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By Dr. Alberto Romualdez Dean, Graduate School of Health Sciences Pamantasan ng Lungsod ng Maynila
Equity in health   ,[object Object],[object Object]
  Overall health status –  Lower than Thailand, Malaysia, Japan and Korea ,[object Object],[object Object],[object Object]
Status of Health Equity in the Philippines Indicator High Income / urban areas Low Income / Rural areas Life Expectancy at Birth >80 <60 Infant Mortality Rate <10 >90 Maternal Mortality Ratio <15 >150
Inequity in Health Outcomes ,[object Object],Income Group Average Fertility Rate (Desired) A 2.0 (1.9) B 2.4 C 3.7 D 4.7 E 5.6  (3.1)
Factors Promoting Health Inequity ,[object Object],[object Object],[object Object],[object Object]
Organization of Health Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Result: Inequitable Access to Health Services ,[object Object],[object Object],[object Object],[object Object]
  Cost of medicines and other health supplies ,[object Object]
Number of day’s wages needed to purchase a 30 days treatment with Ranitidine ,[object Object],[object Object],[object Object],[object Object]
Average 4-week Medicine Expenditures within Household Expenditure Quintiles Source: WHO, World Health Survey, 2002 $88 $153 Result: Poor families cannot afford to pay for medicines
[object Object],[object Object],[object Object],Maldistribution of human resources
Dysfunctional Health Workforce Structure ,[object Object],[object Object]
Health Care Financing ,[object Object],[object Object],[object Object]
 
NHA2004: Sources of Funds ,[object Object],[object Object],[object Object],[object Object]
Only those with money (i.e., the rich) can fully pay for out of pocket payments and often they have generous health insurance The near-poor and the lower middle classes can become impoverished to meet out of pocket payments for health care. The very poor don’t even have pockets
Recommendation: Aim for Universal Health Care  ,[object Object],[object Object],[object Object]
Restructuring HRH production and Deployment – UP Manila ,[object Object],[object Object],[object Object]

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State of Philippine Health by Dr. Alberto Romualdez

  • 1. By Dr. Alberto Romualdez Dean, Graduate School of Health Sciences Pamantasan ng Lungsod ng Maynila
  • 2.
  • 3.
  • 4. Status of Health Equity in the Philippines Indicator High Income / urban areas Low Income / Rural areas Life Expectancy at Birth >80 <60 Infant Mortality Rate <10 >90 Maternal Mortality Ratio <15 >150
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Average 4-week Medicine Expenditures within Household Expenditure Quintiles Source: WHO, World Health Survey, 2002 $88 $153 Result: Poor families cannot afford to pay for medicines
  • 12.
  • 13.
  • 14.
  • 15.  
  • 16.
  • 17. Only those with money (i.e., the rich) can fully pay for out of pocket payments and often they have generous health insurance The near-poor and the lower middle classes can become impoverished to meet out of pocket payments for health care. The very poor don’t even have pockets
  • 18.
  • 19.