macroeconomics of health

8/6/2019 Macroeconomics of Health

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Prof. Neriza G. Mamasabulod



` currently focused on the following three long-term

objectives:

1) increased investments in public health

programs;2) achievement of universal social health

insurance coverage; and

3) development of a tracking system to monitor

health components



` a total of P1.415 trillion for government

expenditure.



` February 15, 2010 ³Contrary to reports that this

year¶s financial plan is higher than the approved

P1.541 trillion budget, the total 2010 budget

remains at P1.541 trillion despite the increasesmade by Congress and which the President

subjected to conditional implementation,´ Budget

Secretary Rolando Andaya Jr. said.

` 8.1% higher than last year



GOV¶T. SECTOR 2009 2010

� Health P27.9 billion 28.5 billion

� Defense P56.5 billion P62.7 billion

� Education P158.2 billion * 172.85 billion*



` I n 2005 , five out of 10 Filipinos die without

receiving medical attention.

` The average hospital bill is three times the

average monthly income of a wor ker.` I n 2000 , government was to spend P191 per

Filipino per year for health.

` I n 2006 , it was reduced to P119 per Filipino per

year for health.



�� Doctor Doctor 1:1800

�� NurseNurse 1:10000/1:20000

/1:30000

(WHO recommends

2.5:1000)�� MidwifeMidwife 1:10000/1:20000

/1:30000

(Ideally 61:10000 or 1

per barangay)�� Hospital BedHospital Bed 13:10000

�� PolicePolice 1:525



` Access

` Quality

` Equity



` Large gaps in inequity from among regions (most

inequities: ARMM, Zamboanga, Peninsula, Bicol, Leyte-Samar,

Mimaropa)

` 120 municipaties have remained doctorless for the

past 10 years.

` 24,000 barangays have no midwives



` Only 46% of births in rural areas are attended to

by health professionals, compared to 77% in

urban areas

` Provinces with the highest poverty incidence havethe highest maternal mortality rates.



People with most means and whose needs for

health care are often less consumed have the

most and best quality health care.

(WHO W orld Health R eport 2008)



` In the Philippines, the employed sector comprises

about half of the active PhilHealth membership

and received 65% of the benefit payments in

2008.` Majority or 61% of PhilHealth accredited hospitals

are private.

(P hil Health Ssats, 2008)



` It is not acceptable that, in low income

countries«

«primary health care would be reduced to a

stand-alone health post or isolated community-health wor ker.

(W orld Health R eport 2008)



` A strong health system has adequately trained

health professionals, well versed in both curative

and preventive care, and are backed up by an

efficient referral system that fa

cilitates themovement of patients from primary to secondary

and tertiary care.



` Children and mothers belonging to the lowest

quintile of the wealth index are the most

vulnerable to illness and death.

` Almost half or 49.7% of children 12-23months oldwithout any vaccinations at all belonged to

mothers with no education.



` Poor families often avoid hospital facilities for fear

of costly procedures.

` Data shows that only about 1.7% of women from

the lowest wealth quintile access caesariansection services.

NOTE: The ideal proportion of access to caesarian section is 12%-16% for all

pregnant women.

macroeconomics of health

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