Home

Kalusugan Pangkalahatan

What is Universal Health Care (UHC) or Kalusugan Pangkalahatan (KP)

Universal Health Care (UHC) is a “focused approach to health implementation ensuring that all Filipinos especially the poor receive the benefits of health reform.  It is a delicate focus on the poor to ensure that they are given financial risk protection through enrolment to PhilHealth and they are able to access affordable and quality health care and services in times of need.”

What are Goals of UHC or KP?

1. Better Health outcomes

2. More responsive health system

3. Equitable health care financing

What are three (3) strategic thrusts of UHC or KP?

1. Financial risk protection through expansion in NHIP enrolment and benefit delivery

2. Improved access to quality hospital and health care facilities

3. Attainment of the health-related Mid Decade Goals (MDGs)

What are the six (6) components of UHC or KP?

1. Health Financing

2. Health Service Delivery

3. Health Human Resource

4. Health Regulation

5. Health Information System

6. Good Governance

What is the KP Implementation Road map?

Implementation of KP shall be undertaken in three (3) phases:

1. Launch Phase (August – December 2011)

A. Financial risk protection through improvements in NHIP benefit delivery shall be achieved by:

1. Redirecting PHILHEALTH operations towards the improvement of the national and regional benefit delivery ratios

2. Expanding enrolment of the poor in the NHIP to improve population coverage

3. Promoting the availment of quality outpatient and inpatient services at accredited facilities through reformed capitation and no balance billing arrangements for sponsored members, respectively

4. Increasing the support value of health insurance through the use of information technology upgrades to accelerate PHILHEALTH claims processing, etc

5. Continuing study to determine the segments of the population to be covered for specific range of services and the proportion of the total cost to be covered/supported

B. Improves access to quality hospitals and other health care facilities shall be achieved by:

1. A targeted health facility enhancement that shall leverage funds for improved facility preparedness to adequately manage the most common cause of mortality and morbidity including trauma

2. Provision of financial mechanism drawing from public-private partnership support the immediate repair, rehabilitation and construction of selected priority health facilities

3. Fiscal autonomy and income retention schemes for government hospitals and health facilities and health facilities

4. Unified and streamed lined DOH licensure and PhilHealth accreditation for hospitals

5. Regional clustering and referral networks of health facilities based on their catchment areas to address the current fragmentation of health services in some regions as an aftermath of the devolution of local health services

C. Health related MDG’s shall be attained by:

1. Deploying community Health  Teams that shall actively assist families in assessing and acting on their health needs

2. Utilizing the life cycle approach in providing needed services , namely family planning; ante-natal care; delivery in health facilities ; essential new-born and immediate postpartum care; and the Garantisadong Pambata package for children 0-14 years of age

3. Aggressively promoting the healthy lifestyle changes to reduce non-communicable diseases

4. Enduring public health measures to prevent control of communicable diseases, and adequate surveillance and preparedness for emerging and re-emerging diseases

5. Harnessing the strengths of inter-agency and inter-sectoral to health especially with the Department of Education and Department of Social Welfare and the Department of Interior and Local Government.