Center for Health and Development Ilocos

Universal Health Care Act

RA No. 11223

Jay V. Dulay, RM, RN Harold Paulo T. Mejia, MAN, RN

Development Management Officer IV Development Management Officer IV
 The Universal Health Care (UHC) Law

President Rodrigo Roa Duterte signed RA UHC Implementing Rules and Regulations
No. 11223 on February 20, 2019 (IRR) was signed on October 10, 2019
 Principles of UHC

Integrated and
Everyone is actively Financial Risk
Comprehensive People at the Center
participating Protection
Approach

 Ensure health
literacy,  Whole-of-system
Centered on people’s access to a
 Healthy living  Whole-of- 3
needs and well-being comprehensive health
government
 Protection from services without causing
 Whole-of-society
hazards and risks approach financial hardship
 The Scope of UHC

POPULATION SERVICE FINANCIAL

COVERAGE COVERAGE COVERAGE

All Filipinos are PhilHealth Immediate eligibility and Reduce out-of-pocket

Members access to primary care expenditure for health
health services
 Guarantees of UHC
UHC ensures that NO PATIENT UHC ensures STRENGTHENED
WILL BE LEFT ALONE PRIMARY CARE/COMMUNITY
HEALTH

Creation of health networks that will navigate “Prevention is always

the patients throughout the process of their better than Cure”
Health Care Needs
HEALTH CARE
PROVIDER
NETWORK
Strengthened Primary Care Model
CRITICAL REQUIREMENTS FOR ENHANCING
PRIMARY CARE SERVICES
CRITICAL REQUIREMENTS FOR ENHANCING
PRIMARY CARE SERVICES
Every Juan and Juana is
matched to a primary care provider
who ensures that they get the
appropriate services they need in
the appropriate facility.

UHC = QUALITY HEALTH SERVICES

 Guarantees of UHC
LGUs will be provided with additional funding for Health Services

Through the pooled fund or Special Health Fund (SHF)

 SHF: Sources and Allowable Expenses
Joint Memorandum Circular 2021- 0001
Guidelines On The Allocation,Utilization and Monitoring of, And Accountability For, The Special Health Fund

(Pooled Fund)
 DEFINING POPULATION-BASED AND
INDIVIDUAL-BASED HEALTH SERVICES

(Pooled Fund)
POPULATION-BASED HEALTH SERVICES

(Pooled Fund)
INDIVIDUAL-BASED HEALTH SERVICES

(Pooled Fund)
 Improving Governance in the UHC Context
LOCAL CHIEF EXECUTIVES as CHAMPIONS OF HEALTH

● LGUs will be empowered to lead on Public Health in their areas.

● Health Governance is key to a Healthy Community.
● RA 11223 did not explicitly repeal Local Government Code
 Managing the UHC: Province-Wide Health System

Provincial Health Board Provincial Health Office

• stewardship of the integrated local • technical services
health system • day-to-day operations
• setting of the policy and strategic
direction

9
 Functions of the Local Health Board (LHB)
Local Government Code RA 7160
Propose to Sanggunian
concerned the annual budgetary
allocations for Health
Serve as Advisory Committee to
Sanggunian concerned on health
matters
Create committees which shall
advise local health agencies
consistent with the standards of
the DOH
UHC ACT RA 11223 (Additional)
Set the overall health policy directions and
strategic thrusts
Oversee and coordinate the integration and
delivery of health services
Manage the Special Health Fund (SHF)
Exercise administrative and technical
supervision over health facilities and health
human resources within their territorial
jurisdiction
Strengthening the Provincial Health Office
 Sa pamamagitan ng UHC at
pakikipagtulungan ng Lokal na
Pamahalaan, LAHAT ay
PANALO!

Maraming Salamat!