FMCHIII Lecture No.

2
Moving Towards Universal Health Care

MDG6
Indicators
Prevalence of HIV/AIDS
among high risk groups

Comprehensive Reforms in Health

Universal Health Care
(Kalusugan Pangkalahatan)
2010 2016
Formula One for Health
2005 2010
Health Sector Reform Agenda
(Kalusugan Para sa Masa)
1999-2004

Malaria morbidity rate

Malaria mortality rate

TB morbidity rate

Health Outcomes
Population, total (millions)
Population <25 years
(% of total population)
Population >60 years
(% of total population)
Birth rate (births per 1,000
population)
Death rate (deaths per
1,000 population)

90,013,200
(projected NSO 2007)
52.8% (projected NSO 2007)
49,617,400 M Filipinos
6.7 (projected NSO 2007)
6,637,100 M Filipinos
23.4 (NDHS 2008)
2,162,303 live births/year
5.48 (NSO 2007)
515,192.34 deaths/year

Top 10 causes of Mortality

1. Disease of the Heart
2. Disease of Vascular System
3. Malignant Neoplasm
4. Accidents
5. Pneumonia
6. Tuberculosis
7. Unclassified
8. Chronic Lower Respiratory Diseases
9. Diabetes Mellitus
10. Conditions originating from the
Perinatal period

Total
70,861
51,680
40,524
34,483
32,098
26,770
21,278
18,975
16,552
13,180

TB mortality rate

TB case detection rate

Cure rate

Rate
84.8
61.8
48.9
41.3
38.4
31
25.5
22.7
19.8
15.8

2015 target
<1%
5,364 cases
(1984 2010)
62/100,000 popn
38,135 cases
(based from 1990
baseline)
0.75
456 deaths
(based from 1990
baseline)
137/100,000
128,798 cases
(2010 NOH)
<44/100,000
41,366 deaths
(PhilPACT)
70%
85%

Health Facilities

MDG4
2015 target
26.7

Accomplishment
34 (2008 NDHS)

19.0

25 (2008 NDHS)

2015 target
52

Accomplishment
162

70.0
(2010 NOH)

62 (2008 NDHS)

MDG5
Indicators
Maternal mortality ratio
(per 100,000 live births)
Proportion of births
attended by skilled
health professional

21.6/100,000 popn
19,556 cases
(2009)
0.026
24 deaths
(2009)
129 (2008)
121,277 cases
41.0 (2007)

75% (NTP2007)
83% (NTP2007)

CRITICAL FACTORS

Time factor (only 5 years left) to achieve the countrys

MDG commitments

Aggregate improvements hide broad disparities in health

outcomes

Double burden of disease with substantially increasing

trend for non communicable diseases

Threat from emerging and resurgent disease

UN Development Goals
Eradicate extreme poverty and hunger
Achieve universal Primary Education
Promote gender equality and empower woman
Reduce child mortality MDG4
Improve Maternal Health MDG5

Indicators
Under 5 mortality rate
(per 1,000 live births)
Infant mortality rate
(per 1,000 live births)

Accomplishment
<1%

Utilization of Health Facilities

Health Facility type
%
Government
50
Private
42
Traditional healer
7

Common reasons for seeking health care

Illness or injury
68%
Medical check-up
28%
Dental care
2%
Medical requirement
1%
CRITICAL FACTORS

Local health facilities are poorly equipped and poorlystaffed

Regional and national hospitals are congested

Health facilities in the public and private sectors are

unevenly distributed

National- local and public-private networking and patient

referral systems are inadequate
Health Financing
Distribution of Health Expenditure by Source of Funds 2007
Out of Pocket 54%
National Government 13%
Local Government 13%
Others 11%
Social Insurance 9%
Total health Expenditure 234.3B or 3.2% of GNP
CRITICAL FACTORS

Total health expenditures remain low

Health financing extremely fragmented

Health financing system highly inequitable

Institutional structures and incentives at free facility level

are inappropriate and inadequate
PRINCIPLE
Health is a right of every Filipino citizen
Universal Health Care
Kalusugan Pangkalahatan
- Deliberate attention to the needs of poor Filipino family which
compromise the majority of our population