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FOURMULA ONE for Health: Gauging Performance After Year One

FOURMULA ONE for Health: Gauging Performance After Year One. an interim F1 Report Card presented by : FRANCISCO. T. DUQUE III, MD, MSc. Secretary of Health Department of Health. Happy 2007! Welcome to 4 th National Staff Meeting !. Outline of Presentation A Season of Milestones :

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FOURMULA ONE for Health: Gauging Performance After Year One

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  1. FOURMULA ONE for Health:Gauging Performance After Year One an interim F1 Report Card presented by : FRANCISCO. T. DUQUE III, MD, MSc. Secretary of Health Department of Health

  2. Happy 2007!Welcome to 4th National Staff Meeting ! • Outline of Presentation • A Season of Milestones : F1 Key Accomplishments • The Challenge Ahead : Why we must be better leaders for health • More Races to Win : F1 Targets 2007-2010

  3. A Season of Milestones: F1 Key Accomplishments • F1 charted a clear road map for comprehensive health sector reforms • F1 set targets & identified PPAs to plan better for the medium- and long-term • F1 has driven efficiency in the health system through budget/corporate/human restructuring - Performance-based budgeting for Public Health & Hospitals - DOH Budget Restructuring linked with core functions and desired organizational outcomes (CY 2008) - 100 % Income retention & utilization of hospitals - DOH Rationalization Plan - Retooling/Retraining of personnel - National Human Resource for Health Master Plan

  4. A Season of Milestones: F1 Key Accomplishments • F1 has boosted partnerships & stakeholder participation at all levels - 16 F1 sites are on board with PIPH finalized - Effective donor coordination pooled some $530 M worth of ODA through SDAH - Public –private partnerships have strengthened the fight against some priority diseases: TB, malaria, filariasis, NCDs, avian flu - Inter-sectoral collaboration was forged to tackle concerns with obvious impact on health *Human Resources for Health *Hunger Mitigation Program *Sanitation & Safe/sustainable water supply *Environmental disasters

  5. A Season of Milestones: F1 Key Accomplishments • F1 has enabled us to improve health and reach the poor more effectively * Philhealth reached out to 77% of total population - New benefit packages targeted MDG priorities: MCH, TB, malaria, HIV/AIDS * Poor has greater access to low-cost, high-quality medicines - 53% of Filipinos now using generics - nearly 7,500 Botika ng Barangays are functional nationwide - 1,263 Botika ng Bayan (PITC) outlets are now accredited nationwide - Parallel importation generated consumer savings up to 82%

  6. Opinion on the Current Cost of MedicinesSWS Survey (3rd Quarter 2006)

  7. Type of Medicine Bought in the Past 6 MonthsSWS Survey (3rd Quarter 2006)

  8. A Season of Milestones: F1 Key Accomplishments • And still more strides to improve health… * TB control effective and sustained * Benguet, Masbate & Cavite were declared Malaria-Free * Emerging diseases kept at bay : HIV/AIDS, Bird Flu * Massive assault vs vaccine preventable diseases (VPD) - EPI coverage raised to 84% - RP is 13 out of 55 countries with high FIC rate - Hepa B vaccine now part of national immunization * RP Breastfeeding campaign won us local and global partners to safeguard maternal and child health * DOH responded quickly to 21 major disasters/events out of 381 health emergencies monitored in 2006

  9. A Season of Milestones: F1 Key Accomplishments • F1 has ushered in increased transparency and accountability of DOH, curbed graft and corruption and boosted public confidence in the health sector - DOH is least corrupt line agency of government (PAGC, SWS 2005-2006) - DOH is #1 government agency in terms of overall performance (Pulse Asia, 3rd Quarter 2006)

  10. PAGC : DOH is #1 Government agency in fighting corruption

  11. COMPARATIVE PERFORMANCE RATINGS OF SELECTED GOVERNMENT AGENCIES Pulse Asia (July 2005-July 2006)

  12. The Challenge AheadWhy we must be better leaders for health Good governance in health matters. And we need to exert even more… • to turn evidence into action • to make right policy decisions • to implement health reforms • to get to our targets • to win greater political support • to influence other health players • to unify health and non-health initiatives from other sectors • to turn promises into better health for all

  13. ..…………….More Races to Win F1 TARGETS 2007-2010

  14. Target 1 Mothers, babies and children at the center of reforms • RP is on-track to meet MDG-4 but way off-target to achieve MDG-5 (lower MMR) • Get on with what works! • - Continuum of MCH • services important but… • - Focus on intrapartum care w/c will lower MMR by 74% (skilled attendant at birth, facility-based delivery) • - FP services for unplanned pregnancies will prevent 25-40% of maternal deaths • - 16 known low-cost essential interventions will cut IMR by 72% • - Lancet Series 2005 • Re-think & re-launch • Safe Motherhood (20th year) • Facility / human resource • mapping and needs assessment • for CEmOC/ BEmOC facilities • Link accreditation of birthing • clinics to Philhealth • Enhance referral networks for • complicated pregnancies • Improve maternal behavior to avail complete MCH services Time to make the case… for improved maternal, newborn and child health

  15. More of the same is not enough. Let’s think out of the box …and do our business right! Amuasi, J. , from the essay Moving from Combating Disease to Winning Against Disease N The Diagonal Approach for M^CH : Full package of proven high-impact maternal, newborn and child health services that will bridge clinics, hospitals and homes Strong maternal and child health services will transform the entire health system!

  16. Target 2 Universal Social Health Insurance Coverage • Social health insurance still the driver of reforms in HCF • Improved collection efficiency • Wider reach toward the poor and informal sectors • More interventions, more conditions covered with excellent • quality and enhanced benefits based on changing needs • --- e.g. catastrophic cases, NCDs

  17. Target 3 Medicines for the Masses 1) Hype promotion of Generics 2) Unify DOH-PITC efforts to set up more BnB outlets nationwide (1 BnB : 2 Barangays) 3) Make the National Drug Formulary responsive to prevailing needs of local communities 4) Develop drug benefits/reimbursement schemes w/ PHIC for commonly used generics 5) Fast track processing of essential, low cost, high quality essential drugs (BFAD) 6) New National Pharmaceutical Policy Service to lead in initiatives to lower drug prices in the country

  18. Target 4 Safe and Well Hospitals • Patient-centered care & patient safety must become a national priority • and a core agenda to improve quality of care in all hospitals. • System-wide reforms to protect both patients and doctors from faulty • systems that promote preventable medical errors • - Strengthen hospital Ethics, Grievance & Infection Control Committees • - Patient safety programs must be part of requirement for hospital licensing • - Sharpen regulatory oversight to enhance compliance to safety/quality standards • - Create a nationwide reporting system for alleged medical mishaps and an • independent Nat’l Grievance Committee to study merit of malpractice reports • - Open Policy: Disclosure of preventable medical errors to families • and compensate patients when necessary • - Reward/publish high-performing & safe hospitals and/or give sanctions • to erring ones

  19. Target 5 Empowered Local Health Systems • Ensure smooth integration • of reform pillars in • F1 Convergence sites • Revive / strengthen • ILHZ in non-F1 sites • CHDs to develop local • health systems plan with LCEs • Implement the Hospital • Development Program for • selected LGU hospitals • nationwide • Yearly benchmark reports • (LGU scorecard) using coverage • of essential services as gauge for • performance and basis for • incentives

  20. Target 6 Evidence-based Health Reforms • Leadership can bridge the gulf between • knowledge and action. • Create a culture of evidence in DOH (KM culture) • Use available global knowledge goods to advance • local health • Generate local research/knowledge for • health system transformation • Strengthen DOH capacity for health research, • information management and then translation of research into action through PNHRS • PHIN / NEC to harmonize fragmented sources of health data (i.e. LGUs, private sector) • and promote health information sharing • Document F1 experience as a source of local & global lessons on health reforms New Health Information Center (former BFAD building) shall be the nerve center of DOH and the information hub of the entire health sector “Evidence is good for your health system.” --- Mexican Health Reform Series, Lancet 2006

  21. Perspective of the DOH Health Info Center (former BFAD)

  22. Target 7 Communicate Health Effectively • Creation of a Speakers’ Bureau • Step up Health Promotion and advocacy • campaign for key programs of DOH • Year-round campaigns for the following • programs: • Dengue - Generics • Healthy Lifestyle - Breastfeeding • Anti-tobacco campaign - MCH programs • Development of Health Promotion Foundation The goal of effective communication should be for listeners to say, "Me, too!" versus "So what?” -- Jim Rohn

  23. 4th NSM’S Programme GOOD GOVERNANCE

  24. Thank you! … and participate actively in the discussions!

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