Healthcare System of

Philippines
Presented byDr.Bhamini Thukral

Healthcare Governance structure

A decentralized health delivery system

DOH-apex regulatory authority

Develop national plans, technical standards

and healthcare guidelines for all Filipinos.

LGUs and Private sector agencies-act as
adjuncts
CHDs (Centers for Health Department)
RHUs (Rural Health Units)-exist in every
municipality to improve access to
healthcare

Pyramidal organization structure for

the three levels of healthcare
Regional Health Services
RHUs
Tertiary care

Secondary care

Primary care

Primary level of healthcare

Serves as the foundation of healthcare

based upon which progressive levels of

care are restructured.
Function of primary health workers at 3
levels:a)Village or grass root health worker
b)Intermediate level health worker
c)First line hospital personnel

Health outcomes
In a state of double disease burden
Communicable diseases are the major

causes of morbidity and mortality in

Philippines. Morbidity rate in communicable
diseases-42.8 /100,000 population(2009)
Morbidity Rate in Non Communicable
Diseases-90.4/100,000 population.(2009)
Maternal mortality rate(MMR)-94
deaths/100,000 live births(2009)
Unlikely for Philippines to accomplish
targets for 2015 MDG

Healthcare budget
Low efficiency in health spending.
Health expenditure- 3.8% of GDP
Tax funding system adopted by

Department of Finance and Internal

Revenue Allotment in case of Local
Governments.
three major groups of healthcare payers:
(i) national and local governments, (ii)
social health insurance, (iii) private
sources.

Health expenditure outlay

Government

Health Insurance Sector

National Health Insurance Programme (NHIP)
Philippine Health Insurance Corporation, commonly

known as PhilHealth which administers the NHIP

The types of Healthcare/Health Insurance plans in
Philippines-(a) PhilHealth (b)Private health
insurance
(c)Health Maintenance Organization (d)
International health insurance (e) Expatriate health
insurance
Microhealthinsurance MIPSS
Insurance agencies executing MIPSS- DOH with NCC

Health improvement plans

SHIELD (Sustainable Health Improvement

through Empowerment and Local

Development) project in ARMM Philippine
governments Sector development agenda
for health, USAID funded-5 year project
Integrated Community Health Services
Project (ICHSP) and the National Centre for
Health Facility Development (NCHFD)- to
strengthen referral system , enhance local
planning, decision making and monitoring.

Key Challenges in healthcare

prevailing conditions of inequity in health status
poor infrastructure in the healthcare sector which

needs to be worked upon to attract more tourists

lack of IT governance structures
diseases emerging new communicable diseases
adding to the existent prevalence of communicable
common solitary governing body is required to be
set up to coordinate activities of human resources
wide gap between the rich and the poor in terms of
health outcome disparities.

Inter- sectoral linkage