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IPC 43 rd Anniversary Conference on “ Culture and Technical Sphere”

IPC 43 rd Anniversary Conference on “ Culture and Technical Sphere”. “Exploring Damayan and Tulungan as Core Values on Community Health Care Financing ” Dennis B. Batangan, M.D., M.Sc.(CHDC) Institute of Philippine Culture Ateneo de Manila University.

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IPC 43 rd Anniversary Conference on “ Culture and Technical Sphere”

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  1. IPC 43rd Anniversary Conference on “ Culture and Technical Sphere” “Exploring Damayan and Tulungan as Core Values on Community Health Care Financing ” Dennis B. Batangan, M.D., M.Sc.(CHDC) Institute of Philippine Culture Ateneo de Manila University

  2. Outline of Presentation • Context of Community Health Care Financing • Health Care System Infrastructure • Individual Health Care Context • Community Health Care Financing Model • Core Values in Community Health Care Financing • ‘Damayan’ and ‘Tulungan’ in Practice • ‘Kapwa’ as the broader framework for solidarity and shared responsibility • Exploring health belief models in community health care financing

  3. Philippine Health System Infrastructure ( Sanchez et.al, 1993,Adopted from WHO,1987) MANAGEMENT 1 Health Planning 2. Administration 3. Regulation ORGANIZATIONL STRUCTURE 1. Hierarchy of Health Services 2. Integration of Public Health and Medical Care 3. Roles of Different Sectors 4. Indigenous Medicine DELIVERY OF SERVICES 1. Health in the Hands of the People 2. Community Health Workers 3. Professional and Paraprofessional Health Personnel 4. People Oriented Programs RESOURCE PRODUCTION 1. HHR 2. Health Care Facilities 3. Commodities 4. Science and Technology ECONOMIC SUPPORT 1. Public Health Activities 2. Medical Care Services 3. HHR Production 4. Research

  4. insurer Donations Government Phil Health Foreign assistance Health Fund insured Health Care Provider Operation of a Social Health Insurance (Adopted from the DAR-Agraryong Pangkalsusugan Training Manual, 2001)

  5. Risks ------------- Resources Risk sharing and resource pooling for Social Health Insurance

  6. ‘Damayan’ • Damayan – • Mutual or common empathy with another’s suffering (Gerali, 2000., Asperas, 2001) • Resources shared or contributed are outward manifestations of this empathy and feeling of unity • The case of the Senior Citizens ‘Damayan Assistance Program (Racimo, 2001)

  7. ‘Tulungan’ • Contributing one’s resources and/or capacities towards a common good • Acceptance of one’s responsibility and contribution to achieve a desired goal (Batangan, 2002) • Shared responsibility, solidarity and shared humanity (Batangan, 2001)

  8. “ Kapwa” (Enriquez & Santiago, 1976) “Ibang Tao” or Outsider Category Levels: Pakikitungo Pakikisalamuha Pakikilahok Pakikibagay Pakikisama

  9. “Kapwa” “ Hindi Ibang Tao” or One of Us Category Levels: Pakikipagpalagayang-loob Pakikisangkot Pakikiisa

  10. References: • Fulop and Roemer, Reviewing Health Manpower Development: Geneva: WHO, 1987 • Gorra, M. National Social Health Insurance Conference,January 9-10, 2003. Institute of Philippine Culture, Ateneo De Manila University. • People-Managed Health Services and Multi-Purpose Cooperative. Designing Operational Management Systems on Community-Based Social Health Insurance Schemes:Training Manual for the Department of Agrarian Reform Agraryong Pangkalusugan Project. Quezon City. December 2001. • Gerali, Pedro. Saving for Health: Towards Developing a Model for Health Savings in WHSMP-PC Areas. DOH-WHSMP-PC, Manila, 2000. • Asperas, G. and Morales, J.The concept of Social Solidarity: A Study of the Expereinces of Two Barangays in the Municipality of Guimba in Indigenous Mutual Support Mechanisms. CSWCD, U.P. Diliman, Quezon City, 2001. • Racimo, J. Case Study Presented during the Pursuing Partnerships in People-Centered Health Conference, March 1-2, 2001. Institute of Philippine Culture, Ateneo De Manila University. • Batangan, D. Enhancing Capacities of Program Stakeholders to Implement Community-Based Social Health Insurance Schemes. Project Report for Catholic Relief Services. Manila, 2002. • Batangan, D. Solidarity and Shared Responsibility. Contact, No. 174, July-Sept2001, New Delhi, India. • Enriquez, V. Kapwa : A Core Concept in Filipino Social Psychology. Sikolohiyang Pilipino: Isyu, Pananaw at Kaalaman. Aganon, David (eds). National Bookstore, Inc. Quezon City, 1985.

  11. Virtual Conference Virtual Conferences on Safe and Affordable Drugs September 24-26, 2003 (www.ipc-ateno.org.ph) “Ang Game ng Gamot sa Pilipinas - II: Presyo at Patent ng Gamot Sino ang Pumapasan?” A National Virtual Conference “The Social Cost of Drug Pricing and Patents in Developing Countries” A Parallel International Virtual Conference

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