unit 1.4: sustainable development goals

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Dual health system

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55 Terms

1

Dual health system

Philippine Health System:

Organization and Governance

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Public Sector

Philippine Health System:

  • Health services are provided by health facilities run by the National and local governments and are largely financed through a tax-based budgeting system

    • Department of Health

    • Local Government Units

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Private sector

Philippine Health System:

  • Largely market-oriented, where HS are generally paid for through user fees at the point of service

    • clinics, infirmaries, laboratories, hospitals, drugstores, pharmaceutical and medical supply companies, health insurance companies, academic and research institutions and informal service providers

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4
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Some of the facilities of the University of Santo Tomas Faculty of Medicine and Surgery in 1887

a chemistry laboratory used for research and experiments

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Some of the facilities of the University of Santo Tomas Faculty of Medicine and Surgery in 1887

a special room for people suffering from mental disorder

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6

The Philippine Revolution and American colonial period

Philippine Health System: Historical Background

  • The Bureau of Public Health was organized under the revolutionary government established by General Emilio Aguinaldo (1898)

  • Department of Public Works, Education and Hygiene (1898)

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The Philippine Commonwealth and establishment of the Republic

Philippine Health System: Historical Background

  • The Department of Health and Public Welfare was organized on 31 May 1939 under the administration of President Manuel Quezon

  • Provided additional health facilities and expansion of sanitation and MCH services fell into disarray with the start of World War II, with the Japanese forces occupying the entire islands

  • The incidences of TB, malaria, malnutrition and other diseases increased during the war years.

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Establishment of the Department of Health

Philippine Health System: Historical Background

  • 4 October 1947, through Executive Order No. 94, the DOH was established with supervision over the Bureau of Health, Bureau of Quarantine, Bureau of Hospitals and all local health offices in the country.

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Ministry of Health: Dr. Clemente S. Gatmaitan

Philippine Health System: Historical Background: Establishment of the Department of Health

  • in 1978, the DOH was transformed into the _______

    • ___ as first minister of health.

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10

Alma Ata Declaration

Philippine Health System: Historical Background: Establishment of the Department of Health

  • The primary health-care approach was adopted as a national policy in the late 1970s following the ___

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  • Integrated Provincial Health Office

Philippine Health System: Historical Background: Establishment of the Department of Health

  • EO No. 852, issued by President Ferdinand Marcos in 1983, integrated public health and hospital services under the ___ headed by the provincial health officer

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Dr. Afredo Bengzon

Philippine Health System: Historical Background: Establishment of the Department of Health

  • On April 13, 1987, the Department of Health was created from the previous Ministry of Health with ___ as the secretary of health

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The Department of Health

holds the over-all technical authority on health as it is a national health policy-maker and regulatory institution.

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  • policy development,

  • program planning,

  • standards setting and regulation, and

  • related management support services

The Department of Health:

Responsibilities

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  • National Nutrition Council (NNC) and the Population Commission, and

  • corporate entities such as PhilHealth, the Philippine Institute of Traditional and Alternative Health Care, and

  • four highly specialized corporate hospitals.

The Department of Health:

autonomous agencies

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Dr. Francisco Duque III

The Department of Health:

Incumbent Health Secretary

  • Headquarters at San Lazaro Compound along Rizal Ave

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A global leader for attaining better health outcomes, competitive and responsive health care system, and equitable health financing

The Department of Health:

Vision

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18

To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health.

The Department of Health:

Mission

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Mixed health outcomes

Philippine Health System: Challenges and Implications

  • Modest gains in selected health outcome indicators and weak performance in others were not enough to realize the country’s targets in the NOH 2011-2016 and the Millennium Development Goals (MDGs).

  • Availability, accessibility and affordability of quality healthcare have impeded healthcare utilization

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Disjointed health system

Philippine Health System: Challenges and Implications

  • Overlapping and sometimes, conflicting mandates of the DOH and LGUs.

  • Problematic referral system

  • Decentralization fragmentation in service delivery.

  • The flow of health funds was made more complicated and inequitable with the weak link between health budget allocation and devolved health functions

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FOURmula One Plus (F1 Plus) for Health

Philippine Health System: Strategic Goals and Targets

  • It envisions Filipinos to be among the healthiest people in Southeast Asia by 2022, and in Asia by 2040.

  • It intends to lead the country in the development of a productive, resilient, equitable and people-centered health system towards the attainment of UHC, guided by the values of professionalism, responsiveness, integrity, compassion and excellence

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To provide Universal Health Care for all Filipinos in the medium to long term

Philippine Health System: Strategic Goals and Targets

F1 Plus goal

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Better health outcomes

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

Strategic Goal 1

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More responsive health system

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

Strategic Goal 2

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More equitable healthcare financing

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

Strategic Goal 3

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  • Professionalism

  • Responsiveness

  • Integrity

  • Compassion

  • Excellence

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

core values

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Financing

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

secure sustainable investments to improve health outcomes and ensure efficient and equitable use of health resources

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Service Delivery

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

ensure the accessibility of essential quality health services at appropriate levels of care

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Regulation

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

ensure high quality and affordable health products, devices, facilities, and services

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Governance

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

strengthen leadership & management capacities, cooperation, and support mechanisms necessary to ensure functional people-centered and participatory health systems

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Performance Accountability

Philippine Health System: Strategic Goals and Targets: FOURmula One Plus

use management systems to drive better excecution of policies and programs in the DOH while ensuring responsibility to all stakeholders

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Millennium Development Goals (MDGs)

  1. eradicate extreme poverty & hunger

  2. achieve universal primary education

  3. promote gender equality & empover women

  4. reduce child mortality

  5. improve maternal health

  6. combat HIV/AIDS, malaria, and other diseases

  7. ensure environmental sustainability

  8. global partnership for development

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Sustainable Development Goals (SDGs)

  • set of goals to end poverty, protect the planet, and ensure prosperity for all

  • each goal has to be achieved over the next 15 years

  • everyone needs to do their part

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MDG: 8

SDG: 17

MDGs vs SDGs:

Goals

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MDG: 21

SDG: 169

MDGs vs SDGs:

Targets

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MDG: Experts

SDG: UN members

MDGs vs SDGs:

Creator of the concept

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MDG: Poor

SDG: World

MDGs vs SDGs:

Implementation

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MDG: Social

SDG: Socioeconomical

MDGs vs SDGs:

Focus

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Financial Protection

The Health System We Aspire For: Goals

Filipinos, especially the poor are protected from high cost of health care

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Better Health Outcomes

The Health System We Aspire For: Goals

Filipinos attain the best possible health outcomes with no disparity

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Responsiveness

The Health System We Aspire For: Goals

Filipinos feel respected, valued, and empowered in all of their interaction with the health system

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  • Equitable & inclusive to all

  • Transparent & accountable

  • Uses resources efficiently

  • Provides high quality services

The Health System We Aspire For:

Values

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  • Devolution

  • Use of Generics

  • Milk Code

  • PhilHealth (1995)

  • DOH Resources to promote local health system development

  • Fiscal autonomy for government hospitals

  • Good Governance programs

  • Funding for UHC

2017 DOH Annual Report:

Milestones

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44

2000

Persistent Inequities in Health Outcomes:

Every year around, ___ mothers die due to pregnancy-related complications

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3 times more likely

Persistent Inequities in Health Outcomes:

A Filipino child born to the family is ___ to not reach his 5th birthday, compared to a rich family

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stunted

Persistent Inequities in Health Outcomes:

3 out of 10 children are ___

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healthcare expenditures

Restrictive & Impoverishing Healthcare Costs:

Every year, 1.5 million families are pushed to poverty due to ___

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forego or delay care

Restrictive & Impoverishing Healthcare Costs:

Filipinos ___ due to prohibitive & unpredictable user fees or co-payments

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catastrophic

Restrictive & Impoverishing Healthcare Costs:

Php 4,000/month healthcare expenses considered ___ for single income families

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  • Long wait times

  • Limited autonomy to choose provider

  • Less than hygienic restrooms lacking amenities

  • Privacy & confidentiality taken lightly

  • Poor record keeping

  • Overcrowding & under-provision of care

Poor quality & undignified care synonymous with public clinics & hospitals

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51
  • Attain Health-Related SDG Targets

  • Financial Risk Protection

  • Better Health Outcomes

  • Responsiveness

Philippine Health Agenda Framework:

Goal

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  • Equity

  • Efficiency

  • Quality

  • Transparency

Philippine Health Agenda Framework:

Values

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53

All Life Stages & Triple Burden of Disease

Philippine Health Agenda Framework:

Guarantee 1

<p><strong>Philippine Health Agenda Framework:</strong></p><p>Guarantee 1</p>
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54

Service Delivery Network

Philippine Health Agenda Framework:

Guarantee 2

<p><strong>Philippine Health Agenda Framework:</strong></p><p>Guarantee 2</p>
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55

Universal Health Insurance

Philippine Health Agenda Framework:

Guarantee 3

<p><strong>Philippine Health Agenda Framework:</strong></p><p>Guarantee 3</p>
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