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Health of Nations: The Philippine Report
 

Health of Nations: The Philippine Report

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The Philippine situational report as presented by the Filipino delegates to the 7th Global Health Course at the University of Tampere, Finland (june 2010). Reported by Ryan Guinaran, Bien Nillos, Gene ...

The Philippine situational report as presented by the Filipino delegates to the 7th Global Health Course at the University of Tampere, Finland (june 2010). Reported by Ryan Guinaran, Bien Nillos, Gene Nisperos and Paul Zambrano

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  • NDHS 2008

Health of Nations: The Philippine Report Health of Nations: The Philippine Report Presentation Transcript

  • The Philippines
    National Health Situation
  • The Philippines is an archipelago of 7,107 islandswith a total land area, including inland bodies of water, of approximately 300,000 square kilometers (116,000 square miles).
    Its 36,289 kilometers (22,549 miles) of coastline makes it the country with the 5th longest coastline in the world.
  • Dry Season (March to May)
    Wet season (June to November) – Averaging 20 or more typhoons
    Cold Season (December-February)
     
  •  
    Located in the Pacific Ring of Fire and is exposed to almost the full array of natural hazards (earthquakes, typhoons, landslides, floods, etc.)
    Ongoing complex emergency in southernmost island of Mindanao
    Highest number of disasters per country in 2009 (26)
  • POpulation
    Aug 2007: 88.57M
    Projected 2010 population: 94.01M
    2.04% annual growth rate (2000-2007)
    • More than doubled in less than 40 years! (1970-2007)
  • POpulation
    Aug 2007: 88.57M
    Projected 2010 population: 94.01M
    2.04% annual growth rate (2000-2007)
    • More than doubled in less than 40 years! (1970-2007)
  • Political system
    Recently concluded its first automated election last 10 May 2010
    The country is made up of political local government units of provinces, cities, municipalities and barangays (villages).
    Local Government Code of 1991
  • Economy
    GDP (2009) = Php 161 Billion (2.8B Euro)
    GDP Growth in 2009: 1.8% (Q4), 0.9% (annual) from 3.8% in 2008
  • Economy
    69 million Filipinos(80% of population) struggle to survive on Php 96 (1.3 Euro) or less a day
    46 million Filipinos go hungry every day(i.e., unable to meet minimum nutritional needs)
  • Wages are not enough to sustain a decent life.
    June 2008:
    Living Wage -------------------------------P 911.00 (16 Euros)
    (NCR, family of 6 according to the Nat’l Wages and Productivity Commission)
    Daily Minimum Wage---------------- P 382.00 (6.7 Euros)
    (NCR, including COLA)
    NOT ENOUGH--------P 529.00 (9.3 Euros)
    Prices of basic goods are rising faster than wages.
  • While the rich are getting richer…
    Net worth of 10 richest Filipinos:
    US$12.4 billion or 10B Euro (2006)
    Equivalent to the combined annual income of poorest 9,600,000 families (approximately 49 million Filipinos)
    (Ibon Databank 2007)
  • Number of Unemployed
    1991-1997
    1997-2000
    2001-2008
    1987-1991
    POEA data
  • Migration
    1991-1997
    1997-2000
    2001-2008
    1987-1991
    POEA data
  • Decreasing self-sufficiency in food production, including rice
    Balance of trade in food 1980-2006
    1980 (1.41)
    1995 (-0.14)
    2006 (-0.49)
    Pinaghalawan: WTO online database
  • Spending for health
    Total Health Expenditure is 3.7% of GDP (less than WHO recommended 5%)
    38% (?) of population has PhilHealth Coverage (NDHS 2008)
    Most (46.4%) of the family expenditure for health goes to drugs & medicines
    Philippines drug prices are 3.4 to 184 times the international reference index.
  • Spending for health
    23% government
    59% out of pocket
    18% Shared-Risk Schemes Including National Health Insurance (PhilHealth)
    Total Health Expenditure P0.25 per Filipino per day
  • Average spending in national budget per admin (% of GDP)
  • Average sectoral allocation in national budget per admin (%)
  • Debt service always at expense of social services (1)
  • Worsening State Neglect
  • National Budget picture for 2010
    DEBT SERVICE - INTEREST PAYMENT – 17.94%
    EDUCATION – 10.47%
    AGRICULTURE – 2.22%
    ARMED FORCES – 1.98%
    HEALTH – 1.6%
    Total National Budget: Php 1.54T (27B Euros)
  • 70
    Average Life Expectancy of Filipinos (in years)
    80,000
    Filipino Babies dying of PREVENTABLE causes ANNUALLY
  • Indicators
    CBR: 20.5 / 1000
    CDR: 4.8 / 1000
    Healthy Life Expectancy (HALE): 62 (M: 59 years, F: 64 years) (WHS 2010)
  • Infant mortality rate
    NDHS (2008)
    Decline in IMR between 2003 and 2008 is statisticallyinsignificant(NSO)
    (Galvez-Tan, 2009)
  • UNDER-5 MORTALITY
    Table 1.  Trends in childhood mortality rates, with standard errors and confidence intervals, Philippines  
    Sources:    1993 National Demographic Survey, 1998, 2003 and 2008 National Demographic and Health Surveys
  • Maternal mortality ratio
    Between 1990 and 1998, the improvement rate was 14% while that between 1998 and 2006 was only 6%, an almost 50% drop
    (Galvez-Tan, 2009)
  • LEB under 60 years
    IMR over 90
    MM over 150
    LEB over 80 years
    IMR less than 10
    MM less than 15
  • ACCESS
    There are more than 16,000 registered medicine in the country…
    …but 70% of Filipinos have no access to essential drugs.
    WHO World Medicines Situation, 2004
  • Health Human ResourceS
    • No. 1 Exporter of Nurses
    “An estimated 85% of employed Filipino nurses (more than 150,000) are working internationally.” (Aiken et al 2004)
    “70% of all Filipino nursing graduates are working overseas.” (Bach 2003)
    • No. 2 Exporter of Doctors
    “68% of Filipino doctors work overseas, next to India.” (Mejia, WHO 1975)
  • Health Human ResourceS
    200 hospitals have closed downwithin the past two years – no more doctors and nurses
    800 hospitals have partially closed (with one to two wards closed) – lack of doctors and nurses
    Nurse to patient ratios in provincial and district hospitals now 1: 40 to 1: 60
    Loss of highly skilled nurses in all hospitals across the country
    (Galvez-Tan, 2009)
  • Health Education
    • Decreasing passing rate in the national nursing licensure examinations
    1970s/80s: 80%-90%
    1991: below 61%
    2001-2003: 44%-48%
    2004: 55.9%
    2005: 49.7%
    2006: 41%
    June 2008: 48%/35%
    • The number of nursing schools have increased
    1970s: only 40
    1990s: 170
    June 2003: 251
    April 2004: 370
    June 2005: 441
    June 2006: 470
    (PRC 2008)
  • Health Services for Sale: Medical Tourism
    Principally being promoted by the Philippine government using the public health care system
    Linked to the issue of organ trade (i.e. sale of kidneys for US$3,000-4,000)
    Expected revenues: US$ 10B in 5 years
  • RIGHT TO HEALTH OF THE PEOPLE
  • Social OBLIGATION VS.PROFIT