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HFS Banzon
 

HFS Banzon

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    HFS Banzon HFS Banzon Presentation Transcript

    • Health Financing Summit 04.14.10
    • 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
    • Methodology •  Trends over time on readily measurable performance indicators and health systems inputs against other comparable income and health spending countries •  Assessing the country against global averages –  Nothing right or wrong about a global average –  But large deviations indicate areas that may require changes in health policies. Three areas •  HEALTH SPENDING –  total, public or government , private, and out-of-pocket (OOP) health spending •  HEALTH OUTCOMES –  Life expectancy, IMR and MMR •  HEALTH INPUTS –  Health workers and Hospital beds
    • HEALTH FINANCING
    • TOTAL HEALTH SPENDING PER CAPITA HEALTH FINANCING
    • 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 SPENDING AS SHARE of GDP HEALTH FINANCING
    • 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)
    • GOVERNMENT HEALTH SPENDING HEALTH FINANCING
    • 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
    • SOCIAL HEALTH INSURANCE HEALTH FINANCING
    • % 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 OOP as % of Total Income 12% 10% 8% 5% 10% 6% 15% 20% 25% 5% 4% 3% 3% 3% 3% 3% 2% 2% 2% 0% 1985 1988 1991 1994 1997 2000 2003 2006 Source: Lavado et al 2010
    • HEALTH OUTCOMES
    • POPULATION HEALTH INDICATORS, 1960-2007
    • INFANT MORTALITY RATE HEALTH OUTCOMES
    • 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)
    • LIFE EXPECTANCY HEALTH OUTCOMES
    • 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)
    • MATERNAL MORTALITY HEALTH OUTCOMES
    • 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
    • TOWARDS MORE VALUE FOR MONEY: IMPLEMENT A-B-C
    • IMPLEMENT: •  A-O 29 series of 2008 or the Rapid Reduction of Maternal and Neonatal Mortality particularly promotion of facility-based deliveries •  B-enefits Reforms in PhilHealth –  Converting PhilHealth into an Active Purchaser of health services (thru contracts and case payments) –  Expansion of primary care benefits to the entire enrolled population –  PhilHealth coverage of P100 drugs •  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 –  TEACH the member of the poor (SP members) utilize their benefits
    • IMPLEMENT: •  D- ata dictionaries (for health) towards a national health IT system/ improved PhilHealth IT system •  E- xpansion of Results-based Financing –  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 –  Performance –based budgets/grants –  Hold LGUs, hospitals and PhilHealth accountable for services and outputs •  F-acility autonomy reforms •  G-ame plan against Non-Communicable Diseases
    • Health Financing Summit 04.14.10