Philippine Team

Fay de Ocampo
Francine Bofill
Daisy Panagsagan
> Archipelagic country in
Southeast Asia
> 7, 641 islands
> 3 main islands
> Luzon
> Visayas
> Mindanao
> Capital City: Manila
>Population: 109, 048, 269
(2020 estimate)
Organization of Health System

• Dual health system composed of public and private sectors

• Public: provided by health facilities run by national and local government; financed through tax-
based budgeting system
• Private: market-oriented, health services paid through user fees at the point of service
• Decentralized
• Local Government Code of 1991
• Local government units have full autonomy to finance and operate local health systems
• Provincial govt provides primary and secondary hospital care
• Municipal provides primary health care, promotive and preventive health programmes and basic
ambulatory care.
• DOH lays down national policies and plans, develop technical standards, enforce health
regulations and monitor, evaluate and deliver tertiary and specialized hospital services
 Health • National Philippine Health
Insurance (PhilHealth)
Insurance • Private Health Insurance (HMO’s)
Philippines:
Trends in early
childhood
mortality rates
Philippines: Trends in place of birth
NMR, IMR, Under-5 Mortality per region
Source: Estimates generated by the WHO and Maternal and Child Epidemiology
Estimation Group (MCEE) 2018 and downloaded from http://data.unicef.org
Low birth weight rate: 15%
LBW percentage per region
Key Indicators: Philippines
KMC centers in the
Philippines

• KMC Facilities now in 17/17 Regions

• Total of 21 accredited centers for KMC
Training & Excellence disseminating KMC
Problems identified: National and
Government
• Policy not well disseminated
• High LBW, INMR, Preterm rate, unplanned pregnancies
• Health financing: mostly out-of-pocket expense
• Inadequate service delivery network among health facilities
• Geographically isolated and disadvantaged areas
• Lack of funds for monitoring and evaluation of KMC centers
Problems identified: Facility
• Lack of resources
• Funds for training, provision for the mother (food, kmc cloth)
• Personnel
• Space
• Lack of continuous quality improvement activities through monitoring
and evaluation
Problems identified: Mother and family
• Willingness to adapt KMC
• Education
• Lack of support from the family and community
Why are you chosen?
• PGH tertiary referral center with high LBW, prematurity rate
• Center for KMC Training and Excellence
• largest training hospital in the country,
• laboratory hospital of health science students enrolled in the University of the
Philippines (medicine, nursing, occupational therapy, and psychiatry)
How are you going to spread KMC later to
your region and country?
• Establish national operational guidelines and a national coordinated
plan to make this intervention available in all health facilities
• Promote KMC among medical professionals (OB, Nursing, Social
Health Workers, Psychiatry, civil society organizations and academe)
• Integrate KMC into the clinical training materials
How are you going to spread KMC later to
your region and country?
• Integrate recordkeeping and reporting on KMC into routine
monitoring and evaluation systems (MBFHI)
• Conduct research and case studies to gather local evidence for policy
and budget advocacy
• Create a supportive environment for mothers and families to practice
KMC in health facilities, upon discharge, at home with community
support