1. National Expenditure Program
FY 2013 DOH BUDGET
National Expenditure Program

2. Universal Health Care Conditional Cash Transfer Education Housing
especially the poor
Investing in Filipinos,
Universal
Health Care
Education
Housing
Conditional Cash Transfer
What is the role of UHC in reducing poverty?
The administration’s integrated economic and development framework identifies four direct areas of investments for poverty reduction and empowerment of the poor and vulnerable. These are the Conditional Cash Transfer program, Education, Health, and Housing. As a key result area of the the Social Contract [1], poverty reduction is meant to translate the gains from good governance into direct, immediate, and substantial benefits for the poor.
The Department of Health’s Universal Health Care program [2] has been designed with this integrated framework in mind. By converging with the Conditional Cash Transfer program and initially focusing on poor families [3] as identified by the National Household Targeting System for Poverty Reduction (NHTS-PR) of the DSWD, UHC will make use of limited resources in order to maximize gains for those who are most vulnerable.
1/ EO No. 43, s.2011
2/ Also known as Kalusugan Pangkalahatan (per DOH AO No and DO No )
3/ For this briefer, the term “families” is used interchangeably with the standard statistical term “households”.

3. Why should UHC focus on the poor?
Achieving Universal Health Care: Fulfilling the Social Contract
Why should UHC focus on the poor?
4/23/2017
Poor families were left out in previous health reform efforts
Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care.
Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care
Poorest
1,015
1,732
Middle Income
2,641
Rich
4,285
Richest
11,647
UHC Phase I
UHC Phase II
Poor
[Average per capita monthly income for the entire Philippines: P 4,264]
The poorest live with P per day (or 81 US cents)
[Data Source: Family Income and Expenditure Survey (National Statistics Office, 2009)]
In 2011, the total number of households in the Philippines was estimated to be at 20.9 million (based on the NSO 2010 Census). The DSWD’s NHTS-PR was able to enlist 10.9 million households, of which 5.3 million have been identified as poor based on a proxy means test.
UHC has particular focus on the poor since they have been left out or neglected in previous reform efforts.
Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care. We used food as proxy for the capacity of families to pay for health care costs, since it is assumed to be the most important expenditure item of a family.
Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care.
Given limited resources and institutional capacities, UHC prioritizes poor families because they have little or no disposable income left after paying for the basic survival necessity of food, as compared to rich families who have more financial flexibility to temporarily pay for healthcare expenses during the initial phase of implementation.
Average per capita monthly income, in PhP
Source: NSO, 2009
Department of Health

4. What is Universal Health Care?
Universal Health Care (UHC) is the Aquino administration’s
health agenda to ensure that Filipinos, particularly the poor, are:
Able to use quality health services at affordable cost, by being enrolled in the National Health Insurance Program
Cared for in modern health care facilities
Prevented from falling ill by using preventive and promotive health care goods and services services to improve health outcomes and attain health-related MDGs;
Universal Health Care is the Aquino administration’s health agenda to ensure that all Filipinos, beginning with the poor, are 1) Able to use quality health services at affordable cost, by being enrolled in the National Health Insurance Program; 2) Cared for in modern health care facilities; and 3) Prevented from falling ill by using public health services to improve health outcomes and attain health-related Millennium Development Goals (MDGs).
Given limited resources, UHC implementation will initially focus on the poor and the informal sector (Q1 and Q2) (Phase 1) and progressively include health benefits of all sectors (Q3, Q4 and Q5) (Phase 2), especially the formal sector and the non-poor informal sector.
UHC implementation will initially focus on the poor (Phase 1)
and progressively include all sectors (Phase 2), both formal and informal

5. How should we define coverage?
Full NG Premium Subsidy
Covered
Enrolled (Registered) in PhilHealth
Informed of Benefits and Entitlements; Can Access Preventive Care
Can Access Quality Care at a Facility
Community Health Teams as Navigators
Health Facilities Enhancement
How should we define coverage?
At the start of 2010, we promised UHC for Filipinos in terms of increasing the coverage of social health insurance or PhilHealth, which would protect families from financial risk by reducing out of pocket expenses that they will have to absorb every time they avail of health services. We however need to re-examine and redefine what we mean by full “coverage”.
Coverage does not stop at enrolling or registering families in PhilHealth, for this only guarantees the availability of financial protection.
Families will also have to be informed and guided on the benefits and entitlements it can avail of, in addition to being provided preventive/promotive care so that it will not fall ill in the first place. Furthermore, families will also have to be able to access quality care at upgraded health centers and hospitals – because financial protection will be worthless if the quality of care available cannot result in a cure.
Thus, while it is already remarkable that the national government now provides for the full premium subsidy of the poorest families, we still need Community Health Teams as navigators that shall provide the information and guidance on PhilHealth benefits as well as available preventive promotive care. We will also have to upgrade or enhance rural health units, health centers, and hospitals, so that families will have good quality professional care that can be purchased for them by PhilHealth, if and when they get sick.

6. Why should UHC focus on the poor?
Achieving Universal Health Care: Fulfilling the Social Contract
Why should UHC focus on the poor?
4/23/2017
Poor families were left out in previous health reform efforts
Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care.
Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care
Poorest
1,015
1,732
Middle Income
2,641
Rich
4,285
Richest
11,647
UHC Phase I
UHC Phase II
Poor
Poor
[Average per capita monthly income for the entire Philippines: P 4,264]
The poorest live with P per day (or 81 US cents)
[Data Source: Family Income and Expenditure Survey (National Statistics Office, 2009)]
In 2011, the total number of households in the Philippines was estimated to be at 20.9 million (based on the NSO 2010 Census). The DSWD’s NHTS-PR was able to enlist 10.9 million households, of which 5.3 million have been identified as poor based on a proxy means test.
UHC has particular focus on the poor since they have been left out or neglected in previous reform efforts.
Poorest families spend as much as 67 percent of their income on food, making them most vulnerable to risks of paying for costs of health care. We used food as proxy for the capacity of families to pay for health care costs, since it is assumed to be the most important expenditure item of a family.
Of these poorest families, more than two-thirds of those who reported falling ill did not see a doctor, or seek any type of health care.
Given limited resources and institutional capacities, UHC prioritizes poor families because they have little or no disposable income left after paying for the basic survival necessity of food, as compared to rich families who have more financial flexibility to temporarily pay for healthcare expenses during the initial phase of implementation.
Average per capita monthly income, in PhP
Source: NSO, 2009
Department of Health

7. What will Universal Health Care achieve? Kalusugan Pangkalahatan
Achieving Universal Health Care: Fulfilling the Social Contract
4/23/2017
What will Universal Health Care achieve? Kalusugan Pangkalahatan
All Filipinos especially poor families will be enrolled in PhilHealth
PhilHealth “support value” will increase from 34% (2008) to 60% in 2016
Every PhilHealth family will have access and obtain essential, quality and affordable health services
Care will be provided in modern hospitals and other health facilities
Poor families are informed and guided by Community Health Teams for their health needs
What will Universal Health Care achieve?
It can be expected that by 2016, there will be universal PhilHealth coverage and improved access to modern health facilities and quality services, while MDG targets will be achieved. In particular, poor families will be enrolled in PhilHealth. PhilHealth support value will increase. Every PhilHealth member family will get essential and quality health services. Treatment will be done at modern health facilities, and there will be Community Health Teams informing and guiding poor families.
All these can be expected to improve financial risk protection for all sectors of the population (Phase 2), improve quality of care, reduce costs, and more importantly, save the lives of thousands of mothers and children and increase productivity of future generations of Filipinos.
Department of Health

8. Interventions Done (2011-2012): Financial Risk Protection
5.3 million poor families under the NHTS-PR enrolled into PhilHealth through full National Government subsidy
Additional 5.33 million poor families enrolled/sponsored by LGUs
81.63 million Filipinos or 85% of the population now enrolled to PhilHealth (from 62% in 2010)
Introduction of PhilHealth Case Rates Payment Scheme
Catastrophic Care Packages introduced last July 2012

9. PhilHealth NUMBERS in 0 1 2 3 4 5 6 7 8 9 Membership Category
NUMBERS in
Membership Category
Number of Registered Members (in millions)
Number of Beneficiaries
(in millions)
2010
2011
2012
Formal Government
1.95
2.01
2.02
5.76
5.90
6.02
Formal Private
7.86
8.50
9.56
15.78
18.10
18.96
Non-poor Informal (IPP)
3.75
4.34
4.68
9.31
9.91
10.72
OFW
2.34
2.57
2.64
4.73
5.09
5.21
Lifetime
0.50
0.57
0.61
0.81
0.95
1.02
Sponsored - NHTS -
4.90
4.74
21.84
20.15
Sponsored – Local Government
6.05
4.67
5.33
21.93
17.09
19.55
Total
22.4
27.92
29.28
58.32
78.87
81.63
Projected Population
94.01
95.74
95.98
Enrollment Rate
62.04%
82.38%
85%
The million NHTS beneficiaries correspond to the 5.3 million households.

10. 23 Case Rates (No balance billing for Sponsored Program beneficiaries in government hospitals)
Notes:
In August 2011 PhilHealth implemented the case payment scheme for 23 conditions.
This will allow “no-balance billing” for the poorest of the poor or the members of the indigent program which will mean that they need not pay for hospitalization expenses in government hospitals for specific diseases. We will be expanding these 23 cases to include more and more conditions.
- Improving PhilHealth coverage will translate to better financial risk protection for families as well as increased incomes for health facilities. Eventually, we want to do away with the “charity” and “pay” classification of patients.
Newborn Package includes immunization, newborn screening tests and basic newborn care.

11. TYPE Z (CATASTROPHIC DISEASES) BENEFIT PACKAGE
CASE RATE
Leukemia in Children
Php210,000.00
Breast Cancer
100,000.00
Prostate Cancer
Renal Transplantation
600,000.00
Selected Cardiac Operations
For finalization
Can only be availed initially in PhilHealth accredited Level 3 or Level 4 government hospitals that have signed a contract on the provision of specialized care;
No balance billing policy will be implemented to members of the Sponsored Program;
In the future, for non-SP members, fixed co-pay for each condition will be paid on top of the packaged amount.
Last June 2012, PhilHealth started implementing Case Type Z Benefit Package (catastrophic care package) that intends to provide substantial assistance to any member who contracts illnesses such as acute lymphocytic leukemia in children, early stage breast cancer, low to intermediate prostate cancer, and end stage renal disease requiring kidney transplant.

12. Summary of HFEP Infrastructure Projects, by Type of Health Facility, 2007-2012
2008
2009
2010
2011
2012
TOTAL
BHS 34
179
129
586 80
1,008
RHU 6
117 90
994
296
1,503
Level 1 5 21 65 51
192
Level 2 17 35 59 46
107
Level 3 1 9 10
371
1,040
Level 4 7 3 15
Special/ Specialty
Others
2 (PNP)
1 (PNP)
3 (P/CHO)
5 RBC; 4 P/CHO
Total 25
113
441
355
1,885
756
3,575

13. Status of Health Facilities Enhancement Program (Infrastructure/Equipment as of August 2012)*
2011
2012
Equipment
Total Cost
(as programmed)
Php B
Php 2.550B
Bidded/Awarded
100%
91%
Infrastructure
Total RHUs & Hospitals
1230
755
Completed
194 (16%) -
Ongoing
1036 (84%)
755 (100%)
For 2011, the SARO was released in November 2011 and construction started in December 2011.

14. Complete Treatment Packages (Compacks)
Compacks: free drug access program for poor families covered by the Pantawid Pamilya introduced in 2011
24 complete treatment regimens for the most common diseases
Provided to RHUs in 1,020 CCT municipalities
24 Molecules under Compack:
Aspirin 80mg, Gliclazide 80mg, HCTZ 25mg, Metoprolol 50mg, Erythromycin 500mg, Lagundi 300mg, Sambong 250mg, Amoxicillin 500mg, Ciprofloxacin 500mg, Cotrimoxazole 800/160mg, Doxycycline 100mg, Metronidazole 500mg, Amlodipine 10mg, Glibenclamide 5mg, Losartan 50mg, Simvastatin 20mg, Amoxicillin 250/5mL, Cotrimoxazole 200/40/5mL, Cotrimoxazole 400/80/5mL, Cloxacillin 500mg, Cloxacillin 125/5mL, Mebendazole 100/5mL, Metformin 500mg, Enalapril
In 2013, the DOH will increase the number of drug molecules to 27 and will be distributed to 1,395 municipalities and 160 district hospitals in the CCT areas.

15. REGISTERED NURSES FOR HEALTH ENHANCEMENT AND LOCAL SERVICE
RN HEALS
DEPLOYMENT
Batch 1
9, (Feb – Jan. 2012)
Batch 2
11, (Oct – Sept. 2012)
Batch 3
10, (Mar – Feb. 2013)
Total
30, (Cumulative Total)
At any given year, there are approximately 22,000 nurses deployed.

16. DTTB and Midwives Midwives Doctors to the Barrios 2011 2012
BATCH I (Oct Dec. 2012)
BATCH II (Mar Dec. 2012)
113
106
832
3,000
There are approximately 150 municipalities without doctors (ongoing validation by HHRDB). A total of 221 Doctors to the Barrios have been budgeted for in 2013, which is more than enough to cover this. There are ongoing talks with UP-PGH wherein DOH can hire new medical board passers by October 2012 (after the August 2012 medical board exams) and deploy them to the doctor-less municipalities.

17. Attainment of MDGs Indicator 2011 Accomplishments Targets for 2016
Community Health Teams (CHT) deployed
61,911 deployed (2012)
646,541 HH’s visited (2012)
100,000 CHTs deployed
Fully Immunized Child (FIC)
82%
95%
Contraceptive Prevalence Rate (CPR)
48.9%*
65.4%
Antenatal Care (ANC)
(at least 4 visits)
78%*
90%
Facility-Based Deliveries (FBD)
55.2%*
Infant Mortality Rate (IMR),
(per 1,000 livebirths)
22* 19
Under 5 Mortality Rate (U5MR),
30*
26.7
Maternal Mortality Rate (MMR)
(per 100,000 livebirths)
221* 52
*2011 Family Health Survey 17

18. Maternal Mortality Ratio
260
224
196
182
128
120
The worsening Maternal Mortality Ratio is an objective result of the problems.
Last June 19, 2012, the National Statistics Office (NSO) provided preliminary information on maternal and child health indicators from the most recent Family Health Survey (FHS) of The data showed that the maternal mortality ratio (MMR) worsened from 162 deaths per 100,000 live births in 2006, to 221 in 2011.
This increase in the number of maternal deaths translates to roughly 11 [4] women dying each day from highly preventable complications of pregnancy and childbirth. We need to understand that the increase in maternal deaths from 2006 to 2011 is the result of several years of neglect and failure to address the three problematic areas in attaining UHC.
For the specific example of maternal mortality and in the context of problematic areas in attaining UHC, the challenges have always been:
a) Ineffective implementation of the preventive/promotive family planning (FP) program, leading to the unmet need for family planning of some 6M women, of which 2M are poor [5];
b) Inadequate financial risk protection from the National Health Insurance Program (NHIP) due to limited enrolment, lack of information to effectively avail of benefits, poor access to PhilHealth-accredited FP service providers, and low (or zero) peso support for FP packages [6]; and
c) Limited access to clinics and hospitals that are often overcrowded, in poor physical state, and lacking in modern equipment - owing to nearly a decade of underinvestment [7].
The above means that simply attributing the inability to address the causes of maternal deaths to the Aquino Administration would be like saying that a five year old boy is stunted because he missed breakfast this morning.
4/ This was computed by dividing the number of live births 1,745,190 (FHSIS 2010) with 100,000 and then multiplying the result with 221. The resulting product of 3856 maternal deaths per year is then divided by 365 days in a year which gives an estimated 11 maternal deaths per day.
5/ This unmet need for family planning often leads to unplanned/unwanted or mistimed pregnancies, exposing women to its attendant health risks.
6/ It can be recalled that President Aquino announced in 2010 that the benefit delivery rate, which is a measure of NHIP performance, was only 8 percent. This is consistent with the finding that 4.89M out of the 5.3M poor households listed in the National Household Targeting System for Poverty Reduction (NHTS-PR) have not been enrolled in the NHIP prior to 2010.
Funding for facilities upgrading started to trickle in only in 2010 and its implementation is challenged with limited capacity to handle bulk of the transactions.
7/ Funding for facilities upgrading started to trickle in only in 2010 and its implementation is challenged with limited capacity to handle bulk of the transactions.
MDG Target: 52
Data Source: FHS 2011 (NSO, DOH, USAID)

19. Attainment of MDGs Indicator 2011 Accomplishments Targets for 2016
Community Health Teams (CHT) deployed
61,911 deployed (2012)
646,541 HH’s visited (2012)
100,000 CHTs deployed
Fully Immunized Child (FIC)
82%
95%
Contraceptive Prevalence Rate (CPR)
48.9%*
65.4%
Antenatal Care (ANC)
(at least 4 visits)
78%*
90%
Facility-Based Deliveries (FBD)
55.2%*
Infant Mortality Rate (IMR),
(per 1,000 livebirths)
22* 19
Under 5 Mortality Rate (U5MR),
30*
26.7
Maternal Mortality Rate (MMR)
(per 100,000 livebirths)
221* 52
*2011 Family Health Survey 19

20. < 1% of total population
Attainment of MDGs
Indicator
2011 Accomplishments
Targets for 2016
TB Prevalence Rate
(per 100,000)
502 (as of 2010)
387
TB Case Detection Rate
73%
90%
TB Cure Rate
84%
Malaria Morbidity Rate
9.5 4
Malaria Mortality Rate
0.01
< 0.03
HIV AIDS Prevalence Rate
< 1% of total population 20

21. Malaria Control Program
Significant reduction in morbidity and mortality
24 provinces are malaria-free
Cavite, Batangas, Marinduque, Catanduanes, Albay, Masbate, Sorsogon, Camarines Sur, Iloilo, Aklan, Capiz, Guimaras, Bohol, Cebu, Siquijor, Western Samar, Eastern Samar, Northern Samar, Northern Leyte, Southern Leyte, Biliran, Benguet, Camiguin, Surigao Del Norte
Provinces recently evaluated to be declared as malaria-free:
Batanes and Dinagat Islands
Target of 40 malaria-free provinces by 2016
Malaria Indicator
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Morbidity Rate
(per 100,000 population) 47 51 53 55 41 26 22 21
9.5
Mortality Rate
0.01
0.08
0.07
0.17
0.14
0.06
0.03 21

22. Number of New HIV cases per month (highest for every year)

23. MDG-Max to Address High Burden of Non-Communicable Diseases
Data
Mortality rate from Heart Diseases: deaths per 100,000 (PHS)
Mortality rate from Diabetes Mellitus: deaths per 100,000 (PHS)
Prevalence rate of adults with high fasting blood sugar: 4.8% (NNS)
Prevalence rate of hypertension: % (NNS)
Strategies
Healthy Lifestyle Promotion Programs
Disease Registries, Surveys and Studies
Diagnosis and Treatment
Philhealth Outpatient Benefit Package
PhilHealth Type Z (Catastrophic) Package
Complete Treatment Package (ComPacks)
PHS – Philippine Health Statistics, 2005
NNS – National Nutrition Survey, 2008

24. The Proposed DOH Budget, FY 2013 NEP
PARTICULARS
GAA 2012
(in ‘000 pesos)
NEP 2013
(in ‘ 000 pesos)
Office of the Secretary
42,155,963 
39,497,343 (74.4%) 
Personnel Services
7,633,148
8,866,448 (16.7%)
M O O E
25,994,815
30,412,719 (57.3%)
Capital Outlay
8,528,000
218,176 (0.4%)
Health Facilities Enhancement Program*
13,558,065 (25.6%)
Total New Appropriations
42,155,963
53,055,408
The National Expenditure Program FY 2013 proposes to allocate P 53,055,408,000 for the Department of Health. This includes the HFEP of
Php B lodged under the Priority Social and Economic Projects Fund. The list of facilities under HFEP is available.
* HFEP of Php B is lodged under the Priority Social and Economic Projects Fund

25. DOH and Attached Agencies, FY 2013 NEP
Particulars
Amount (in ‘000)
% Share
(of 54.63B)
Department of Health
Office of the Secretary
39,497,343
72.29%
Health Facilities Enhancement Program*
13,558,065
24.82%
Commission on Population
304,543
0.56%
National Nutrition Council
327,744
0.60%
Sub-Total
53,687,695
98.26%
Specialty Hospitals (Corporate)
Lung Center of the Philippines
173,400
0.32%
National Kidney and Transplant Institute
202,865
0.37%
Philippine Children’s Medical Center
345,000
0.63%
Philippine Heart Center
187,000
0.34%
908,265
1.66%
Attached Corporations
Philippine Health Insurance Corporation
In DOH Office of the Secretary
Phil. Inst for Traditional & Alternative Health Care
40,000
0.07%
GRAND TOTAL
54,635,960
100%
*HFEP of Php B is lodged under the Priority Social and Economic Projects Fund
Does not include Automatic Appropriations (Retirement, Grant Proceeds, Taxes).

26. FY 2013 NEP Per Capita Allocation by Geographical Area
Philippines: P53.06B; Per Capita P564.34
*Budget of DOH-ARMM not included; only DOH allocations to ARMM

27. ALLOCATION OF DOH-PROPER Budget, FY 2008 – 2013, In Billion Pesos
The 2013 Budget (P53.06B) has a 26% increase from 2012 Budget (P42.08B).

28. Comparative Allocation of DOH-Proper Budget, By Expense Class, FY 2008-2013, In Billion Pesos
Allocation for PhilHealth Sponsored Program incorporated in DOH-MOOE starting 2011
2011 – Php 3.5B
2012 – Php B
2013 – Php B
*Allocation for PhilHealth Sponsored Program incorporated in DOH-MOOE starting 2011

29. FY 2013 Priority Programs, Activities and Projects in support of UHC
Programs, Activities and Projects
2012 GAA
(in ‘000)
2013 NEP
% Share
(of 53.06B) 1
Subsidy for Health Insurance Premium payment of Indigent Families to the NHIP
12,028,000
12,612,283
23.8% 2
Health Facilities Enhancement Program*
5,078,000
13,558,065
25.6% 3
Implementation of the Doctors to the Barrios and Rural Health Practice Program
1,741,801
2,799,383
5.3% 4
National Pharmaceutical Policy Development including provision of drugs and medicines, medical and dental supplies to make affordable quality drugs available
1,000,000
1,038,116
2.0% 5
Expanded Program on Immunization
1,874,792
1,949,783
3.7% 6
Family Health and Responsible Parenting
2,279,573
2,539,420
4.8% 7
Tuberculosis Control
1,021,000
1,021,023
1.9% 8
Elimination of diseases as public health threat such as malaria, schistosomiasis, leprosy and filariasis
594,926
570,443
1.1% 9
Other infectious diseases and emerging diseases including HIV/AIDS, dengue, food and water-borne disease
223,797
321,951
0.6% 10
Rabies Control Program
72,000
118,740
0.2%
TOTAL
25,913,889
36,529,207
69.00%
Percentage share of the PAPs based on the proposed 2013 DOH Budget of Php Billion (including HFEP).
* Lodged under the Priority Social and Economic Projects Fund

30. FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority PPA’s
Program
2012 GAA
2013 Proposal
Remarks
FINANCIAL RISK PROTECTION
Subsidy for health insurance premium of indigent families enrolled in NHIP
12,028,000
12,612,283
Premium subsidy of 5.3 Million families at P2,400 per annum per family

31. Program 2012 GAA 2013 Proposal Remarks
FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority Programs, Projects, Activities (PPAs)
Program
2012 GAA
2013 Proposal
Remarks
IMPROVING ACCESS TO QUALITY HEALTH SERVICES
Health Facilities Enhancement Program
5,078,000
13,558,065
Lodged under the Priority Social and Economic Projects Fund
Implementation of Doctors to the Barrios and Rural Health Practice Program (RN, MWs, etc)
1,741,801
2,799,383
Hiring of 22,500 RN-HEALS for deployment in CCT/4Ps areas (Batch 4)
Deployment of 221 Doctors to the Barrios
National Pharmaceutical Policy Devt incl Provision of Drugs
1,000,000
1,038,116
Procurement of Complete Treatment Packages for distribution to 1,395 RHUs and 160 district hospitals in CCT/4Ps municipalities

32. Program 2012 GAA 2013 Proposal Remarks
FY 2013 DOH Budget Proposal (in ‘000 pesos) for Priority Programs, Projects, Activities (PPAs)
Program
2012 GAA
2013 Proposal
Remarks
PRIORITY HEALTH PROGRAMS INCLUDING ACHIEVING HEALTH-RELATED MDGs (4, 5 & 6)
Expanded Program on Immunization
1,874,792
1,949,783
BCG, DPT, OPV, HepB, Measles, TT, MR, Pneumococcal Conjugate Vaccine, Rotavirus vaccines
Tuberculosis Control
1,021,000
1,021,023
Anti-TB Drugs and commodities
Family Health and Responsible Parenting
2,279,573
2,539,420
Includes cost of vaccines for Senior Citizens (Pneumococcal and Influenza)

33. Needed Legislative Support
Achieving Universal Health Care: Fulfilling the Social Contract
4/23/2017
Needed Legislative Support
Restructuring of Excise Taxes of alcohol and tobacco
Passage of Responsible Parenthood Bill
Amendment of the National Health Insurance Act
Laws for corporate governance of hospitals
Amendment of selected laws governing practice of health professionals (e.g., medical act, midwifery law, nursing law, etc)
Note: An omnibus law on universal health care that shall contain specific provisions necessary to enact required policies or amend existing laws can also be legislated
What laws are needed to implement KP?
Achieving universal health care for all Filipinos including its funding sources will require the following priority legislation:
a. Restructuring of Excise or Sin Taxes of Alcohol and Tobacco
b. Passage of the Responsible Parenthood Bill
c. Review (and possible amendment) of the National Health Insurance Act
d. Laws for corporate governance of hospitals
e. Amendment of selected laws governing practice of health professionals
The restructuring of sin taxes for alcohol and tobacco will require an amendment of the existing Sin Tax Law (RA 9334). The amendments will allow maximizing revenues from sin taxes and making price levels high enough to discourage cigarette and alcohol consumption. The restructuring is expected to generate some PhP 60B per year, of which a major portion shall be earmarked to finance universal health care investments.
A law on responsible parenthood, otherwise known as the RH Bill, will mandate the provision of modern FP services nationwide instead of it being an optional service subject to the political preference of government officials and health providers. The law will ensure explicit and sustained provision of modern FP and related services and effectively shield the family planning program from the annual uncertainty of the budget process.
The proposed review of the National Health Insurance Act is intended to revisit provisions concerning national and local premium counterpart sharing for the Sponsored Program. The intention is to allow for premiums of the poorest families to be paid in full by the national government. Any modifications will also provide for the inclusion of the second poorest (Q2) NHTS-PR families and LGU-identified poor into the Sponsored program through a three-way premium sharing scheme between the national and local governments and individual families.
On the other hand, specific laws converting public facilities into corporate hospitals will facilitate participation of individual hospitals into PPP arrangements. These specific laws will provide a corporate nature to the facility, define its mandate as a government corporation, provide for a governing board and allow the facility to enter into contracts, mobilize its assets as well as generate, retain and spend revenues to limit budgetary dependence and promote long term sustainability.
Lastly, amending the specific laws governing health professions laws is intended to allow for flexibilities in the exercise of specific clinical functions to pave the way for substitution (e.g. Nurses or midwives as physician substitutes for specific functions) and allow other health professionals to be compensated by PhilHealth for services rendered. In particular, the flexibilities are needed to expand the reach of critical services such as maternal care especially in underserved areas. For example, midwives are currently prevented by the Midwifery Act and the Medical Act to administer lifesaving interventions such as IV therapy (i.e. administration of antibiotics).
An alternative to passing specific pieces of legislation would be to pass an omnibus law on universal health care that shall contain specific provisions necessary to enact required policies or amend existing laws.
Department of Health

34. Achieving Universal Health Care: Fulfilling the Social Contract
4/23/2017
Department of Health

35. The Proposed DOH Budget, FY 2013 NEP
The National Expenditure Program FY 2013 proposes to allocate P 53,055,408,000 for the Department of Health. This includes the HFEP of
Php B lodged under the Priority Social and Economic Projects Fund.
* HFEP of Php B lodged under the Priority Social and Economic
Projects Fund 35

36. FY 2013 NEP Allocation by Function
HEALTH FINANCING ,627,883
HEALTH REGULATION ,654,053
PUBLIC HEALTH (incl. RHUs) ,480,043
HOSPITALS/Drug Rehab ,035,364
HFEP (Hospitals) ,258,065
TOTAL ,055,408

37. Total Budget Allocation Per Person , FY 2013
PARTICULARS
POPULATION*
Allocation in '000 Pesos
Per Capita Allocation in Pesos**
DOH – Office of the Secretary
94,013,200
53,055,408
564.34
DOH and Attached Agencies
54,635,960
581.15
* National Statistics Office 2010
**Does not include allocations for health by LGUs and other agencies.
The proposed budget for Department of Health – Proper is translated into Php per capita allocation
The proposed budget for Health, Specialty Hospitals and DOH-attached corporations is translated into Php per capita allocation
This does not include allocations for health by LGUs and other agencies. 37

38. Family Health and Responsible Parenting
Amount (in Pesos)
Admin, Training, M&E, and Research
146,354,700
Family Planning Supplies (natural and modern)
537,903,954
Micronutrients (vitamin A, iron, iodine)
134,760,685
Community Health Team
658,719,000
Vaccines for Senior Citizens (Pneumococcal, Influenza)
283,606,546
Other vaccines for Children and adolescents
621,475,356
Integrated Management of Childhood Illness (IMCI)
(ORS, Zinc, Amoxicillin)
34,776,659
Essential Intrapartum Newborn Care (Newborn Screening, surfactant for newborns)
53,972,000
Family Health (Teaching kits and demonstration models)
21,836,000
Other Programs (adolescent, child injury, women and child protection, oral health)
40,515,100
Sub-allotments (FNRI survey)
5,500,000
TOTAL
2,539,420,000

39. Family Planning Supplies (Modern Natural and Artificial)
Amount (in Pesos)
Pills
347,690,175
DMPA vials
141,772,234
IUD
42,014,700
Modern Natural Family Planning (beads, etc.)
6,426,845
Total
537,903,954

40. Non-Communicable Diseases
Amount (in Pesos)
Non-communicable Disease Prevention and Control Program Devt
70,764,000
Medicines Access Program (MAP)
756,000,000
ComPacks
608,000,000
Breast Cancer MAP
50,000,000
Acute Lymphocytic Leukemia MAP
30,000,000
Other Cancer Medicines Program
40,000,000
Geriatric Medicines
10,000,000
Morphine Sulfate
2,000,000
Valsartan
16,000,000
TOTAL
826,764,000

41. National Pharmaceutical Policy Devt incl Provision of Drugs
Amount (in Pesos)
Provision of Medicines through Medicines Access Program (MAP)
920,000,000
DOH Complete Treatment Package
608,000,000
DOH Compack Service Provider
52,000,000
Breast Cancer MAP
50,000,000
Acute Lymphocytic Leukemia MAP
30,000,000
Other Cancer Medicines Program
40,000,000
Rare Medicines MAP
11,000,000
Geriatric Medicines
10,000,000
Anti-psychotic Medicines
15,000,000
Morphine Sulfate
2,000,000
Valsartan
16,000,000
Health Emergency Medicines
8,000,000
Inpatient Care
78,000,000
Operations and System Development Enhancement
118,000,000
TOTAL
1,038,000,000

42. DOH and Attached Agency Budget
FY , In Thousand Pesos
Particulars
2008
2009
2010
2011
2012
2013
Department of Health
DOH-Proper
18,912,010
23,666,655
24,649,765
31,828,616
42,155,963
53,055,408
Commission on Population
386,560
395,983
267,368
290,660
291,523
304,543
National Nutrition Council
471,120
3,813,608
3,768,950
308,168
321,892
327,744
Sub-Total
19,769,690
27,876,246
28,686,083
32,427,444
42,769,378
53,687,695
Specialty Hospitals
Lung Center of the Philippines
272,560
168,560
301,560
157,560
257,560
173,400
National Kidney and Transplant Institute
493,000
326,500
529,050
162,800
264,800
202,865
Philippine Children's and Medical Center
346,000
314,500
366,300
318,000
445,000
345,000
Philippine Heart Center
435,500
469,000
531,050
122,000
287,000
187,000
1,547,060
1,278,560
1,727,960
760,360
1,254,360
908,265
Attached Corporations
Philippine Health Insurance Corporation
Phil. Inst for Traditional & Alternative Health Care
30,000
40,000
37,000
Local Water Utilities Administration -
400,000
440,000
GRAND TOTAL
21,346,750
29,594,806
30,454,043
33,224,804
44,063,738
54,635,960
Source: General Appropriations Act, & NEP 2013

43. Proposed New Appropriations, By Department/Agency, FY 2013 (in Php Billion)
The Department of Health ranked 7th among Departments/Agencies with a 3.9 % share out of the total P1.368 Trillion proposed new appropriations for 2013

44. 2013 MOOE Breakdown per Cluster
Clusters
DOH Offices
Total MOOE Budget
(in ‘000 pesos)
Health Policy, Finance and Research
HPDPB, BIHC + FAPs, NCPAM
1,309,317
Administrative Technical Cluster
HHRDB
2,757,820
Usec. Lozada
PNAC, BLHD
49,816
Internal Finance and Management
IMS
26,327
Support to Service Delivery I
NCHFD, NVBDP
237,794
Support to Service Delivery III
FDA + SateLlite Laboratories, BHFS, BOQ
205,686
Support to Service Delivery II
NEC, NCDPC, HEMS, NCHP, PTS
7,141,883
Special Concerns
TRCs, DDAPT, CLDRC
191,606
N. and C. Luzon
CHDs 1, 2, 3 & CAR
1,069,039
NCR and S. Luzon
CHDs NCR, 4a, 4b, 5 & 12 MM Hospitals
2,276,000
Visayas
CHDs 6, 7 & 8
991,925
Mindanao
CHDs 9, 10, 11, 12 & CARAGA
1,307,409
CEO Banzon
PHIC, Panama Program (LFP)
12,627,883
OSEC
GAS
220,221
Total MOOE Budget
30,412,716

45. CHD-Proper Budget, 2012 vs. 2013 CHD CHD-Proper (in '000) % Increase
2012 GAA
2013 NEP
NCR
122,698
282,464
130.2%
Ilocos
120,901
233,327
93.0%
CAR
82,481
169,872
106.0%
Cagayan
115,750
200,787
73.5%
C. Luzon
149,762
268,204
79.1%
CALABARZON
134,858
258,264
91.5%
MIMAROPA
92,755
218,900
136.0%
Bicol
132,639
296,726
123.7%
W. Visayas
128,067
285,649
123.0%
C. Visayas
116,272
245,886
111.5%
E. Visayas
139,541
282,969
102.8%
Zamboanga
119,439
256,403
114.7%
N. Mindanao
126,666
259,686
105.0%
Davao
123,851
250,526
102.3%
SOCCSKSARGEN
104,211
227,289
118.1%
CARAGA
100,753
215,168
113.6%
The increase in the CHDs budget is mainly due to the proposed sub-allotments of the different public health programs for 2013 that were already incorporated in the Local Health Assistance line item of the CHDs.

46. CHD-Proper Budget, FY 2013 (in ‘000)

47. DOH-Retained Hospitals, 2012 vs. 2013
CHD
DOH-Retained Hosp (in '000)
% Increase
2012 GAA
2013 NEP
NCR
267,614
308,032
15.1%
Ilocos
362,372
423,994
17.0%
CAR
359,815
413,842
15.0%
Cagayan
313,455
362,507
15.6%
C. Luzon
453,272
522,600
15.3%
CALABARZON
147,452
174,735
18.5%
MIMAROPA
95,043
106,305
11.8%
Bicol
410,762
471,516
14.8%
W. Visayas
513,544
469,739
-8.5%
C. Visayas
579,605
673,250
16.2%
E. Visayas
187,753
216,419
Zamboanga
346,988
399,258
N. Mindanao
359,508
414,840
15.4%
Davao
394,669
446,924
13.2%
SOCCSKSARGEN
153,481
175,513
14.4%
CARAGA
146,453
166,912
14.0%

48. DOH-Retained Hospitals, FY 2013 (in ‘000)

49. Operation of Special Hospitals and Medical Centers, 2012 vs. 2013
GAA 2012 (in '000)
NEP 2013 (in '000)
% Increase
Jose R. Reyes Memorial Medical Center
389,315
465,266
19.5%
Rizal Medical Center
206,048
250,902
21.8%
East Avenue Medical Center
490,039
491,418
0.3%
Quirino Memorial Medical Center
198,320
250,664
26.4%
Tondo Medical Center
138,316
177,081
28.0%
Jose Fabella Memorial Hospital
367,787
390,180
6.1%
National Children's Hospital
160,785
203,382
26.5%
National Center for Mental Health
523,622
649,197
24.0%
Phil. Orthopedic Center
345,768
413,650
19.6%
San Lazaro Hospital
315,681
398,813
26.3%
Research Institute for Tropical Med.
236,408
240,659
1.8%
"Amang" Rodriguez Medical Center
113,338
148,464
31.0%
TOTAL
3,485,427
4,079,676
17.0%

50. Operation of Special Hospitals and Medical Centers, FY 2013 (in ‘000)

51. Treatment and Rehabilitation Centers, 2012 vs. 2013
GAA 2012 (in '000)
NEP 2013 (in '000)
% Increase
TRC - Tagaytay City
27,504
29,537
7.4%
TRC - Argao, Cebu
8,314
16,360
96.8%
TRC - Cagayan de Oro City
8,912
9,445
6.0%
TRC - Cebu City
12,455
5,643
-54.7%
TRC - Pototan, Iloilo
9,903
9,910
0.1%
TRC - San Fernando, Camarines Sur
5,616
5,743
2.3%
TRC - Malinao, Albay
10,201
10,398
1.9%
TRC - Bicutan
52,785
55,814
5.7%
TRC - Dulag, Leyte
4,685
4,720
0.7%
TRC - Pilar,Bataan -
8,896
N/A
TRC - CARAGA
2,725
TRC - Dagupan City
15,221
Operation, Maint, and Modernization of existing TRCs
49,775
22,933
-53.9%
TOTAL
190,150
197,345
3.8%

52. Better Health Outcomes (4) DOH Pathway to Better Health By 2030 Social
Equity
4/23/2017
Health Governance
Better Health Outcomes (4)
DOH
Pathway to
Better Health
By 2030
Social
Impact
Equitable Health Financing (1)
Responsive Health Systems (1)
People Empowerment
High Degree of Access and Utilization of Health Services by the Public (3)
VISION:
A Global Leader for attaining better health outcomes, competitive and responsive health care systems, and equitable health care financing.
Align research initiatives, policies, systems, and plans with UHC/KP (1)
Enhance stewardship role of DOH to improve health sector performance (2)
Strengthen public internal management for more efficient spending for health (2)
Ensure rational use & distribution of health services, facilities and technologies (2)
Ensure sustainable management of DOH health facilities (2)
Internal Processes
Strengthen information monitoring and evaluation systems (1)
MISSION:
To guarantee equitable, sustainable and quality health for all Filipinos, especially the poor, and to lead the quest for excellence in health.
Ensure productive, motivated and satisfied health workforce (2)
Develop an integrated and efficient information system (1)
Guarantee accountability in DOH (1)
The implementation of Universal Health Care is consistent with the DOH PGS Strategic Map. By 2030, we envision ourselves to be the global leader for attaining better health outcomes, competitive and responsive health care systems, and equitable health care financing by guaranteeing equitable, sustainable and quality health for all Filipinos, especially the poor.
The roadmap has five perspectives or areas of excellence (i.e. Resources, Organization, Internal Process, People Empowerment and Social Impact) and two key strategic categories: Equity and Health Governance. In the roadmap, there are 15 agency broad objectives, represented by the “white” boxes. The big arrow in the middle of the map shows that all boxes of objectives actually contribute to the social impact whether directly or indirectly. There are tangible and intangible resources identified for the attainment of the objectives; however, there is no arrow linking one perspective to another since there are no direct link between the boxes.
An efficient financial procedures as well as a rationalize allocation of budget for hospitals, CHD and all DOH programs shall be our main drivers to have a highly performing national and local health systems.
These efforts shall be tied up with availability of highly productive, motivated and satisfied health workforce at all levels of care, an integrated and efficient health information and ensured accountability in the DOH.
We shall also work towards an research initiatives, policies, systems and plans that are aligned with the Kalusugan Pangkalahatan, strengthened information monitoring and evaluation systems, enhances stewardship role of DOH to improve health sector performance, a strengthened public financial management to ensure and efficiency in health spending, rational use and distribution of health technologies to sustain quality in health care delivery as well as sustainable management of DOH health facilities.
All of these should lead to high degree of access and utilization of health services by the public which will contribute to the attainment of better health outcomes, equitable health financing and responsive health system, which are the ultimate goals of the health system.
Organization
CORE VALUES:
Integrity
Excellence
Compassion
Improve efficiency of financial procedures (1)
Rationalize allocation of budget for hospitals, CHDs and DOH programs (1)
Resources