FOURmula 1PLUS

DEPARTMENT OF HEALTH

Based on Administrative Order No. 2018-0014

Strategic Framework and Implementing Guideline
for FOURmula One Plus for Health (F1+)
Background
Milestones in the PH Health Sector Reform
 1991 – Local Government Code Act
 1995 – National Health Insurance Act
 1999 – Health Sector Reform Agenda
 2005 – FOURmula One for Health
 2011 – Universal Health Care / Kalusugan Pangkalahatan
 2016 – Philippine Health Agenda
 2019- UNIVERSAL HEALTH CARE ACT RA 11223
Situational Overview
Increasing Expenditures for
Health
 Sin Tax Incremental Revenue for
Health exponentially increased
the fiscal space for health
 Increasing PhilHealth Coverage
51% in 2010 to 91% in 2016
 Rising Total Health Expenditures
381B in 2010 to 655B in 2016
 Situational Overview
Despite Improvement in health expenditures,
improvement in health outcomes has been marginal
 Infant mortality rate
25 per 1,000 live births in 2008 to
21 per 1,000 live births in 2017
 % of Children Under-five who are Stunted
32.3 in 2008 to 33.4 in 2015
 % of children aged 12-23 mos. given all basic
vaccinations
79.5 2008 to 69.9 in 2017
 National Health Insurance Program
Support value at ~50%
Situational Overview
Philippines remains deeply underserved
Health Outcomes
● High infant-child-maternal mortality rates, especially Ranking Average Life Maternal Under 5 TB Incidence
among the poor (NDHS, FHS) Expectancy Mortality Mortality Rate
Ratio Rate
● 1 out of 3 children stunted (NNS 2015)
● Immunization of children lowest in 25 years at 60% 1st (BEST) Singapore Singapore Singapore Brunei

(NDHS 2013) 2nd Brunei Thailand Malaysia Singapore

3rd Vietnam Brunei Brunei Malaysia
Financial Risk
4th Malaysia Malaysia Thailand Vietnam
● OOP at 56% of Total Health Expenditures (2014)
5th Thailand Vietnam Vietnam Thailand
● Compliance to No Balance Billing for indigent and
6th Indonesia Philippines Indonesia Laos
sponsored members at 63% (2016)
● 1.5 million Filipinos pushed to poverty from access to 7th Philippines Indonesia Philippines Cambodia
health services (WB 2014) 8th Cambodia Cambodia Cambodia Myanmar
9th Myanmar Myanmar Myanmar Indonesia

Health System Responsiveness 10th Laos Laos Laos Philippines

(WORST)
● Inequitable distribution of health workers
● Government health facilities remain overcrowded
Situational Overview Summary
 Significant increase in Fiscal Space for Health only
marginally improved outcomes

 Inequity persists in both access to essential health

services and health outcomes across regions and
provinces, as well as socio-economic quintiles

 There is fragmentation of the health system after

devolution, with blurred accountability
► Aims to attain the goals outlined in
the 1) PDP 2017-2022,
2) SDG 2030
3) AmBisyon Natin 2040

► Builds on the concept of FOURmula

One for Health 2005-2010

► A MEDIUM TERM STRATEGIC

FRAMEWORK 2017-2022 which
expands the four pillars and emphasizes
performance accountability towards the
Filipino People
Department of Health – Eastern Visayas Center for Health Development
 OUR HIGH-SPEED TRAIN:
F1 PLUS FOR HEALTH

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How do we boost Universal Health Care
through F1Plus?
5 DESIGN FACTORS
To Boost Universal Health Care

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 1ST
1 ST

GOVERNANCE
The first coach directs the whole train towards its
destination. The driver leads and manages the
performance of the high-speed train.
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 2 ND

FINANCING
To enable the high-speed train to function at its finest, it is
powered by electricity. It propels its engines to move in
unbelievable speed.
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 3 RD

SERVICE High-speed trains are known for being fast and on time.

DELIVERY
Not only that, it also ensures the comfort and well-being of
all its passengers.
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 4 TH

The high-speed train has a streamlined forefront and

REGULATION structural adaptations resulting to a more convenient, safer
and smoother ride.
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 1ST
5 TH

PERFORMANCE ACCOUNTABILITY

PERFORMANCE
Railway and train use two sets of magnets
with strong repelling and opposing poles.

ACCOUNTABILITY
The performance of these magnets creates
the force that moves the train.
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 AND WHO WILL MAKE SURE
F1 PLUS REACHES THE DESTINATION?
 HEALTH
CARE
PROVIDERS

DEVELOPMENT
LGUs PARTNERS

ATTACHED
AGENCIES
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 ALL Aboard
the UHC Express!
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