Health Financing Summit 04.14.10
How the Philippines compare  in health system performance  with other Asian and middle-income countries  World Bank Sector...
Methodology <ul><li>Trends over time on  readily measurable performance indicators  and  health systems inputs  against  o...
HEALTH FINANCING
HEALTH FINANCING <ul><li>TOTAL HEALTH SPENDING PER CAPITA </li></ul>
Total spending for health per capita in  constant pesos  (1995-2007)  3.9% growth
Composition of total spending for health  (1995-2007 )
Total spending for health per capita in  US$ PPP in selected comparators  (1995-2007)
HEALTH FINANCING <ul><li>HEALTH SPENDING AS SHARE of GDP </li></ul>
Health spending  component share of GDP (1995-2007)  3.4% 3.9%
Total spending for health as share of GDP in selected comparators (1995-2007)
HEALTH FINANCING <ul><li>GOVERNMENT HEALTH SPENDING  </li></ul>
Department of Health budget (2005-2010) Source: General Appropriations Acts 2005 to 2010
Government spending for health as share of GDP (1995-2007)
Real Per Capita Government Health Expenditures (1997-2008) Source: Sicat et al 2010
HEALTH FINANCING <ul><li>SOCIAL HEALTH INSURANCE  </li></ul>
% of uninsured Filipinos (based on PhilHealth reports 2000-2008) Source: PhilHealth annual reports
Out of pocket spending for health as share of total health spending vs. GDP per capita (1995-2007)  > 50%
Private spending for health as share of total health spending vs. income per capita (1995-2007)  65%
Catastrophic Health Expenditure Headcounts, by Various Thresholds Source: Lavado et al 2010
HEALTH OUTCOMES
POPULATION HEALTH INDICATORS, 1960-2007
HEALTH OUTCOMES <ul><li>INFANT MORTALITY RATE  </li></ul>
INFANT MORTALITY RATE as to INCOME and TOTAL HEALTH SPENDING, 2007
FEMALE LITERACY versus INCOME, 2000-2007
IMR (2007) as to YEARS of FEMALE EDUCATION
INFANT MORTALITY RATE, 1960-2007
INFANT MORTALITY RATE (2007)
HEALTH OUTCOMES <ul><li>LIFE EXPECTANCY  </li></ul>
LIFE EXPECTANCY at birth in selected Asian countries (1960-2008) 53 years 72 years
LIFE EXPECTANCY versus INCOME and TOTAL HEALTH SPENDING, 2007
LIFE EXPECTANCY (2006)
HEALTH OUTCOMES <ul><li>MATERNAL MORTALITY </li></ul>
MATERNAL MORTALITY  versus INCOME and TOTAL HEALTH SPENDING, 2005
MMR  (2005) as to YEARS of FEMALE EDUCATION Source: WDI; Barro-Lee
Skilled birth attendance relative to income and spending, 2003-2007
% of Births attended by health professionals (comparison across countries and Philippine regions), 2008
HEALTH INPUTS
Physician to Population ratio in selected Asian countries (1960- available current year)
Total Health Worker to Population ratio Relative to Total Health Spending and Income
Hospital Beds to Population ratio in selected Asian countries (1960- available current year)
Total Hospital Bed to Population ratio Relative to Total Health Spending and Income
Hospital/inpatient facility as Place of Death for Filipinos  Source: National Statistics Office
IMPLEMENT A-B-C  <ul><li>TOWARDS MORE VALUE FOR MONEY : </li></ul>
<ul><li>IMPLEMENT: </li></ul><ul><li>A -O 29 series of 2008 or the Rapid Reduction of Maternal and Neonatal Mortality part...
<ul><li>IMPLEMENT: </li></ul><ul><li>D - ata dictionaries (for health) towards a national health IT system/ improved PhilH...
Health Financing Summit 04.14.10
Upcoming SlideShare
Loading in …5
×

3. perfomance assessment philippines banzon final

1,945 views

Published on

Dr. Eduardo P. Banzon is a Senior Health Specialist in the World Bank since December 2006.

Prior to the World Bank, he was the Vice-President and Head of the Health Finance Policy Sector of the Philippine Health Insurance Corporation. In 2005, he was concurrently tasked to help in the strengthening of the Bureau of Food and Drugs.

He is a former Research Associate Professor in the University of the Philippines (UP) -National Institutes of Health. He was a Clinical Associate Professor in the Department of Clinical Epidemiology and the Department of Family and Community Medicine of the UP College of Medicine and a faculty member of the Ateneo Graduate School of Business-Health Unit. He has worked and assisted national and international agencies and has been published locally and internationally.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,945
On SlideShare
0
From Embeds
0
Number of Embeds
9
Actions
Shares
0
Downloads
81
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

3. perfomance assessment philippines banzon final

  1. 1. Health Financing Summit 04.14.10
  2. 2. How the Philippines compare in health system performance with other Asian and middle-income countries World Bank Sector Assessment Team (Sarbani Chakraborty, George Scheiber, Ajay Tandon, Oscar Picazo, Eduardo Banzon et al) Presented by: Dr. Eduardo Banzon Senior Health Specialist World Bank
  3. 3. Methodology <ul><li>Trends over time on readily measurable performance indicators and health systems inputs against other comparable income and health spending countries </li></ul><ul><li>Assessing the country against global averages </li></ul><ul><ul><li>Nothing right or wrong about a global average </li></ul></ul><ul><ul><li>But large deviations indicate areas that may require changes in health policies. </li></ul></ul><ul><li>Three areas </li></ul><ul><li>HEALTH SPENDING </li></ul><ul><ul><li>total, public or government , private, and out-of-pocket (OOP) health spending </li></ul></ul><ul><li>HEALTH OUTCOMES </li></ul><ul><ul><li>Life expectancy, IMR and MMR </li></ul></ul><ul><li>HEALTH INPUTS </li></ul><ul><ul><li>Health workers and Hospital beds </li></ul></ul>
  4. 4. HEALTH FINANCING
  5. 5. HEALTH FINANCING <ul><li>TOTAL HEALTH SPENDING PER CAPITA </li></ul>
  6. 6. Total spending for health per capita in constant pesos (1995-2007) 3.9% growth
  7. 7. Composition of total spending for health (1995-2007 )
  8. 8. Total spending for health per capita in US$ PPP in selected comparators (1995-2007)
  9. 9. HEALTH FINANCING <ul><li>HEALTH SPENDING AS SHARE of GDP </li></ul>
  10. 10. Health spending component share of GDP (1995-2007) 3.4% 3.9%
  11. 11. Total spending for health as share of GDP in selected comparators (1995-2007)
  12. 12. HEALTH FINANCING <ul><li>GOVERNMENT HEALTH SPENDING </li></ul>
  13. 13. Department of Health budget (2005-2010) Source: General Appropriations Acts 2005 to 2010
  14. 14. Government spending for health as share of GDP (1995-2007)
  15. 15. Real Per Capita Government Health Expenditures (1997-2008) Source: Sicat et al 2010
  16. 16. HEALTH FINANCING <ul><li>SOCIAL HEALTH INSURANCE </li></ul>
  17. 17. % of uninsured Filipinos (based on PhilHealth reports 2000-2008) Source: PhilHealth annual reports
  18. 18. Out of pocket spending for health as share of total health spending vs. GDP per capita (1995-2007) > 50%
  19. 19. Private spending for health as share of total health spending vs. income per capita (1995-2007) 65%
  20. 20. Catastrophic Health Expenditure Headcounts, by Various Thresholds Source: Lavado et al 2010
  21. 21. HEALTH OUTCOMES
  22. 22. POPULATION HEALTH INDICATORS, 1960-2007
  23. 23. HEALTH OUTCOMES <ul><li>INFANT MORTALITY RATE </li></ul>
  24. 24. INFANT MORTALITY RATE as to INCOME and TOTAL HEALTH SPENDING, 2007
  25. 25. FEMALE LITERACY versus INCOME, 2000-2007
  26. 26. IMR (2007) as to YEARS of FEMALE EDUCATION
  27. 27. INFANT MORTALITY RATE, 1960-2007
  28. 28. INFANT MORTALITY RATE (2007)
  29. 29. HEALTH OUTCOMES <ul><li>LIFE EXPECTANCY </li></ul>
  30. 30. LIFE EXPECTANCY at birth in selected Asian countries (1960-2008) 53 years 72 years
  31. 31. LIFE EXPECTANCY versus INCOME and TOTAL HEALTH SPENDING, 2007
  32. 32. LIFE EXPECTANCY (2006)
  33. 33. HEALTH OUTCOMES <ul><li>MATERNAL MORTALITY </li></ul>
  34. 34. MATERNAL MORTALITY versus INCOME and TOTAL HEALTH SPENDING, 2005
  35. 35. MMR (2005) as to YEARS of FEMALE EDUCATION Source: WDI; Barro-Lee
  36. 36. Skilled birth attendance relative to income and spending, 2003-2007
  37. 37. % of Births attended by health professionals (comparison across countries and Philippine regions), 2008
  38. 38. HEALTH INPUTS
  39. 39. Physician to Population ratio in selected Asian countries (1960- available current year)
  40. 40. Total Health Worker to Population ratio Relative to Total Health Spending and Income
  41. 41. Hospital Beds to Population ratio in selected Asian countries (1960- available current year)
  42. 42. Total Hospital Bed to Population ratio Relative to Total Health Spending and Income
  43. 43. Hospital/inpatient facility as Place of Death for Filipinos Source: National Statistics Office
  44. 44. IMPLEMENT A-B-C <ul><li>TOWARDS MORE VALUE FOR MONEY : </li></ul>
  45. 45. <ul><li>IMPLEMENT: </li></ul><ul><li>A -O 29 series of 2008 or the Rapid Reduction of Maternal and Neonatal Mortality particularly promotion of facility-based deliveries </li></ul><ul><li>B -enefits Reforms in PhilHealth </li></ul><ul><ul><li>Converting PhilHealth into an Active Purchaser of health services (thru contracts and case payments) </li></ul></ul><ul><ul><li>Expansion of primary care benefits to the entire enrolled population </li></ul></ul><ul><ul><li>PhilHealth coverage of P100 drugs </li></ul></ul><ul><li>C -overage for all Filipinos in the PhilHealth Sponsored Program with National Government financing using the DSWD’s proxy means test from its National Household Targeting System for Poverty Reduction or the NHTS-PR PMT </li></ul><ul><ul><li>TEACH the member of the poor (SP members) utilize their benefits </li></ul></ul>
  46. 46. <ul><li>IMPLEMENT: </li></ul><ul><li>D - ata dictionaries (for health) towards a national health IT system/ improved PhilHealth IT system </li></ul><ul><li>E - xpansion of Results-based Financing </li></ul><ul><ul><li>Needs-based facilities and health personnel master plan to guide future investments in the health sector by expanding capacity in underserved areas of the country </li></ul></ul><ul><ul><li>Performance –based budgets/grants </li></ul></ul><ul><ul><li>Hold LGUs, hospitals and PhilHealth accountable for services and outputs </li></ul></ul><ul><li>F -acility autonomy reforms </li></ul><ul><li>G -ame plan against Non-Communicable Diseases </li></ul>
  47. 47. Health Financing Summit 04.14.10

×