Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo
Southeast Asia Tobacco Control Alliance
Sustainable Health Financing
through Health Promotion Funds
E. Ulysses N. Dorotheo, MD, FPAO
Healthy People, Wealthy Nation
(Achieving Inclusive Growth in the Philippines through Health Promotion)
29 January 2014
You receive 1 billion pesos/year to spend for the
health of the PH population (100 million).
1. Keep the money for yourself - for your “health”
2. Give every person ten pesos/year to spend for
3. You invest in programs to increase the health of
In this case you need a
The overall goal in health is to improve or maintain
the health of the people.
Health care / disease management:
focus on people with diseases
focus on people with risk factors
strengthens resources for health in all people
(with disease / risk factors / the healthy)
Most return on investment in health promotion;
least in disease management
An overall approach from disease management
to disease prevention
to health promotion is needed.
Health Promotion means
changing the environment
changing the behaviour
for better health.
o We have a long-lasting (and increasing) problem
o We offer innovative solutions with a long-term inclusive
policy and action plan
(Health Promotion and Disease Prevention)
A sustained problem
needs a sustainable approach.
Best Practices in
Health Promotion Delivery
Set up health promotion fund: focus on
innovative, sustainable HP activities
Mandated by law: long-term funding secured for
HP use only
Source of funding: surcharge tax (regular and
Governance model: independent agency
(autonomous decision-making; governance board
independent from any political group)
What are opportunities to
improve HP in the PH?
You may say I’m a dreamer
But I’m not the only one
I have a dream today!
Premise: inclusive economic growth;
healthy people = wealthy people
Universal health coverage
Rationalization plan and DOH
Earmarked sin tax revenues
Health promotion legislation