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Annual Report 2011 ANNUAL REPORT 2011 DEPARTMENT OF HEALTH PHILIPPINES DEPARTMENT OF HEALTH ANNUAL REPORT 2011 KALUSUGAN Published by the Department of Health-Policy Development and Planning Bureau (DOH-HPDPB) San Lazaro Compound, Rizal Avenue, Sta. Cruz, Manila 1003 Philippines. PANGKALAHATAN The mention of specific companies or of certain manufacturer’s products does not imply that they are endorsed or recommended by the DOH in preference over others of a similar nature. This report may be reproduced in full or in part for non-profit purposes without prior permission, provided credit is given to the DOH. A copy of the reprinted or adapted version Annual Report 2011 will be appreciated. EDITORIAL BOARD Lilibeth C. David, MD, MPH, MPM, CESO III Maria Rosario Clarissa S. Vergeire, MD, MPH Antonina U. Cueto, MM Health Planning Division, HDPPB EDITORIAL TEAM Emelina S. Almario Eli F. Camacho Ma. Johanna S. Santiago Detremier C. Villones Republic of the Philippines Department of Health MESSAGE FROM TABLE OF CONTENTS THE SECRETARY OF HEALTH MESSAGE FROM THE SECRETARY OF HEALTH 1 or health reform to be truly successful, no one strategic thrust, it documents increased capacity of Fshould be left behind in its implementation. This public health facilities as well as increased access to and KALUSUGAN PANGKAHALATAN: THE THREE MAJOR THRUSTS is the fundamental feature of Universal Health Care or availability of medicines and other health commodities. Kalusugan Pangkalahatan (KP). It is designed so that And for the last strategic thrust, it describes intensified Financial Risk Protection 2 all Filipinos, especially the poor, enjoy the benefits of health programs and the deployment of community health reform by 2016. health teams to deliver twelve key health messages on Improved Access to Quality Hospitals and Health Care Facilities 5 family health, PhilHealth, and the Pantawid Pamilyang Attaining the Health-Related Millennium Development Goals 8 The three strategic thrusts of KP to meet this goal are: Pilipino Program to families, households, and communities. OTHER ACCOMPLISHMENTS SUPPORTING Financial Risk Protection by expanding National Health Insurance Program enrolment and utilization, The Department’s other accomplishments and KALUSUGAN PANGKAHALATAN and enhancing benefit delivery, utilization of resources for initiatives that are Human Resources for Health 11 supportive of the KP thrusts are likewise presented Improved Access to Quality Hospitals and Health Care in this report. These are in the areas of health human Mechanisms for Efficiency, Transparency, and Accountability 12 Facilities by upgrading the capacity of DOH-retained resource, mechanisms for good governance, health Public-Private Partnership Initiatives 13 hospitals, provincial hospitals, district hospitals information, policy and standards, and health research. and rural health units to provide quality and more The DOH 2011 Annual Report also features gainful Health Information 14 comprehensive services, and innovations executed in convergence with other Health Research 15 government agencies and in partnership with the Attaining Health-Related Millennium Development private sector. HEALTH POLICIES Goals by fielding community health teams to help Filipino families know and gain benefits from The following record of achievements is presented Approved DOH Policies 16 PhilHealth and public health programs on reducing not just to serve as an annual documentation for the maternal and child mortality, morbidity and mortality DOH. More importantly, it also attests to the fact that National Health Legislation 16 from tuberculosis and malaria, and the prevalence of given these initial achievements, KP, no matter how Local Health Legislation 16 HIV/AIDS, in addition to being prepared for emerging daunting, is a viable, wide-reaching approach that can disease trends and prevention of non-communicable deliver health care to all. diseases. BUDGET 18 The DOH 2011 Annual Report presents evidence that KP is off to a good start. For the first strategic thrust, it highlights achievements in universal coverage and DR. ENRIQUE T. ONA new provider payment mechanisms. For the second Secretary Department of Health Department of Health • 2011 Annual Report 1 KALUSUGAN PANGKALAHATAN: THE THREE MAJOR THRUSTS INCREASING ENROLLMENT THROUGH PUBLIC-PRIVATE PHILHEALTH SABADO II FINANCIAL RISK PROTECTION PARTNERSHIPS (PPP) To further enhance coverage, the National PhilHealth Registration 78,365,092 Filipinos are now covered. PhilHealth partnered with several while Smart and Globe Telecoms Day, nicknamed PhilHealth Sabado private companies to promote committed to provide promotional (as it is held on Saturdays), was membership. Information PhilHealth membership messages conducted for the second time on PHILHEALTH ENROLLMENT technology (IT)-based companies to millions of their subscribers. 25 June 2011. During PhilHealth By year end of 2011, almost 79 million Filipinos or 82 Luzon; 1,151,821 from South Luzon and NCR; 867,549 have been supporting PhilHealth Sabado II, a total of 719,930 percent of the population were covered by PhilHealth. from Visayas; and 1,638,917 from Mindanao. by making registration easier To promote individually paying PhilHealth membership cards Majority of the enrolled beneficiaries (49 percent) were and more convenient through PhilHealth membership, were distributed to poor families covered through PhilHealth Sponsored Program. As In addition, a total of 18,900,729 NHTS beneficiaries augmentation of registration companies such as Watson’s identified in the NHTS-PR listing. of December 2011, around 4.3 million of the poorest were enrolled the same year, broken down as fol- centers and utilization of IT tools to Pharmacy, Rose Pharmacy, South In addition, 7,238 individuals from Filipino families (42 percent of target families identi- lows: 2,490,974 from North Luzon; 5,232,713 from enhance enrollment and payment. Star Drug, Unilab, Fresenius, and the informal sector registered for fied by the National Household Targeting System for South Luzon and NCR; 3,976,096 from Visayas; and Industry giants such as Shoemart GlaxoSmithKline committed to PhilHealth membership. The event Poverty Reduction) were registered as PhilHealth 7,200,946 from Mindanao. and the Corporate Information offer discounts on generic drugs, likewise provided an orientation on members. Of this number, 584,150 were from North Solutions-Bayad Centers provided flu vaccines, hemodialysis services, entitlements and responsibilities to more than 1,300 registration and free eye examination for 40,536 PhilHealth members. ENROLLED BENEFICIARIES AS OF 2011, BY TYPE OF MEMBERSHIP sites for PhilHealth enrollees, PhilHealth members. Type Number Percentage Government 5,903,829 7.5 PHILHEALTH DESKS IN DOH HOSPITALS Private 18,097,108 23.1 Overseas Workers 5,085,502 6.5 Department Memorandum 2011-0184 was issued in July 2011 to mandate Individually Paying 9,905,047 12.6 the establishment of PhilHealth Desks in all DOH-retained hospitals. These desks are expected to facilitate and assist enrollment; provide information Sponsored 38,428,177 49.0 on the members’ benefits, entitlements and obligations; and clarify Lifetime 945,429 1.2 PhilHealth processes in hospitals. Total 78,365,092 100.00 Source: MMG, PhilHealth 2 Department of Health • 2011 Annual Report Department of Health • 2011 Annual Report 3 More benefits are provided through new provider payment mechanisms. IMPROVED ACCESS TO QUALITY HOSPITALS INTRODUCTION Rate Case Rate (PhP) Case OF PHILHEALTH CASE (PhP) RATES SCHEME Dengue I 8,000 Hemodialysis (per session) 4,000 AND HEALTH CARE FACILITIES Dengue II 16,000 Maternity Care Package 8,000 Introduced in September of 2011, Pneumonia I 15,000 NSD Package in Level 1 Hospitals 8,000 PROGRESS MADE IN HEALTH FACILITY ENHANCEMENT the PhilHealth Case Rates Scheme Pneumonia II 32,000 NSD Package in Levels 2 to 4 2011 was 6,500 PROGRAM (HFEP) aims to improve turn-around time Radiotherapy (per session) 3,000 hospitals for claims processing and payment Essential Hypertension 9,000 Hysterectomy 30,000 a gainful year In partnership with local government units (LGUs), the DOH fast-tracked to providers in order to achieve Cerebral Infarction (CVA 1) 28,000 Caesarean Section 19,0000 the implementation of HFEP which seeks to improve the country’s health better cost-efficiency. This objective for strengthening Cataract Surgery 16,000 Appendectomy 24,000 centers, rural health units (RHUs), and district and provincial hospitals. is embodied in PhilHealth Circular Nos. 011- 2011 and 011–Board Mastectomy 22,000 Cholecystectomy 31,000 and improving From a total of 1,559 projects in 2011, 682 underwent pre-procurement Order 2011. The Case Rates Acute Gastroenteritis 6,000 Dilatation and Curetage 11,000 the capacity while 877 underwent bidding. As of 28 November the same year, 98.8 Scheme provides an all-in package Asthma 9,000 Thyroidectomy 31,000 percent of projects with funding from the Continuing Appropriation of payment for 23 medical and Typhoid Fever 14,000 Herniorrhaphy 21,000 of public health 2010 were either completed or on-going. Facility upgrading was completed surgical conditions. Cerebro-vascular accident Newborn Care Package in in 17 percent of RHUs, 24 percent of district hospitals, 29 percent of 38,000 1,750 (hemorrhage, CVA II) Hospitals and Lying-in Clinics facilities. provincial hospitals, 38 percent of city hospitals, and seven percent of DOH-retained hospitals. NO BALANCE BILLING Complementing the Case Rates Scheme is the No Balance Billing
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