UNIVERSITY OF THE EAST

RAMON MAGSAYSAY
MEMORIAL MEDICAL CENTER GRADUATE SCHOOL

Pearl (10th) Foundation Day

August 12, 2011 Senator Edgardo J. Angara Keynote Speaker

are covered by the National Health Insurance Program

892
Rural Health Units

99
Gov t Hospitals

have no accreditation by PhilHealth, when majority of poor Filipinos turn to government facilities for medical attention.

41%
Rural Areas

79%
Gov t Hospitals

percent of births attended by skilled health personnel

mothers die at childbirth

is our infant mortality rate

is our mortality rate for children under age 5

MILLENNIUM DEVELOPMENT GOALS

Why?

Inadequate investment
Total expenditure on health as Per capita government a % of GDP (2007) expenditure on health (PPP int. $) Brunei Cambodia Indonesia Lao PDR Malaysia Myanmar 2.4 5.9 2.2 4.0 4.4 1.9 958 31 44 16 268 2

Philippines
Singapore Timor-Leste Thailand Vietnam

3.9
3.1 13.6 3.7 7.1

45
536 98 209 72

Source: World Health Statistics 2010 by the World Health Organization

Now, a window of opportunity

Life Population Population expectancy ages 0-14 ages 15-64 (%) at birth (%) (years)
1960 1970 1980 1990 2000 53.2 57.2 61.1 65.4 69.5 45.9 45.3 43.1 40.7 37.8 51.1 51.8 53.7 56.1 58.7

Fertility Rate (births per woman)

7.0 6.3 5.2 4.3 3.5

2009

72.1

33.9

61.9
THE WORLD BANK

3.0

DEMOGRAPHIC DIVIDEND
Changing age distribution results in having majority of a population belonging to the productive labor force.

ADVANCED EDUCATION
 Graduate health education anchored on R&D  Distributing nursing & medicine graduates to serve the population, especially in rural areas.

Of the estimated 2.77 million students enrolled in the tertiary and postgraduate levels in 2009-2010, only an estimated 395,000 went into medical and allied health services.

Occupation

Average number of graduates / year

Nurses Doctors Midwives

10,000 2,000 1,500

Physicians per 1,000 people Brunei (2000) Cambodia (2000) Indonesia (2003) Lao PDR (1996) Malaysia (2000) Myanmar (2004) 1.01 0.16 0.13 0.59 0.70 0.36

Nurses and midwives per 1,000 people 2.67 0.61 0.62 1.03 1.35 0.38

Philippines (2000)
Singapore (2001) Timor-Leste (2004) Thailand (2000) Vietnam (2001)

0.58
1.40 0.10 0.37 0.53

1.69
4.24 1.79 2.82 0.56

Source: World Health Report 2006 by the World Health Organization

HOW TO ADDRESS CHALLENGES ON PLANNING HUMAN RESOURCE

HOW TO ADDRESS CHALLENGES ON PLANNING HUMAN RESOURCE

1
Enrollment in high demand yet unsaturated medical courses
Currently, we have an oversupply of registered nurses, physical therapists, optometrists and occupational therapy. Meanwhile, we lack medical doctors, doctors of dental medicine, medical technologists and pharmacists.

HOW TO ADDRESS CHALLENGES ON PLANNING HUMAN RESOURCE

2
School s curricula should provide quality of instruction and research.
School already doing this are:

HOW TO ADDRESS CHALLENGES ON PLANNING HUMAN RESOURCE

3
Brain gain, keep our health professionals
Not only is compensation the reason professionals go abroad, but better opportunities for higher learning actual practice.

NEW FRONTIERS

Biomedical Sciences at Biopolis in Singapore

Neuroregeneration, Telehealth and Stem Cell Imaging at Taipei Medical University

NEW FRONTIERS

Nanomedicine at Harvard University

Neurosciences, embryonic stem cell lines and stem cell biology at the University of California

NEW FRONTIERS

Epidemiology, immunology, infectious diseases and vaccine research at London University

Tropical medicine at the Cayetano Heredia University in Peru

NEW FRONTIERS

23 leading research-intensive universities globally combined 830,000 students research grant income of US$4B

AGING
It is a biological process which we can cope with through intervention, treatment and therapy. Biotechnology, stem cell therapy and genomics will provide key solutions to enhance the body's ability self-repair and make the period of peak health longer

hence must be among the focus areas of graduate education.

Going toward the future, we must ensure that our strategies for quality healthcare cover both curative and preventive aspects.

The goal should be to continuously find means to boost the well-being of all members of society, regardless of age.

Health education, and its applications, must not only help uphold the right to live, but most importantly the right to live well.

Mabuhay ang UERMMMC!

Visit www.EdAngara.com to download a copy of this speech & presentation.