fair, just, and equal access to health care by all Filipinos.
Constitutional guarantee: Article II Section 15 – “The State shall protect and promote the right to health of the people and instil health consciousness among them.”
Overall health status – Lower than Thailand, Malaysia, Japan and Korea
The 70 years average life expectancy at birth is more than 15 years shorter than those of developed countries.
The infant mortality rate of about 35 per thousand live births translates into 80,000 Filipino babies dying of preventable causes each year
Maternal mortality ratio that has remained well above 150 per 100,000 live births – meaning more than 3,000 Filipinas dying unnecessarily every year.
Status of Health Equity in the Philippines Indicator High Income / urban areas Low Income / Rural areas Life Expectancy at Birth >80 <60 Infant Mortality Rate <10 >90 Maternal Mortality Ratio <15 >150
The prices of medicines in the Philippines are among the highest in the world – higher than Europe and America and most of Asia and certainly too high in relation to household incomes of most Filipinos. Given the high prices, most medicines are beyond the paying capacity of most Filipinos.
Number of day’s wages needed to purchase a 30 days treatment with Ranitidine
- Philippines, 30 days
- Sri Lanka, 10 days
- Brazil, 10 days
- South Africa, 5 days
Average 4-week Medicine Expenditures within Household Expenditure Quintiles Source: WHO, World Health Survey, 2002 $88 $153 Result: Poor families cannot afford to pay for medicines
The output of a workforce production system that is de-linked from the actual needs of the Philippine system are health providers for whom service is a lower priority than personal professional advancement. They are ill-prepared for dealing with health problems in the Philippine setting.
Market orientation has influenced all the programs for health workforce production. In medicine, the number of schools, the curriculum, and even the type of faculty is determined by a philosophy of “what the market will bear”. The medical professions as well as the other health professions are self-centered and protective of professional privileges, status and opportunities.
Only those with money (i.e., the rich) can fully pay for out of pocket payments and often they have generous health insurance The near-poor and the lower middle classes can become impoverished to meet out of pocket payments for health care. The very poor don’t even have pockets
Increase in level and coordination of government spending by national government (including DOH and PHIL Health as well as other sources such as PAGCOR, PCSO) and local government to reduce out of pocket spending to <30%
Restructure HRH production of government institutions to target government and other service oriented organizations and to emphasize service over self-interest
Strengthen regulation of private sector to include, where appropriate and necessary, cost containment measures and taxation of non-essential services
Restructuring HRH production and Deployment – UP Manila
Return service requirement to be extended to all units and all training programs – including PGH
“ Consecrate one generation” of graduates to service in government and/or underserved communities or areas