Government expenditure on health care equivalent to 300 charge – PIDS

The government spends only the cost of one P300 prepaid primary health care (PHC) calling card each year for each Filipino, according to the state think tank Philippine Institute for Development Studies (PIDS).

Based on the report titled “Primary Health Care and Management of Noncommunicable Diseases (NCDs) in the Philippines,” a research team led by Valerie Gilbert T. Ulep, Principal Investigator at PIDS, said that low spending on PHC hamper the fight against the growing threat. of NCDs.

The report stated that the government spent only $ 6 or, at the current exchange rate of 50 pesos to the dollar, 300 pesos on PHC services. Countries in the Association of Southeast Asian Nations regions spend an average of $ 20 or 1,000 pesos on primary health care.

“The large inequalities in health facilities and human resources also suggest the varying capacity of local governments to implement NCD interventions in PHC facilities,” the authors said.

“The national government has attempted to address this problem over the past decade by providing grants to increase the capital infrastructure needs and health human resources of local governments,” they added. “However, these grants do not fully address the supply constraints of LGUs in providing PHC services in communities.”

Causes of death

BASED ON the research, the country spent around 640 billion pesos on health care. Of this amount, about 40 percent was attributable to NCDs.

From 2014 to 2018, health expenditure for NCDs increased to almost 240 billion pesos in real terms using 2018 prices, rising from 154 billion pesos.

The research also indicated that only a small percentage (4%) of the country’s health expenditure was attributable to PHC facilities.

This is a concern, the authors said, given that NCDs still account for 70 percent of total deaths in the country and about 65 percent of disability-adjusted life years (DALYs).

NCDs, they explained, include cancers, chronic respiratory disease, cardiovascular disease, and diabetes, among others.

Based on research, the burden of ischemic heart disease in DALY increased to 7.5% in 2019, from 1.9% in 1990.

Other NCDs, such as stroke, LRTI, chronic kidney disease and diabetes, are included in the top 10 burden of disease in the country.

Preliminary estimates from the Philippine Statistics Authority (PSA) showed that despite the pandemic, NCDs remained the top four causes of death in the country.

Data showed that between January and June 2021, the main Filipino killers were: ischemic heart disease, which killed 56,757 Filipinos; cerebrovascular disease, 30,798; neoplasms, 27,343; and, diabetes mellitus, 19802.

The combined total of these leading causes of death in the first six months of the year was 134,698. This figure already represented 44.4% of the 303,364 Filipinos who died of various causes during the period.

Increase faster

Citing the latest mortality data from PSA, the researchers said NCDs are increasing at a much faster rate in poor communities than in rich ones.

“While the share of deaths from NCDs among all deaths in the poorest communities was lower than in the rich communities, an increasing trend over the last decade has been observed,” they added.

In order to address the growing threat of NCDs on the population, the authors recommended that a “comprehensive and comprehensive reform of the health system” be implemented.

The main recommendation is to facilitate the implementation of the Universal Health Care Act, which will expand the breadth and depth of PhilHealth (Philippine Health Insurance Corp.).

The authors also said that the CSU will facilitate integration and referral systems through the creation of province-wide or city-wide health care provider networks (HCPNs).

The researchers said that public and private health facilities should be integrated into the network that provides coordinated health services.

“The UHC law also strengthens sustained capital investments to narrow the huge gap in CPF health infrastructure and health human resources, as provided in the“ Philippine Health Facility Development Plan 2020 ”. -2040 “and the” National Health Human Resources Master Plan 2020-2040, “” the authors said.

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