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 present the budgetary gap to • finance the health related MDGs Department of Health
FOUR mula ONE for Health as Overall Frame • Goals – Better health outcomes – More responsive health system – Equitable health care financing Department of Health
FOUR mula ONE for Health as Overall Frame • Four Components – Financing – Regulation – Service Delivery – Governance 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 Department of Health
FOURmula ONE for HEALTH ONE for HEALTH FOURmula NOH MTPDP MDGs F-1 THE NEW DOH “… speed, precision, and effective coordination towards improving the efficiency, effectiveness & equity of health care delivery.” Department of Health
SERVICE DELIVERY Department of Health
SERVICE DELIVERY Goal • Improve accessibility and availability of basic and essential health care for all, especially the poor. Department of Health
SERVICE DELIVERY 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 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 Department of Health
Components 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 Department of Health
REGULATIONS 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 & other revenue generating mechanisms 4) Ensuring access of the poor to essential health products Department of Health
GOVERNANCE Department of Health
Goal Improved health system performance at the national and local levels 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 Department of Health
Department of Health FINANCE
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 Department of Health
Strategies for Local Government • Direct subsidy to priority health programs versus SHI premium • Management/coordination of LGU health fund Department of Health
Strategies for National Government • Revenue-enhancement measures • Efficient and equitable allocation • Performance based-budgeting system Department of Health
Strategies for PHIC • Increase membership and collections • Enhance benefit package • Improve utilization of reimbursements Department of Health
Strategies for PHIC • LGU assistance • Enhance systems for regulation and governance Department of Health
What has been done so far? Local • Orientation of 16 start-up provinces • Consolidation of investment planning from the convergence sites 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 Department of Health
COSTING FOR THE HEALTH RELATED MDGs SUMMARY MDGs PROGRAMS TOTAL COST DOH ODA BUDGET AND PROJECTS FUNDING GAP (?) ASSISTANCE (P) (P) (P) (P) REDUCTION OF 1,034,163,894 370,544,000 3,500,000 660,119,894 CHILD MORTALITY IMPROVE MATERNAL 4,907,224,227 107,880,277 84,639,000 4,714,704,950 HEALTH 2,692,233,557 208,976,667 768,978,810 1,714,278,080 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES 358,253,587 22,899,667 153,377,920 181,976,000 HIV/AIDS 1,727,102,970 19,200,000 354,400,890 1,353,502,080 MALARIA 606,877,000 166,877,000 261,200,000 178,800,000 TUBERCULOSIS GRAND TOTAL 8,633,621,678 687,400,944 857,117,810 7,089,102,924 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 • 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 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 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 – 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 Department of Health
Thank you very much! Department of Health
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