Download - Health Summit Presentation-Director Taleon 3
JUANITO D. TALEON, MD., MPH.Regional Director
DOH, Center for Health Development, CHD 4A-Calabarzon
The Aquino Health Agenda
Universal Health Care for All Filipinos
(Administrative Order No. 2010-0036 )
Deliberate attention to the needs of millions of poor
Filipino families which comprise the majority of our
population
Filipino Income Quintiles
Monthly income
Families per quintile
Q1 3,460 5,218,267
Q2 6,073 4,094,164
Q3 9,309 3,912,443
Q4 15,064 3,707,494
Q5 38,065 3,485,067
Source: National Health and Demographic Survey, 2008
Ano ang bahagi ng Lokal na
Pamahalaan tungo sa Kalusugang Pangkalahatan
(KP)?
A. Financial Risk ProtectionKP Strategies
Improving the National and Regional PhilHealth benefit delivery ratios
1. Expanding enrollment of the poor in the NHIP
LGU’s Role
Enroll Q2 poor Families in PhilHealth;Enforce mandatory enrolment of informal and Individually paying sector e.g. requirement for business permits and licenses
A. Financial Risk ProtectionKP Strategies2. Promoting the availment of quality outpatient & in-patient services through reformed capitation and no balance billing arrangement for sponsored members
3. Increasing the support value of health insurance for the poor
LGU’s RoleUpgrade RHUs/Health Centers and Hospitals to meet quality standards and PhilHealth accreditationMobilize community health teams (CHT) to inform the families
Advocate and mobilize community and lobby goups
B. Health Facilities Enhancement
KP Strategies1.Improving facility development and preparedness for the most common causes of mortality and morbidity including trauma
LGU’s RoleDevelop a Province-wide Facility Rationalization / Investment Plan for health
B. Health Facilities Enhancement
KP Strategies2.Providing grant mechanisms to support the immediate repair and rehabilitation of selected priority facilities
3. Utilizing Public-Private Partnership approach
LGU’s Role
Support Health Human Resources as counterpart
Apply Public- Private Partnership as another financing scheme for facility development
B. Health Facilities Enhancement
KP Strategies4. Achieving autonomy and income retention schemes for government hospitals and health facilities;
LGU’s RoleGood Governance and local policies supporting fiscal autonomy
Compliance to licensure and accreditation requirements
Public service excellence for health
B. Health Facilities Enhancement
KP Strategies
5. Clustering of service delivery networks to address the fragmentation of services from community to end referral tertiary hospitals
LGU’s Role
Strengthen the Inter-local cooperation for health (ILHZ) and service delivery network
B. Health Facilities Enhancement
KP StrategiesProposed PPP projects for DOH:IT system for DOH & PHICPhilippine Orthopedic Center as Center for Bone Diseases and TraumaAir and sea ambulance projectRITM for commercial production of vaccinesSan Lazaro Hospital as Center for Infectious Diseases
LGU’s RoleBetter Linkages for Health :Strengthen local health system performanceEstablish cross sectoral networking and alliances Inter-local and Inter-sectoral cooperation for health (ILHZ)
C. Achieving MDGKP Strategies
1.Deploying Community Health Teams;
2.Utilizing the life course approach in providing needed services
- FP, ante-natal care- Essential newborn and
immediate postpartum care;
- Delivery in health facilities- GP and Adolescents health- Medical and Geriatric care
LGU’s Role
ENSURE THAT POOREST FAMILIES ARE REACHED BY HEALTH SERVICES!
Funding support for CHTsContinuing training & updates for local health personnel and CHTs
C. Achieving MDG
KP Strategies
3. Promoting healthy lifestyle to prevent non-communicable diseases;
4. Ensuring adequate surveillance and preparedness for emerging diseases; and
LGU’s Role
Encourage Hataw activities, sports fest in communities & offices
Establish PESU and MESUFormulate Disaster Preparedness Plan with funding support
C. Achieving MDG
KP Strategies
5.Harnessing the support of inter-agency and inter-sectoral approaches to health
LGU’s Role
Strong partnership with DepEd, DILG, DSWD, academe, for health service delivery
Local Government LevelLocal Government Level
Functional Structure for KP
Regional LevelRegional Level
Secretary of Health Techn’l Clusters
of DOH
Other Operation Cluster
-Northern Luzon-Visayas-Mindanao
Cluster Head
Attached Agencies (RICT)-PHIC RO-NNC RO-PopCom RO
Other NG Agencies
(RDC)-NEDA-DSWD-DILGz-DEpEd
4 RD of CHDs
(Convener)-NCR-CHD 4-A-CHD 4-B-CHD 5
P/C/M LGUsHospitals
Health Centers and BHS
Central office Level
Technical KP Team
CHD KP Functional Structure
4 ARD of CHDs(KP Vice Chairperson)-NCR - CHD 4-A-CHD 4-B - CHD 5
4 ARD of CHDs(KP Vice Chairperson)-NCR - CHD 4-A-CHD 4-B - CHD 5
MDG-Family Health Cluster-Infectious Cluster
HFEPHealth Facility
Cluster
FinancingHealth Care
Financing (Budget and PHIC) Cluster
Field Operation Team-LHAD/PHT - Retained Hospitals
P/C/M LGUsHospitals
Health Centers and BHS
KP Operation Support Team
-HRDU - HPU - FHSIS - RESU
KP Operation Support Team
-HRDU - HPU - FHSIS - RESU
4 RD of CHDs(KP Chairperson)
-NCR - CHD 4-A-CHD 4-B - CHD 5
4 RD of CHDs(KP Chairperson)
-NCR - CHD 4-A-CHD 4-B - CHD 5
Distribution of NHTS-PR Families; No. of CHTs to be deployed; and number of RN Heals Nurses to Support CHTs
PROVINCE TOTAL NO. OF NHTS HH
NO. OF CHT NEEDED
(100 FAMILIES:1)
/existing
NO. OF RN HEALS
NEEDED (5 CHT:1)/existing
Batangas 249,755 2,498/59 500/126
Cavite 128,518 1,285/99 257/95
Laguna 136,823 1,368/277
274/133
Quezon 285,598 2,856/30 571/328
Rizal 101,074 1,011/16 202/10
IV-A (CALABARZO
N)
901,768 9,018 1,804
KALUSUGAN PANGKAHALATAN IMPLEMENTATION Region IV-A (CALABARZON)
Distribution of Poor Families or Individuals Lacking MDG-related Healthcare Services:
PROVINCE NO. OF NHTS-PR CHILDREN BUT NOT GIVEN FIC
NO. OF NHTS-PR CHILDREN ELIGIBLE
BUT NOT GIVEN VITAMIN A
SUPPLEMENTATION
Batangas 6,611 831
Cavite 2,996 752
Laguna 4,562 771
Quezon 8,694 897
Rizal 7,978 1,306
IV-A (CALABARZON) 30,841 4,557
Distribution of Poor Families or Individuals Lacking MDG-related Healthcare Services:
PROVINCE NO. OF NHTS-PR WOMEN
WITH UNMET NEEDS FOR MODERN FP
NO. OF NHTS-PR MOTHERS
WO DELIVERED THEIR LAST
CHILD AT HOME W/ TBAs
NO. OF TB SMEAR
POSITIVE CASES AMONG NHTS-
PR HOUSEHOLDS
Batangas 60,561 42,962 1,461Cavite 27,814 15,127 752Laguna 40,653 36,315 800Quezon 103,564 94,315 1,670
Rizal 38,823 22,522 591IV-A
(CALABARZON)271,415 211,241 5,274