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FY 2013 DOH BUDGET

FY 2013 DOH BUDGET. National Expenditure Program. Why should UHC focus on the poor?. Poor families were left out in previous health reform efforts

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FY 2013 DOH BUDGET

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  1. FY 2013 DOH BUDGET National Expenditure Program

  2. Why should UHC focus on the poor? • Poor families were left out in previous health reform efforts • Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care. • Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care UHC Phase II UHC Phase I Poor Average per capita monthly income, in PhP Source: NSO, 2009

  3. How should we define coverage? Full NG Premium Subsidy Community Health Teams as Navigators Health Facilities Enhancement

  4. Why should UHC focus on the poor? • Poor families were left out in previous health reform efforts • Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care. • Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care UHC Phase II UHC Phase I Poor Poor Average per capita monthly income, in PhP Source: NSO, 2009

  5. What will Universal Health Care achieve?KalusuganPangkalahatan • All Filipinos especially poor families will be enrolled in PhilHealth • PhilHealth “support value” will increase from 34% (2008) to 60% in 2016 • Every PhilHealth family will have access and obtain essential, quality and affordable health services • Care will be provided in modern hospitals and other health facilities • Poor families are informed and guided by Community Health Teams for their health needs

  6. Interventions Done (2011-2012): Financial Risk Protection

  7. PhilHealth 0 1 2 3 4 5 6 7 8 9 NUMBERS in

  8. 23 Case Rates (No balance billing for Sponsored Program beneficiaries in government hospitals)

  9. TYPE Z (CATASTROPHIC DISEASES) BENEFIT PACKAGE

  10. Summary of HFEP Infrastructure Projects, by Type of Health Facility, 2007-2012

  11. Status of Health Facilities Enhancement Program (Infrastructure/Equipment as of August 2012)*

  12. Complete Treatment Packages(Compacks) Compacks: free drug access program for poor families covered by the Pantawid Pamilya introduced in 2011 24 complete treatment regimens for the most common diseases Provided to RHUs in 1,020 CCT municipalities

  13. REGISTERED NURSES FOR HEALTH ENHANCEMENT AND LOCAL SERVICE

  14. DTTB and Midwives

  15. Attainment of MDGs *2011 Family Health Survey

  16. Maternal Mortality Ratio 260 224 196 182 128 120 MDG Target: 52 Data Source: FHS 2011 (NSO, DOH, USAID)

  17. Attainment of MDGs *2011 Family Health Survey

  18. Attainment of MDGs

  19. Malaria Control Program • Significant reduction in morbidity and mortality • 24 provinces are malaria-free Cavite, Batangas, Marinduque, Catanduanes, Albay, Masbate, Sorsogon, Camarines Sur, Iloilo, Aklan, Capiz, Guimaras, Bohol, Cebu, Siquijor, Western Samar, Eastern Samar, Northern Samar, Northern Leyte, Southern Leyte, Biliran, Benguet, Camiguin, Surigao Del Norte • Provinces recently evaluated to be declared as malaria-free: Batanes and Dinagat Islands • Target of 40 malaria-free provinces by 2016

  20. Number of New HIV cases per month (highest for every year)

  21. MDG-Max to Address High Burden of Non-Communicable Diseases Data Mortality rate from Heart Diseases: 90.4 deaths per 100,000 (PHS) Mortality rate from Diabetes Mellitus: 21.6 deaths per 100,000 (PHS) Prevalence rate of adults with high fasting blood sugar: 4.8% (NNS) Prevalence rate of hypertension: 25.3% (NNS) Strategies Healthy Lifestyle Promotion Programs Disease Registries, Surveys and Studies Diagnosis and Treatment Philhealth Outpatient Benefit Package PhilHealth Type Z (Catastrophic) Package Complete Treatment Package (ComPacks) PHS – Philippine Health Statistics, 2005 NNS – National Nutrition Survey, 2008

  22. The Proposed DOH Budget, FY 2013 NEP * HFEP of Php 13.558 B is lodged under the Priority Social and Economic Projects Fund

  23. DOH and Attached Agencies, FY 2013 NEP

  24. FY 2013 NEP Per Capita Allocationby Geographical Area Philippines: P53.06B; Per Capita P564.34 *Budget of DOH-ARMM not included; only DOH allocations to ARMM

  25. ALLOCATION OF DOH-PROPER Budget, FY 2008 – 2013, In Billion Pesos

  26. Comparative Allocation of DOH-Proper Budget, By Expense Class, FY 2008-2013, In Billion Pesos *Allocation for PhilHealth Sponsored Program incorporated in DOH-MOOE starting 2011

  27. FY 2013 Priority Programs, Activities and Projects in support of UHC * Lodged under the Priority Social and Economic Projects Fund

  28. FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority PPA’s

  29. FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority Programs, Projects, Activities (PPAs)

  30. FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority Programs, Projects, Activities (PPAs)

  31. Needed Legislative Support • Restructuring of Excise Taxes of alcohol and tobacco • Passage of Responsible Parenthood Bill • Amendment of the National Health Insurance Act • Laws for corporate governance of hospitals • Amendment of selected laws governing practice of health professionals (e.g., medical act, midwifery law, nursing law, etc) Note: An omnibus law on universal health care that shall contain specific provisions necessary to enact required policies or amend existing laws can also be legislated

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