5 GLOBAL TRENDS IN

PUBLIC ADMINISTRATION
Public Health Policy Changes
Public Health Policy Changes
Public administration touches every facet of our lives, and as such public
administrators have the responsibility for making decisions in the best
interests of their publics’ health. There are few regulatory decisions that do
not affect population health.

Many of the factors that affect health are outside of the healthcare sector.
Consider the development of sanitation systems and the establishment of
building codes so that people have clean water to drink and safe homes in
which to live. These have a positive effect on citizens’ health and wellness.
Occupational safety laws, minimum wage standards, professional licensing of
health providers, and the advent of the U.S. Food and Drug Administration
were all set into motion to advance public health through the development of
policies and regulations by public administrators.

As populations increase and communities evolve, public administrators must

create and implement policies which will drive better and fairer health
outcomes that are appropriately administered and implemented. Through
continuing education, such as that provided through our MPA program, these
professionals learn best practices, proven management tactics, and diverse
approaches to accomplishing their missions.
THE
PHILIPPINE
HEALTH SCENARIO
Transitioning to UHC
• 1,071 licensed private hospitals, and 721 public hospitals (70 of which are DOH retained)
• Most hospitals provide efficient and affordable health services. Facilities, however, pale
in comparison with those in high-end health institutions abroad.
• Private hospitals in the country have better technical facilities than the public hospitals.
Private hospitals thus assure patients of higher quality service than public hospitals can
provide.
• 50 percent of the clients who sought medical advice or treatment consulted public health
facilities, 42 percent went to private health facilities, and almost 7 percent sought
alternative or traditional health care.
• Uneven distribution of health facilities and health human resources
• Inequity in health outcomes
 Every year, around 2000 mothers die due to pregnancy-related complications.
 A Filipino child born to the poorest family is 3 times more likely to not reach his 5th
birthday, compared to one born to the richest family.
 Three out of 10 children are stunted.
https://www.doh.gov.ph/sites/default/files/basic-page/chapter-one.pdf

http://clmmrh.doh.gov.ph/images/PhilippineHealthAgenda/Philippine-Health-Agenda_Dec1_1.pdf

The Philippine Health System

 ECONOMY
• Every year, 1.5 million families are pushed to poverty due to health care
expenditures
• Filipinos forego or delay care due to prohibitive and unpredictable user fees or co-
payments Php 4,000/month healthcare expenses considered
• Php 4,000/month healthcare expenses considered catastrophic for single income
families
• While health spending per capita for the country is lower than the averages for South
Asia, East Asia and the Pacific and low-middle income countries
• out-of-pocket spending remains to be the main source of national health spending, is
far from target and higher than those of neighboring countries

https://pidswebs.pids.gov.ph/CDN/PUBLICATIONS/pidsdps1637.pdf

http://clmmrh.doh.gov.ph/images/PhilippineHealthAgenda/Philippine-Health-Agenda_Dec1_1.pdf
CULTURE
• Due to high cost of health services Filipinos tend to:
• self-medicate
• Consult with friends and family members
• Resort to home remedies/alternative
medicine/herbalists before seeking professional help

https://geriatrics.stanford.edu/ethnomed/filipino/fund/health_beliefs/health_behaviors.html
 LEGISLATION
Republic Act No. 11223
Universal Health Care Act
• An Act instituting Universal
Health Care System, and
Appropriating Funds Therefor
• Signed and promulgated in
February 20, 2019
LEGISLATION
• UHC aims to improve financial risk protection through the expansion of NHIP
enrolment and benefit delivery, improve access to quality hospitals and health care
facilities, and attain the health-related Millennium Development Goals. To achieve
these objectives, the agenda employs six instruments: health financing, service
delivery, policy standards and regulation, governance, human resources, and health
information.

1. Financial risk protection - the poor are to be protected from the financial impacts of
health care use as measured in terms of the benefit delivery ratio.

2. Improved access to quality hospitals and healthcare facilities

3. Attainment of the health-related Millennium Development Goals the government

aims to reduce maternal and child mortality, morbidity and mortality from TB and
malaria, and the prevalence of HIV/AIDS, in addition to being prepared for
emerging disease trends, and preventionand control of non-communicable diseases.
COMMUNICATION
• PUBLIC CONSULTATION

• The drafting of the IRR is a collective effort of all

stakeholders, hence the process should be as inclusive
calling for public involvement across the country. All
the different players, especially the public, will be heard
because it is truly for the Filipino people.

• Representatives from various public and private

organizations, as well as representatives from the
academia and thought leaders, were consulted in
coming up with this draft.
• https://www.doh.gov.ph/press-release/DOH-conducts-4th-series-of-UHC-
public-consultation-in-regions-VI-VII-and-VIII