Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo

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The presentation was shown during the Healthy People, Wealthy Nation Forum last January 29, 2014.

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Sustainable Health Financing through Health Promotion Funds by Dr. Ulysses Dorotheo

  1. 1. 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
  2. 2. Health for all •  An impossible dream?
  3. 3. You receive 1 billion pesos/year to spend for the health of the PH population (100 million). 3 options: 1. Keep the money for yourself - for your “health” 2. Give every person ten pesos/year to spend for his/her health or
  4. 4. or 3. You invest in programs to increase the health of the population In this case you need a health-increasing infrastructure
  5. 5. The overall goal in health is to improve or maintain the health of the people. Health care / disease management: focus on people with diseases Disease Prevention: focus on people with risk factors Health promotion 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.
  6. 6. Health Promotion means changing the environment and changing the behaviour for better health.
  7. 7. Why sustainable? o We have a long-lasting (and increasing) problem (e.g. NCDs) but also 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.
  8. 8. •  Cardiovascular diseases •  Cancers Blindness Injuries Mental disorders •  Chronic respiratory diseases Tobacco control others •  Diabetes
  9. 9. 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 sustainable funding) Governance model: independent agency (autonomous decision-making; governance board independent from any political group)
  10. 10. What are opportunities to improve HP in the PH?
  11. 11. You may say I’m a dreamer But I’m not the only one I have a dream today!
  12. 12. Ways forward Premise: inclusive economic growth; healthy people = wealthy people •  •  •  •  Universal health coverage Rationalization plan and DOH Earmarked sin tax revenues Health promotion legislation

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