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Kalusugan Pangkalahatan: Para Kanino?

Kalusugan Pangkalahatan: Para Kanino?. Mr. Jossel I. Ebesate Staff Regent, University of the Philippines National President, Alliance of Health Workers. Kasalukuyang sitwasyon. 6. sa kada 10 Pilipino ay namamatay nang walang atensyong medikal. 80,000.

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Kalusugan Pangkalahatan: Para Kanino?

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  1. Kalusugan Pangkalahatan:Para Kanino? Mr. Jossel I. EbesateStaff Regent, University of the PhilippinesNational President, Alliance of Health Workers

  2. Kasalukuyang sitwasyon

  3. 6 sakada 10 Pilipino ay namamataynangwalangatensyongmedikal 80,000 sanggol na Pilipino ang namamaty taun-taon mula sa mga MAIIWASANG sakit

  4. Life Expectancy: <60 years Infant Mortality Rate >90 Maternal Mortality Ratio >150 Life Expectancy: >80 years Infant Mortality Rate <10 Maternal Mortality Ratio <15 (Romualdez, 2008)

  5. At current rate of decline, the Philippines isunlikely to reachthe MDGtarget for MMRby 2015 209 172 162 140 52

  6. 70%ng mga Pilipino ay walang accesssa mga pinaka-esensyal na gamot (WHO World Medicines Situation, 2004)

  7. HATIAN NG GASTOS SA PANGKALUSUGAN 23% government 59% out of pocket 18% Shared-Risk Schemes Including National Health Insurance (PhilHealth)

  8. Philippine Health Insurance Corporation (PhilHealth) Ang PhilHealth ay patuloy na ginagamit bilang instrumento ng POLITICAL PATRONAGE

  9. Selected HDI Data 2005 -2010

  10. Sagot ng Pamahalaan sa Malalang Kalagayang Pangkalusugan

  11. Comprehensive Reforms in Health

  12. Strategy Five (HCF Strategy 2010-2020 - DOH):Secure fiscal autonomy of facilities

  13. Patuloy na Pagbaba ng Budget Pangkalusugan (Total Health Sector Budget and DOH Budget) Source: DOH Agency Budget Notes, HOR

  14. Selected HDI Data 2005 -2010

  15. Privatization sa porma ng corporatization • HB 4069 – Rep Anthony Golez • HB 6145 – Rep Raul Daza • SB 3130 – Sen Franklin Drilon • An Act Transforming the 26 Government Hospitals into Government Owned and Controlled Corporations and for Other Purposes

  16. Corporatization • Refers to a public organization that transforms into a corporation. The company’s activity is regulated under corporate law (Corporation Code) and the revenue is regulated by contract (Aidemark, 2005), but the company is still owned largely by the public and is usually not operated for profit. • Corporatization can be seen as a step towards privatization (Öhrming & Sverke, 2001) or even as a form of privatization itself (Lundqvist, 1991).

  17. Privatization • It is sufficient that one of these functions (i.e., the financing, production or regulation) is transferred to private management to say that a privatization has taken place (Lundqvist, 1991) • Privatization could also apply to the sale of state property, such as real estate or capital (Blomqvist, 2005).

  18. Ibayong pagsasamantala sa Manggagawang Pangkalusugan • Freeze Hiring (No creation of plantilla positions since 1995 • Contractualization including Outsourcing • Installment Salary Increase/Freeze in Legislated Wage Increase • Reorganization/Rationalization

  19. Summary

  20. Ang sagot ng pamahalaan sa lumalalang sitwasyong pangkalusugan ay ibayong pagtalikod sa responsibilidad nitong itaguyod ang kalusugan ng mamamayan at pagtaguyod ng interes ng negosyo sa serbisyong pangkalusugan

  21. Panawagan

  22. Tutulan ang pagsasapribado ng mga pampublikong ospital • Maglaan ng sapat na badget pangkalusugan (5% of GDP – P527B) • Siguraduhin ang sapat na bilang ng mga manggagawang pangkalusugan (WHO – 2.3:1,000 population) • Ipaglaban ang libre, kumprehensibo at progresibong sistemang pangkalusugan

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