Philippine Health Agenda, Study Guides, Projects, Research of Local Government Studies

Download Philippine Health Agenda and more Study Guides, Projects, Research Local Government Studies in PDF only on Docsity!

• PHILIPPINE HEALTH AGENDA 2016-
  • Healthy Philippines

The Health System We Aspire For

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

FINANCIAL

PROTECTION

Filipinos attain the best possible health outcomes with no disparity

BETTER HEALTH

OUTCOMES

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

RESPONSIVENESS

GOALS

2

During the last 30 years of Health Sector Reform, we have undertaken key structural reforms and continuously built on programs that take us a step closer to our aspiration. PhilHealth (1995) Good Governance Programs (ISO, IMC, PGS) DOH resources to promote local health system development Milestones Fiscal autonomy for government hospitals Devolution Use of Generics Funding for UHC Milk Code

Every year, around 2000 mothers die due to pregnancy-related complications.

Persistent Inequities in Health Outcomes

Three out of 10 children are stunted. A Filipino child born to the poorest family is 3 times more likely to not reach his 5 th^ birthday, compared to one born to the richest family. 5

Poor quality and undignified care synonymous with public clinics and hospitals Long wait times Less than hygienic restrooms, lacking amenities Poor record-keeping Overcrowding & under-provision of care Privacy and confidentiality taken lightly Limited autonomy to choose provider 7

Lahat Para sa Kalusugan! Tungo sa Kalusugan Para sa Lahat

Goals: Attain Health Related SDG Targets Financial Risk Protection, Better Health Outcomes, Responsiveness Values: Equity, Efficiency, Quality, Transparency A C H I E V E

ATTAIN HEALTH-RELATED SDG TARGETS

Financial Risk Protection | Better Health Outcomes | Responsiveness Values: Equity, Quality, Efficiency, Transparency, Accountability, Sustainability, Resilience

3 Guarantees

UNIVERSAL HEALTH INSURANCE SERVICE DELIVERY NETWORK ALL LIFE STAGES & TRIPLE BURDEN OF DISEASE

ALL LIFE STAGES &

TRIPLE BURDEN OF DISEASE

GUARANTEE # Services for Both the Well & the Sick

Guarantee 1: All Life Stages & Triple Burden of Disease

• HIV/AIDS, TB, Malaria
• Diseases for Elimination
• Dengue, Lepto, Ebola, Zika - Injuries - Substance abuse - Mental Illness - Pandemics, Travel Medicine - Health consequences of climate change / disaster
• Cancer, Diabetes, Heart Disease and their Risk Factors – obesity, smoking, diet, sedentary lifestyle
• Malnutrition 13 COMMUNICABLE DISEASES DISEASES OF RAPID URBANIZATION & INDUSTRIALIZATION NON- COMMUNICABLE DISEASES & MALNUTRITION

SERVICE DELIVERY NETWORK

GUARANTEE # Functional Network of Health Facilities

UNIVERSAL

HEALTH INSURANCE

GUARANTEE # Financial Freedom when Accessing Services

• No balance billing for the poor/basic accommodation & Fixed co payment for non basic accommodation
• Expand benefits to cover comprehensive range of services
• Contracting networks of providers within SDNs

Guarantee 3: Services are financed predominantly by PhilHealth

PHILHEALTH AS MAIN REVENUE SOURCE FOR PUBLIC HEALTH CARE PROVIDERS SIMPLIFY PHILHEALTH RULES PHILHEALTH AS THE GATEWAY TO FREE AFFORDABLE CARE

• 100% of Filipinos are members
• Formal sector premium paid through payro ll
• Non forma l sector premium paid through tax subsidy 17

1. Conduct annual health visits for all poor families and special populations (NHTS, IP, PWD, Senior Citizens)
2. Develop an explicit list of primary care entitlements that will become the basis for licensing and contracting arrangements
3. Transform select DOH hospitals into mega-hospitals with capabilities for multi-specialty training and teaching and reference laboratory
4. Support LGUs in advancing pro-health resolutions or ordinances (e.g. city-wide smoke-free or speed limit ordinances)
5. Establish expert bodies for health promotion and surveillance and response A Advance quality, health promotion and primary care

1. Raise more revenues for health, e.g. impose health- promoting taxes, increase NHIP premium rates, improve premium collection efficiency.
2. Align GSIS, MAP, PCSO, PAGCOR and minimize overlaps with PhilHealth
3. Expand PhilHealth benefits to cover outpatient diagnostics, medicines, blood and blood products aided by health technology assessment
4. Update costing of current PhilHealth case rates to ensure that it covers full cost of care and link payment to service quality
5. Enhance and enforce PhilHealth contracting policies for better viability and sustainability C Cover all Filipinos against health-related financial risk