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I.

National Objectives for Health 2005 -2010

Department of Health
Republic of the Philippines

The NOH 2005-2010 provides the road map for stakeholders in health
and health-related sectors to intensify and harmonize their efforts to attain
its time-honored vision of health for all Filipinos and continue its avowed
mission to ensure accessibility and quality of health care to improve the
quality of life of all Filipinos, especially the poor.

The NOH sets the targets and the critical indicators, current strategies
based on field experiences, and laying down new avenues for improved
interventions. It provides concrete handle that would guide policy makers,
program managers, local government executives, development partners, civil
society and the communities in making crucial decisions for health.

Objectives of the Health Sector:

a. Improve the general health status of the population


- reduce infant mortality rate
- reduce child mortality rate
- reduce maternal mortality rate
- reduce fatal fertility rate
- increase life expectancy and quality of years
b. Reduce morbidity and mortality from certain diseases
- diarrhea
- pneumonia
- sexually transmitted disease (STD)
- hepatitis B
- dental caries and periodontal disorders
- protein-energy malnutrition
- iron deficiency anemia
c. Eliminate certain diseases as public health problems
- measles
- tetanus
- diphtheria
- pertussis
- vitamin A deficiency
- iodine deficiency disorders
d. Promote healthy lifestyle and environmental health
e. Protect vulnerable groups with special health and nutrition needs
f. Strengthen local and national health systems to ensure better health
service delivery
g. Pursue public health and hospital reforms
h. Reduce the cost and ensure the quality of essential drugs
i. Institute health regulatory reforms to ensure quality and safety of
health goods and services
j. Strengthen health governance and management support systems
k. Institute safety nets for the vulnerable and marginalized groups
l. Expand the coverage of social health insurance
m. Mobilize more resources for health
n. Improve efficiency in the allocation, production and utilization of
resources for health

Source: http://www.doh.gov.ph

II. Population Pyramid

Philippines Population Pyramid for 2005


Age and sex distribution for the year 2005:

In comparison with other countries, the Philippines ranked


twelfth among the countries of the world in terms of total population.
The phiippines is also among the countries of the world with a high
annual population growth rate and is ranked fifth among Southeast
Asian countries.

Source: US Census Bureau, July 12, 2003

III. Demographic Data

Philippines Demographics Profile (2009)

Population: 97,976,603 (July 2009)


Age structure
 0-14 years: 35.2% (male 17,606,352/female 16,911,376)
 15-64 years: 60.6% (male 29,679,327/female 29,737,919)
 65 years and over: 4.1% (male 1,744,248/female 2,297,381)
(2009)
 Median age
 total: 22.5 years
 male: 22 years
 female: 23 years (2009)
 Population growth rate: 1.957% (2009)
 Birth rate: 26.01 births/1,000 population (2009)
 Death rate: 5.1 deaths/1,000 population (July 2009)
 Net migration rate: -1.34 migrant(s)/1,000 population (2009)
 Urbanization

 urban population: 65% of total population (2008)


 rate of urbanization: 3% annual rate of change (2005-10 est.)
 Sex ratio

 at birth: 1.05 male(s)/female


 under 15 years: 1.04 male(s)/female
 15-64 years: 1 male(s)/female
 65 years and over: 0.76 male(s)/female
 total population: 1 male(s)/female (2009)
Infant mortality rate

total: 20.56 deaths/1,000 live births


male: 23.17 deaths/1,000 live births
female: 17.83 deaths/1,000 live births (2009)
Life expectancy at birth

total population: 71.09 years


male: 68.17 years
female: 74.15 years (2009)
Total fertility rate: 3.27 children born/woman (2009)
HIV/AIDS - adult prevalence rate: less than 0.1% (2003)
HIV/AIDS - people living with HIV/AIDS: 8,300 (2007)
HIV/AIDS – deaths: fewer than 200 (2007)
Major infectious diseases

 degree of risk: high


 food or waterborne diseases: bacterial diarrhea, hepatitis A,
and typhoid fever
 vectorborne diseases: dengue fever, malaria, and Japanese
encephalitis
 water contact disease: leptospirosis (2009)

Nationality
 noun: Filipino(s)
 adjective: Philippine

Ethnic groups
 Tagalog 28.1%, Cebuano 13.1%, Ilocano 9%, Bisaya/Binisaya
7.6%, Hiligaynon Ilonggo 7.5%, Bikol 6%, Waray 3.4%, other
25.3% (2000 census)

Religions
 Roman Catholic 80.9%, Muslim 5%, Evangelical 2.8%, Iglesia ni
Kristo 2.3%, Aglipayan 2%, other Christian 4.5%, other 1.8%,
unspecified 0.6%, none 0.1% (2000 census)

Languages
 Filipino (official; based on Tagalog) and English (official); eight
major dialects - Tagalog, Cebuano, Ilocano, Hiligaynon or
Ilonggo, Bicol, Waray, Pampango, and Pangasinan

Literacy
 definition: age 15 and over can read and write
 total population: 92.6%
 male: 92.5%
 female: 92.7% (2000 census)

School life expectancy (primary to tertiary education)


 total: 12 years
 male: 11 years
 female: 12 years (2006)

Education expenditures: 2.5% of GDP (2005)

Source: 2003 NATIONAL DEMOGRAPHIC AND HEALTH SURVEY


http://www.census.gov.ph

IV. Leading Causes of Morbidity and Mortality

MORBIDITY: TEN (10) LEADING CAUSES


Number and Rate /100,000 Population, Philippines
5-Year Average (2000-2004) & 2005
5 Year
Average (2 2005*
CAUSE 000-2004)
No. Rate No. Rate
1. Acute Lower RTI and 694,20 884.
690,566 809.9
Pneumonia 9 6
669,80 854.
2. Bronchitis/Bronchiolitis 616,041 722.5
0 7
3. Acute Watery Diarrhea 726,21 928. 603,287 707.6
1 3
459,62 587.
4. Influenza 406,237 476.5
4 0
314,17 400.
5. Hypertension 382,662 448.8
5 5
109,36 139.
6. TB Respiratory 114,360 134.1
9 7
7. Diseases of the Heart 43,945 56.2 43,898 51.5
8. Malaria 35,970 46.1 36,090 42.3
9. Chickenpox 79,236 41.1 30,063 35.3
10. Dengue Fever 15,383 19.6 20,107 23.6
** Pneumonia only from 2000-2002
* reference year
Last Update: June 29, 2009

MORTALITY: TEN LEADING (10) LEADING CAUSES


Number and rate/100,000 Population Philippines
5-Year Average (2000-2004) & 2005

5 Year
Average 2005*
Cause (2000-2004)
Numb
Rate No. Rate
er
77,06
1. Diseases of the Heart 66,412 83.3 90.4
0
2. Diseases of the Vascular 54,37
50,886 63.9 63.8
system 2
41,69
3. Malignant Neoplasm 38,578 48.4 48.9
7
36,51
4. Pneumonia 32,989 41.4 42.8
0
33,32
5. Accidents 33,455 42.0 39.1
7
26,58
6. Tuberculosis, all forms 27,211 34.2 31.2
8
7. Chronic lower respiratory 20,95
18,015 22.6 24.6
diseases 1
18,44
8.Diabetes Mellitus 13,584 17.0 21.6
1
9. Certain conditions 14,477 18.2 12,36 14.5
originating in the perinatal
8
period
10. Nephritis, nephrotic 11,05
9.166 11.5 3.6
syndrome and nephrosis 6

Note: Excludes ill-defined and unknown causes of mortality


(R00-R99) n=23,235
* reference year
** External Causes of Mortality

Last Update: June 29, 2009

Source: http://www.doh.gov.ph

V. Priority Health Problems

The Philippines is facing the following priority health


problems:

• reducing the cost of essential medicines


• expanding health insurance
• strengthening public health programs, particularly on
tuberculosis, HIV/AIDS, and malaria, and
• establishing drug treatment and rehabilitation centers

The priority communicable diseases are:

 tuberculosis (TB),
 malaria
 dengue fever
 typhoid fever
 parasite-related diseases
 diarrhea

For the group of diseases due to unhealthy lifestyles, the leading


disorders are heart disease (including stroke and hypertension),
asthma, diabetes, cancer, and kidney diseases.

Aside from medical diseases, there are three other general health
issues afflicting the country. These are problems in health manpower,
the high cost of drugs, and the low budget and priority for health.