1. utilizing the HFEP to ___________________________________________ to adequately manage the most common causes of mortality and morbidity, including trauma;

2. establishing _____________________________ to support the immediate repair, rehabilitation, and construction of selected priority health facilities;

3. establishing _____________________________________ of health facilities to mitigate the impact of devolution that led to service fragmentation;

4. ensuring access to quality ____________

5. deploying _________________________ to augment the local health workforce

3 = ?

medicines

Health Service Delivery Strategies for improving access to quality hospitals and other health facilities include:

1. utilizing the HFEP to ___________________________________________ to adequately manage the most common causes of mortality and morbidity, including trauma;

2. establishing _____________________________ to support the immediate repair, rehabilitation, and construction of selected priority health facilities;

3. establishing _____________________________________ of health facilities to mitigate the impact of devolution that led to service fragmentation;

4. ensuring access to quality ____________

5. deploying _________________________ to augment the local health workforce

4 = ?

health professionals

Health Service Delivery Strategies for improving access to quality hospitals and other health facilities include:

1. utilizing the HFEP to ___________________________________________ to adequately manage the most common causes of mortality and morbidity, including trauma;

2. establishing _____________________________ to support the immediate repair, rehabilitation, and construction of selected priority health facilities;

3. establishing _____________________________________ of health facilities to mitigate the impact of devolution that led to service fragmentation;

4. ensuring access to quality ____________

5. deploying _________________________ to augment the local health workforce

5 = ?

community health teams (CHTs)

Health service delivery Strategies to ensure the attainment of the MDG targets include:

1. deploying ______________________________________ to assist families in navigating the health system;

2. using the _______________ for providing health care, including family planning, ANC, delivery in health facilities, essential newborn and postpartum care, and the Garantisadong Pambata package for children 0–14 years of age;

3. aggressively promoting __________________ to reduce NCDs

4. ensuring ________________________ to prevent and control communicable diseases, tighten health surveillance, and prepare for emerging and re-emerging diseases

1 = ?

life-cycle approach

Health service delivery Strategies to ensure the attainment of the MDG targets include:

1. deploying ______________________________________ to assist families in navigating the health system;

2. using the _______________ for providing health care, including family planning, ANC, delivery in health facilities, essential newborn and postpartum care, and the Garantisadong Pambata package for children 0–14 years of age;

3. aggressively promoting __________________ to reduce NCDs

4. ensuring ________________________ to prevent and control communicable diseases, tighten health surveillance, and prepare for emerging and re-emerging diseases

2 = ?

healthy lifestyles

Health service delivery Strategies to ensure the attainment of the MDG targets include:

1. deploying ______________________________________ to assist families in navigating the health system;

2. using the _______________ for providing health care, including family planning, ANC, delivery in health facilities, essential newborn and postpartum care, and the Garantisadong Pambata package for children 0–14 years of age;

3. aggressively promoting __________________ to reduce NCDs

4. ensuring ________________________ to prevent and control communicable diseases, tighten health surveillance, and prepare for emerging and re-emerging diseases

3 = ?

public health measures

Health service delivery Strategies to ensure the attainment of the MDG targets include:

1. deploying ______________________________________ to assist families in navigating the health system;

2. using the _______________ for providing health care, including family planning, ANC, delivery in health facilities, essential newborn and postpartum care, and the Garantisadong Pambata package for children 0–14 years of age;

3. aggressively promoting __________________ to reduce NCDs

4. ensuring ________________________ to prevent and control communicable diseases, tighten health surveillance, and prepare for emerging and re-emerging diseases

4 = ?

poverty and hunger

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

a = ?

primary education

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

b = ?

gender equality and empowerment of women

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

c = ?

mortality

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

d = ?

Maternal Health

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

e = ?

HIV, malaria and other diseases

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

f = ?

sustainability

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

g = ?

global partnership

Millenium Development Goals (MDG)

a. Eradicate extreme _______________________________

b. Achieve universal __________________

c. Promote _________________________________

d. Reduce child ____________

e. Improve ________________

f. Combat ___________________________

g. Ensure environmental _______________

h. Develop ____________________ for development

h = ?

Health Facilities

health system is generally unable to respond to the growing population as shown by the stagnant number of hospitals and RHUs

PHC facilities

Health Service Delivery Strategies for Health Facilities:

1. To address the low capital investment in health facilities, the DOH lobbied for creation of the HFEP in 2007 to revitalize _________________ and rationalize the various levels of hospitals to decongest end-referral hospitals.

2. In 2012, the HFEP budget of ______________ upgraded government hospitals to comply with the new licensing requirements of the DOH (Department of Health, 2012d), expanded the services of tertiary government hospitals as training and end-referral hospitals, and strengthened the comprehensive emergency obstetric and newborn care services (CEmONC) facilities

3. __________ has been allocated under the 2024 General Appropriations Act for the Department of Health's implementation of the Health Facilities Enhancement Program (DOH-HFEP)

1 = ?

PHP 5.1 billion

Health Service Delivery Strategies for Health Facilities:

1. To address the low capital investment in health facilities, the DOH lobbied for creation of the HFEP in 2007 to revitalize _________________ and rationalize the various levels of hospitals to decongest end-referral hospitals.

2. In 2012, the HFEP budget of ______________ upgraded government hospitals to comply with the new licensing requirements of the DOH (Department of Health, 2012d), expanded the services of tertiary government hospitals as training and end-referral hospitals, and strengthened the comprehensive emergency obstetric and newborn care services (CEmONC) facilities

3. __________ has been allocated under the 2024 General Appropriations Act for the Department of Health's implementation of the Health Facilities Enhancement Program (DOH-HFEP)

2 = ?

PHP28. 58 billion

Health Service Delivery Strategies for Health Facilities:

1. To address the low capital investment in health facilities, the DOH lobbied for creation of the HFEP in 2007 to revitalize _________________ and rationalize the various levels of hospitals to decongest end-referral hospitals.

2. In 2012, the HFEP budget of ______________ upgraded government hospitals to comply with the new licensing requirements of the DOH (Department of Health, 2012d), expanded the services of tertiary government hospitals as training and end-referral hospitals, and strengthened the comprehensive emergency obstetric and newborn care services (CEmONC) facilities

3. __________ has been allocated under the 2024 General Appropriations Act for the Department of Health's implementation of the Health Facilities Enhancement Program (DOH-HFEP)

3 = ?

Health Personnel

• There are shortages of physicians and nurses in the country.

• There is difficulty in attracting and retaining medical professionals to comply with the staffing required by the DOH licensing policy

better job positions

Health Service Delivery Strategies for Health Personnel:

1. DOH supported local health service delivery by opening _________________ to healthcare professionals and deploying doctors, nurses, rural midwives, medical technologists, and dentists.

2. _________________ were also assigned to RHUs and health centers to assist in management functions, including operational health planning, health research, disease surveillance, staff capacity- building and program management.

1 = ?

better job positions

Health Service Delivery Strategies for Health Personnel:

1. DOH supported local health service delivery by opening _________________ to healthcare professionals and deploying doctors, nurses, rural midwives, medical technologists, and dentists.

2. _________________ were also assigned to RHUs and health centers to assist in management functions, including operational health planning, health research, disease surveillance, staff capacity- building and program management.

1 = ?

Medicines

• Lack of availability of this remains one of the foremost reasons patients self-medicate or utilize higher-priced private hospitals.

• Selection of this by LGU hospitals often shows signs of poor practice and instances of inappropriate influence by the pharmaceutical industry

Cheaper Medicines Act of 2005

Health Service Delivery Strategies for Medicine:

1. Enactment of the ________________________________

2. Increase the __________________ of generic medicines and generics prescribing is high in both public and private facilities

3. Improve the ___________________ of medicines.

1 = ?

market share

Health Service Delivery Strategies for Medicine:

1. Enactment of the ________________________________

2. Increase the __________________ of generic medicines and generics prescribing is high in both public and private facilities

3. Improve the ___________________ of medicines.

2 = ?

supply chain management

Health Service Delivery Strategies for Medicine:

1. Enactment of the ________________________________

2. Increase the __________________ of generic medicines and generics prescribing is high in both public and private facilities

3. Improve the ___________________ of medicines.

3 = ?

TB

In Health Service Delivery, Challenges remain in the provision of priority public health programs:

1. _______ case-finding and cure rates have improved, but the disease burden is still high

2. the prevalence of ___________ is increasing among at-risk groups;

3. ________ remains high due to inadequate facilities for emergency obstetric care

4. high rates of _________ coverage are maintained but fall short of the target, and the integrity of the (national) cold chain requires evaluation

5. _________________________________ are de-prioritized by the National Government due to political pressures from pro-life advocates and the Catholic Church

1 = ?

HIV/AIDS

In Health Service Delivery, Challenges remain in the provision of priority public health programs:

1. _______ case-finding and cure rates have improved, but the disease burden is still high

2. the prevalence of ___________ is increasing among at-risk groups;

3. ________ remains high due to inadequate facilities for emergency obstetric care

4. high rates of _________ coverage are maintained but fall short of the target, and the integrity of the (national) cold chain requires evaluation

5. _________________________________ are de-prioritized by the National Government due to political pressures from pro-life advocates and the Catholic Church

2 = ?

MMR

In Health Service Delivery, Challenges remain in the provision of priority public health programs:

1. _______ case-finding and cure rates have improved, but the disease burden is still high

2. the prevalence of ___________ is increasing among at-risk groups;

3. ________ remains high due to inadequate facilities for emergency obstetric care

4. high rates of _________ coverage are maintained but fall short of the target, and the integrity of the (national) cold chain requires evaluation

5. _________________________________ are de-prioritized by the National Government due to political pressures from pro-life advocates and the Catholic Church

3 = ?

immunization

In Health Service Delivery, Challenges remain in the provision of priority public health programs:

1. _______ case-finding and cure rates have improved, but the disease burden is still high

2. the prevalence of ___________ is increasing among at-risk groups;

3. ________ remains high due to inadequate facilities for emergency obstetric care

4. high rates of _________ coverage are maintained but fall short of the target, and the integrity of the (national) cold chain requires evaluation

5. _________________________________ are de-prioritized by the National Government due to political pressures from pro-life advocates and the Catholic Church

4 = ?

family planning and reproductive health

In Health Service Delivery, Challenges remain in the provision of priority public health programs:

1. _______ case-finding and cure rates have improved, but the disease burden is still high

2. the prevalence of ___________ is increasing among at-risk groups;

3. ________ remains high due to inadequate facilities for emergency obstetric care

4. high rates of _________ coverage are maintained but fall short of the target, and the integrity of the (national) cold chain requires evaluation

5. _________________________________ are de-prioritized by the National Government due to political pressures from pro-life advocates and the Catholic Church

5 = ?

iron deficiency anemia

Health service delivery Other public health programs:

1. The target of reducing ________________ among infants and pregnant women had been reached. Still, the percentage of low-birth-weight infants and underweight children under 5 years of age showed minimal or no improvement.

2. The impact of widespread implementation of _____________________________________________________ can be gleaned from the increasing breastfeeding initiation rates.

3. Significant progress has been made in reducing _______________, but the target rates for perinatal, neonatal, infant and under-5 mortality are not likely to be met

4. The stagnant ______________________ coverage rate received three booster shots during this 192 reform period

1 = ?

Essential Intrapartum and Newborn Care (EINC) and Infant and Young Child Feeding (IYFC)

Health service delivery Other public health programs:

1. The target of reducing ________________ among infants and pregnant women had been reached. Still, the percentage of low-birth-weight infants and underweight children under 5 years of age showed minimal or no improvement.

2. The impact of widespread implementation of _____________________________________________________ can be gleaned from the increasing breastfeeding initiation rates.

3. Significant progress has been made in reducing _______________, but the target rates for perinatal, neonatal, infant and under-5 mortality are not likely to be met

4. The stagnant ______________________ coverage rate received three booster shots during this 192 reform period

2 = ?

child mortality

Health service delivery Other public health programs:

1. The target of reducing ________________ among infants and pregnant women had been reached. Still, the percentage of low-birth-weight infants and underweight children under 5 years of age showed minimal or no improvement.

2. The impact of widespread implementation of _____________________________________________________ can be gleaned from the increasing breastfeeding initiation rates.

3. Significant progress has been made in reducing _______________, but the target rates for perinatal, neonatal, infant and under-5 mortality are not likely to be met

4. The stagnant ______________________ coverage rate received three booster shots during this 192 reform period

3 = ?

immunization

Health service delivery Other public health programs:

1. The target of reducing ________________ among infants and pregnant women had been reached. Still, the percentage of low-birth-weight infants and underweight children under 5 years of age showed minimal or no improvement.

2. The impact of widespread implementation of _____________________________________________________ can be gleaned from the increasing breastfeeding initiation rates.

3. Significant progress has been made in reducing _______________, but the target rates for perinatal, neonatal, infant and under-5 mortality are not likely to be met

4. The stagnant ______________________ coverage rate received three booster shots during this 192 reform period

4 = ?

Republic Act No. 10152

The stagnant immunization coverage rate received three booster shots during this 192 reform period:

1. the enactment of ____________________ mandating free provision of eight basic immunizations at government health facilities

2. the ____________________________________, which identify active seeking of immunization defaulters as a key strategy

3. injection of funds from _______________ to provide three doses of pneumococcal conjugate vaccine,dengue vaccine, HPV vaccine, measles–rubella vaccine and tetanus–diphtheria vaccines to targeted children from 2015 to 2016

1 = ?

UHC High Impact Strategies

The stagnant immunization coverage rate received three booster shots during this 192 reform period:

1. the enactment of ____________________ mandating free provision of eight basic immunizations at government health facilities

2. the ____________________________________, which identify active seeking of immunization defaulters as a key strategy

3. injection of funds from _______________ to provide three doses of pneumococcal conjugate vaccine,dengue vaccine, HPV vaccine, measles–rubella vaccine and tetanus–diphtheria vaccines to targeted children from 2015 to 2016

2 = ?

Sin Taxes

The stagnant immunization coverage rate received three booster shots during this 192 reform period:

1. the enactment of ____________________ mandating free provision of eight basic immunizations at government health facilities

2. the ____________________________________, which identify active seeking of immunization defaulters as a key strategy

3. injection of funds from _______________ to provide three doses of pneumococcal conjugate vaccine,dengue vaccine, HPV vaccine, measles–rubella vaccine and tetanus–diphtheria vaccines to targeted children from 2015 to 2016

3 = ?

maternal deaths

Health service delivery Other public health programs:

1. Among the MDG targets, the reduction in _______________ is the most unlikely to be attained.

2. Improvement in health facilities through the HFEP, enactment of the ________________________________________________________________________, which provides automatic insurance coverage for all women about to give birth, contributed to improvements in maternal care and family planning indicators.

1 = ?

Responsible Parenthood and Reproductive Health Law in 2012 and amendment of the PhilHealth Law in 2013

Health service delivery Other public health programs:

1. Among the MDG targets, the reduction in _______________ is the most unlikely to be attained.

2. Improvement in health facilities through the HFEP, enactment of the ________________________________________________________________________, which provides automatic insurance coverage for all women about to give birth, contributed to improvements in maternal care and family planning indicators.

2 = ?

poor

OBJECTIVES OF HEALTH FINANCING:

1. expanding the enrolment of the _______ in the NHIP

2. promoting quality outpatient and inpatient services at accredited facilities through ______________________________________________ for sponsored members, respectively

3. increasing the support value of SHI by ____________________________ to facilitate faster claims

4. using ____________ to guide PhilHealth’s benefit development processes for targeted services to a prioritized population.

1 = ?

reformed capitation and no-balance billing arrangements

OBJECTIVES OF HEALTH FINANCING:

1. expanding the enrolment of the _______ in the NHIP

2. promoting quality outpatient and inpatient services at accredited facilities through ______________________________________________ for sponsored members, respectively

3. increasing the support value of SHI by ____________________________ to facilitate faster claims

4. using ____________ to guide PhilHealth’s benefit development processes for targeted services to a prioritized population.

2 = ?

upgrading information technology (IT)

OBJECTIVES OF HEALTH FINANCING:

1. expanding the enrolment of the _______ in the NHIP

2. promoting quality outpatient and inpatient services at accredited facilities through ______________________________________________ for sponsored members, respectively

3. increasing the support value of SHI by ____________________________ to facilitate faster claims

4. using ____________ to guide PhilHealth’s benefit development processes for targeted services to a prioritized population.

3 = ?

evidence

OBJECTIVES OF HEALTH FINANCING:

1. expanding the enrolment of the _______ in the NHIP

2. promoting quality outpatient and inpatient services at accredited facilities through ______________________________________________ for sponsored members, respectively

3. increasing the support value of SHI by ____________________________ to facilitate faster claims

4. using ____________ to guide PhilHealth’s benefit development processes for targeted services to a prioritized population.

4 = ?

National PhilHealth Registration Day

enjoined LGUs to enroll the poor in their localities and facilitate enrolment of the informal sector in PhilHealth

poor

PhilHealth’s Sponsored Program Challenges:

1. process of identifying the ________

2. dependence of __________________________ on the term of the political official sponsoring the indigent

3. administrative cost of ____________________ with and collection of premium counterparts from 1715 LGUs

1 = ?