All for Health

towards
Health for All
THE DUTERTE HEALTH AGENDA

Lahat para sa Kalusugan

tungo sa Kalusugan para
sa Lahat

ATTAIN HEALTH-RELATED SDG TARGETS

Financial Risk Protection

Better Health Outcomes

Responsiveness

Access
functional
Protect
from
and sustain
Attain
SERVICE
DELIVERY
TRIPLE
BURDEN
OFNETWORKS
DISEASE
UNIVERSAL HEALTH INSURANCE

Equity Inclusiveness Quality Comprehensiveness Efficiency Sustainability Transparency

Accountability

Our
Values

Filipinos able to access services

with least financial, cultural and
geographical barriers
Preference for the underserved

EQUITY

Filipinos able to demand quality and

compassionate services at par with
global clinical and non-clinical
standards

QUALITY

Filipinos able to continuously get

the most health from resources
allocated (cost-effective)

Filipinos able to make informed

choices with respect to their
health/care and participate in
holding the government
accountable to the people

INCLUSIVENESS

COMPREHENSIVE

EFFICIENCY
SUSTAINABILITY

TRANSPARENCY
ACCOUNTABILITY

 Filipinos protected from health-related

impoverishment

Our
Vision

FINANCIAL PROTECTION

Filipinos attain best possible health

outcomes with less disparity
BETTER HEALTH STATUS

Filipinos feel respected and valued in

all of their interaction with the health
system
RESPONSIVENESS

What services to
guarantee or
prioritize?

Our
Strategy

How to best deliver

the services?

Access
Protectfunctional
from
Attain & Sustain
TRIPLE
SERVICE
BURDEN
DELIVERY
OF NETWORKS
DISEASE
UNIVERSAL HEALTH INSURANCE

How to equitably and efficiently

finance the service?

SERVICES THAT ADDRESS THE TRIPLE BURDEN OF DISEASE

Triple
Burden of
Disease
What services
should be
guaranteed to
protect Filipinos
from the triple
burden threat?

Communicable
Non-communicable, including malnutrition
Diseases of rapid urbanization and industrialization (e.g. Injuries,
mental health (including suicide prevention) and alcohol /drug
use)

SERVICES THAT CORRESPOND TO THE FULL SPECTRUM

OF CARE FOR ALL LIFE STAGES (minimal exclusions)
Promotive, preventive, curative, rehabilitative, palliative
Emphasis on role of health promotion and primary care (annual health
check)

INTERVENTIONS THAT MODIFY BUILT ENVIRONMENT

AND MOBILIZE COMMUNIITIES
Trigger behavioral shift towards healthy lifestyle/habits

Total Ban on Firecracker

AMR, ZOD, food safety & nutrition

Adopt and scale-up community-based interventions
Create strategic partnerships to promote healthy homes, workplaces,
schools and transport

NETWORKS AS CONTRACTED UNITS OF PHILHEALTH,

ACCOUNTABLE FOR ENSURING:
Appropriate, ethical and at par with clinical and non-clinical standards

Service
Delivery
Networks
How should health
care providers be
organized to ensure
easy access to high
quality services?

Gate-keeping, Licensing & Accreditation, Clinical practice guidelines

Physical access
-

Accessible location, transport assistance, or telehealth

Seamless continuum of services

-

Lower level level facilities to end referral centers and vice versa
Public (DOH, LGU, NGA) and private exchanges (patients and human
resource)
Team-based approach

Patient/client-friendly and culturally-sensitive services

-

No queues, by appointment only

NETWORKS ENHANCED BY RELIABLE DATA & REGULAR

FEEDBACK

Mandate online submission/data sharing and reporting to disease registries

Obtain accurate feedback: e.g. ghost patients, surprise field visits
Streamline monitoring and evaluation systems and create dedicated
performance unit

NETWORKS RESILIENT IN TIMES OF DISASTER

Strengthen preparedness initiatives

* To include other government agencies initiatives (sector wide

approach)

PHILHEALTH AS GATEWAY TO FINANCIAL ACCESS TO SERVICES

and PROTECTION FROM CATASTROPHIC SPENDING

Universal
Health
Insurance
How to equitably and
efficiently finance
the services?

Treat every Filipino as member unless proven otherwise

Secure resources to enable enrollment of remaining 8% and to
sustainably finance remaining 92%
Strictly enforce no balance billing for poor & fixed copayment for non-poor
(ceiling)
Cover services that contribute to high out of pocket payment
primary/outpatient care, outpatient drugs
medically and financially catastrophic conditions such as cancers, rare
diseases, metabolic disorders, mental health drugs, nicotine
replacement
Position private health insurance / HMO plans as supplementary to NHIP
(benefits complementation)
PHILHEALTH
AS MEANS TO SUSTAINABLY FINANCE

GOODS AND SERVICES

Phase-in coverage of budget-financed commodities by PhilHealth

Facilitate pooled procurement/bulk purchasing arrangements thru PhilHealth

ALIGN ALL HEALTH FUNDS TOWARDS DHA

DOH, PHILHEALTH, PAGCOR, PCSO, LGU, ODA and other NGA health
funds
Streamline what is considered free or charity services

GOVERNANCE

ATTAIN
HEALTH-RELATED

SUSTAINABLE
DEVELOPMENT GOAL

HEALTH FINANCING

Financial Risk Protection

Better Health Outcomes
Responsiveness

SERVICE DELIVERY AND

TRAVEL MEDICINE
TRIPLE
SERVICE
BURDEN
DELIVERY
OF
DISEASE
TRIPLE
SERVICE
BURDEN
DELIVERY
OF NETWORKS
NETWORKS
DISEASE
UNIVERSAL
HEALTH
UNIVERSAL
HEALTH INSURANCE
INSURANCE

HEALTH HUMAN
RESOURCE DEVELOPMENT
Equity Inclusiveness
Quality Comprehensiveness
Efficiency Sustainability
Transparency Accountability

REGULATIONS, POLICY
AND STANDARDS
DEVELOPMENT

HEALTH INFORMATION
AND SURVEILANCE

Governance

BUILD CAPACITY AND ESTABLISH ACCOUNTABILITY IN

FULFILLMENT OF INDIVIDUAL & SECTORAL MANDATES

Strengthen DOH as a policy and regulatory agency and PhilHealth as the

national government purchaser
Leverage support for and hold LGUs accountable in their role as as
service providers and local stewards of health

ENSURE EFFICIENCY, TRANSPARENCY & PREDICTABILITY AND

INTEGRITY OF GOVERNMENT TRANSACTIONS
Reduce red tape and limit turnaround time of transactions to 3 days, where
appropriate
Make transactions client-friendly, professional and transparent
Establish mechanisms to ensure integrity is upheld in all transactions

Health
Financing

GENERATE MORE REVENUES FOR HEALTH

Ensure progressiveness of premium rates for the formal sector
Improve collection efficiency
Raise premium rate (by 2018)

PURCHASE HEALTH SERVICES EFFICIENTLY

Enforce contracting arrangements with health service providers

Set up strong monitoring mechanisms
Set price ceilings to reduce unpredictability of out-of-pocket
payments
Reform provider payment mechanism to reflect true cost
- Short term: Adjust case rates using costing studies
- Medium term: Most appropriate contracting and provider
payment mechanism

DEFINE HEALTH ENTITLEMENTS AND STANDARDS OF CARE

Service
Delivery

Establish transparent priority setting process to ensure equitable and fair

expansion of health insurance benefits
Prioritize mental health, smoking cessation, and drug rehabilitation
entitlements
Incorporate patients rights/rights-based approach in entitlements
Observe international commitments: Human Rights, CEDAW, AntiTorture
Require only unique health ID when accessing entitlements

ESTABLISH FUNCTIONAL PRIMARY-CARE FOCUSED

SERVICE DELIVERY NETWORKS

Define scope of services and map existing service capabilities

Develop health facility/hospital investment plan
Position DOH hospitals within SDNs (apices, teaching/training, equity center)

STREAMLINE BOQ FUNCTIONS AND DEVELOP TRAVEL

MEDICINE PORTFOLIO

Health Care
Workforce

RECONFIGURE FRONTLINE HUMAN RESOURCE COMPLEMENT

BASED ON COMPETENCY RATHER THAN PROFESSION

Modify curriculum to make it more responsive to the needs

Match medical schools work with geographic areas (return service

program for graduates)

ESTABLISH SUSTAINABLE RECRUITMENT AND RETENTION OF

TALENTED PROFESSIONALS

Consolidate financing towards fair HCW compensation (salary,

PhilHealth reimbursements, other incentives)

Actively promote opportunities for post-graduate training

Reorient deployment programs to balance contribution

with career development

Medicines,
Devices
& Other
Technology

ENSURE ACCESS TO LOW-COST QUALITY ESSENTIAL

MEDICINES and DIAGNOSTICS

Publish prices of drugs and diagnostics

Establish price negotiation board and mechanisms for bulk purchasing
Explore options for supply chain management (PPP or outsourcing)

USE HEALTH TECHNOLOGY ASSESSMENT(HTA) TO

SYSTEMATICALLY DETERMINE DRUGS AND DIAGNOSTICS
THAT WILL BE PAID BY DOH and PHIC

Establish body and institutionalize process to conduct HTA to guide

coverage decisions

STRENGTHEN SECTORS CAPACITY FOR HEALTH PROMOTION

Health
Information
and
Information
Systems

Establish external health promotion body

UPHOLD CITIZENS RIGHTS TO INFORMATION AND

PATIENTS RIGHTS
Make health data, processes, and prices transparent & accessible

STRENGTHEN DATA GOVERNANCE FOR NATIONAL

DECISION MAKING
Streamline data and report requirements across facilities
Harmonize health information systems and databases
Require submission of data as part of licensing and contracting
Establish mechanisms to obtain regular feedback from all
stakeholders

Zero unmet need for FP

100
Days

Roll out TSEKAP+ OP Drug benefit

to the poorest

200
Days

Roll out mental health and enhanced

HIV/AIDS package

Expand National Drug Rehab Program

Health in All policies in
4 key sectors
Strategic Alignment of DOH Hospitals
in a SDN

Contracting by SDN operational in 3

regions

Operationalize ambulance services

(land, sea, air)

No queues in public facilities

(by appointment and navigators)

Enroll remaining 8% of the population

Adjust rates for most
common cases
Make prices of most common drugs
affordable and diagnostics available

Enforce fixed and zero co-payment

(NBB for poorest)

Attract
Attract the
the best
best and
and the
the
brightest
brightest

Champion
Champion health
health in
in all
all settings
settings
to
to all
all sectors
sectors

Harness
Harness and
and align
align private
private sector
sector
donors,
donors, non-state
non-state actors,
actors, and
and
deepen
deepen engagement
engagement with
with the
the
people
people

Instill
Instill integrity
integrity and
and foster
foster
accountability
accountability in
in all
all

Expand
Expand pre-payment
pre-payment through
through a
a
single
single national
national government
government
purchasing
purchasing fund
fund (DOH+PHIC)
(DOH+PHIC)

Vest
Vest with
with resources,
resources, capacity
capacity
and
and evidence
evidence to
to enable
enable key
key
health
health sector
sector players*
players* to
to fulfill
fulfill
their
their mandate/role
mandate/role

Empower
Empower all
all government
government health
health
care
care providers
providers with
with
management
management and
and fiscal
fiscal
autonomy
autonomy

*DOH, PHIC, LGU, DOH Hospitals, Private sector, other NGOs

ATTAIN
HEALTH-RELATED

SUSTAINABLE
DEVELOPMENT GOAL
Financial Risk Protection
Better Health Outcomes
Access
Responsiveness
Quality
Efficiency
Access | Quality
ATTAIN SUSTAINABLE

Efficiency
| Transparency
DEVELOPMENT
GOAL
TARGETS

Sustainability | Equity
Accountability

Battlecry:
Mahal Ko ang Pilipinas, simply
because it is the Land of my
Birth

Duterte Marching Order

Hire anyone you think can help basta
wag lang corrupt
Dra. Help the poor, they are the
reason why government exist
No queueng, kawawa ang Pilipino
Change is coming

 All appointees undergo

screening process. No kaibigan,
kamag-anak.
No junket travels