Healthcare System of Philippines

Presented by-
Dr.Bhamini Thukral
Healthcare Governance structure
 A decentralized health delivery system
 DOH-apex regulatory authority
 Develop national plans, technical standards and
healthcare guidelines for all Filipinos.
 LGUs and Private sector agencies-act as adjuncts
 CHDs (Centers for Health Department)
 RHUs (Rural Health Units)-exist in every municipality
to improve access to healthcare
Pyramidal organization structure for the
three levels of healthcare

National
Health Services Tertiary care

Regional Health Services

District Health Services Secondary care

Rural(Local
Hospital)Services

RHUs Primary care

Barangay Health Stations

Primary level of healthcare
 Serves as the foundation of healthcare based upon which
progressive levels of care are restructured.
 Function of primary health workers at 3 levels:-
a)Village or grass root health worker
b)Intermediate level health worker
c)First line hospital personnel
Health outcomes
 In a state of double disease burden
 Communicable diseases are the major causes of
morbidity and mortality in Philippines. Morbidity rate in
communicable diseases-42.8 /100,000
population(2009)
 Morbidity Rate in Non Communicable Diseases-
90.4/100,000 population.(2009)
 Maternal mortality rate(MMR)-94 deaths/100,000 live
births(2009)
 Unlikely for Philippines to accomplish targets for 2015
MDG
Healthcare budget
 Low efficiency in health spending.
 Health expenditure- 3.8% of GDP
 Tax funding system adopted by Department of Finance
and Internal Revenue Allotment in case of Local
Governments.
 three major groups of healthcare payers: (i) national and
local governments, (ii) social health insurance, (iii)
private sources.
Health expenditure outlay

Private
Expenditure Government
59.1% Expenditure 28.7%

Social
Out Of Pocket
Insurance
Expenditure
Expenditure
48.4%
11.0%
Health Insurance Sector
 National Health Insurance Programme (NHIP)
 Philippine Health Insurance Corporation, commonly
known as PhilHealth which administers the NHIP
 The types of Healthcare/Health Insurance plans in
Philippines-(a) PhilHealth (b)Private health insurance
(c)Health Maintenance Organization (d) International
health insurance (e) Expatriate health insurance
 Microhealthinsurance –MIPSS
 Insurance agencies executing MIPSS- DOH with NCC
Health improvement plans
 SHIELD (Sustainable Health Improvement through
Empowerment and Local Development) project in
ARMM –Philippine government’s Sector development
agenda for health, USAID funded-5 year project
 Integrated Community Health Services Project (ICHSP)
and the National Centre for Health Facility Development
(NCHFD)- to strengthen referral system , enhance local
planning, decision making and monitoring.
Key Challenges in healthcare
 prevailing conditions of inequity in health status
 poor infrastructure in the healthcare sector which needs
to be worked upon to attract more tourists
 lack of IT governance structures
 diseases emerging new communicable diseases adding to
the existent prevalence of communicable
 common solitary governing body is required to be set up
to coordinate activities of human resources
 wide gap between the rich and the poor in terms of
health outcome disparities.
Inter- sectoral linkage