POVERTY
More than 8 million people die each
year
Reason: ?
They are simply too poor to stay alive
POVERTY
There are 2 kinds
Absolute - no food, no water, no
sanitation, no clothing, no shelter, no
health care, no education.
Relative - economic inequality
Presentation Outline
1. What is Health?
2. What is Health and Development?
3. The Philippines and MDGs
4. 2012 Global Updates
5. Wrap-up and Summary
What is Health ?
Alma-Ata Declaration
Almost 35 years
ago
September
1978
What is Health?
Inequality
- means the obvious gap between two comparisons
Introduction
Millennium Development Goals:
8 major goals
21 targets
60 indicators
25-year timeline
Extreme poverty is
falling in every region
SOURCE: 2012 UN MDG REPORT UPDATES
Achieved parity in
primary education
between girls and boys
Vulnerable employment
has decreased
marginally
in the last 20 years
Hunger remains to be a
global challenge
HSRA
FOURmula 1
AHA, UHC, KP
Health System
& Structure
GDP
human resources,
financing mechanisms,
information systems,
organizational structures that link institutions and
resources,
management structures that collectively culminate in the
delivery of health services to patients
(Lassey et al 1997)
Inputs
Personnel
Buildings
Drugs
Supplies
Health
System
Components
Institutions
Health human
resources
Organizational
structures &
mechanisms
Governance &
management
structures
Financing
structures &
mechanisms
Outputs
Surgeries
Vaccinations
Examinations
Medical
treatments
Policies
Intermediate
Outcomes
Access
Quality
Efficiency
Final
Outcomes
Health status
Financial Risk
Protection
Satisfaction/
Responsiveness
99
General Guidelines:
Administrative Order 37, s. 2001
Guidelines on the Operationalization of the HSRA
Implementation Plan
Public
Health
Programs
Health
Regulation
HSRA
Hospital
Systems
Local Health
Systems
public
private
total
XIV CAR
85
1968
2053
2.81%
XIII NCR
658
15238
15896
21.78%
158
3659
3817
5.23%
II
175
4053
4228
5.79%
III
297
6878
7175
9.83%
IV
350
8105
8455
11.59%
190
4400
4590
6.29%
VI
226
5234
5460
7.48%
VII
229
5303
5532
7.58%
VIII
IX
X
XI
XII
153 majority
3543 are in 3696
The vast
lucrative5.06%
90
2084
2174
2.98%
PRIVATE99 practice
2293areas in
2392URBAN
3.28%
79
1829
1908
2.62%
settings
84
1945
2029
2.78%
XV ARMM
69
1598
1667
2.28%
XVI CARAGA
79
1829
1908
2.62%
3021
69960
72981
100.00%
Total
Healthworker Distribution
140
120
100
Personal Health
Public Health
Others
80
60
40
20
0
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Distribution of Health
Expenditure by Use of Funds
Others
12%
Public Health Care
12%
Personal Health
Care
76%
General Objective
To undertake critical reforms with speed,
precision, and effective coordination towards
improving the efficiency, effectiveness and equity
of health care delivery.
121
Health Delivery
Structure
Executive
Judiciary
President
Supreme Court
Senate
V-President
Court of Appeals
Major
Commissions
and Offices
Regional Trial
Courts
Cabinet
Provinces
Municipalities
Cities
Barangays
Barangays
Constitutional Commissions
Local legislatures
Quasi-judicial bodies
Highly
Urbanized
Cities
Barangays
Metropolitan Trial
Courts
Municipal Trial
Courts In Cities
Municipal Circuit
Trial Courts
Municipal Trial
Courts
125
National Level
Department of Health maintains specialty
hospitals, regional hospitals & medical centers;
has a regional office in every region; has a
provincial health team made up of
representatives to the local health boards &
retained personnel involved in controlling
malaria & other diseases.
126
Local Level
The Local Government Units are now responsible
for the direct provision of public health programs
and primary secondary and tertiary hospital care
within their areas of jurisdiction
Local Health Board in every province, city,
municipality & chaired by local chief
executive
128
Regional Offices
Provincial Hospitals
Municipal
health offices
Barangay Health
Stations
129
Private Sector
provides health services in clinics & hospitals,
health insurance, manufacture of drugs, medicines,
vaccines, medical supplies, equipment, etc.
Parting Thoughts
Parting Thoughts