Health Problems in PH: 1. Neither the government subsidy nor the NHIP

have adequately protected the poor from

financial risk

2. The poor has limited access to quality

outpatient (RHU) or inpatient (hospital)

facilities

3. Philippines may not meet the MDG

commitments by 2015 especially those

related to maternal and child health

Introduction The Aquino Health Agenda (AHA): Achieving

Universal Health Care for all Filipinos(UHC) / Kalusugan Pangkalahatan (KP) (AO 0036)

launched to improve, streamline and scale up reform interventions espoused in the HSRA and implemented under Fl.

This deliberate focus on the poor will ensure that as the implementation of health reforms moves forward, nobody are left behind.

3

OVERALL GOAL:

The implementation of Universal Health

Care shall be directed towards ensuring the

achievement of the health system goals of :

1. sustained health financing

2. better health outcomes, and

3. responsive health system by ensuring

that all Filipinos, especially the

disadvantaged group in the spirit of

solidarity, have equitable access to

affordable health care.

4

4 Strategic Thrusts

1. Financial risk protection through expansion

in NHIP enrollment and benefit delivery – the

poor are to be protected from the financial impacts

of health care use by improving the benefit delivery

ratio of the NHIP

2. Attainment of the health-related MDGs - public

health programs shall be focused on reducing

maternal and child mortality, morbidity and mortality

from TB and malaria, and the prevalence of

HIV/AIDS, in addition to being prepared for emerging

disease trends, and prevention and control of NCDs.

3. Improved access to quality hospitals and

health care facilities – government owned and

operated hospitals and health facilities will be

upgraded

4. Improved Health Governance - developed

health systems and effective health regulatory

system

Kalusugan Pangkalahatan

Convergence of the three strategic thrusts

to serve poor families

ACCESS TO

QUALITY OP

& IP CARE

NHIP

BENEFIT

DELIVERY

PUBLIC

HEALTH

SERVICES

POOR

FAMILIE

S

PUBLIC

HEALTH

SERVICES

KP GOALS

FINANCIAL

RISK

PROTECTION

ATTAINMENT OF

THE HEALTH-

RELATED MDGS

IMPROVED ACCESS

TO QUALITY

HOSPITALS AND

HEALTH CARE

FACILITIES

Aquino Health Agenda: 4 strategic thrusts

Through:

expansion in

NHIP

enrollment

and benefit

delivery

Through:

Health Facility

Enhancement

Program (HFEP)

Through:

Community Health

Teams (CHTs)

Organization &

Mobilization

sustained health

financing

KP thrusts

responsive health

system better health

outcomes

IMPROVED

HEALTH

GOVERNANCE

Through:

Developed

health systems

and effective

health

regulatory

system

NATIONAL OBJECTIVES FOR

HEALTH (NOH) STRATEGIC THRUST I

Financial Risk Protection through the

National Health Insurance Program

STRATEGIC THRUST II

Improving Access to Quality Hospitals &

Health Services

Health Facility Enhancement Program (HFEP)

Pharmaceuticals

Health Human Resources (RHTPP)

STRATEGIC THRUST III

ATTAINING BETTER HEALTH

OUTCOMES

A. Attainment of the Health Related MDGs

MDG 1: Eradicate Extreme Poverty and Hunger

MDG 4: Reduce Child Mortality

MDG 5: Improve Maternal Health

MDG 6: Reverse the Spread of HIV/AIDS,

Malaria and other Infectious dses.

MDG 7: Ensure environmental sustainability

GOALS FOR OTHER DISEASE

PREVENTION AND CONTROL

A. Communicable Diseases (Prevention &

control)

1. Soil Transmitted Helminthiasis and other

parasitoses

2. Pneumonia and other ARI

3. Dengue

4. Food Borne and Water borne diseases

5. Dental and Periodontal Infections

GOALS FOR OTHER DISEASE

PREVENTION AND CONTROL

A. Communicable Diseases (elimination)

6. Rabies

7. Leprosy

8. Filariasis

9. Schistosomiasis

B. Emerging and Re-emerging Infections

Prevention and Control of Non-

communicable Diseases

1. Lifestyle Related Diseases

2. Diseases of the Kidney and Urinary Tract

3. Mental Health and Mental Disorders

4. Substance Abuse

5. Accidents and Injuries

6. Blindness

7. Occupational Health Risks

8. Disasters and Emergencies

9. Climate Change

C. HEALTH AND POPULATION GROUPS

1. Adolescent and Youth

2. Adult Men and Women

3. Older Persons

D. HEALTH SUPPORT SYSTEMS

1. Local Health System

2. Health Information System

3. Internal management System

Focus of KP Focus on systematically identified poor

families in the community through the

DSWD NHTS-PR system

Large health service utilization gaps

characterized NHTS families

Larger impact on outcomes expected from

public (national and LGU) investments if

health needs of the poor are addressed

than if investments are not targeted on the

most needy

Province

No. of NHTS

HH

identified

No. of NHTS

HH Poor

(Q1)

No. of 4Ps

No. of CHT

Needed

Based on Q1

Batanes 1,519 178 - 2

Cagayan 148,995 38,270 8,344 383

Isabela 174,984 52,707 10,870 527

Santiago 9,896 1,971 543 20

Nueva Vizcaya 48,352 1568 3,526 165

Quirino 24,487 8,492 437 85

Regional Total 408,233 118,118 23,720 1,181

Mandate for mobilizing CHTs MNCHN Strategy Manual of Operations Organization of CHTs identified as a strategy to strengthen the

MNHCN service delivery network

DOH AO 2010-0036 “The Aquino Health Agenda on Universal Health Care for All Filipinos” aka Kalusugan Pangkalahatan or KP Provides for the deployment of Community Health Teams that

shall actively assist families in assessing and acting on their health needs

Joint Memo Circular among DOH, DSWD, DILG and DEPED dated Oct. 11, 2011 Creation of TWG on CHT and Provision of Guidelines for CHT

Mobilization

DILG MC 2011-145 on the Conduct of CHT Mobilization

At the end of the day…

When equitable health financing shows that we have

achieved universal coverage…

When responsive health system are in-place as shown by

public satisfaction and patient safety…

When better health outcomes have been achieved as

reflected in the positive results of our Millennium

Development Health Goals …

Then we can safely say that we have

ACHIEVED Kalusugan Pangkalahatan

through the Aquino Health Agenda!

Center for Health Development-Cagayan Valley

Vision Center of excellence for Health of a

developed and highly productive local health system in Cagayan Valley.

Mission Improvement of the health status of the Filipino people thru a high performing,

reformed, and developed health system.