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