UPDATES ON THE IMPLEMENTATION OF HEALTH REFORMS AND THE MILLENNIUM - - PowerPoint PPT Presentation

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UPDATES ON THE IMPLEMENTATION OF HEALTH REFORMS AND THE MILLENNIUM - - PowerPoint PPT Presentation

Aug 13, 2022 365 likes •680 views

UPDATES ON THE IMPLEMENTATION OF HEALTH REFORMS AND THE MILLENNIUM DEVELOPMENT GOALS Department of Health OBJECTIVES OF THE PRESENTATION To present FOURmula One: the framework for health sector reform as a means to achieving the MDGs To

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UPDATES ON THE IMPLEMENTATION OF HEALTH REFORMS AND THE MILLENNIUM DEVELOPMENT GOALS

Department of Health

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Department of Health

OBJECTIVES OF THE PRESENTATION

  • To present FOURmula One: the

framework for health sector reform as a means to achieving the MDGs

  • To present the budgetary gap to

finance the health related MDGs

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Department of Health

FOURmula ONE for Health as Overall Frame

  • Goals

– Better health outcomes – More responsive health system – Equitable health care financing

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Department of Health

  • Four Components

– Financing – Regulation – Service Delivery – Governance FOURmula ONE for Health as Overall Frame

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Department of Health

THE MILLENNIUM DEVELOPMENT GOALS

  • 1. Eradicate extreme poverty and hunger
  • 2. Achieve universal primary education
  • 3. Promote gender equality and

empower women

  • 4. Reduce child mortality
  • 5. Improve maternal health
  • 6. Combat HIV/AIDS, malaria and other

diseases

  • 7. Ensure environmental sustainability
  • 8. Develop a global partnership for

development

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Department of Health

FOURmula FOURmula ONE for HEALTH ONE for HEALTH

“…speed, precision, and effective coordination towards improving the efficiency, effectiveness & equity of health care delivery.” MTPDP MDGs

F-1

THE NEW DOH

NOH

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Department of Health

SERVICE DELIVERY

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Department of Health

Goal

  • Improve accessibility and

availability of basic and essential health care for all, especially the poor.

SERVICE DELIVERY

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Department of Health

Strategies

1) Making available basic and essential health service packages by designated providers in strategic locations 2) Assuring the quality of both basic and specialized health services 3) Intensifying current efforts to reduce public health threats

SERVICE DELIVERY

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Department of Health

Components Public health investment plan

a) Disease-free zones b) Intensified disease programs c) Improving reproductive health outcomes d) Intensified promotion of healthy lifestyle

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Department of Health

Health facilities investment plan a) Critical upgrading of facilities through fund pool b) Rationalizing services in DOH-retained, local government, and private facilities inside the 16 sites c) Integrating wellness services in hospitals

Components

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Department of Health

REGULATIONS

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Department of Health

Strategies

1) Harmonizing & streamlining of systems, processes for licensing & accreditation & certification 2) Developing a seal of approval 3) Pursuing cost recovery with income retention for health regulatory agencies &

  • ther revenue generating mechanisms

4) Ensuring access of the poor to essential health products

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Department of Health

GOVERNANCE

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Department of Health

Goal

Improved health system performance at the national and local levels

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Department of Health

Components

– Sectoral Development Approach for Health – Health Human Resource Masterplan – Establishment of 4-in1-Convergence Sites – Philippine Health Information System – Procurement and Logistics Management System

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Department of Health

FINANCE

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Department of Health

Rationalization of Sources of Health Financing

  • Out-of-Pocket

– Shift of OOP to outpatient care (e.g check-up, consultation, etc)

  • Local Government

– Focus subsidy on preventive and promotive health services

  • National Government

– Shift resources on regulation, governance and to teaching/training tertiary hospitals

  • Social Health Insurance

– Focus on in-patient care

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Department of Health

Strategies for Local Government

  • Direct subsidy to priority health programs

versus SHI premium

  • Management/coordination of LGU health fund
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Department of Health

Strategies for National Government

  • Revenue-enhancement measures
  • Efficient and equitable allocation
  • Performance based-budgeting

system

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Department of Health

Strategies for PHIC

  • Increase membership and collections
  • Enhance benefit package
  • Improve utilization of reimbursements
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Department of Health

Strategies for PHIC

  • LGU assistance
  • Enhance systems for regulation and

governance

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Department of Health

What has been done so far?

Local

  • Orientation of 16 start-up provinces
  • Consolidation of investment planning

from the convergence sites

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Department of Health

What has been done so far?

National

  • Orientation of the F1 component teams
  • Consolidation of workshop outputs and strategies

from the different component teams

  • Technical reformulation of the development plans for

the four components

  • Finalizing the development plan for financial

management

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Department of Health

COSTING FOR THE HEALTH RELATED MDGs SUMMARY

MDGs PROGRAMS AND PROJECTS TOTAL COST (P) DOH FUNDING (P) ODA ASSISTANCE (P) BUDGET GAP (?) (P) REDUCTION OF CHILD MORTALITY

1,034,163,894 370,544,000 3,500,000 660,119,894

IMPROVE MATERNAL HEALTH

4,907,224,227 107,880,277 84,639,000 4,714,704,950

COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

2,692,233,557 208,976,667 768,978,810 1,714,278,080

HIV/AIDS

358,253,587 22,899,667 153,377,920 181,976,000

MALARIA

1,727,102,970 19,200,000 354,400,890 1,353,502,080

TUBERCULOSIS

606,877,000 166,877,000 261,200,000 178,800,000

GRAND TOTAL

8,633,621,678 687,400,944 857,117,810 7,089,102,924

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Department of Health

HEALTH RELATED MDG FINANCING ANALYSIS (1)

  • Total budgetary need

= P 8.99 B

  • Total DOH funding

= P 0.69 B

  • Total ODA assistance

= P 0.78 B

  • Total budgetary gap (?)

= P 7.52 B

– Note that the following were not taken into consideration:

  • Total LGU support
  • Total NGO and private sector support
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Department of Health

HEALTH RELATED MDG FINANCING ANALYSIS (2)

  • Huge budgetary gap
  • Insufficient national government and

ODA support

  • Support coming from LGUs is hard to

estimate but they provide the basic services to the clients

  • Support from the NGOs and private

sector is not included in the financing estimate

  • Social health insurance can help bridge

the budgetary gap

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Department of Health

RECOMMENDATIONS IN FINANCING THE HEALTH RELATED MDGs (1)

  • Collaboration among the national

government, LGUs, ODA and civil society in financing the MDGs

  • Continue pooled procurement for

the logistics of the MDG programs and projects at national scale

  • Promote the enrollment to the

National Health Insurance Program

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Department of Health

RECOMMENDATIONS IN FINANCING THE HEALTH RELATED MDGs (2)

  • Promote public-private partnership

in program implementation

  • Promote focused-targeting of

diseases both at national and local level

– Performance-based budgeting for health programs and projects – Disease-free zones – Intensify advocacy and IEC

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Department of Health

CALL TO ACTION

1) Mobilization of resources for health 2) Promotion of good governance through SDAH 3) Enhancing partnership for the achievement of the Philippine National Objectives for Health and the MDGs

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Department of Health

Thank you very much!