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8/6/2019 Macroeconomics of Health
http://slidepdf.com/reader/full/macroeconomics-of-health 1/17
Prof. Neriza G. Mamasabulod
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` 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
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` a total of P1.415 trillion for government
expenditure.
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` 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
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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*
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` 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.
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�� 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
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` Access
` Quality
` Equity
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` 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
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` 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.
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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)
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` 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)
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` 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)
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` 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.
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` 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.
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` 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.
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