All for Health

towards
Health for All
THE DUTERTE HEALTH AGENDA
 ATTAIN HEALTH-RELATED SDG TARGETS
Financial Risk Protection Better Health Outcomes Responsiveness

Protect Access
from functional
TRIPLE SERVICE
BURDEN OF DELIVERY
DISEASE NETWORKS

Attain and sustain

UNIVERSAL
HEALTH
INSURANCE

Equity Inclusiveness Quality Comprehensiveness Efficiency Sustainability Transparency Accountability

 Filipinos able to access services with EQUITY
least financial, cultural and geographical
INCLUSIVENESS
barriers
Preference for the underserved

Our Filipinos able to demand quality and QUALITY

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

Filipinos able to continuously get the EFFICIENCY

most health from resources allocated
SUSTAINABILITY
(cost-effective)

Filipinos able to make informed choices

TRANSPARENCY
with respect to their health/care and
participate in holding the government ACCOUNTABILITY
accountable to the people
 RO X Comments/Inputs
Under the equity and inclusiveness pillars, DU30 HA should also focus not
only on the underserved but the marginalized sector as well

Under efficiency and sustainability, not only the most of health from
resources but the best health that the agency can offer

Under the transparency and accountability pillars, the agency should not
only let the people participate in holding the government accountable to
the people but also ensure that the people shall be engaged in the
planning and budgeting cycle of the agency to be able to be responsive
to the needs of the people.
 Filipinos protected from health-related
impoverishment
FINANCIAL PROTECTION
Our
Vision 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
 RO X Comments/Inputs
On Better Health Status
Revised to :
Filipinos attain quality health outcomes with no disparity

Add another item under Responsiveness

Filipinos are empowered in joining the planning and budgeting cycles of
the agency wherein they can freely voice out all health interests that are
good for them.
 What services to How to best deliver the
guarantee or services?
prioritize?

Our Protect from

TRIPLE
Access
functional

Strategy BURDEN OF
DISEASE
SERVICE
DELIVERY
NETWORKS

Attain & Sustain

UNIVERSAL HEALTH
INSURANCE

How to equitably and efficiently

finance the service?
 RO X Comments/Inputs
Revision of the statements:
What services to guarantee or prioritize?

Avail immediate preventive and curative healthcare needs of the public

How to best deliver the services

Access functional and quality SERVICE DELIVERY NETWORKS

How to equitably and efficiently finance the service

Attain & Sustain UNIVERSAL HEALTH INSURANCE for all
 SERVICES THAT ADDRESS THE TRIPLE BURDEN OF DISEASE
Communicable
Non-communicable, including malnutrition
Diseases of rapid urbanization and industrialization (e.g. Injuries, mental
health (including suicide prevention) and alcohol /drug use)
Triple SERVICES THAT CORRESPOND TO THE FULL SPECTRUM
Burden of OF CARE FOR ALL LIFE STAGES (minimal exclusions)
Promotive, preventive, curative, rehabilitative, palliative

Disease Emphasis on role of health promotion and primary care (annual health check)

What services INTERVENTIONS THAT MODIFY BUILT ENVIRONMENT

should be AND MOBILIZE COMMUNIITIES
Trigger behavioral shift towards healthy lifestyle/habits
guaranteed to Total Ban on Firecracker
protect Filipinos AMR, ZOD, food safety & nutrition
from the triple Adopt and scale-up community-based interventions
Create strategic partnerships to promote healthy homes, workplaces, schools
burden threat?
and transport
 RO X Comments/Inputs

In the triple burden of diseases, include focus on the increasing

cases on HIV/AIDS, unmet targets on MMR, IMR and U5 mortalities
and Family Planning
 NETWORKS AS CONTRACTED UNITS OF PHILHEALTH,
ACCOUNTABLE FOR ENSURING:
Appropriate, ethical and at par with clinical and non-clinical standards
- Gate-keeping, Licensing & Accreditation, Clinical practice guidelines

Service Physical access

- Accessible location, transport assistance, or telehealth

Delivery 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)

Networks
- Team-based approach
Patient/client-friendly and culturally-sensitive services
- No queues, by appointment only
How should health
care providers be
NETWORKS ENHANCED BY RELIABLE DATA & REGULAR
organized to ensure
FEEDBACK
easy access to high Mandate online submission/data sharing and reporting to disease registries
quality services? 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)

 RO X Comments/Inputs
NETWORKS RESILIENT IN TIMES OF DISASTER

(For inclusion)

Streamline disaster and preparedness initiatives in addressing timely

and appropriate services in times of emergencies
 PHILHEALTH AS GATEWAY TO FINANCIAL ACCESS TO SERVICES
and PROTECTION FROM CATASTROPHIC SPENDING
Treat every Filipino as member unless proven otherwise
Secure resources to enable enrollment of remaining 8% and to sustainably
Universal
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
Health primary/outpatient care, outpatient drugs
medically and financially catastrophic conditions such as cancers, rare diseases,

Insurance
metabolic disorders, mental health drugs, nicotine replacement
Position private health insurance / HMO plans as supplementary to NHIP (benefits
complementation)
How to equitably and
efficiently finance PHILHEALTH AS MEANS TO SUSTAINABLY FINANCE
the services? 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 HEALTH FINANCING
DEVELOPMENT GOAL

TRIPLE SERVICE
Financial Risk Protection BURDEN OF DELIVERY
SERVICE DELIVERY AND
DISEASE NETWORKS TRAVEL MEDICINE
Better Health Outcomes
Responsiveness
HEALTH HUMAN
UNIVERSAL RESOURCE DEVELOPMENT
HEALTH
Equity Inclusiveness Quality INSURANCE

Comprehensiveness Efficiency REGULATIONS, POLICY

AND STANDARDS
Sustainability Transparency DEVELOPMENT
Accountability

HEALTH INFORMATION
AND SURVEILANCE
 BUILD CAPACITY AND ESTABLISH ACCOUNTABILITY IN
FULFILLMENT OF INDIVIDUAL & SECTORAL MANDATES
Governance 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
 RO X Comments/Inputs
ENSURE EFFICIENCY, TRANSPARENCY & PREDICTABILITY AND INTEGRITY OF
GOVERNMENT TRANSACTIONS

(For inclusion)

Intensify NGOs, POs and CSO initiatives and partnerships in ensuring a

transparent planning and monitoring of health programs and projects
 GENERATE MORE REVENUES FOR HEALTH
Health

Ensure progressiveness of premium rates for the formal sector
Improve collection efficiency
Financing 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
Establish transparent priority setting process to ensure equitable and fair expansion of
health insurance benefits
Service Prioritize mental health, smoking cessation, and drug rehabilitation
entitlements

Delivery

Incorporate patients rights/rights-based approach in entitlements
Observe international commitments: Human Rights, CEDAW, Anti-Torture
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
 RO X Comments/Inputs
To include HIV/AIDS, MMR, IMR, U-5, Family Planning and
Healthy Lifestyle as priorities under Service Delivery
 RECONFIGURE FRONTLINE HUMAN RESOURCE COMPLEMENT
BASED ON COMPETENCY RATHER THAN PROFESSION
Health Care Modify curriculum to make it more responsive to the needs

Workforce 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
 RO X Comments/Inputs
ESTABLISH SUSTAINABLE RECRUITMENT AND RETENTION OF TALENTED
PROFESSIONAL

For inclusion

Establish Baseline Data on Health status of the agency workforce and provide
appropriate interventions in promoting a healthy workplace
 ENSURE ACCESS TO LOW-COST QUALITY ESSENTIAL
Medicines, MEDICINES and DIAGNOSTICS
Publish prices of drugs and diagnostics
Devices

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

& Other USE HEALTH TECHNOLOGY ASSESSMENT(HTA) TO

Technology 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
Establish external health promotion body

Health UPHOLD CITIZENS RIGHTS TO INFORMATION AND

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

and STRENGTHEN DATA GOVERNANCE FOR NATIONAL

Information DECISION MAKING
Streamline data and report requirements across facilities

Systems

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

Roll out TSEKAP+ OP Drug benefit

100 to the poorest 200
Days 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
Operationalize ambulance services
(land, sea, air)

Contracting by SDN operational in 3 regions

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)
 A Attract the best and the brightest

ATTAIN
C Champion health in all settings to all
sectors HEALTH-RELATED
SUSTAINABLE
DEVELOPMENT GOAL
Harness and align private sector
H donors, non-state actors, and
deepen engagement with the people
TRIPLE SERVICE Financial Risk Protection
BURDEN OF DELIVERY
DISEASE NETWORKS Better Health Outcomes
I Instill integrity and foster
accountability in all Access
Responsiveness
Quality
Efficiency
Expand pre-payment through a
UNIVERSAL
E single national government
purchasing fund (DOH+PHIC)
HEALTH
INSURANCE
Access | Quality
ATTAIN SUSTAINABLE
DEVELOPMENT
Efficiency GOAL
| Transparency
TARGETS
Vest with resources, capacity and Sustainability | Equity
V evidence to enable key health sector
players* to fulfill their mandate/role Accountability

Empower all government health care

E providers with management and
fiscal autonomy

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