Sustainable Development Goals (SDG)

Forum 2017
November 27, 2017 | De La Salle University, Manila
 Health-related SDGs
The Philippine Health Agenda
Outline DOH programs and Plans
Roles of Health partners
 Health-Related MDGs

2000 to 2015 Goal 4

Reduce Child Mortality

Millennium Goal 5

Development Improve Maternal

Health

Goals Goal 6
Goal 1
Eradicate extreme
poverty and hunger
Combat HIV/AIDS,
malaria and other
diseases

Goal 7
Ensure Environmental
Sustainability
 Achieved Not achieved

Proportion of underweight
children under-five

Infant mortality rate

Under-five mortality rate

Maternal mortality ratio

Antenatal care coverage
Births attended by SHP
Unmet need for family
Contraceptive Prevalence
planning
Rate

TB prevalence & incidence HIV prevalence

TB case detection rate
TB treatment success rate
TB mortality rate
Malaria mortality rate

Proportion of families with

access to safe water
Proportion of families with
sanitary toilet facility
From MDGs to SDGs

Leaving no one behind

Equity targets
Multi-sectoral action
Protecting natural
resources
Health-related SDGs

Primarily
Health

Determinants
of health
 SDGs
Mainstreaming and Implementation

National Level Political Commitment

Actions Integrate the SDGs into National Plans
Engage LGUs and communities for localized SDG implementation

Monitoring and Reporting Mechanisms

SDG monitoring integrated in M&E system

Building Awareness and Partnerships

Briefings and collaborations on the SDGs have been conducted for
various national government agencies, universities, and non-
governmental organizations
Levels of Integrating SDGs into National Plans

AmBisyon Natin 2040

LONG
TERM

Matatag, maginhawa at panatag na buhay

PHILIPPINE DEVELOPMENT PLAN

MEDIUM TERM

SDG
PHILIPPINE HEALTH AGENDA/
SDG
NATIONAL OBJECTIVES FOR HEALTH
DOH SCORECARD (PGS) SDG
ANNUAL

OPCR LGU SCORECARD

DOH
Central Office Regional Office
Hospitals

BAR
QTR

(PrExC)
 ATTAIN HEALTH-RELATED SDG TARGETS
Financial Risk Protection | Better
Goals: Attain Health Outcomes
Health-Related SDG Targets | Responsiveness
Financial Risk Protection, Better Health Outcomes, Responsiveness
Values: Equity, Quality, Efficiency, Transparency,
Values: Equity, Accountability,
Efficiency, Quality, Sustainability, Resilience
Transparency

SERVICE DELIVERY
NETWORK

ALL LIFE STAGES &

3 Guarantees TRIPLE BURDEN OF
DISEASE

UNIVERSAL HEALTH
INSURANCE
Guarantee 1: All Life Stages & Triple Burden of Disease
Pregnant Newborn Infant Child Adolescent Adults Elderly

First 1000 days | Reproductive and sexual health | maternal, newborn, and child
health | exclusive breastfeeding | food & micronutrient supplementation |
Immunization | Adolescent health | Geriatric Health | Health screening, promotion
& information

NON-
DISEASES OF RAPID
COMMUNICABLE COMMUNICABLE
URBANIZATION &
DISEASES DISEASES & INDUSTRIALIZATION
MALNUTRITION
10
 Guarantee 2: Services are delivered
by networks that are

FULLY FUNCTIONAL PRACTICING

(Complete Equipment, Medicines,
Health Professional)
GATEKEEPING

COMPLIANT WITH LOCATED CLOSE

CLINICAL PRACTICE TO THE PEOPLE
(Mobile Clinic or Subsidize
GUIDELINES Transportation Cost)

AVAILABLE 24/7 &

ENHANCED BY
EVEN DURING
TELEMEDICINE
DISASTERS
11
Guarantee 3: Services are financed predominantly by PhilHealth

100% of Filipinos are members

PHILHEALTH AS THE
Formal sector premium paid through payroll
GATEWAY TO FREE
Non-formal sector premium paid through tax
AFFORDABLE CARE
subsidy

SIMPLIFY No balance billing for the poor/basic

PHILHEALTH accommodation & Fixed co-payment
RULES for non-basic accommodation

PHILHEALTH AS MAIN Expand benefits to cover comprehensive

REVENUE SOURCE range of services
FOR PUBLIC HEALTH Contracting networks of providers within
CARE PROVIDERS SDNs
12
 Guarantee 2:
Guarantee 1: SDNs
All life Stages 3.b provide access to affordable
essential medicines and vaccines
2.2 End all forms of malnutrition
3.5 Strengthen the prevention and
3.1 Reduce the global maternal treatment of substance abuse Target 3.c: recruitment,
mortality ratio development, training and
3.2 End preventable deaths of 3.6 Halve the number of global retention of the health workforce
newborns and children under 5 deaths and injuries from road 3.7 By 2030, ensure universal
years of age traffic accidents access to sexual and reproductive
3.3 End the epidemics of AIDS, health-care services
3.a Strengthen the
tuberculosis, malaria implementation of the FC on
3.4 Reduce premature mortality Tobacco Control Guarantee 3:
from non-communicable diseases Universal health insurance

3.8 Achieve universal health

coverage
 Philippine Health Agenda Implementation and
Operational Guidelines
Attaining SDG targets is among the milestones, where plans
should focus on
Includes 32 SDG indicators
National Objectives for Health
Guide for LGUs in implementing the PHA
Operationalizing Includes 27 SDG indicators
SDG
Multi-stakeholder engagement through health
in all policies
Ensuring that all policies in DOH are aligned with SDGs
through policy review process
Ongoing discussions with other government agencies to
explore implementation of HiaP
 Philippine Development Plan
Chapter on Health and Nutrition includes SDGs in the Results
Matrix

Philippine Health Agenda Monitoring and Evaluation

Monitoring System
SDGs DOH Scorecard (Performance Governance System)
ongoing development
Cascading of SDGs to Bureaus, Offices, and Programs
Accountability within the organization
2.2 By 2030, end all forms
of malnutrition, including
achieving, by 2025, the
internationally agreed
targets on stunting and
wasting in children under 5
years of age, and address
the nutritional needs of
adolescent girls, pregnant
and lactating women and
older persons
2.2.1 Prevalence of stunting (height for age <-2
standard deviation from the median of the World
Health Organization (WHO) Child Growth
Standards) among children under 5 years of age
2.2.2 Prevalence of malnutrition (weight for
height >+2 or <-2 standard deviation from the
median of the WHO Child Growth Standards)
among children under 5 years of age, by type
(wasting and overweight)
2.2s1 Prevalence of micronutrient deficiencies
(Vitamin A, Iron)
2.2s2 Prevalence of exclusive breastfeeding
 Target
Indicator Latest Data
(2022)
2.2.1 Prevalence of stunting (height for age <-2 33.4% 21.4%
standard deviation from the median of the World (2015 NNS)
Health Organization (WHO) Child Growth
Standards) among children under 5 years of age
2.2.2.1 Prevalence of malnutrition for children 7.1% <5%
under 5 years <-2 SD from the median of the (2015 NNS)
WHO CGS (wasting)
2.2.2.1 Prevalence of malnutrition for children 3.8% <3.8%
under 5 years <2 SD from the median of the WHO (2015 NNS)
CGS (overweight)
2.2s1 Prevalence of micronutrient deficiencies 20.4% <15%
(Vitamin A, 6mos-5y) (2013 NNS)
Prevalence of micronutrient deficiencies (Iron, 11.7% 6.0%
women 15-49y) (2013 NNS)
2.2s2 Prevalence of exclusive breastfeeding (5 24.7 33.3%
month-old infants) (2015 NNS)
PHILIPPINE PLAN OF ACTION FOR NUTRITION 2017-2022
Mobilization for integrated nutrition action of stakeholders all levels
Upgrading of the quality of delivery of nutrition services in normal
and emergency situations
Promotion of key nutrition practices
Systematic capacity development
Support to local government units
Full implementation of the PPAN monitoring and evaluation system
Continuous improvement of the NNC quality management systems
First 1000 Days Program
Health, nutrition, and other related services in the first 1000 days
Promotion of infant and young child feeding
Dietary supplementation of pregnant women, and of infants and
young children 6-23 months old from poor families
Vitamin A and Micronutrient powder supplementation
Management of acute malnutrition in infants and school children
Creation of healthy food environment
Promotion of healthy lifestyle (physical activity and healthy eating
Weight management intervention
3.1 By 2030, reduce the global maternal mortality ratio to 3.1.2 Proportion of births attended by skilled
less than 70 per 100,000 live births health personnel
3.1s1 Proportion of births delivered in a health
facility
3.2 By 2030, end preventable deaths of newborns and 3.2.1 Under-five mortality rate
children under 5 years of age, with all countries aiming to 3.2.2 Neonatal mortality rate
reduce neonatal mortality to at least as low as 12 per 3.2s1 Infant Mortality rate
1,000 live births and under-5 mortality to at least as low
as 25 per 1,000 live births
3.3 By 2030, end the epidemics of AIDS, tuberculosis, 3.3.1p1 Number of new HIV infections
malaria and neglected tropical diseases and combat 3.3.2 Tuberculosis incidence per 100,000
hepatitis, water-borne diseases and other communicable population
diseases 3.3.3 Malaria incidence per 100,000 population
3.4 By 2030, reduce by one third premature mortality 3.4.1 Mortality rate attributed to cardiovascular
from non-communicable diseases through prevention and disease, cancer, diabetes, or chronic respiratory
treatment and promote mental health and well-being disease
3.5 Strengthen the prevention and treatment of substance 3.5.1p1 Percentage of drug abuse cases or drug
abuse, including narcotic drug abuse and harmful use of users who completed treatment
alcohol 3.5.2 Harmful use of alcohol, defined according to
the national context as alcohol per capita
consumption (aged 15 years and older) within a
calendar year in litres of pure alcohol
3.6 By 2020, halve the number of global deaths and 3.6.1 Death rate due to road traffic injuries
injuries from road traffic accidents
3.7 By 2030, ensure universal access to sexual 3.7.1 Proportion of women of reproductive age
and reproductive health-care services, including for (aged 15-49 years) who have their need for family
family planning, information and education, and planning provided with modern methods
the integration of reproductive health into national 3.7.2 Adolescent birth rate (aged 10-14 years; aged
strategies and programmes 15-19 years) per 1,000 women in that age group
3.8 Achieve universal health coverage, including 3.8s1 Percent of population covered by the social
financial risk protection, access to quality essential health insurance
health-care services and access to safe, effective, 3.8s2 Out-of-pocket health spending as percentage
quality and affordable essential medicines and of total health expenditure
vaccines for all
3.a Strengthen the implementation of the World 3.a.1 Age standardized prevalence of current
Health Organization Framework Convention on tobacco use among persons aged 15 years and
Tobacco Control in all countries older
3.a.s1 Prevalence of current tobacco use
3.b Support the research and development of 3.b.1p1 Proportion of FIC
vaccines and medicines for the communicable and 3.b.3p1 Percentage of availability of essential
non-communicable diseases that primarily affect drugs in public health facilities
developing countries, and provide access to
affordable essential medicines and vaccines
Target 3.c: Substantially increase health 3.c Human Resources for health to population
financing and the recruitment, development, ratio
training and retention of the health workforce
 Indicator Latest Data Target
3.1.2 Proportion of births attended by skilled 72.8 (2013 NDHS) 99%
health personnel
3.1s1 Proportion of births delivered in a health 61% (2013 NDHS) 91%
facility
3.2.1 Under-five mortality rate 31 per 1,000 LB (2013 22
NDHS)
3.2.2 Neonatal mortality rate 13 per 1,000 LB (2013 10
NDHS)
3.2s1 Infant Mortality rate 23 per 1,000 LB (2013 15
NDHS)
3.3.1p1 Number of new HIV infections 9,264 (2016 HARP) Reduce
3.3.2 Tuberculosis incidence per 100,000 322 per 100,000 pop 225
population (2015 GATS)
3.3.3 Malaria-free provinces 34 provinces 44
provinces
3.4.1 Mortality rate attributed to cardiovascular 162 per 100,000 pop 122
disease, cancer, diabetes, or chronic respiratory (2014 CRVS)
disease
3.5.2 % binge drinkers 56.2% (2013 NNS) Reduce
3.6.1 Death rate due to road traffic injuries 9 per 100,000 pop 6
 Indicator Latest Data Target
3.7.1 Proportion of women of reproductive age 38% 52%
(aged 15-49 years) who have their need for (2013 NDHS)
family planning provided with modern methods
3.7.2 Adolescent birth rate (aged 10-14 years; 10.1% 6%
aged 15-19 years) per 1,000 women in that age (2013 NDHS)
group
3.8s1 Percent of population covered by the social 91% 100%
health insurance (2015, PHIC)
3.8s2 Out-of-pocket health spending as 55.8% 50%
percentage of total health expenditure (2014 PNHA)
3.a.s1 Prevalence of current tobacco use 23.8 16%
(2015 GATS)
3.b.1p1 Proportion of FIC 68.5% 95%
(2013 NDHS)
3.b.3p1 Percentage of availability of essential 65.4% 90%
drugs (properly stocked) in public health facilities (2016 Drug
Availability Survey)
Family Health, Nutrition, Provision of micronutrients
and Responsible for vulnerable groups
Parenting Program FP commodities for poor
women of Reproductive Age
To reduce child morbidity
(WRA)
and mortality to improve
overall child health Development of policies
and guidelines to aid in the
To reduce maternal
implementation of the
deaths to support the
programs under WMCHDP
attainment of the health-
(Women, Men, Child, Health
related sustainable
Devt Program)
development goals (SGDs)
Provision of technical
assistance to regional
offices and/or health
facilities
Expanded Program for
Immunization
Improve the routine
immunization coverage
Adaptation of the Reaching
Every Purok Strategy of
Vaccination up to 23
month old children in the
high risk puroks
Maintain and sustain polio-
free status of the
Philippines
Vaccines for full
immunization of infants
Tetanus-Diptheria and
Measles-Rubella Vaccine for
school-age children
Tetanus Vaccine for
pregnant women
Influenza and Pneomococcal
Vaccine for Senior citizens
Provision of cold chain
equipment
HIV/AIDS STI Program Provision of Antiretroviral
(ARV) drugs to People Living
To reduce the with Human
Immunodeficiency Virus
transmission of HIV and (PLHIVs)
STI among the Most At Free HIV testing and
Risk Population and counseling services
General Population and Empowerment of
communities
mitigate its impact at
Peer education and
the individual, family, outreach
and community level. Campaigns to reduce stigma
100% Condom Use Program
(CUP) especially for
entertainment
establishments;
Augmentation of resources
of social Hygiene Clinics
TB Control Program
Medicines (Cat I and II kits
Reduce TB burden by: for Adults, Cat I kits for
Decreasing the number Children, IPT)
of TB deaths by 50%
Supplies (syringes, HIV
Decreasing TB
incidence rate by 5% testing kits, multivitamins for
adults and children)
Reduce catastrophic Health promotion and
costs incurred by TB- Advocacy campaigns
affected households by
90% Research
National Malaria Control
and Elimination Program Ensure continuous access to
malaria diagnostic centers
To reduce malaria especially rapid test and
incidence in the treatment. (Diagnostic kits,
Philippines by 90% Insecticides, Medicines)
relative to a 2016 Surveillance and Response
baseline for Malaria Elimination.
to increase the number Strengthen inter-government
of malaria free agency collaboration for
malaria services.
provinces
Non-Communicable Diseases
Program
To reduce morbidity and Provision of medicines for
mortality rates due to hypertension and diabetes,
chronic lifestyle related non-
and mental health
communicable diseases
through an integrated, Health promotion and
comprehensive and advocacy
community-based program.
Dangerous Drug Abuse treatment and management of
Prevention and drug abuse cases in the 13 DOH-
Treatment and Rehabilitation
Treatment Program
Centers & Community based
To strengthen the Rehabilitation
prevention and Assistance to Mega-TRC in Fort
treatment of substance Magsaysay
abuse, including Assistance to DOH Hospitals with
narcotic drug abuse Drug Rehab Facilities
and harmful use of
Development and Capacity
alcohol. Building on Dangerous Drug Abuse
Prevention and Treatment Program
Regulatory
Review Of Community-Based
Rehab Program Healthy Cities
initiative
DOH Deployment 330 Doctors
Program
15,893 Nurses
Complement Human
4,000 Midwives
Resources For Health in
Rural Health Facilities 324 Dentists
to strengthen the 441 Medical Technologists
capability of Local 417 UHC Implementers
Health Workforce to
support national and 2,587 Public Health
Associates
local health systems.
219 Pharmacists
504 Family Health
Associates
Health Facilities Enhancement
Program
To improve Primary Health
Facilities for Gatekeeping
and delivery of
preventive/primary
healthcare services, and
decongest DOH Hospitals to
be able to provide affordable
quality tertiary care and
specialized treatments.
1,455 Barangay Health stations
539 rural /urban health centers
257 LGU hospitals
70 DOH hospitals
22 other national government hospitals
14 treatment & rehabilitation centers
22 Psychiatric facilities
127 Blood service facilities
8 Quarantine stations
13 Regional water testing laboratories
National Health Insurance Medical Assistance Program
Program
to provide financial assistance to
To protect all Filipinos from poor and indigent patients
financial risk due to health seeking medical services in
expenditures government health facilities
Subsidy of premium for:
15.44 Million DSWD
identified NHTS-PR
families
5.4 Million Senior Citizens
Beneficiaries in conflict
areas
 Deliver health services at the local level
Roles of Adopt national heath policies
Health
Adopt a Health in All Policies approach
Partners:
Local Ensure adequate fund allocation for
Government health
 Research by academic institutions
According to Health Research Agenda
Producing new generations of public health-
oriented professionals
Roles of Through an enabling curriculum
Health Return-of-service policies in schools
Partners: Creating healthy environments in schools
Academe Healthy food choices
Smoke-free environments
Safe environments (Free from physical or
psychological abuse)
 Private Sector
Provide affordable, quality services

Roles of CSOs
Health Support advocacies in health
Partners Supplement monitoring activities in health
sector
Ensure proper implementation of policies
 The
SDGs
are for a
better future
Maraming Salamat!