Nutrition in DU30 Legacies for the Philippine Health Agenda

Outline

• The health system we aspire for in the context of the “current” situation

• Philippine Health Agenda Framework

• Our Legacies 24/7

• DOH-30 Things to Do

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 HEALTHOUTCOMES

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

RESPONSIVENESS

GOALS

3

EQUITABLE & INCLUSIVETO ALL

PROVIDES HIGHQUALITY SERVICES

USES RESOURCES EFFICIENTLY

TRANSPARENT & ACCOUNTABLE

The Health System We Aspire For

VALUES

4

During the last 30 years of Health Sector Reform, DOH has 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 autonomyfor government hospitals

RA 7160 (1991) LGC -

Devolution

RA 6675 Generics Act of 1988 – use of generics

Fundingfor Universal Health Care

EO 51 (1986) -The National Code of Marketing of BreastmilkSubstitutes

2000

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 5th

birthday, compared to one born to the richest family.

6

Restrictive and Impoverishing Healthcare Costs

Every year, 1.5 million families are pushed to poverty due to health care expenditures

Filipinos forego or delay care due to prohibitive and unpredictable user fees or co-payments

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

Tiisin ko nalang ito..

7

Poor quality and undignified care synonymous with public clinics and hospitals

Long wait timesLess than hygienic restrooms, lacking

amenities

Poor record-keeping

Overcrowding & under-provision of care

Privacy and confidentialitytaken lightly

Limited autonomyto choose provider

8

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 TARGETSFinancial 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 #1

Services for Both the Well & the Sick

Guarantee 1: All Life Stages & Triple Burden of Disease

COMMUNICABLEDISEASES

DISEASES OF RAPID URBANIZATION & INDUSTRIALIZATION

NON-COMMUNICABLE DISEASES & MALNUTRITION

Pregnant Newborn Infant Child Adolescent Adults Elderly

First 1000 days | Reproductive and sexual health | maternal, newborn, and child

health | exclusive breastfeeding | food & micronutrient supplementation | Immunization | Adolescent health | Geriatric Health |

Health screening, promotion & information

12

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

COMMUNICABLEDISEASES

DISEASES OF RAPID URBANIZATION & INDUSTRIALIZATION

NON-COMMUNICABLE DISEASES & MALNUTRITION

SERVICE DELIVERY NETWORK

GUARANTEE #2

Functional Network of Health Facilities

Guarantee 2:Services are deliveredby networks that are

ENHANCED BY TELEMEDICINE

AVAILABLE 24/7 & EVEN DURING DISASTERS

PRACTICING GATEKEEPING

COMPLIANT WITH CLINICAL PRACTICE

GUIDELINES

LOCATED CLOSETO THE PEOPLE (Mobile Clinic or Subsidized Transportation Cost)

FULLY FUNCTIONAL (Complete Equipment, Medicines, Health Professionals)

15

UNIVERSAL HEALTH INSURANCE

GUARANTEE #3

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 payroll

• Non-formal sector premium paid

through tax subsidy

17

Our Strategy

A Advance quality, health promotion and primary care

C

H

I

E

V

E

Cover all Filipinos against health-related financial risk

Harness the power of strategic HRH development

Invest in eHealth and data for decision-making

Enforce standards, accountability and transparency

Value all clients and patients, especially the poor,marginalized, and vulnerable

Elicit multi-sectoral and multi-stakeholder support for health18

Our Legacies 24/7

O Out of Pocket Expenditures for Health and for Medicines for the Poor Reduced

URLEGA

Universal Health Insurance Coverage for All Filipinos

Reverse trend of HIV/AIDS and Tuberculosis

LOWERED MALNUTRITION RATES

Ensured Blood Adequacy

Good Data for Decision Making

Attained Zero Unmet Needs for Modern Family Planning

19

CI

E

S

24/7

Community-Based Rehabilitation Program in All Communities

ISO Certification of All Government Hospitals

Expenditures on Health Increased

Sustained Efforts towards Open Defecation, Universal Basic Drinking Water

24/7 Access to Health Services for All Filipinos

DOH-30 THINGS TO DO

1 Health center properly stocked with selected essential medicines

2 PhilHealth-accredited health facilities (MCP, TB-DOTS, PCB)

3 100% of poor families profiled and monitored

4 100% of population covered by social health insurance

5 Promote awareness of HIV/AIDS among the youth

6 100% testing, counseling and treatment for sick population

7 Advocate increased condom use

DOH-30 THINGS TO DO cont..

8 100% of children under five years old weighed and measured in all barangays

9 Decrease malnutrition (UW) rate by 2% per year

10 Decrease stunting rate by 3% per year – related to this is goal of “zero SAM in all barangays”

11 1% of population donating blood

12 Adequate referral system

13 100% functional electronic medical record

14 FHSIS and surveillance data used in the Local Investment Plan for Health

DOH-30 THINGS TO DO cont..

15 No stock-outs of Family Planning commodities16 Full range of FP services offered17 Decrease in unmet need for modern FP18 100% tokhang assessed19 Outpatient and community services available for

drug users20 Referral system for drug users smooth and

functional 21 SDN functional22 QMS I place – 5S standards23 LGU health budget increased24 PhilHealth reimbursement

DOH-30 THINGS TO DO cont..

25 100% of Households using safely managed sanitation services

26 100% of Households using safely managed drinking water services

24/727 Functional and licensed ambulance

28 All barangays visited by MHO at least 2x a year

29 100% of the identified poor provided with annual health check-up

30 One member per household trained on Resuscitation (CPR)

PHILIPPINE HEALTH AGENDA 2016-2022

GOAL/AIM: ATTAIN HEALTH-RELATED SDG TARGETS

Financial Risk Protection/Better Health Outcomes/ Responsiveness

Values: Equitability, Quality, Efficiency, and Transparency

3 GUARANTEES

A C H I E V E OUR LEGACIES 24/7

DOH-30 Things To Do

ALL FOR HEALTHTOWARDS

HEALTH FOR ALL

PHILIPPINE HEALTH AGENDA 2016-2022Healthy Philippines 2022