phil health care delivery system

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PHILIPPINEHEALTH

CARE DELIVERY

SYSTEM


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The

PHILIPPINES

v 7, 100 ISLANDS

v 1, 700 LGUs

v 1 UNITARY/NATIONALGOVERNMENT


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ThePHILIPPINES

The State recognizes HEALTH as a basichuman right. It protects and promotes theright to health of the people and instills

health consciousness among them. Althoughthe provision is guaranteed by 1987Constitution (Article II, Section 15) and thehealth care system in the Philippines isgenerally extensive, access to healthservices, especially by the poor is stillhampered by high cost, physical and socio-cultural barriers.


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The

PHILIPPINESTo address these concerns, reforms in the countrys

health care system have been instituted in the past 30years:

the adoption ofPrimary Health Care in 1979

the integration ofpublic health and Hospital servicesin 1983 (EO 851) the enactment of the Generics Act of 1988 (RA 6675) the devolution of health services to LGUs as mandatedby the Local Government Code of 1991 (RA 7160) the enactment of the National Health Insurance Act of1995 (RA 7875) the launching ofHealth Sector Reform Agenda (HSRA)by DOH, to function as a major policy framework and

strategy to improve the way health care is delivered,re ulated and financed.


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The

PHILIPPINESThe Philippines has a dual health systemconsisting of:o PUBLIC SECTOR = financed through tax-

based budgeting= health care is given free at thepoint of service

= consists of DOH, LGUs and othernational government agencies

providing health services


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The

PHILIPPINESThe Philippines has a dual health system

consisting of:

o PRIVATE SECTOR = consists of for-profit andnon- profit providers

= market-oriented= health care is paid through user

fees at the point of service= includes health services in clinics

and hospitals, health insurance,

manufacture and distribution ofmedicines, medical supplies,

equipment and other health andnutrition products, research and

devt


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GENERAL HEALTH

STATUSOf the FILIPINOSLIFE EXPECTANCY : 68.6 yearsfemale: 71.28 male: 66.03

COUNTRY

LIFE EXPECTANCY IN

YEARSPHILIPPINES 70

THAILAND 70

MALAYSIA 73

SOUTH KOREA 75

JAPAN 81


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GENERAL HEALTHSTATUS

Of the FILIPINOSTOTAL FERTILITY RATE = average number of births that a

woman would have at the end of herreproductive life

COUNTRY TFR

PHILIPPINES 3.4

THAILAND 2.0

MALAYSIA 3.0

SOUTH KOREA 1.5

JAPAN 1.4

oTFR highest in Asiao varies w/ education URBAN- 3 children/woman RURAL- 4.7children/woman

without/elem grad:5/woman

high school grad:4/woman college grad: 3/woman


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MORBIDITY

*THE RATE OF

DISEASE ORPROPORTION OFDISEASED

PERSONS IN ALOCALITY


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PROPORTION

OR RATE OFDEATHS IN A

POPULATION

MORTALITY


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GENERAL HEALTHSTATUS

Of the FILIPINOSINFANT MORTALITY RATEo Philippines high compared to Thailand, Singapore,Brunei and Japano varies with socioeconomic and demographic factors

RURAL 40.2URBAN 340.9METRO MANILA lowest

EASTERN VISAYAS highest

o High IMR= low educational status= no antenatal and postnatal care


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CAUSE

MALE FEMALE BOTH SEXES

Rate** Rate** Number Rate*

1. Pneumonias 931.1 881.7 734,581 924.0

2. Diarrheas 881.1 842.7 726,310 913.6

3. Bronchitis/Bronchiolitis 748.1 798.8 629,968 792.4

4. Influenza 565.9 622.7 484,388 609.3

5. Hypertension 339.8 427.3 304,690 383.2

6. TB Respiratory 161.0 113.6 114,221 143.7

7. Diseases of the Heart 58.2 67.0 52,237 65.7

8. Malaria 53.5 42.6 39,994 50.3

9. Chickenpox 33.8 35.6 28,600 36.0

10. Measles 30.5 29.0 24,639 31.0

TEN LEADING CAUSES OF MORBIDITYNo. & Rate/100,000 Population

PHILIPPINES, 2002


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CauseMale Female

Both Sexes

Number Rate Percent*

1. Heart Diseases 39,502 30,636 70,138 88.2 17.7

2. Vascular SystemDiseases

27,536 21,983 49,519 62.3 12.5

3. MalignantNeoplasm 20,440 18,381 38,821 48.8 9.8

4. Pneumonia 16,729 17,489 34,218 43.0 8.6

5. Accidents 27,448 6,169 33,617 42.3 8.5

TEN LEADING CAUSES OF MORTALITY BY SEXNumber, Rate/100,000 Population & Percentage

Philippines, 2002


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PRINCIPLES TOIMPROVED HEALTH:

1. Universal access to basic health services mustbe ensured

PHYSICAL BARRIERS - geographical location

patternsFINANCIAL FACTORS

2. The Health and nutrition of vulnerable groups

must be prioritized.3. The epidemiologic shift from infections todegenerative must be managed.

4. The performance of the HEALTH SECTOR mustbe enhanced


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DEPARTMENT OFHEALTH(DOH)

o

Lead Agencyo mandate is to provide national policy direction anddevelop national plans, technical standards andguidelines on healtho has regional field office in regions

VisionThe leader of health for all in the Philippines

Mission Guarantee equitable, sustainable and qualityhealth for all Filipinos, especially the poor, and

to lead the quest for excellence in health.


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GOALS

:1. Improve the general healthstatus of the population:= Reduce infant mortality rate

= Reduce child mortality rate= Reduce total fertility rate

= Increase life expectancy and qualityof life years


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GOALS:2.Reduce morbidity, mortality,

disability and complications from thefollowing diseases and disorders:

= Diarrheas and other food andwater = borne diseases liketyphoid, cholera and hepatitis A= Pneumonia and acute respiratory

infections= Tuberculosis, etc


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4/28/12GOALS

:3. Eliminate the followingdiseases as public healthproblems.

= Schistosomiasis, malaria,filariasis, Rabies, Leprosy

= Vaccine preventable diseases:measles, tetanus, diphtheriaand pertussis= Vitamin A deficiency and iron

deficiency diseases


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GOALS

:4. Eradicate poliomyelitis5. Promote Healthy life style

=Promote healthy diet and nutrition=Promote physical activity andfitness

=Promote personal hygiene=Promote mental health &lessstressful life=Prevent smoking & substance

abuse


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GOALS

:6. Promote the Health and Nutrition offamilies & special population= Neonatal & infant health

= Childrens health= Adolescent and youth health= Adults health= Womens health= Health of older people

= Health of indigenous people= Health of overseas Filipino workers= Health of the disabled persons= Health of the rural and urban poor

phil health care delivery system

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