Dual health system
Philippine Health System:
Organization and Governance
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
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
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
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
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)
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.
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.
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.
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 ___
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
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
The Department of Health
holds the over-all technical authority on health as it is a national health policy-maker and regulatory institution.
policy development,
program planning,
standards setting and regulation, and
related management support services
The Department of Health:
Responsibilities
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
Dr. Francisco Duque III
The Department of Health:
Incumbent Health Secretary
Headquarters at San Lazaro Compound along Rizal Ave
A global leader for attaining better health outcomes, competitive and responsive health care system, and equitable health financing
The Department of Health:
Vision
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
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
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
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
To provide Universal Health Care for all Filipinos in the medium to long term
Philippine Health System: Strategic Goals and Targets
F1 Plus goal
Better health outcomes
Philippine Health System: Strategic Goals and Targets: FOURmula One Plus
Strategic Goal 1
More responsive health system
Philippine Health System: Strategic Goals and Targets: FOURmula One Plus
Strategic Goal 2
More equitable healthcare financing
Philippine Health System: Strategic Goals and Targets: FOURmula One Plus
Strategic Goal 3
Professionalism
Responsiveness
Integrity
Compassion
Excellence
Philippine Health System: Strategic Goals and Targets: FOURmula One Plus
core values
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
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
Regulation
Philippine Health System: Strategic Goals and Targets: FOURmula One Plus
ensure high quality and affordable health products, devices, facilities, and services
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
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
Millennium Development Goals (MDGs)
eradicate extreme poverty & hunger
achieve universal primary education
promote gender equality & empover women
reduce child mortality
improve maternal health
combat HIV/AIDS, malaria, and other diseases
ensure environmental sustainability
global partnership for development
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
MDG: 8
SDG: 17
MDGs vs SDGs:
Goals
MDG: 21
SDG: 169
MDGs vs SDGs:
Targets
MDG: Experts
SDG: UN members
MDGs vs SDGs:
Creator of the concept
MDG: Poor
SDG: World
MDGs vs SDGs:
Implementation
MDG: Social
SDG: Socioeconomical
MDGs vs SDGs:
Focus
Financial Protection
The Health System We Aspire For: Goals
Filipinos, especially the poor are protected from high cost of health care
Better Health Outcomes
The Health System We Aspire For: Goals
Filipinos attain the best possible health outcomes with no disparity
Responsiveness
The Health System We Aspire For: Goals
Filipinos feel respected, valued, and empowered in all of their interaction with the health system
Equitable & inclusive to all
Transparent & accountable
Uses resources efficiently
Provides high quality services
The Health System We Aspire For:
Values
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
2000
Persistent Inequities in Health Outcomes:
Every year around, ___ mothers die due to pregnancy-related complications
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
stunted
Persistent Inequities in Health Outcomes:
3 out of 10 children are ___
healthcare expenditures
Restrictive & Impoverishing Healthcare Costs:
Every year, 1.5 million families are pushed to poverty due to ___
forego or delay care
Restrictive & Impoverishing Healthcare Costs:
Filipinos ___ due to prohibitive & unpredictable user fees or co-payments
catastrophic
Restrictive & Impoverishing Healthcare Costs:
Php 4,000/month healthcare expenses considered ___ for single income families
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
Attain Health-Related SDG Targets
Financial Risk Protection
Better Health Outcomes
Responsiveness
Philippine Health Agenda Framework:
Goal
Equity
Efficiency
Quality
Transparency
Philippine Health Agenda Framework:
Values
All Life Stages & Triple Burden of Disease
Philippine Health Agenda Framework:
Guarantee 1
Service Delivery Network
Philippine Health Agenda Framework:
Guarantee 2
Universal Health Insurance
Philippine Health Agenda Framework:
Guarantee 3