unit 1.4: sustainable development goals

Philippine Health System:

Organization and Governance

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

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

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)

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.

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.

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

• in 1978, the DOH was transformed into the _______

  • ___ as first minister of health.

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 ___

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

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

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

The Department of Health:

Responsibilities

The Department of Health:

autonomous agencies

The Department of Health:

Incumbent Health Secretary

• Headquarters at San Lazaro Compound along Rizal Ave

The Department of Health:

Vision

The Department of Health:

Mission

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

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

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

Philippine Health System: Strategic Goals and Targets

F1 Plus goal

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

Strategic Goal 1

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

Strategic Goal 2

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

Strategic Goal 3

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

core values

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

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

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

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

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

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

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

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

• 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

MDGs vs SDGs:

Goals

MDGs vs SDGs:

Targets

MDGs vs SDGs:

Creator of the concept

MDGs vs SDGs:

Implementation

MDGs vs SDGs:

Focus

The Health System We Aspire For: Goals

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

The Health System We Aspire For: Goals

Filipinos attain the best possible health outcomes with no disparity

The Health System We Aspire For: Goals

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

The Health System We Aspire For:

Values

2017 DOH Annual Report:

Milestones

Persistent Inequities in Health Outcomes:

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

Persistent Inequities in Health Outcomes:

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

Persistent Inequities in Health Outcomes:

3 out of 10 children are ___

Restrictive & Impoverishing Healthcare Costs:

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

Restrictive & Impoverishing Healthcare Costs:

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

Restrictive & Impoverishing Healthcare Costs:

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

Poor quality & undignified care synonymous with public clinics & hospitals

Philippine Health Agenda Framework:

Goal

Philippine Health Agenda Framework:

Values

Philippine Health Agenda Framework:

Guarantee 1

Philippine Health Agenda Framework:

Guarantee 2

Philippine Health Agenda Framework:

Guarantee 3