kp roadmap final oct 11

Universal Health Care / Kalusugan Pangkalahatan

Improved Health especially for the

Poor and Vulnerable

Improved Health especially for the

Poor and Vulnerable

Secure access to quality care at

facilities

Achieve the public health MDGs

Provide financial risk protection

INTERVENTIONS OF CARE

Primar

y Pre

ventio

n

and H

ealth

Prom

otion

Curative Health

Care

Secondary Prevention and Primary Care

OUTCOMES

3

Outcome 1: Achieve MDGsStrategy 1: Reduce Infant and Maternal Mortality

Action Status TARGETS Resource Needs

SupportingAgencies2014 2015 2016

1. Increase facility-based deliveries

1,016,59357.79 %(2011)

70%1,871,100

80%2,138,400

85%2,272,050

2014: 2.8 B2015: 3.1 B2016: 3.3 B

DILG/ LGUsDPWH

2. Provide poor women with FP commodities

2.07 M (2012) 3.0 M 3.6 M 3.6 M

2014: 1.06 B2015: 1.47 B2016: 1.45 B

DILG/ LGUs

3. Implement Expanded Program on Immunization:Primary Basic VaccinesNew Vaccines (Rotavirus, Pneumococal)

2.01 M (80%)(2013)

0.519 M

2.72 M(90%)

-0.816 M (30%)

2.78 M(90%)

-1.39 M (50%)

2.82 M(90%)

-2.82 M(90%)

2014: 1.1 B2015: 1.2 B

2016: 1.3 B

2014 :1.70 B 2015 : 3.74 B 2016: 5.37 B

DSWDDepEd

DILG/ LGUs

4. Prevent malnutrition and vitamin deficiency in children

6.7 M (2013)

8 M 10 M 13 M 2014: 198 M2015: 218 M

2016: 220M

DepEdDILG/LGUs

Outcome 1: Achieve MDGsStrategy 2: Control infectious diseases (TB, Malaria, HIV)

Action Status TARGETS Resource Need


1. Increase TB treatment success rate

91%(2012)

90% 90% 90% 2014: 1.07 B2015: 1.28 B2016: 1.30 B

DSWDDILG/LGUs

2. Increase number of:-Malaria-free provinces

-Rabies-free LGUs

27(2013)

9 areas (4 provinces

and 5 cities)

32

15

34

18

40

21

2014: 270 M2015: 228 M2016: 251 M

2014: 202 M2015: 600 M2016: 644 M

DILG/ LGUs

DA

3. Increase prevention, diagnosis & treatment of HIV

5,152Cases given

treatment(2012)

6,986

9,847

12,1112014 - 300 M2015 - 770 M2016 - 810 M

DILG/LGUsDSWD

Outcome 1: Achieve MDGsStrategy 3: Promote healthy lifestyle & control of non-communicable diseases



1. Awareness, control and provision of medicines among NHTS for: Diabetes

Hypertension

0.283 M patients

0.739 M patients

0.126 M

0.312 M

0.063 M

0.156 M

0.031 M

0.078 M

2014: 121 M2015: 43.0 M2016: 22.1 M

DSWDDILG

Outcome 1: Achieve MDGsStrategy 3: Promote healthy lifestyle & control of non-communicable diseases



2. Control smoking

-Increase no. of LGUs with 100% tobacco-free policies

-Increase no. of 100% smoke-free health facilities

3. Partnership with schools for KP wellness program

52 LGUs (2013)

700 LGU Level 1 & 2 hospitals

1 School

60

150

100

80

300

200

105

450

400

2014: 125 M2015: 160 M2016: 185 M

CSC, DILG, LGUs

DILG, LGUs

DepED CHED LGUs

Outcome 2: Financial Risk ProtectionStrategy 1: Expand PhilHealth Enrollment

Action Status TARGETS Resource Need SupportingAgencies2014 2015 2016

1. Enroll NHTS poor & near-poor families

5.4 M 14.7 M* 14.7 M 14.7 M 2014: 35.3B2015: 35.3B2016: 35.3B

DSWDDILG

2. Increase hospitals with point of care enrollment

LGU: 1

DOH: 7

100

72

200

72

300

72

DSWD DILG LGU

3. Enroll the remaining informal sector

80%3.1M not

enrolled but can

pay premium

85 88 90 DILG, DSWD, DepEd,

LGUs, BIR, PRC, NCIP, DOLE* Depends on NHTS list of DSWD

Outcome 2: Financial Risk Protection

Strategy 2: Improve Benefit Coverage



1. Implement No-Balance Billing

LGUs: 6%

DOH: 11%

15

50

35

80

50

90

(Premium subsidy)

DSWD, DILG, LGUs, DBM,

COA

2. Increase access to primary Care Benefit Package

5.4 M NHTS

Families

14.7 M* 14.7 M 14.7 M DSWD, LGUs,

DepEd, DBM

3. Implement Case Rates to all conditions

12 Surgical 12 Medical Conditions

All surgical and medical conditions

PhilHealth

4. Expand Catastrophic Care Package (Type Z)

9 conditions

12 20 25 PhilHealth

* Depends on NHTS list of DSWD

Outcome 3: Access to Quality Health Care Delivery System

Strategy 1: Upgrade, Build and Improve health facilities

Action Status (2010-2013)

TARGETS Resource Need


1.Build/ upgrade: -Barangay Health Stations (16,038) -Rural Health Units (3,074)

1, 567

1,642

1,461

985

2,641

198

2,416

249

2014: 1.22 B2015: 3.00 B2016: 2.74 B

2014: 1.93 B2015: 0.41 B2016: 0.46 B

DILGDPWH

2. Upgrade LGU hospitals -provincial and district (734)

820 projects

364 215 60 2014: 5.89 B2015: 5.51 B2016: 1.50 B

DILG/ LGUs

DPWH


Strategy 1: Upgrade, Build and Improve health facilities



3. Upgrade DOH Regional Medical Centers (70)

Establish:Blood Banks

Cancer units

Heart-lung-kidney units

70 projects(2010-2013)

35

4

4

60

21

4

1

48

40

4

3

66

40

5

4

2014: 4.27 B2015: 5.0 B2016: 5.0 B

PPP

PPP

DBM, DOF, NEDA


Strategy 2: Deployment of Health Human Resources

Action Status 2013



1. Train and Deploy: -Doctors to the Barrios

-RNHEALS/ Nurses

-Midwives

176

21,434 @8,000 /RNHEAL /

month

2,666

194

9,704 @16,000 /

Nurse /month

2,000

205

9,704@16,000 /

Nurse /month

2,000

205

9,704@16,000 /

Nurse /month

2,000

2014: 2.5 B2015: 2.6 B2016: 2.6 B

DSWDDepEd

DILG/LGUs

2. Train and deploy Community health teams

46,987

60,000 80,000 80,000 2014: 1.44B2015: 1.59B2016: 1.59B

DSWDDepEdDILG/ LGUs

Outcome 4: Improved Health GovernanceStrategy 1: System Development

Action Status2013



1. Expand Telemedicine Networks

389 RHUs 450 500 600 2014: 115 M 2015: 180 M 2016: 250 M

DOST (ICTO & PCHRD), Philhealth,

LGUs

2.Increase the number of DOH units with ISO Certification

19 ISO certified

units

14 units for ISO certification

in 2013

30 34 6 (Admin cost) DAP

Outcome 4: Improved Health GovernanceStrategy 2: Hospital Governance Reform



1. Restructure Hospital Governance

Reformed Hospitals:

DOH: 4

LGU: 1 (La Union)

5

2

5

4

5

8

(Admin cost)

CongressDILG

THANK YOU!

19

Philippine Health Sector Roadmap 2014-2016

Public Health Commodities forProvinces with High Incidence of Poor Households

Priority Province

EPI Vaccines

Vaccines for Sr.

Citizens

Family Health

Filariasis Schistosomiasis

Malaria Deworming

TB Evironmental

Health

Complete Treatment

Packs

Lanao Del Sur / / / / / / / /

Eastern Samar / / / / / / / / /

Apayao / / / / / / / /

Maguindanao / / / / / / / / / /

Davao Oriental / / / / / / / / / /

Ifugao / / / / / / /

Negros Oriental / / / / / / / /

Masbate / / / / / / / / /

Saranggani / / / / / / / / /

North Cotabato / / / / / / / / /

Northern Samar / / / / / / / / / /

Public Health Commodities forProvinces with High Magnitude of Poor Households

Priority Province

EPI Vaccines

Vaccines for Sr.

Citizens

Family Health

Filariasis Schistosomiasis

Malaria Deworming

TB Evironmental Health

Complete Treatment

Packs

Maguindanao / / / / / / / / /

Zamboanga Del Sur

/ / / / / / / / / /

Cebu / / / / / / / /

Pangasinan / / / / / / / /

Negros Occidental

/ / / / / / / / /

Camarines Sur / / / / / / / /

Leyte / / / / / / / /

Iloilo / / / / / / / / /

Sulu / / / / / / / / /

Quezon / / / / / / / / /

PhilHealth, Infrastructure and Human Resources forProvinces with High Incidence of Poor Households

Priority Province PhilHealth Enrollment

BHS(2014-15)

RHUs(2014-15)

LGU Hospital

(2014-15)

CHTs DTTBs(2013)

RNHEALS Midwives Telemedicine

Network

Lanao Del Sur / / / / / / / /

Eastern Samar / / / / / / / /

Apayao / / / / / / /

Maguindanao / / / / / / / / /

Davao Oriental / / / / / / / / /

Ifugao / / / / / / / /

Negros Oriental / / / / / / / / /

Masbate / / / / / / / / /

Saranggani / / / / / / /

North Cotabato / / / / / / / / /

Northern Samar / / / / / / / / /

PhilHealth, Infrastructure and Human Resources forProvinces with High Magnitude of Poor Households

Priority Province PhilHealth Enrollment

BHS(2014-15)

RHUs(2014-15)

LGU Hospital

(2014-15)

CHTs DTTBs(2013)

RNHEALS Midwives TelemedicineNetwork

Maguindanao / / / / / / / / /

Zamboanga Del Sur

/ / / / / / / / /

Cebu / / / / / / / / /

Pangasinan / / / / / / / / /

Negros Occidental / / / / / / / / /

Camarines Sur / / / / / / / /

Leyte / / / / / / /

Iloilo / / / / / / / / /

Sulu / / / / / / /

Quezon / / / / / / / / /

kp roadmap final oct 11

Healthcare

control infectious diseases

control smokingincrease

nhts poor

malariafree provincesrabies

smokefree health facilities3

m10 m13 m2014

free lgus2720139 areas

tobaccofree policiesincrease