This document outlines the Duterte administration's health agenda to achieve universal health coverage in the Philippines. The key goals are to: 1) Establish functional service delivery networks to ensure access to quality health services. 2) Attain and sustain universal health insurance to protect Filipinos from health-related financial risks. 3) Protect Filipinos from the triple burden of disease through guaranteed health services and community interventions.

1. All for Health
towards
Health for All
THE DUTERTE HEALTH AGENDA

2. Access
functional
SERVICE
DELIVERY
NETWORKS
Attain and sustain
UNIVERSAL
HEALTH
INSURANCE
Protect
from
TRIPLE
BURDEN OF
DISEASE
ATTAIN HEALTH-RELATED SDG TARGETS
Financial Risk Protection Better Health Outcomes Responsiveness
Equity  Inclusiveness  Quality  Comprehensiveness  Efficiency  Sustainability  Transparency  Accountability

3. • Filipinos able to access services with
least financial, cultural and geographical
barriers
• Preference for the underserved
• Filipinos able to demand quality and
compassionate services at par with
global clinical and non-clinical standards
• Filipinos able to continuously get the
most health from resources allocated
(cost-effective)
• Filipinos able to make informed choices
with respect to their health/care and
participate in holding the government
accountable to the people
Our
Values
EQUITY
QUALITY
EFFICIENCY
INCLUSIVENESS
SUSTAINABILITY
TRANSPARENCY
ACCOUNTABILITY
COMPREHENSIVE

4. • Filipinos protected from health-related
impoverishment
• Filipinos attain best possible health
outcomes with less disparity
• Filipinos feel respected and valued in all of
their interaction with the health system
Our
Vision
FINANCIAL PROTECTION
BETTER HEALTH STATUS
RESPONSIVENESS

5. Access
functional
SERVICE
DELIVERY
NETWORKS
Attain & Sustain
UNIVERSAL HEALTH
INSURANCE
Protect from
TRIPLE
BURDEN OF
DISEASE
What services to
guarantee or
prioritize?
How to best deliver the
services?
How to equitably and efficiently
finance the service?
Our
Strategy

6. • Communicable
• Non-communicable, including malnutrition
• Diseases of rapid urbanization and industrialization (e.g. Injuries, mental
health (including suicide prevention) and alcohol /drug use)
Triple
Burden of
Disease
SERVICES THAT ADDRESS THE TRIPLE BURDEN OF DISEASE
What services
should be
guaranteed to
protect Filipinos
from the triple
burden threat?
SERVICES THAT CORRESPOND TO THE FULL SPECTRUM
OF CARE FOR ALL LIFE STAGES (minimal exclusions)
• Promotive, preventive, curative, rehabilitative, palliative
• Emphasis on role of health promotion and primary care (annual health check)
INTERVENTIONS THAT MODIFY BUILT ENVIRONMENT
AND MOBILIZE COMMUNIITIES
• Trigger behavioral shift towards healthy lifestyle/habits
• Total Ban on Firecracker
• AMR, ZOD, food safety & nutrition
• Adopt and scale-up community-based interventions
• Create strategic partnerships to promote healthy homes, workplaces, schools
and transport

7. • Appropriate, ethical and at par with clinical and non-clinical standards
- Gate-keeping, Licensing & Accreditation, Clinical practice guidelines
• Physical access
- Accessible location, transport assistance, or telehealth
• Seamless continuum of services
- Lower level level facilities to end referral centers and vice versa
- Public (DOH, LGU, NGA) and private exchanges (patients and human resource)
- Team-based approach
• Patient/client-friendly and culturally-sensitive services
- No queues, by appointment only
Service
Delivery
Networks
NETWORKS AS CONTRACTED UNITS OF PHILHEALTH,
ACCOUNTABLE FOR ENSURING:
How should health
care providers be
organized to ensure
easy access to high
quality services?
NETWORKS ENHANCED BY RELIABLE DATA & REGULAR
FEEDBACK
• Mandate online submission/data sharing and reporting to disease registries
• Obtain accurate feedback: e.g. ghost patients, surprise field visits
• Streamline monitoring and evaluation systems and create dedicated performance unit
NETWORKS RESILIENT IN TIMES OF DISASTER
• Strengthen preparedness initiatives
* To include other government agencies’ initiatives (sector wide approach)

8. Universal
Health
Insurance
PHILHEALTH AS GATEWAY TO FINANCIAL ACCESS TO SERVICES
and PROTECTION FROM CATASTROPHIC SPENDING
How to equitably and
efficiently finance
the services?
• Treat every Filipino as member unless proven otherwise
• Secure resources to enable ‘enrollment’ of remaining 8% and to sustainably
finance remaining 92%
• Strictly enforce no balance billing for poor & fixed copayment for non-poor (ceiling)
• Cover services that contribute to high out of pocket payment
• primary/outpatient care, outpatient drugs
• medically and financially catastrophic conditions such as cancers, rare diseases,
metabolic disorders, mental health drugs, nicotine replacement
• Position private health insurance / HMO plans as supplementary to NHIP (benefits
complementation)
ALIGN ALL HEALTH FUNDS TOWARDS DHA
• DOH, PHILHEALTH, PAGCOR, PCSO, LGU, ODA and other NGA health funds
• Streamline what is considered ‘free’ or ‘charity’ services
PHILHEALTH AS MEANS TO SUSTAINABLY FINANCE
GOODS AND SERVICES
• Phase-in coverage of budget-financed commodities by PhilHealth
• Facilitate pooled procurement/bulk purchasing arrangements thru PhilHealth

9. GOVERNANCE
HEALTH FINANCING
SERVICE DELIVERY AND
TRAVEL MEDICINE
HEALTH HUMAN
RESOURCE DEVELOPMENT
REGULATIONS, POLICY
AND STANDARDS
DEVELOPMENT
HEALTH INFORMATION
AND SURVEILANCE
ATTAIN
HEALTH-RELATED
SUSTAINABLE
DEVELOPMENT GOAL
Financial Risk Protection
Better Health Outcomes
Responsiveness
Equity  Inclusiveness  Quality
Comprehensiveness  Efficiency
Sustainability  Transparency
Accountability
SERVICE
DELIVERY
NETWORKS
UNIVERSAL
HEALTH
INSURANCE
TRIPLE
BURDEN OF
DISEASE

10. • Reduce red tape and limit turnaround time of transactions to 3 days, where appropriate
• Make transactions client-friendly, professional and transparent
• Establish mechanisms to ensure integrity is upheld in all transactions
Governance
ENSURE EFFICIENCY, TRANSPARENCY & PREDICTABILITY AND
INTEGRITY OF GOVERNMENT TRANSACTIONS
BUILD CAPACITY AND ESTABLISH ACCOUNTABILITY IN
FULFILLMENT OF INDIVIDUAL & SECTORAL MANDATES
• Strengthen DOH as a policy and regulatory agency and PhilHealth as the national
government purchaser
• Leverage support for and hold LGUs accountable in their role as as service
providers and local stewards of health

11. • Ensure progressiveness of premium rates for the formal sector
• Improve collection efficiency
• Raise premium rate (by 2018)
Health
Financing
GENERATE MORE REVENUES FOR HEALTH
• Enforce contracting arrangements with health service providers
• Set up strong monitoring mechanisms
• Set price ceilings to reduce unpredictability of out-of-pocket payments
• Reform provider payment mechanism to reflect true cost
- Short term: Adjust case rates using costing studies
- Medium term: Most appropriate contracting and provider
payment mechanism
PURCHASE HEALTH SERVICES EFFICIENTLY

12. • Establish transparent priority setting process to ensure equitable and fair expansion of
health insurance benefits
• Prioritize mental health, smoking cessation, and drug rehabilitation
entitlements
• Incorporate patient’s rights/rights-based approach in entitlements
• Observe international commitments: Human Rights, CEDAW, Anti-Torture
• Require only “unique health ID” when accessing entitlements
Service
Delivery
DEFINE HEALTH ENTITLEMENTS AND STANDARDS OF CARE
• Define scope of services and map existing service capabilities
• Develop health facility/hospital investment plan
• Position DOH hospitals within SDNs (apices, teaching/training, equity center)
ESTABLISH FUNCTIONAL PRIMARY-CARE FOCUSED
SERVICE DELIVERY NETWORKS
STREAMLINE BOQ FUNCTIONS AND DEVELOP TRAVEL
MEDICINE PORTFOLIO

13. • Modify curriculum to make it more responsive to the needs
• Match medical schools work with geographic areas (return service program for
graduates)
Health Care
Workforce
RECONFIGURE FRONTLINE HUMAN RESOURCE COMPLEMENT
BASED ON COMPETENCY RATHER THAN PROFESSION
ESTABLISH SUSTAINABLE RECRUITMENT AND RETENTION OF
TALENTED PROFESSIONALS
• Consolidate financing towards fair HCW compensation (salary, PhilHealth
reimbursements, other incentives)
• Actively promote opportunities for post-graduate training
• Reorient deployment programs to balance contribution
with career development

14. • Publish prices of drugs and diagnostics
• Establish price negotiation board and mechanisms for bulk purchasing
• Explore options for supply chain management (PPP or outsourcing)
Medicines,
Devices
& Other
Technology
ENSURE ACCESS TO LOW-COST QUALITY ESSENTIAL
MEDICINES and DIAGNOSTICS
USE HEALTH TECHNOLOGY ASSESSMENT(HTA) TO
SYSTEMATICALLY DETERMINE DRUGS AND DIAGNOSTICS
THAT WILL BE PAID BY DOH and PHIC
• Establish body and institutionalize process to conduct HTA to guide coverage
decisions

15. • Establish external health promotion body
Health
Information
and
Information
Systems
STRENGTHEN SECTOR’S CAPACITY FOR HEALTH PROMOTION
• Streamline data and report requirements across facilities
• Harmonize health information systems and databases
• Require submission of data as part of licensing and contracting
• Establish mechanisms to obtain regular feedback from all stakeholders
STRENGTHEN DATA GOVERNANCE FOR NATIONAL
DECISION MAKING
• Make health data, processes, and prices transparent & accessible
UPHOLD CITIZEN’S RIGHTS TO INFORMATION AND
PATIENT’S RIGHTS

16. 200
Days
Roll out TSEKAP+ OP Drug benefit
to the poorest
Expand National Drug Rehab Program
Strategic Alignment of DOH Hospitals in a
SDN
Contracting by SDN operational in 3 regions
Enroll remaining 8% of the population
Make prices of most common drugs
affordable and diagnostics available
100
Days Roll out mental health and enhanced
HIV/AIDS package
Health in All policies in
4 key sectors
Operationalize ambulance services
(land, sea, air)
No queues in public facilities
(by appointment and navigators)
Adjust rates for most
common cases
Enforce fixed and zero co-payment
(NBB for poorest)
Zero unmet need for FP

17. *DOH, PHIC, LGU, DOH Hospitals, Private sector, other NGOs
ATTAIN SUSTAINABLE
DEVELOPMENT GOAL
TARGETS
Access
Quality
Efficiency
A
C
H
I
E
V
E
Attract the “best and the brightest”
Champion health in all settings to all
sectors
Harness and align private sector
donors, non-state actors, and
deepen engagement with the people
Instill integrity and foster
accountability in all
Expand pre-payment through a
single national government
purchasing fund (DOH+PHIC)
Vest with resources, capacity and
evidence to enable key health sector
players* to fulfill their mandate/role
Empower all government health care
providers with management and
fiscal autonomy
SERVICE
DELIVERY
NETWORKS
UNIVERSAL
HEALTH
INSURANCE
TRIPLE
BURDEN OF
DISEASE
ATTAIN
HEALTH-RELATED
SUSTAINABLE
DEVELOPMENT GOAL
Financial Risk Protection
Better Health Outcomes
Responsiveness
Access | Quality
Efficiency | Transparency
Sustainability | Equity
Accountability