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Page 1: Philippine Health Situation and ICT

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Philippine Health

Situation and ICT

Prepared by

Catherine M. Catamora

Page 2: Philippine Health Situation and ICT

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Looking At: Philippine Health

Situation

• 50% of the population has no health care

access.

• 5 out of 10 Filipinos die without getting any

medical attention.

• Only 60% of the population has full access

to essential drugs.

• 10 mothers die daily due to pregnancy-

and childbirth-related causes.

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• Forty percent of all births are still

unattended by health professionals.

• More than 100 municipalities remain

doctorless and nurseless at any time

during the past ten years.

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Scarcity of Human Health

Resource

Philippines is the major exporter of nurses worldwide

• From 1994-2003: >100,000 nurses have left towork abroad

• 85% of Filipino nurses work abroad in some 50

countries (approx. 163,756 nurses in 2003)

• increasing and deteriorating quality of nursingeducation:170 (1990s) 251 (2003) 470(2006)

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• Doctors becoming nurses to go abroad

• Obstetricians and anesthesiologists are

rapidly depleting, followed by pediatricians

and surgeons.

• Nursing as a “second course”

• Hospitals in Mindanao and Isabela also have

no doctors

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0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

      P     o     p     u      l     a      t      i     o     n

Figure 2. Trend of Deployment of Health Workers Abroad, 1992-2003

DENTISTS

DIETITIANS AND PUBLIC

HEALTH NUTRITIONISTS

DOCTORS MEDICAL

MIDWIVES PROFESSIONAL

NURSES PROFESSIONAL

OPTOMETRISTS AND

OPTICIANS

PHARMACISTS

PHYSIOTHERAPISTS AND

OCCUPATIONAL THERAPISTS

TECHNICIANS MEDICAL X-RAY

CAREGIVERS AND

CARETAKERS

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Where do they go?

• Traditional Markets: Middle East, North

America

• New Markets: Europe especially UK,

Netherlands, High Income Asia

• Emerging Markets: Japan and Nurse

Education abroad

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Proposed solution to the situation

• Regulate the outflow of health professionals

• Increase health budget, improve the salaries &working conditions of healthworkers/professionals

• National Health Service Act (2-year service inthe Philippines)

• Compensation from receiving countries

• Bilateral agreements with Receiving Countries

• Establishment of Health professional registry• Development of new career opportunities

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IT in Health care another 

solution…

• improving health services through IT• Improved health through data for evidence-

based decision-making

• Better measurement, through strengthened

health information and statistical systems• Network to unify partners and resources for improved health information

• Better data - better decisions - better health

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On going projects in IT

• Regulatory – BFAD, Drug testing..

• Service delivery – Hospital operation,

Blood Bank, Filariasis, Malaria, disease

registries, surveillance systems..• Governance- Procurement & Logistics

Management, e-NGAs, KM tools, Work &

Financial Plan Health Atlas, Local Health

System, GIS, HR..

VALDEZ, 2007

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• Public health data

• Hospital data

•Disease Surveillance

•Health Accounts

•Censuses

•Vital Statistics

•Survey Data

•Regulation Data

•Administrative Data

•Qualitative Data such as GoodPractices

•Journals, Manuals, other graymaterials

HealthInformation

System(ICT)

VALDEZ, 2007

Health Information

System

Comprehensive

Approach

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Activities Undertaken

• Establishment of Philippine Health Information Network(PHIN)

• Customization of Health Metric Network (HMN)assessment tool

• Central office inventory of existing ISs

• NEC started integration of Disease SurveillanceSystems

• BLHD spearheading skills development &documentation of good practices

• Draft framework for ISs technical integration

• Development of the Knowledge Management (KM) for Health Strategy

• KM tool kits defined and started development

• Health portal (interactive website)

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Philippine Health Information

Network

• DOH

• NSO

• NSCB

• PCHRD• UPCM

• POPCOM

• National Nutrition

Council• FNRI

• DILG

• WHO

• GTZ

• JICA• Academe

• Medical societies